COMMUNITY (LC1) QUESTIONNAIRE REPUBLIC OF UGANDA

REPUBLIC OF UGANDA
NATIONAL POPULATION AND HOUSING CENSUS
COMMUNITY (LC1) QUESTIONNAIRE
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT
COUNTY /
MUNICIPALITY
SUB-COUNTY /
DIVISION /
T.C.
PARISH /
WARD
LC1
DD
MM
/
NAME OF INTERVIEWER
Interviewer Code
YYYY
/
Date
SIGNATURE OF INTERVIEWER
DD
MM
/
NAME OF PARISH SUPERVISOR
SIGNATURE OF PARISH SUPERVISOR
Supervisor Code
YYYY
/
Date
REPUBLIC OF UGANDA
NATIONAL POPULATION AND HOUSING CENSUS
COMMUNITY (LC1) QUESTIONNAIRE
IDENTIFICATION PARTICULARS
WRITE NAME IN CAPITAL LETTERS
CODE
DISTRICT
COUNTY /
MUNICIPALITY
SUB-COUNTY /
DIVISION /
T.C.
PARISH /
WARD
LC1
DD
MM
/
NAME OF INTERVIEWER
Interviewer Code
YYYY
/
Date
SIGNATURE OF INTERVIEWER
DD
MM
/
NAME OF PARISH SUPERVISOR
Supervisor Code
YYYY
/
Date
SIGNATURE OF PARISH SUPERVISOR
PAGE 1
COMMUNITY QUESTIONNAIRE CODE LIST
C3: Crops most affected by diseases
C1. ECONOMIC ACTIVITY
C1: Economic Activity
10 Animal rearing
11 Crop farming
12 Fishing
13 Employees
14 Trading in agricultural produce
15 Trading in non-agricultural products
96 Other (Specify)
a) Generally, what is the major economic activity in this LC1?
Refer to the codelist C1 and write the appropriate code.
b) What is the major economic activity among the youth (18 - 30 years) in this LC1?
Refer to the codelist C1 and write the appropriate code.
c) What is the major economic activity among children ( below 18 years) in this LC1?
Refer to codelist C1 and write the appropriate code.
C2. PRODUCE MARKET
a) Is there a general market located within this LC1?
1 = YES
2 = NO
b) Is there a market place for ONLY CROPS located within this LC1?
1 = YES
2 = NO
1 = YES
2 = NO
c) Is there a market place for ONLY ANIMALS/POULTRY located within this LC1?
C3.
C4: Animals most affected by diseases
10 Local Cattle
11 Exotic Cattle
12 Goats
13 Local Poultry/Chicken
14 Exotic Poultry/Chicken
15 Sheep
16 Pigs
96 Other Animals (Specify)
97 No animal affected
CROPS MOST AFFECTED BY DISEASES
a) During the past 12 months, did farmers in this LC1 experience any major diseases affecting crops?
1 = YES
2 = NO
C5b:Types of Extension Services
10 Treatment of Animal Diseases
11 Control of crop diseases
12 Vaccination
13 Artificial Insemination
14 Advice on good agricultural practices
15 Marketing
16 Use of fertilizers
17 Farm mechanization
18 Advice on credit services
19 Environmental conservation
97 Not Applicable
b) If Yes, what were the two most affected crops starting with the one which was most affected?
Refer to code list C3 and write the appropriate crop code. If No, write code 97 for crop 1 and
crop 2
Crop Code
Crop 1
Crop 2
C4. ANIMALS MOST AFFECTED BY DISEASES
a) During the past 12 months, did farmers in this LC1 experience any major diseases
affecting animals?
b) If Yes, what were the two most affected types of animals starting with the one
which was most affected?
Refer to codelist C4 and write the appropriate code. If No, write code 97 for
animal 1 and animal 2
C7a : Microfinance Institutions
10 Savings and Credit Cooperative
Organisations (SACCO)
11 Micro Finance Deposit Taking Institutions
(MDIs)
12 Credit Institutions
13 Non-Governmental Organisations (NGOs)
14 Money Lending Institutions
15 Community Based Organisations (CBOs)
96 Others (specify)
1 = YES
2 = NO
Animal Code
Animal 1
C14 : SOCIAL PROBLEMS
10 Theft
11 Poor sanitation
12 No health facility
13 No primary schools
14 No seconday schools
15 Poverty
16 Poor infrastracture (roads)
17 Unemployment
18 Lack of water
19 Famine
20 Idleness
21 Insecurity
22 Drunkenness
23 Crop pests and diseases
24 Animal pests and diseases
96 Other (Specify)
Animal 2
C5. AGRICULTURAL EXTENSION SERVICES
a) During the past 12 months, were farmers in this LC1
visited by any Agricultural Extension Worker(s)?
b) If Yes, what were the types of extension services offered?
(Refer to codelist C5b)?
1 = Yes, Government
2 = Yes, private
3 = Yes, both
Government and
Private
4 = No
Agricultural extension
service code
Service 1
Service 2
Service 3
Service 4
PAGE 2
Code
10 Maize
11 Beans
12 Banana (Food)
13 Cassava
14 Sweet Potatoes
15 G/nuts
16 Sorghum
17 Millet
18 Sim Sim
19 Banana (Beer)
20 Irish Potatoes
21 Soya Beans
22 Rice
23 Banana (sweet)
24 Field Peas (Kawo)
25 Cow Peas
26 Pigeon Peas
27 Sugar cane
28 Yams
29 Avocado
30 Tomatoes
31 Sunflower
32 Cotton
33 Jackfruit
34 Pineapples
35 Pumpkins
36 Mangoes
37 Oranges
38 Cabbage
39 Cocoa
40 Paw Paws
41 Eggplants
42 Onions
43 Passion fruits
44 Greens (Doodo/Nakati/Bbugga/Malakwang,
etc)
45 Vanilla
46 Tea
47 Wheat
48 Barley
49 Spinach
50 Cucumber
51 Water melons
52 Carrots
53 Garlic
54 Mushrooms
55 Tobacco
56 Grapes
57 Lemons & Limes
58 Tangarines & Mandarines
59 Straw berries
60 Apples & Apricots
61 Pears
62 Coffee Arabica
63 Coffee Robusta
96 Other crops (specify)
97 No crop affected
C11b : Youth Friendly Services
10 Counselling Services
11 Peer Education
12 STD/HIV/Sex Education
13 Adolescent/Youth Pregnancy
Checkups
14 Post Abortion Treatment
15 Drama
16 Indoor/Outdoor Games
95 None
96 Other (Specify)
C10a : Commonly Spoken
language in LC1
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Acholi
Adhola
Alur
Ateso
Bari
Chope
English (non native Speakers)
Gujarati
Hindu
Ik (Tueso)
Kakwa
Kakwa-Reli
Kuku
Kumam
Kupsabiny
Langi
Lendu
Lubukusu
Luganda
Lugbara
Lusamia-Lugwe
Lugwere
Lukenyi
Lukhekhe
Luluba or Olubogo or Olu'bo
Lumasaba
Lunyala
Lunyole
Luruuli
Lusamia
Lusinga (on Rusinga Island)
Lusoga
Lutwa
Madi
Mangbetu
Mening
Mvuba
Ndo or Kebu or Oke'bu
Ngadotho
Ngakaramojong
Ngikutio
Nubi
Nyang'i
Pokot or Pakot or Suk
Rubwisi or Talinga
Rufumbira
Rugungu
Rukiga
Rukonjo
Runyankole
Runyarwanda
Runyoro
Rusongora
Rutooro
Rutundi
Ruyabindi
Rwamba
Shana
Soo or So, or Tepeth or Tepes
Swahili
Vonoma
C6. LAND
DETAILS OF THE OPINION LEADERS PROVIDING THE INFORMATION
No
NAME
TITLE
TELEPHONE CONTACT
1
a) What is the most common type of land tenure system in this LC1?
1 = Customary
2 = Freehold
3 = Mailo
4 = Leasehold
2
3
b) What is the most common size of an undeveloped piece of land available for sale in this LC1?
1 = 50 by 50 feet
2 = 50 by 100 feet
3 = 100 by 100 feet/25 decimals
4 = 20 decimals
5 = One acre
6 = Others specify..............................................................................
7 = Not Applicable/No undeveloped piece of land
4
5
6
7
8
c) What is the average cost of such a piece of land?
9
Uganda
Shillings
(Give value in Uganda shillings)
10
Code
C7. MICRO- FINANCE
a) Please name the microfinance institutions serving this LC1
(Refer to codelist C7a and write the appropriate code)
NAME OF CHAIRPERSON, LC1
SIGNATURE OF CHAIRPERSON, LC1
b) Do people in this LC1 have access to microfinance services?
1 = Yes, within the LC1
2 = Yes,outside this LC1 but within the subcounty
3 = Yes, within District
4 = No
Stamp
DD
MM
/
YYYY
C8. ROAD ACCESS AND URBANIZATION
/
a) Do you have a motorable road running through/bordering this LC1?
b) If Yes, is it all weather or seasonal? Write the appropriate code.
Date
1 =YES
2 = NO
1 = All Weather
2 = Seasonal
7 = N/A
c) What is the settlement setup of this LC1?
Write the appropriate code.
1 = Urban Gazetted (City, Municipality, Town Council, Town Board)
2 = Urban Ungazetted (none of the above)
3 = Rural
PAGE 6
PAGE 3
1 = YES; 2 = NO
C11. Facilities continued
C9. HUMAN SACRIFICE AND PERMANENT DISAPPEARANCE
(v) Government Aided Secondary School
a) During the past 12 months, were there any cases of children (below 18 years) in this
LC1 that were sacrificed? Write the appropriate code.
1 = YES
2 = NO
(vi) Private Secondary School
(vii) Church
b) If YES, how many cases were reported in the past 12 months?
c) During the past 12 months, were there any cases of sacrificing adults (18 years and
above) that were reported in this LC1?
Write the appropriate code.
1 = YES
2 = NO
(viii) Mosque
(ix) Community Centre
d) If YES, how many cases were reported in the past 12 months?
b) Which Youth Friendly Services exist in this LC1?
(Refer to codelist C11b ).
e) During the past 12 months, were there any residents in this LC1 that disappeared without any trace?
Write the appropriate code.
1 = YES
2 = NO
f) If YES, how many cases were reported in the past 12 months?
C12. HEALTH FACILITIES AND SERVICES
C10. COMMUNICATION
a) (i) What is the most commonly spoken language in this LC1?
(ii) What is the other commonly spoken language in this LC1?
Refer to codelist C10a and write the appropriate code.
If code does not exist, please specify in the space below:
1 = YES
2 = NO
a) Does any health facility exist in this LC1 ?
Most Commonly
spoken Language
NAME OF FACILTY
C12 (b)
Health
Facility
Please give me the name of the health
Number
Other Commonly
Spoken Language
b) Does this LC1 have a Community Announcer?
c) Does this LC1 have a public internet facility?
d) Does this LC1 have the following network coverages?
Write the appropriate code.
facilities that exist in this LC1
If no health facility exists within
the LC1, write N/A on the first row
in C12(b) and insert code 7 in
C12(c) and C12(d)
1 = YES
2 = NO
1 = YES
2 = NO
1 = Yes, clear
2 = Yes, not clear
3 = No
(i) MTN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) WARID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TYPE OF
FACILTY
C12 (c)
What is the
type of the
health facility?
1 = Hospital
2 = Health
Centre
3 = Clinic
7 = N/A
TYPE OF
OWNERSHIP
C12 (d)
C12 (e)
What is the ownership
status of the health
facility?
What are the services
provided by the health
facility?
1 = Government
2 = NGO
3 = Private Not For
Profit (PNFP)
4 = Private
7 = N/A
(iv) AIRTEL /ZAIN/ CELTEL. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .
Circle all services provided
A = Emergencies
B = Admissions
C = Deliveries
D = Operations
E = Blood Transfusions
Y = Not Applicable
(i)
A
B
C
D
E
Y
(ii)
A
B
C
D
E
Y
A
B
C
D
E
Y
(iv)
A
B
C
D
E
Y
(v)
A
B
C
D
E
Y
(iii)
(iii) UTL/MANGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SERVICES
PROVIDED
(v) ORANGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .
C13. MOSQUITO NETS
(vi) K2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Were any mosquito nets distributed for free during the past 12 months in this LC1?
1 = Yes, Government
2 = Yes, NGO
3 = Yes, both Government and NGO
4 = NO
(vii) Any other network . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
C11. FACILITIES
a) Do the following facilities exist in your LC1? Write the appropriate code
1 = YES; 2 = NO
(i) Government Primary School
C14. SOCIAL PROBLEMS
(ii) Government Aided Primary School
What are the major social problems affecting the people of this
LC1?
('Refer to codelist C14 and rank upto 3 social problems
starting with the most pressing need).
(iii) Private Primary School
(iv) Government Secondary School
First
Second
Third
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