WHO The World Health Survey HOUSEHOLD QUESTIONNAIRE RATIONALE & FLOWCHART Classification, Assessment and Surveys

Individual Questionnaire Coversheet Sampling Re-contact Information Contact Record Kish Table Individual Questionnaire Household Roster Determine Household Informant Household Consent Form Health Insurance Household Care Permanent Income (High Income Countries) Permanent Income (Low Income Countries) Household Expenditure Health Occupation

Coversheet To be Filled In by Interviewer & Supervisor The Coversheet will be filled in in steps, at the beginning, body and end of the interview

Sampling The Sampling Section to be Filled in by the Supervisor Information Elicited Sampling Units (4 questions) Setting (1 question) The Geocoding Section Will be Filled in by the Interviewer if a GPS device is used; by the Supervisor otherwise Latitude Longitude Waypoint

Re-contact Information The Re-contact Section Will Administered to the Initial Respondent Information Elicited Name Address Telephone Whether telephone is in directory Name and Address of a friend or relative

Contact Record The Contact Record is to be Filled in by the Interviewer Information Elicited Date Day of Week Time Began Interviewer ID Contact Info Of Each Contact

Average Household Size (pretest): 4.1 persons Household Roster The Household Roster Section Will Administered to the Initial Respondent Information Elicited (of every household member) Name Relationship to Informant Age Education Marital Status Health Work Average Household Size (pretest): 4.1 persons

Kish Table Used by Interviewer to Determine Main Respondent Average Number of Eligible Persons per Household (pretest): 2.5 persons

Household Questionnaire Determine Head of Household Determine Household Informant Most Knowledgeable Household Member The Household Questionnaire is to be Administered to the Household Informant The Household Informant Must Verify the Information (Recontact Information & Household Roster) Provided by the Initial Respondent

Malaria Prevention Administered to the Household Informant NO/DK ??% Next Section Do you Have a Bed net? YES ??% Was it Treated With Insecticide? # Children <5 NO/DK 80.6% When Last Treated? YES 19.4% 0/DK 71.5% How many Pregnant Women? How Many Slept Under a Bed net? At least 1 28.5% How Many Others Slept Under a Bed net? 0/DK ??% How Many Slept Under a Bed net? At least 1 ??%

Household Care Administered to the Household Informant Anybody Institutionalized? NO/DK 94.1% Anyone Needs Care for Chronic Condition? Record Their Line Numbers YES 5.9% NO/DK 94.3% Next Section YES 5.7% How Much Care do They Need?

Health Insurance It is critical that health systems improve programmes that protect poor households from catastrophic health expenditure and assure their access to health services In many countries, health insurance makes a big difference for people in terms of: Their access to health services The financial burden of paying for health services This section determines: Who in the household is covered by health insurance What kind of health insurance they have How much they pay for any voluntary health insurance, and Whether they are covered directly or only because of their relationship to someone else in the household.

Health Insurance Administered to the Household Informant Asked for Each Household Member Average Number of People in Household: 4.1 NO 51.1% Next Person Person Covered by Health Insurance? YES 48.9% Covered by Mandatory Health Insurance? Covered by Voluntary Health Insurance? NO ??% Covered due to Relationship to Another Person? Pay How Much for Voluntary Health Insurance? YES ??% NO ??% Next Person Line Number of Person YES ??%

Permanent Income It is imperative to have comparable and reliable data to identify the poor and analyse health and health related data by income levels and groups People’s consumption depends on what they expect to earn over a considerable period of time. Consequently, people smooth out fluctuations in income and attempt to maintain a fairly constant standard of living even though their incomes may vary considerably from month to month or from year to year. Reliable measurement of income and expenditure through household surveys typically requires lengthy modules with detailed questions. As a result, WHO has developed a method of measuring permanent income using information on ownership of durable goods, access to services, and other household characteristics building on the experience of other surveys such as the DHS and the LSMS. The questions are relatively brief and simple, and the resulting estimates of permanent income show a substantial degree of correlation with total income and expenditure reported by households.

Permanent Income Administered to the Household Informant 20 Questions 3 Open Ended (“How Many”) e.g. How many tables are there in your home? 17 Yes or No e.g. Does anyone in your household have a television?

Household Expenditure It is necessary to improve national health accounts data especially with regard to out of pocket expenditure Identifies how much households spend on health care and how many face catastrophic expenditures as a means to identify pro-poor policies It provides more information on health care spending than other health surveys, but because of time constraints it cannot provide as much detail as is found in typical expenditure surveys. The questionnaire does not force consistency between the responses to questions so that, during analysis, statistical methods can be used to evaluate how recall bias differs across questions and to select the most reliable figures. The expenditure information also provides an alternative way of estimating or validating permanent income data

Household Expenditure Administered to the Household Informant 1- Total Spending 1 Overall Question 6 Specific Questions e.g. In the last 4 weeks, how much did your household spend on: education fees and supplies? 2- Health Care Services Spending 9 or 10 Questions e.g. In the last 4 weeks, how much did your household spend on: Dentist 3- Financial Resources for Health Expenditures 7 Questions

Health Occupation Decision makers need baseline data about the numbers, skill mix and distribution of health care workers for monitoring trends and for comparisons with other situations for human resource policy planning In all countries, the health sector is a major employer and human resources account for a high proportion of budgets assigned to the health sector. The purpose of this module is to help countries to identify appropriate human resource interventions by establishing a profile of the current health workforce.

Health Occupation Questionnaire Individual Questionnaire 0 (92.1%) Identification of Health Care Workers (from Household Roster)  1 (7.9%) Health Occupation Questionnaire Administered to the Every Household Member who has Worked in a Health Field

Health Occupation 3 Questions 2 Questions 5 Questions 6 Questions 1- Respondent Information 3 Questions 2- Main Occupation/ Work Status1 2 Questions 3- Main work location 5 Questions 4- Secondary work location 6 Questions 5- Work Status2 2 Questions 6- Education 4 Questions 7- Salary 1 Question

Health Occupation Name Line Number (from Household Roster) 1- Respondent Information Name Line Number (from Household Roster) Questionnaire Status 2- Main Occupation/ Work Status 1 Main Occupation Training Worked in last 12 months? No (14.4%) Go to Section 5 3- Main work location Worked Where Hours Worked Main & Secondary responsibilities Payment method

Health Occupation Have you worked at a second location? Worked Where 4- Secondary work location No (90.6%) Go to Section 5 (question 2) Have you worked at a second location? Worked Where Hours Worked Main & Secondary responsibilities Payment method 5- Work Status2 Main reason why not working in last 12 months In last 3 years worked in another country for at least 6 months

Health Occupation Highest Level of Education Year this Level Reached No Formal Education Go to Section 7 Highest Level of Education Year this Level Reached Country where this Level Reached # of Days of Training in last 12 Months 7- Salary Average Earnings in last 12 Months