THIS QUESTIONNAIRE IS AIMING AT COLLECTING … · Web viewNOTE: Enumerator have to observe if soap...

WASH, EARLY REOVERY AND SHELTER

HOUSEHOLD SURVEYTropical Cyclone Mahasen

Team ID: __________

Team Information

Shelter ID : _________ Date: ____ /_____/ 201_Team ID : _________Location ID: __________

Team Leader: Signature: Enumerator: Signature:

Introduction

Hello, my name is _______________ and I am collecting data for a consortium of local and international NGOs, organizations, UN and the Government. I would like to ask you some questions about how tropical cyclone Mahasen affected your household . he survey is confidential and any answers you provide will remain private. The questionnaire does not have “good” or “bad” answers. You don’t have to answer if you don’t want to. You may decline to answer any questions or stop the interview at any time. It will take around 30 minutes to complete. Do you agree to let me ask you these questions? YES NO

Household details

1. Name: 2. National ID:

3. Fathers/husbands name: 4. Mothers name:

5. How many people live in your house? #Male:____ #Female:____

6. Are you a single headed household?

Yes No

If Yes Male or Female

7. What is the age of those currently living in the household?

Under 1 years: # Male:____# Female:____ 19- 39 years: # Male:____# Female:____1-5 years: # Male:____# Female:____ 40-60 years: # Male:____# Female:____6-12 years: # Male:____# Female:____ Over 60 years: # Male:____# Female:____13-18 years: # Male:____# Female:____

8. Is your family part of a minority group

No Yes If so which one______________

9. How many pregnant or lactating women are there in the household?

# Pregnant:_____ # Lactating:______

10. Are there any members of the family with physical or mental disabilities?

No Yes (If no, go to question 3.7)

Physical disability # Male:_______ # Female:_______

Mental disability # Male:_______ # Female:_______

Blind # Male:_______ # of 10



Team ID: __________

Female:_______

Geographical Information

11. Where were you living before the cyclone Mahasen struck on 16 May?

District Barguna Bhola Putuakhali Pirojpur

12.Upazila: 13. Union name:

14. Ward : 15. Village:

16. How long have you lived here? <1 year 1 to 5 years 5 to 15 years More than 15 years

17. Category of the area affected by the disaster:

City Corporation Paurashava Rural

18. Description of the area (tick only one):

Char area Haor Coastal

Island Flood plain Hilly19. Where are you living now? in the same location in a different location.

If different complete the following section:

20. District: 21.Upazilas:

22. Union: 23. Ward:

24. What type of shelter or house are you living in now?

Living in the same location Living in your own house which is only

part damaged

Living in the part of your house which was not destroyed

Living on your own property in a temporary or makeshift shelter

Living on your own property in a tent

Other____________________

Living in a different location Living with relatives, friends, neighbors,

etc

Living in an evacuation centre, e.g. cyclone shelter, school, public building

Living in a Tent on relocation site

Living in a temporary or makeshift shelter on a relocation site (not tents)

Other____________________

25. What is the main reasons why the family has not returned to their original house?

Because of continued rain/flooding

Because their house is uninhabitable due to damage

Access to water, food, relief items

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Team ID: __________

Other_______________________

House before the storm

26. Was your house damaged by the storm Yes No

27. What type of house did you live in before the cyclone Pucca Semi Pucca Traditional/ Mud

Temporary/Jhupri 28. What materials was your house made of:Roof:

Thatch

CGI Sheet

Other

_________________

Walls: Bamboo

matting

Timber planks

CGI

Bricks

Other

_______________

Frame: Bamboo

Timber

Concrete posts

Brick masonry

Other

_______________

Floor: Earth

Timber

Concrete

Other

_______________

Foundation: Clay plinth

Brick masonry

Concrete posts

Other ________________

29. What is the size of your house (squared yards)?< 10 10 to 20 20 to 40 40 to 60 60 to 100 More than 100 30. What is the type of property ownership or rights held by the household affected?

Private ownership Renting Squatter Other______

31. Do you have legal papers for the land?

Yes No

32. Do you still have the legal papers?

Yes No

33. Is the household under threat of eviction?

Yes No

Reason _________________

34. Damage to the House: Please tick relevant boxes to indicate the level of structural damage to the property:

Category 1

House collapsed

Roof missing

Walls collapsed

Structure collapsed

House is repairable

Yes No

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Team ID: __________

Foundation damaged

Category 2

Partially damaged

Roof missing or significantly damaged (50-75%)

Walls significant damaged

Structure significant damaged

Foundation damaged

House is repairable

Yes No

Category 3

Minor damage

Roof moderately damaged (20-50%)

Walls moderately damaged

Structure significant damaged

Foundation damaged

House is repairable

Yes No

35. Is the household at risk of injury because of the level of damage in house? Yes No

36. Have the members of the household begun to repair their house? Yes No

37. What shelter assistance do you need

Help to repair your house

A new house

38. What shelter materials do you need:

CGI Timber Bamboo Bricks Labour Cash Other

39. What do you think the value of the repair would be?

5 to 10,000BDT 10 to 20,000BDT 20 to 30,000BDT

30 to 40,000BDT 40 to 50,000BDT >50,000BDT

Other _________

40. What do you think you can contribute

Salvaged materials from old house Labour Cash

41. What are the top 3 priorities in relation to shelter? Rank up to the top 3; 1st, 2nd, 3rd.

Want to move out of communal shelters Want to return home Need materials and tools to repair or rebuild their houses Need skills/labour to repair or rebuild their houses Need basic household items (NFIs)

Others_______________________________

42. What are the main problems the household faces to repair of rebuild their house.

Materials/tools for repair are not available Materials/tools for repair are not accessible (not enough money) Skilled/labour for repair not available Skilled/labour for repair not accessible (not enough money) There are potential grievances on land issues

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Team ID: __________

Rank up to the top 3; 1st, 2nd, 3rd Other__________________________________

WASH43. What type of sanitation facility are you using before cyclone Mahasen

Sanitary (water-sealed) Sanitary (non-water sealed) Non-Sanitary None

44. Was your latrine damaged by Cyclone Mahasen? Note: if answer is yes, ask question 1.3

Yes No

45. What type of sanitation facility are you using now?Note: Enumerator have to do direct observation

Sanitary (water-sealed) Sanitary (non-water sealed) Non-Sanitary None

46. Have your household members begun to rehabilitate sanitation facilities?

Yes No

47. What are the main problems the household faces to repair of rebuild their latrine?

Rank up to the top 3; 1st, 2nd, 3rd

Materials/tools for repair are not available Materials/tools for repair are not accessible (not

enough money) Skilled/labour for repair not available Skilled/labour for repair not accessible (not

enough money) There are potential grievances on land issues Other

48. Do woman and adolescent girls have enough privacy to use latrine? Yes No

49. Do Woman and adolescent girls have enough privacy for bathing? Yes No

50. Where from you collect drinking water? Before CycloneTube wellsDug wellsPond Sand FilterRain Water

Harvesting Pipe water system Ponds/River/Canals If others ( Explain)

After CycloneTube wellsDug wellsPond Sand FilterRain Water

Harvesting Pipe water system Ponds/River/Canals If others ( Explain)

51. What do you use for hand washing?NOTE: Enumerator have to observe if soap available anywhere in the house ( nearer to toilet, water point , kitchen etc)

Soap Ash None

52. Have you notice any particular disease since recent cyclone?

Diarrhoea Skin Disease

Stomach pain Others

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Team ID: __________

Early Recovery (Livelihood / Income)

53. What are your main sources of household income?

BEFORE NOW Farming Farming Livestock Livestock Fishing (boat owner) Fishing (boat owner) Fishing (labour) Fishing (labour) Shrimp Farming Shrimp Farming Small trade Small trade Forest dependent Forest dependent Private service Private service Govt service Govt service Day labourer Day labourer Fully dependent (no income) Fully dependent (no income) Agricultural labour Agricultural labour Van/rickshaw puller Van/rickshaw puller Other (specify) Other (specify)

Before storm Projected income after one month

54. What is your average monthly income?(Only one amount)The comparison has to be done with projected income after one month of the storm

Below 3000 BDT Below 3000 BDT 3,000 - 5,000 BDT 3,000 - 5,000 BDT 5,000 - 10,000 BDT 5,000 - 10,000 BDT 10,000 above BDT 10,000 above BDT

55. What is your monthly expenditure? (this has to be translated in % by the team)

BEFORE NOWBasic HH necessities (food)HealthChildren educationFire wood/fuelClothsTransportationLoan repaymentFodderOthers (specify)

56. What are the damages, which impacted on your livelihood? (select 2 most affected livelihood options)

Agricultural crops damaged fishing boats, nets, etc. damaged Rickshaw, van damage lost poultry livestock loss fisheries damage Agricultural seeds others (specify)

57. When do you expect to restart your main previous livelihood activity?

Already restarted Within one month Within three months In more than three months I don’t know

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Team ID: __________

Agricultural land still under water Plan for alternative livelihood option (specify)

58. What are your main constraints to restart your main livelihood activity?

Agricultural land under debris Too much pressure on daily labor market Shrimp farm damaged by storm Fish pond damaged by storm Livelihood assets damaged by storm Livelihood assets has been sold to buy food Other (specify)

59. What plans you have to cope with current loss of livelihood?

Selling of household assets or fix assets Will migrate outside for work Alternative livelihood borrow loan with high interest other (specify)

60. What are the main sources of energy you use for household? (cooking, lighting, etc.)

Firewood Cattle dung Kerosene Others

61. Do you own land for agriculture?

Yes No

62. If yes, how much land do you own?

Less than 10 decimal 11 - 30 decimal 31 - 100 decimal 100 - 300 decimal More than 300 decimal

Assistance already received

63. Has there already been support provided?

Yes No

64. What kind of support was provided?

Food, eg GR rice Shelter NFIs Temporary shelter

Shelter Material Cash (GR) Cash for work Water Access Sanitation Seed, tools Health Psycho-Social Child protection Hygiene Kits Other:________________

65. Who provided such support?

Local authorities Own funds Private individuals Local charity associations Local NGOs International NGOs / UN / Donors Other:________________

Name organisation : 66. What shelter assistance has been committed but not yet received?

Food, eg GR rice Shelter NFIs Temporary shelter

Shelter Material Cash (GR) Cash for work Water Access Sanitation Seed, tools Health Psycho-Social Child protection

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Team ID: __________

Hygiene Kits Other:________________

Question on Communication Needs and Access

67.1: What are your main sources of information you used before any disaster happened? 67.2: What are your main sources of information you used during any disaster happened?67.3: What are your main sources of information you used after any disaster happened? 67.4: In your opinion what are your most favorable sources of information to get information regarding disaster responses (TICK ONLY THREE)?

DO NOT READ OUT. MULTIPLE CODES ALLOWED.

1.1 Before 1.2 During

1.3 After 1.4 Most Favorable

1 Word of Mouth 2 Notice Board 3 Loudspeaker/mic4 Volunteers5 Television6 Radio7 Newspaper/magazine8 Internet (e.g. social media sites9 Mobile phone (e.g. news service) 10 I don’t get any information on these issues88 Don’t know99 RefusedThose who ticked in 5 in Q 1.1 ASK Q 2.1Those who ticked in 5 in Q 1.2 ASK Q 2.2Those who ticked in 5 in Q 1.3 ASK Q 2.368.1 Now, I’m going to read you a list of some television channels available in your area, can you tell me which of these channels you watch to get the information before any disaster happened?68.2 Now, I’m going to read you a list of some television channels available in your area, can you tell me which of these channels you watch to get the information during any disaster happened?68.3 Now, I’m going to read you a list of some television channels available in your area, can you tell me which of these channels you watch to get the information after any disaster happened

TV Channel 2.1 Before 2.2 During 2.3

After01 ATN Bangla02 ATN News03 Bangla Vision04 Boishakhi tv05 BTV06 Channel 2407 Channel 908 Channel I09 Desh tv10 Diganta tv11 ETV12 Gazi tv13 Indepenent TV14 Islamic TV

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Team ID: __________

15 Maasranga 16 Mohona TV17 My TV18 NTV19 RTV20 Somoy TV21 71 TV22 Channel 1623 Don’t watch Bangladeshi Channels88 DK99 REF

Question 3Those who ticked in 6 in Q 1.1 ASK Q 3.1Those who ticked in 6 in Q 1.2 ASK Q 3.2Those who ticked in 6 in Q 1.3 ASK Q 3.369.1 Now, I’m going to read you a list of some Radio channels available in your area, can you tell me which of these channels you listen to get the information before any disaster happened?69.2 Now, I’m going to read you a list of some Radio channels available in your area, can you tell me which of these channels you listen to get the information during any disaster happened?69.3 Now, I’m going to read you a list of some Radio channels available in your area, can you tell me which of these channels you listen to get the information after any disaster happened?

Radio Channels 3.1 Before 3.2 During 3.3 After

01 Bangladesh Betar02 BBC Bangla 03 BBC World04 Radio ABC (89.2)05 Radio Amar (88.4) 06 Radio Foorti (88.0) 07 Radio Today (89.6) 08 Voice of America (VOA) 09 Peoples Radio (91.6)10 Dhaka FM (90.4)

Community Radio 11 Radio Sundarban - Koyra, Khulna12 Lokobetar - West Sadar Road, Barguna13 Krishi Radio - Amtoli, Barguna88 Don’t know99 Refused70. Do you agree or disagree that the following are the reason you do not/might not get any information about disaster responsesREAD OUT EACH STATEMENT. SINGLE CODE ONLYON PROVIDING AN AGREE OR DISAGREE RESPONSE, FOLLOW UP WITH:Would you say you [agree/disagree] a lot, or just a normal amount?

Stro

ngly

ag

ree

Agre

e

Disa

gree

Stro

ngly

Di

sagr

ee

Don’

t kn

ow

Refu

sed

4 3 2 1 88 99A I do not have enough time to collect the of 10



Team ID: __________

informationB I have other priorities than getting

information about disaster responsesc I do not feel the information that was

provided is usefuld I do not feel the information that was

provided is correct / accurate.e I do not have access (either TV or Radio

or Newspaper) to the information.f It is very hard to get information about

disaster responses from my area.

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