Uzbekistan 2021

Household Information Panel: HH

HH1. Cluster number: _ _ _

HH2. Household number: _ _

HH3. Interviewer's name and number:

HH4. Supervisor's name and number:

HH5. Day/Month/Year of interview:

HH6. Area

HH7. Region

Check that the respondent is a knowledgeable member of the household and at least 18 years old before proceeding. You may only interview a child age 15-17 if there is no adult member of the household or all adult members are incapacitated. You may not interview a child under age 15.

HH11. Record the time.

HH12. Hello, my name is (your name). We are from the State Committee of the Republic of Uzbekistan on Statistics. We are conducting a survey about the situation of children, families and households. I would like to talk to you about these subjects. This interview usually takes about 30 minutes. Following this, I may ask to conduct additional interviews with you or other individual members of your household. All the information we obtain will remain strictly confidential and anonymous. If you do not wish to answer a question or stop the interview, please let me know. If you have any questions about the survey, we will provide contact of person from the State Committee on Statistics of the Republic of Uzbekistan, who is in charge of this survey. May I start now?

HH46. Result of household questionnaire interview:
Discuss any result not completed with supervisor.
HH47. Name and line number of the respondent to household questionnaire interview:

To be filled after the Household Questionnaire is completed
Total number

HH48. Household members: __ __


HH49. Women age 15-49: __ __

HH51. Children under age 5: __ __

HH52. Children age 5-17: __ __

To be filled after all the questionnaires are completed
Completed number

HH53. Women age 15-49: __ __

HH55. Children under age 5: __ __

HH56. Children age 5-17

List Of Household Members: HL

First complete HL2-HL4 vertically for all household members, starting with the head of the household. Once HL2-HL4 are complete for all members, make sure to probe for additional members: Those that are not currently at home, any infants or small children and any others who may not be family (such as servants, friends) but who usually live in the household.
Then, ask questions HL5-HL20 for each member one at a time. If additional questionnaires are used, indicate by ticking this box: ____

HL1. Line number: _ _

HL2. First, please tell me the name of each person who usually lives here, starting with the head of the household.
Probe for additional household members.
HL3. What is the relationship of (name) to (name of the head of household)?

HL4. Is (name) male or female?

HL5. What is (name)'s date of birth?

HL6. How old is (name)?
Record in completed years. If age is 95 or above, record "95".
HL8. Record line number if woman and age 15-49: _ _

HL10. Record line number if age 0-4: _ _

HL11. Age 0-17?

HL12. Is (name)"s natural mother alive?

HL13. Does (name)'s natural mother live in this household?

HL14. Record the line number of mother and go to HL16: _ _

HL15. Where does (name)'s natural mother live?

HL16. Is (name)'s natural father alive?

HL17. Does (name)'s natural father live in this household?

HL18. Record the line number of father and go to HL20: _ _

HL19. Where does (name)'s natural father live?

HL20. Copy the line number of mother from HL14. If blank, ask: Who is the primary caretaker of (name)?
If "No one" for a child age 15-17, record "90".
Codes for HL3. Relationship to head of household

Education 1: ED

ED1. Line number: _ _

ED2. Name and age
Copy names and ages of all members of the household from HL2 and HL6 to below and to next page of the module.
ED3. Age 3 or above?

ED4. Has (name) ever attended school or any pre-school education programme?

ED5. What is the highest level and grade or year of school (name) has ever attended?

ED6. Did (name) ever complete that (grade/year)?

ED7. Age 3-24?

ED8. Check ED4: Ever attended school or pre-school education programme?
Education 2: ED

ED1. Line number _ _

ED2. Name and age

ED9. At any time during the current 2020/2021 school year did (name) attend school or any pre-school education programme?

ED10. During this current 2020/2021 school year, which level and grade or year is (name) attending?

ED11. Is (he/she) attending a public educational institution?
If "Yes", record "1". If "No", probe to code who controls and manages the school.
ED12. In the current 2020/2021 school year, has (name) received any school tuition support?
If "Yes", probe to ensure that support was not received from family, other relatives, friends or neighbours.
ED13. Who provided the tuition support?
Record all mentioned.
ED14. For the current 2020/2021 school year, has (name) received any material support or cash to buy shoes, exercise books, notebooks, school uniforms or other school supplies?
If "Yes", probe to ensure that support was not received from family, other relatives, friends or neighbours.
ED15. At any time during the previous 2019/2020 school year did (name) attend school or any pre-school education programme?

ED16. During that previous 2019/2020 school year, which level and grade or year did (name) attend?

Household Characteristics: HC

HC1B. What is the mother tongue/native language of (name of the head of the household from HL2)?

HC3. How many rooms do members of this household usually use for sleeping?

HC4. Main material of the dwelling floor.
Record observation. If observation is not possible, ask the respondent to determine the material of the dwelling floor.
HC5. Main material of the roof.
Record observation.

HC6. Main material of the exterior walls.
Record observation.
HC7. Does your household have:

A. A fixed telephone line?

B. A radio?

C. A cupboard?

D. Khontakhta?

E. Dining-room table?

F. Wardrobe for cloths?

G. Bed?

H. Sofa?

I. A mechanical sewing machine?

HC8. Does your household have electricity?

HC9. Does your household have:

A. A television?

B. A refrigerator?

C. A fan?

D. A washing machine?

E. A microwave oven?

F. An air conditioner?

G. A vacuum cleaner?

H. A DVD player?

I. An electric sewing machine?

HC10. Does any member of your household own:

A. A wristwatch?

B. A bicycle?

C. A motorcycle or scooter?

D. An animal-drawn cart (arabah)?

E. A car?

F. A boat with a motor?

G. A truck or a van?

I. A tractor?

HC11. Does any member of your household have a computer or a tablet?

HC12. Does any member of your household have a mobile telephone?

HC13. Does your household have access to internet at home?

HC14. Do you or someone living in this household own this dwelling?
If "No", then ask: Do you rent this dwelling from someone not living in this household? If "Rented from someone else", record "2". For other responses, record "6" and specify.
HC15. Does any member of this household own any land that can be used for agriculture?

HC16. How many hectares of agricultural land do members of this household own?
If 1 hectare or more, circle ?1? and record hectares. If 95 or more hectares, circle ?1? and record ?95?. If less than 1 hectare, probe: How many sotkas? circle ?2?and record in sotkas. If less than 1 sotka, circle ?2? and record ?00?. If unknown, circle ?998?.
HC17. Does this household own any livestock, herds, other farm animals, or poultry?

HC18. How many of the following animals does this household have?
If none, record "00". If 95 or more, record "95". If unknown, record "98".

A. Milk cows or bulls?

H. Camels?

C. Horses, donkeys or mules?

D. Goats?

E. Sheep?

I. Chicken?

J. Rabbits?

G. Pigs?

K. Beehives?

HC19. Does any member of this household have a bank account?

Social Transfers: ST

ST1. I would like to ask you about various external economic assistance programmes provided to households. By external assistance I mean support that comes from the government or from non-governmental organizations such as religious, charitable, or community-based organizations. This excludes support from family, other relatives, friends or neighbours.

ST2. Are you aware of (name of programme)?

ST3. Has your household or anyone in your household received assistance through (name of programme)?

ST4. When was the last time your household or anyone in your household received assistance through (name of programme)?
If less than one month, record "1" and record "00" in Months. If less than 12 months, record "1" and record in Months. If 1 year/12 months or more, record "2" and record in Years.
Household Energy Use: EU

EU1. In your household, what type of cookstove is mainly used for cooking?

EU2. Does it have a chimney?

EU3. Does it have a fan?

EU4. What type of fuel or energy source is used in this cookstove?
If more than one, record the main energy source for this cookstove.
EU5. Is the cooking usually done in the house, in a separate building, or outdoors?
If in main house, probe to determine if cooking is done in a separate room. If outdoors, probe to determine if cooking is done on veranda, covered porch, or open air.
EU6. What does your household mainly use for space heating when needed?

EU7. Does it have a chimney?

EU8. What type of fuel and energy source is used in this heater?
If more than one, record the main energy source for this heater.
EU9. At night, what does your household mainly use to light the household?

Water and sanitation: WS

WS1. What is the main source of drinking water used by members of your household?
If unclear, probe to identify the place from which members of this household most often collect drinking water (collection point).
WS2. What is the main source of water used by members of your household for other purposes such as cooking and handwashing?
If unclear, probe to identify the place from which members of this household most often collect water for other purposes.
WS3. Where is that water source located?

WS4. How long does it take for members of your household to go there, get water, and come back?

WS5. Who usually goes to this source to collect the water for your household?
Record the name of the person and copy the line number of this person from the list of household members module.

WS6. Since last (day of the week), how many times has this person collected water?

WS7. In the last month, has there been any time when your household did not have sufficient quantities of drinking water?

WS8. What was the main reason that you were unable to access water in sufficient quantities when needed?

WS9. Do you or any other member of this household do anything to the water to make it safer to drink?

WS10. What do you usually do to make the water safer to drink?
Probe: Anything else?
Record all methods mentioned.
WS10A1. Where do you or other members of your household most often wash your hands?

WS10A2. Do you have any soap or detergent in your house for washing hands?
If "yes", probe: Do you have soap or detergent, or both?
WS11. What kind of toilet facility do members of your household usually use?
If "Flush" or "Pour flush", probe: Where does it flush to?
If not possible to determine, ask permission to observe the facility.
WS12. Has your (answer from WS11) ever been emptied?

WS13. The last time it was emptied, where were the contents emptied to?
Probe: Was it removed by a service provider?
WS14. Where is this toilet facility located?

WS15. Do you share this facility with others who are not members of your household?

WS16. Do you share this facility only with members of other households that you know, or is the facility open to the use of the general public?

WS17. How many households in total use this toilet facility, including your own household?

HH13. Record the time.

HH14. Language of the Questionnaire.

HH15. Language of the Interview.

HH16. Native language of the Respondent.

HH17. Was a translator used for any parts of this questionnaire?

HH18. Check HL6 in the "List of household members" and indicate the total number of children age 5-17 years:
HH19. List each of the children age 5-17 years below in the order they appear in the list of household members. Do not include other household members outside of the age range 5-17 years. Record the line number, name, sex, and age for each child.

HH20. Rank number: _

HH21. Line number from HL1: _ _

HH22. Name from HL2: ____

HH23. Sex from HL4

HH24. Age from HL6: _ _

HH25. Check the last digit of the household number (HH2) from the household information panel. This is the number of the row you should go to in the table below.
Check the total number of children age 5-17 years in HH18 above. This is the number of the column you should go to in the table below.
Find the box where the row and the column meet and record the number that appears in the box. This is the rank number (HH20) of the selected child.

HH26. Record the rank number (HH20), line number (HH21), name (HH22) and age (HH24) of the selected child.

HH27. (When HH18=1 or when there is a single child age 5-17 in the household): Record the rank number as "1"and record the line number (HL1), the name (HL2) and age (HL6) of this child from the list of household members.

HH28. Issue a questionnaire for children age 5-17 to be administered to the mother/caretaker of this child.

HH29. Check HL8 in the list of household members: Are there any women age 15-49?
HH30. Issue a separate questionnaire for individual women for each woman age 15-49 years.

HH31. Check HL6 and HL8 in the list of household members: Are there any girls age 15-17?
HH32. Check HL20 in the list of household members: Is consent required for interviewing at least one girl age 15-17?
HH33. As part of the survey we are also interviewing women age 15-49. We ask each person we interview for permission. A female interviewer conducts these interviews.
For girls age 15-17 we must also get permission from an adult to interview them. As mentioned before, all the information we obtain will remain strictly confidential and anonymous.
May we interview (name(s) of female member(s) age 15-17) later?

HH40. Check HL10 in the "List of household members": Are there any children age 0-4?
HH41. Issue a separate questionnaire for children under five for each child age 0-4 years.

HH44A. Check HC7[A] and HC12: Does this household have a fixed telephone line or does any member of the household own a mobile phone?
HH44B. Issue a separate contact information form and go to HH45.

HH45. Now return to the household information panel and,
Record "01" in question HH46 (Result of the Household Questionnaire interview). Record the name and the line number (from the list of household members) of the respondent to the household questionnaire interview in HH47. Fill the questions HH48 ? HH52. Proceed with the administration of the questionnaire on contact form or thank the respondent for his/her cooperation and continue with the administration of the remaining individual questionnaire(s) in this household.
If there is no individual questionnaire to be completed in this household move to the next household you have been assigned by your supervisor.

Interviewer's Observations ________

Supervisor's Observations ________