REPUBLIC OF BURKINA FASO
MINISTRY OF ECONOMY, FINANCE AND DEVELOPPEMENT
GENERAL SECRETARIAT
NATIONAL INSTITUTE OF STATISTICS AND DEMOGRAPHY
COVID-19 High Frequency Phone Survey
Round 6
Head of household' s first and last names Code
1. Zone
2. Region:
3. Province
4. Municipality/District/Circle
5. Area (Urbain=1, Rural=2)
6. ZD
7. Household
CONFIDENTIAL: excerpt of the law n° 12-2007 / AN of May 31, 2007, on the organization and regulation of statistical activities. Article 08: The individual economic and financial data collected by the services or organizations
mentioned in the previous paragraph may under no circumstances be used by administrative, political, military, police, or judicial authorities for fiscal, economic, or social audit purposes, nor for research purposes. Article 13:
The natural and legal persons subject to surveys and statistical census operations organized under this law's provisions are required to accurately and timely provide answers to the questionnaires related to these operations.
SUMMARY
0. COVER
1a. SURVEY INFORMATION: TENTATIVE
1b. SURVEY INFORMATION: TENTATIVE
2. LIST OF HOUSEHOLD MEMBERS (UPDATE)
5. ACCESS TO BASIC SERVICES
6a. EMPLOYMENT AND REVENUE: GENERAL
6b. EMPLOYMENT AND REVENUE: PAID JOB
6c. EMPLOYMENT AND REVENUE: NON AGRICULTURAL FIRM
6d. EMPLOYMENT AND REVENUE: AGRICULTURE
7. FOOD SECURITY
8. OTHER REVENUES
9. SHOCKS
11. FRAGILITY, CONFLICT, VIOLENCE
12. SURVEY REPORT
Section 1a. SURVEY INFORMATION: TENTATIVE
1 2 3 4 5 5a
INTERVIEWER: INTERVIEWER: INTERVIEWER: DID SOMEONE INTERVIEWER READS TO RESPONDENT: ENQUÊTEUR: VOUS PARLEZ À INTERVIEWER: Are you
SELECT THE ENTER ANSWER? Hello! My name is___________. I work for [RÉPONDANT ENTRETIEN talking to a member of
NUMBER TO BE TENTATIVE the National Institute of Statistics and PRÉCÉDENT]? the household?
Demography. We are currently carrying out a
DIALED START TIME
national study on the living conditions of
households in the country. I talked to [NAME
OF RESPONDANT TO PREVIOUS SURVEY] a
few weeks ago and I am trying to join
him/her. Who do I have the honor to speak
to?
Call Yes ................1
attempt #
No, no response ....2
>> NEXT ATTEMPT
No, invalid number..3 Yes ............1 >>Q7 Yes ....1
>> NEXT ATTEMPT No .............2 No .....2 >>Q6
Does not understand the
No, closed/unreachable language........3
phone .............4 >>NEXT ATTEMPT
>> NEXT ATTEMPT
5b 5c 5d 6 7
ENQUETEUR LISEZ : Est-ce que INTERVIEWER: NTERVIEWER: Is INTERVIEWER READ: Could you give me a INTERVIEWER, READ TO RESPONDENT:
[RÉPONDANT DU ROUND PRECEDENT] EXPLAIN WHY there another number or visit [RESPONDENT TO Thank you for participating in the interview last time. We
est disponible? Pouvez-vous s'il vous [RESPONDANT TO eligible adult in the PREVIOUS ROUND] so I can chat with really appreciate your participation. I'm calling again to
ask follow-up questions about how you and your
plait donner le téléphone à [RÉPONDANT PREVIOUS household them from your phone? It is very
household have been doing since the last interview. This
ENTRETIEN PRÉCÉDENT] ? SURVEY] IS NOT available to be important that I speak with them. Please
interview will last between 25 and 30 minutes.
AVAILABLE TO BE interviewed? visit them only if you can practice social We inform you that we are recording calls and data for
INTERVIEWED distancing in order to protect yourself and convenience, but any information you share with us will
THIS ROUND? others. FILL IN THE RESPONSE be kept strictly confidential and will only be used for
statistical purposes, and will not be used to decide
Yes ..............................1 whether your household is eligible for government
>>Q7 assistance. If at any point you feel uncomfortable
No, I can give you a phone
number .........................2 answering questions, you can choose not to answer
>>SAVE IN PHONE CONTACT LIST Yes ....1 >>Q7 them. You can also choose to stop the interview at any
No, cannot/ will not connect No .....2 No, does not know the household....1
to PREVIOUS SURVEY respondent...3
time. This call will not cost you any communication
>> NEXT >>NEXT ATTEMPT
>>NEXT ATTEMPT ATTEMPT No, cannot/will not visit credits. Like last time, as a thank you for your
Yes, call back later..............4 the household ...................2 participation, we will send a [% RespondentGift%].
>>Q11A >>NEXT ATTEMPT
No, PREVIOUS SURVEY respondent will Yes, phone number obtained.........3
not be available to be >>SAVE NUMBER IN PHONE CONTACT LIST
interviewed this round .........5 Yes, call back later...............4
>>Q11A
8 9 10 11a. 11b.
INTERVIEWER: DOES THE INTERVIEWER: RECORD May I call you back later at a time that What day? What time?
RESPONDENT CONSENT TO RESPONDENT'S NAME. is more convenient for you? It is very
PARTICIPATE IN THE IF THE PERSON IS A NEW important that we talk to you or
INTERVIEW? MEMBER, ADD TO LIST anyone else in your household.
FIRST
Yes ..............1
>>NEXT SECTION
No, not now ......2 >>Q10
Yes .....1
No, refused ......3 >>
No ......2 >>SURVEY REPORT >>Q12.05
SURVEY REPORT
Section 1b. INFORMATION ENTRETIEN: NUMÉRO
12a 12 13 14 15 16
INTERVIEWER: THIS LIST WHOSE IS THIS INTERVIEWER: IS WHAT IS THE INTERVIEWER: WHAT IS THE RELATIONSHIP BETWEEN INTERVIEWER: PLEASE
INCLUDES ALL NUMBERS NUMBER? [NAME OF PHONE RELATIONSHIP [PHONE NAME] AND THE HEAD OF HOUSEHOLD? INDICATE THIS OTHER
ASSOCIATED WITH THE NUMBER'S OWNER] A BETWEEN [NAME OF RELATIONSHIP WITH
HOUSEHOLD AND WITH HOUSEHOLD PHONE NUMBER'S THE HEAD OF
Head of household..........................1
PERSONS ABLE TO MEMBER? OWNER] AND THE Partner ...................................2 HOUSEHOLD
CONTACT THE HEAD OF Son, Daughter..............................3
Father, Mother ............................4
HOUSEHOLD. ADD NEW HOUSEHOLD? Grandson, grand daughter ..................5
Grand-parents .............................6
NUMBERS HERE. Brother, sister ...........................7
Other relatives of
head of household/partner .................8 >>Q16
Non relative of
head of household/partner .................9 >>Q16
House help/House help's relative .........10
Yes ....1 >>Q15 Former head of household .................98
No .....2
if != 8 | 9 >>NEXT PHONE NUMBER
Section 2. LIST OF HOUSEHOLD MEMBERS (UPDATE)
1. 2. 3. 4.
INTERVIEWER: ALL HOUSEHOLD MEMBERS NAME INTERVIEWER: IS Is [NAME] still a What was the main reason that led [NAME] to leave
REGISTERED DURING [PREVIOUS [NAME] A NEW member of this the household?
INTERVIEW] ARE PRE-FILLED IN Q1. CAPI: PRE-FILL THE MEMBER ADDED household?
Divorce/Separation ..........................1
P NAMES FROM DURING THIS For work ....................................2
E FOR PRE-REGISTERED MEMBERS ASK PREVIOUS INTERVIEW? To pursue studies
or training opportunities...................3
R QUESTIONS Q3 AND Q4. INTERVIEW To find better land .........................4
S Health reasons...............................5
Security/terrorism reasons ..................6
O AFTER FILLING IN ANSWERS FOR ALL PRE- INTEVIEWER: ADD For wedding/cohabitation ....................7
N To join family living
REGISTERED MEMBERS, ASK: "Are there any NEW MEMBERS in another locality.........................8
members of this household that I did not HERE Moved out with their family..................9
I To live in their own house..................10
mention?" Community conflicts.........................11
D Yes ....1 >>
Yes ....1 >>Q5 NEXT PERSON Conflicts with other household's members ...12
No .....2 No ....2 Kidnapped ..................................13
IF YES, ASK WHO, WRITE DOWN THEIR Deceased ...................................14
Other, (specify) ...........................15
NAMES AND ASK QUESTIONS Q5 - Q7.
>>NEXT PERSON
1
2
3
4
5
6
7
8
9
10
5. 6. 7. 8. 9a.
What gender is How old (in years) What is the relationship between [NAME] and Why did [NAME] join the household? IS THE PRE-FILLED HEAD OF
[NAME]? was [NAME] on the head of household? THE FAMILY ALWAYS A
their last birthday? MEMBER OF THE
HOUSEHOLD?
Head of household......................1 New born.............................................1
Partner ...............................2 Adopted child........................................2
Son, Daughter..........................3 Wedding/Cohabitation.................................3
Father, Mother ........................4 Divorce/Separation...................................4
Return from middle school/university.................5
Grandson, grand daughter ..............5 Return from institution..............................6
Grand-parents .........................6 Has come to live with a relative or other............7
Brother, sister .......................7 Shared housing ......................................8
Other relatives of Return from job migration ...........................9
head of household/partner .............8 Last visit forgotten ...............................10
Non relative of Displacement due to conflict Militance/insurgency) .11
head of household/partner .............9 Related to the Coronavirus (COVID-19)...............12 Yes ....1 >>
House help/House help's relative .....10 Other, specify .....................................96 NEXT PERSON
No .....2
>>NEXT PERSON
Male ....1
Female ..2
9b.
What is the relationship between [NAME] and the
NEW head of the family?
Head of household......................1
Partner ...............................2
Son, Daughter..........................3
Father, Mother ........................4
Grandson, grand daughter ..............5
Grand-parents .........................6
Brother, sister .......................7
Other relatives of
head of household/partner .............8
Non relative of
head of household/partner .............9
Section 5. ACCESS TO BASIC SERVICES
MEDECINES BASIC FOOD
1a 1b 2_1 2a 2b 2_2
Since the last 7 days, has your Why was your household not able Since the last 7 days, Since the last 7 days, Why was your household unable to Since the last 7 days,
household been able to buy to buy medicine? did you or a member was your household purchase [Basic food 1]? did you or a member
medicines (modern and DO NOT READ THE OPTIONS of your household able to purchase DO NOT READ THE OPTIONS of your household
traditional)? need to purchase [Basic Food 1]? need to purchase
[Basic Food 1]? [Basic Food 2]?
Yes, in Pharmacy ...........1 Pharmacy out of stock..... 1 Stores are out
Yes, modern in the street...2 Local markets closed/ of stock ................ 1
Yes, traditional ...........3 not operational......... 2 Local markets
Yes, pharmacy and Limited/no transport...... 3 closed/not operational... 2
traditional ..............4 Restriction to Limited transport/None .... 3
No, could not buy ..........5 go outside ............. 4 Restriction to
Did not need to ............6 Price increase ........... 5 go outside .............. 4
Cannot afford ............ 6 Price increase ............ 5
IF !=5 >>Q2_1 Cannot afford ............. 6
Yes ....1 >>Q2_2 Yes ....1
Yes ....1
No .....2 No .....2 >>Q2_3
No .....2 >>Q2_2
BASIC FOOD HEALTH
2c 2d 2_3 2e 2f 3a
Since the last 7 days, Why was your household unable to Since the last 7 days, Since the last 7 days, Why was your household unable to Have you or anyone in
was your household purchase [Basic food 2]? did you or a member was your household purchase [Basic food 3]? the household needed
able to purchase [Basic DO NOT READ THE OPTIONS of your household able to purchase [Basic DO NOT READ THE OPTIONS medical attention in the
Food 2? need to purchase Food 3? past four weeks?
[Basic Food 3]?
Stores are out
of stock ................ 1 Stores are out
Local markets of stock ................ 1
closed/not operational... 2 Local markets Yes ........1
Limited transport/None .... 3 closed/not operational... 2 No .........2 >>Q4_1
Restriction to Limited transport/None .... 3 Refused ...99 >>Q4_1
go outside .............. 4 Restriction to
Yes ....1 >>Q3a Price increase ............ 5 Yes ....1 go outside .............. 4
Yes ....1 >> Q3A Price increase ............ 5
No .....2 Cannot afford ............. 6 No .....2 >>Q3A No .....2 Cannot afford ............. 6
HEALTH WATER, SANITATION AND HYGIENE
3d 3d_1 4_1 4_2
Have you or someone in the Why have you or the household member been unable During the past week, was there a What was the main reason your household did not
household been able to to access medical treatment in the past four weeks? time when you did not have enough have access to sufficient drinking water?
access medical treatment in drinking water to meet household
the past four weeks? needs?
Yes ........1 >>Q4_1 Lack of money .................................1 Yes, at least once ..... 1 The water supply is no longer available ... 1
No .........2 No medical staff available ....................2 No, always sufficient .. 2 >>Q4_3 Reduced water supply ...................... 2
Refused because the establishment was full ....3 Cannot access municipal sources............ 3
Refused ...99 >>Q4_1
Refused because the establishment was closed ..4 Unable to buy water ....................... 4
The hospital / clinic does not have enough Fear of going out and catching the virus .. 5
supplies or tests ...........................5 Other (specify) ........................... 6
The health facility is too far away ...........6
Fear of contracting the coronavirus ...........7
Other (specify) ..............................96
WATER, SANITATION AND HYGIENE
4_3 4_4 4_5 4_6
During the past week, have What was the main reason your household could not access Over the past week, What is the main reason why you or members of your
you had enough water to water to wash their hands? have you had enough household could not have access to enough soap to wash
wash your hands when soap to wash your hands their hands?
needed? when needed?
The water supply is no longer available ........... 1 Stores are out of stock .................... 1
Reduced water supply .............................. 2 Local markets not operational / closed ..... 2
Cannot access common sources ...................... 3 Limited / No transport ..................... 3
Stores are out of stock ........................... 4 Restriction to go outside .................. 4
Local markets not operational / closed ............ 5 Price increase.............................. 5
Limited transport / no transport .................. 6 No access to money and can't pay with
Restriction to go outside ......................... 7 credit card .............................. 6
Price increase .................................... 8 Cannot talk about it ....................... 7
No access to money and can't pay with credit card ..9 Fear of going out and getting the virus .... 8
Cannot talk about it ............................. 10 Yes......1 >>Q4_7 Lack of money................................9
Yes......1 >>Q4_5 Fear of going out and getting the virus .......... 11
No.......2 No.......2 Others .................................... 10
Others (specify) ................................. 12 Refused ................................... 99
Refused .......................................... 99
WATER, SANITATION AND HYGIENE
4_7
In the past 7 days, how often did you wash
your hands with soap after being in public?
All the time ..................... 1
Most of the time ................. 2
About half the time .............. 3
Sometimes ........................ 4
Never ............................ 5
I have not been in public the
last 7 days .................... 6
Section 6a. EMPLOYMENT AND REVENUE: General
FILTER 1 1a 2
THE CAPI IDENTIFIES THE FOLLOWINGLast week, that is, from Monday [DATE] to Sunday [DATE], Even if you didn't work last week, do you Were you working FOUR WEEKS
QUESTIONS BASED ON THE LAST did you work at least one hour, for a remuneration (in have a job, business, or agricultural AGO?
SURVEY kind or in cash), for your own account or on behalf of a exploitation that you were away from last
another member of the household, or as a boss, in a week and plan to return to?
business, an agricultural activity, a processing activity, or a
CASE 1. THE RESPONDENT WAS market service? For example as a craftsman, trader or
WORKING AT THE TIME OF THE [LAST lawyer, medical doctor or other self-employed person?
SURVEY]
CASE 2. THE RESPONDENT WAS NOT
WORKING AT THE TIME OF THE [LAST
SURVEY] Yes ....1 >>
Yes ....1 IF CASE == 1 >>Q4
IF CASE == 1 >>Q6.04 IF CASE == 2 | 3 >>Q4A Yes ....1 >>Q3
IF CASE == 2 | 3 >>Q6.04A No .....2 >>
CASE 3. ROUND3 RESPONDENT IS IF CASE == 1 >>Q3
No .....2 >>Q3a
No .....2
DIFFERENT FROM ROUND2 IF CASE == 2 >>Q3A
IF CASE == 3 >>Q2
RESPONDENT
Job hunting
3 3a 3b 4
IF CASE 1 OR 2: Why have you stopped working since SINCE In the past four weeks, What have you mainly done in the past four weeks to find paid IF CASE 1: Is it the same
THE PREVIOUS INTERVIEW? did you do anything to employment or start a business? job you did during
IF CASE 3: Why have you stopped working SINCE THE LAST find paid employment [LAST INTERVIEW]?
FOUR WEEKS? or start a business?
IF CASE 3: Is this the
Apply to prospective employers for paid employment or
DO NOT READ OPTIONS an internship ............................................1
same job you did four
Business / Government closed due to restrictions Place or respond to job advertisements ................... 2 weeks ago?
Coronavirus Legal .............................. 1 Post / Update CV on professional social media sites ...... 3
Business / Government Closed For Another Reason .. 2 Registration with the public employment service .......... 4
Layoff while companies continue .................. 3 Register with a private job center/agency ............... 5
Leave ............................................ 4 Take a public service examination or interview ............6
Vacation ......................................... 5 Take a private company exam or interview.................. 7
Illness / Quarantine ............................. 6 Ask for help from relatives, friends, others ............. 8
Need to take care of relative .................... 7 Check factories, workplaces .............................. 9
Seasonal worker .................................. 8 Wait in the street for recruitment....................... 10
Retired .......................................... 9 Apply for financial assistance to start a business ...... 11
Not able to go to the farm due to movement Search land, building, equipment, material to start
restrictions ...................................10 Yes ....1 a business .............................................12 Yes ....1 >>Q6
Cannot farm due to lack of entries .............. 11 No .....2 Developed a business plan ............................... 13 No .....2
Non-agricultural season ......................... 12 >>NEXT SECTION Apply for a permit or license to start a
Other (Specify) ................................. 13 company ............................................... 14
Other, specify .......................................... 15
Current job
4_0 4a 4b
Why did you change jobs? What is the activity of the company or organization in In your main activity, do you work …
DO NOT READ OPTIONS which you currently carry out your main work?
READ THE ANSWERS
DO NOT READ OPTIONS
Agriculture .................................1 In your own NON-AGRICULTURAL company ........... 1 >>Q8
Business/Government closed due to Mining ......................................2 In a NON-AGRICULTURAL exploitation operated
coronavirus-related legal restrictions ........ 1
Manufacturing branch.........................3 by a member of the household or family.........2 >>Q8
Business/Government Closed For Another Reason ... 2
Layoff while companies continue ................. 3 Technical and scientific activities..........4 On a family agricultural exploitation or in
Leave ........................................... 4 Electricity/Water/Gas/Dechets ...............5 breeding or fishing ......................... 3 >>Q8
Vacation ........................................ 5 Construction ................................6 As someone else's employee ......................4
Illness/Quarantine .............................. 6 Transport ...................................7 As an apprentice, trainee, intern ...............5
Need to take care of few relatives............... 7 Trade .......................................8
Seasonal worker ................................. 8 Banks, insurance, real estate ...............9
Retired ......................................... 9
Personal service ..........................10
Not able to go to the farm due to
movement restrictions ........................ 10 Education ..................................11
Cannot farm due to lack of entries ............. 11 Health .....................................12
Non-agricultural season ........................ 12 Public administration .....................13
Other (Specify) ................................ 13 Tourism ....................................14
Section 6b. EMPLOYMENT AND REVENUE: PAID JOB
6 7a 7b 7c
During the past week, that is, LISEZ LES OPTIONS Although Why couldn't you work as usual? Does your employer offer you the following benefits?
from Monday [DATE] to Sunday you were not able to work as PLEASE READ ALL MEASUREMENTS CAREFULLY AND REPORT YES
[DATE], have you been forced to usual, were you paid… ..? DO NOT READ OPTIONS / NO FOR EACH OF THEM
reduce the time you usually
devote to your paid job? READ THE OPTIONS
Seasonal work ................. 1
Stopped activity (Enterprise
or Administration) .......... 2
Staff reduction due to
lack of activity ............ 3
Yes ....1 Full normal payment .... 1 Temporarily absent ............ 4 No .....0
No .....2 >>Q8 Partial payment ........ 2 Retirement .................... 5 Yes ....1 >>Q10
No payment ............. 3 Illness ....................... 6
In charge of sick relatives ... 7
Other, Specify ................ 8
Contribution to Contribution to the
Paid sick leave Paid annual leave
health insurance pension fund
8 8a 9
During the past week, that is, If Yes, have at least one of Which member (s) of the
from Monday [DATE] to these household members household were they?
Sunday [DATE], has anyone in been precluded due to the IDENTIFIERS OF ALL MEMBERS
your household had to reduce COVID-19 pandemic? CONCERNED
the time they usually spend at
their paid job?
Yes ....1 Yes ....1
No .....2 No .....2
>>NEXT SECTION >>NEXT SECTION
Section 6c. EMPLOYMENT AND REVENUE: Non Agricultural firm
FILTER 10 10a 10b
CAPI: IDENTIFY THE FOLLOWING CASES Since the last phone call CASE 1: What is the current status of your Why is your family business closed?
on [ DATE], have you or a family business, the one that was closed
CASE 1. HOUSEHOLDS OWNING A COMPANY member of your during [LAST INTERVIEW]?
TEMPORARILY CLOSED AT THE TIME OF THE household operated a non-
LAST SURVEY agricultural family CASE 2: What is the current status of your
exploitation? family business, the one that was open
CASE 2. HOUSEHOLDS OWNING A COMPANY when we spoke on [LAST INTERVIEW
IN SERVICE AT THE TIME OF THE LAST DATE]?
SURVEY
Usual business location closed due to Coronavirus
CASE 3: What is the current status of your related legal restrictions ........................ 1
Usual business location closed for another reason ... 2
CASE 3. HOUSEHOLDS OWNING A COMPANY family business? No costumers/Fewer clients .......................... 3
NOT IN SERVICE DURING THE TIME OF THE Cannot obtain inputs ................................ 4
The goods cannot travel/be transported for trade .... 5
LAST SURVEY AND NOT OPERATIONAL Yes ...1 Diseases/Quarantined due to Coronavirus ............. 6
No ....2 >>Q14 Other disease (No Coronavirus) ...................... 7
DURING [LAST SURVEY]. Open .................1 >>Q11 Need to take care of a family member ................ 8
Temporarily closed ...2 Seasonal closure .................................... 9
Vacation ........................................... 10
Permanently closed ...3
Other, specify ..................................... 11
11 12 13
What do you do / produce in this family business? ASK IF Q10A==1 SI Q12 = 4: Pourquoi les ventes n'ont-elles pas généré de
DO NOT READ THE OPTIONS Compared to [LAST MONTH], how is the revenus?
income from commercial sales… SI Q12 = 3 Pourquoi les revenus des ventes de l'entreprise ont-ils
été inférieurs à ceux du [DERNIER_MOIS]?
READ THE OPTIONS
NE PAS LIRE LES OPTIONS
Mining exploitation, manufacturing...... 1 Usual place of business closed due to
Electricity, gas, water supply ......... 2 Coronavirus related legal restrictions ............. 1
Construction ........................... 3 Usual place of business closed for other reason ...... 2
Purchase and sale of goods, No costumers/Fewer clients ........................... 3
repair of goods, hotels Cannot obtain inputs ................................. 4
and restaurants ...................... 4 Superior ............1 Goods cannot travel/be transported for trade ......... 5
Transportation, driving, post, >>NEXT SECTION Diseases/Quarantined due to Coronavirus .............. 6
travel agency ........................ 5 The same..............2 Other diseases (No Coronavirus) ...................... 7
Professional activities: finance, >>NEXT SECTION Need to take care of a member of the family .......... 8
legal, analysis, computer, Inferior ............3 Seasonal closure ..................................... 9
real estate .......................... 6 No revenue ..........4 Vacation ............................................ 10
Public administration .................. 7
Personal services, education,
health, culture, sport,
domestic work, others ................ 8
Section 6c. EMPLOYMENT AND REVENUE: Agriculture
S6Q14 1. 2. 3. 4.
ROUND3 S6Q14. PRE-REMPLI Who in the household is/are IS THE RESPONDENT Is one of the PRINCIPAL DECISION- What is the main crop that you or
Since the start of the 2020 agricultural season, the decision maker(s) for the ONE OF THE MAIN MAKERS available to answer other members of your household
have you or a member of your household worked household's agricultural DECISION MAKERS? certain questions about the have planted for the 2020/21
on land preparation or planting on your activities? agricultural activities of the farming season?
household's farm? CHOOSE UP TO 2 household?
FAMILY FARMING INCLUDES BOTH OWNED AND
ACCESSED LAND SEE CROP CODES IN THE
CROP NOMENCLATURE
Yes ................................1
No, my household owns a farm but has
not worked ........................2
>>NEXT SECTION
No, my household does not have Yes....1 >>Q4 Yes....1
a farm ............................3 No ....2 No ....2
>>NEXT SECTION
CODE ID
5. 6. 7. 8. 9. 10.
What is the total area planted by Did your household What was the total amount of [MAIN CROP] Has your household sold Of the [QUANTITY] [UNIT] of What total amount did
your household in [MAIN CROP] harvest at least part of that your household harvested during the any of the [MAIN CROP] [MAIN CROP] harvested your household receive
during the 2020/21 farming the [MAIN CROP] 2020/21 farming season? harvested during the during the 2020/21 crop from the sale of
season? planted during the
2020/21 farming season, how much [QUANTITY Q9] [UNIT]
INDICATE THE AREA AND THE UNIT 2020/21 farming Unit code: 1 = Kg, 2 = Unit, 3 = Yoruba dish, 4
season? (IF Q7a> 0) (QUANTITY) of this did your of [MAIN CROP] during
(Give the area in hectares in square season? = Tine, 5 = Medium bag (50 kg), 6 = Large
meters with two decimal places) bag (100 kg), 7 = Other (to be specified) household sell? the 2020/21 cropping
REPORT WITH THE UNIT season?
Unit: Condition code: 1 = ears, 2 = grain, 3 = USED IN Q7
1. Hectare (Ha) husked, 4 = unshelled
2. Square Meter (m ^ 2)
Yes....1 Yes....1
No ....2 >>Q16 No ....2 >>Q12
NUMBER (AREA) UNIT QUANTITY UNIT State QUANTITY FCFA
11. 12. 13. 14. 15.
How does the income from your Does your household Compared to what your household Has your household How much additional [MAIN CROP] does your household
sale of [MAIN CROP] for intend to sell at least normally sells in previous seasons, finished harvesting the plan to harvest in total for the 2020/21 farming season?
agricultural season 2020/21 part of [MAIN CROP] do you think the income from sales [MAIN CROP] planted
during the 2020/21 Unit code: 1 = Kg, 2 = Unit, 3 = Yoruba dish, 4 = Tine, 5 =
compare to what you normally harvested during the [of MAIN CROP] at the end of the
farming season? Medium bag (50 kg), 6 = Large bag (100 kg), 7 = Other (to be
receive from sales of previous 2020/21 agricultural 2020/21 agricultural season will be…
specified)
agricultural seasons? season?
Condition code: 1 = ears, 2 = grain, 3 = husked, 4 =
unshelled
Much higher .............1 Much higher .............1
Superior ................2 Superior ................2
The same ................3 The same ................3
Lower ...................4 Lower ...................4
Much lower ..............5 Yes....1 Much lower ..............5 Yes....1 >>Q16
Did not usually sell in No ....2 >>Q14 Did not usually sell in No ....2
past seasons ..........99 past seasons ..........99
>>Q14
QUANTITY UNIT State
16. 17. 18. 19.
Since the start of the 2020 agricultural season, have you or Why did you or other members of your Why did you or other members of your Why did you or other members of your
other members of your household used [INPUT] on your household not use inorganic fertilizer? household not use organic fertilizer? household not use pesticides / herbicides
household's agricultural exploitation? ?
ASKED ONLY OF THOSE WHO RESPOND ASKED ONLY OF THOSE WHO RESPOND ASKED ONLY OF THOSE WHO RESPOND
Q16A==2 Q16B==2 Q16C==2
SELECT ALL THAT APPLY SELECT ALL THAT APPLY SELECT ALL THAT APPLY
DO NOT READ OPTIONS DO NOT READ OPTIONS DO NOT READ OPTIONS
Yes...................1 >> NEXT INPUT
No....................2 Stores are out of stock ........1 Stores are out of stock ........1 Stores are out of stock ........1
Does not know........98 >> NEXT INPUT Local markets non-operational/ Local markets non-operational/ Local markets non-operational/
closed ......................2 closed ......................2 closed ......................2
Limited transportation / Limited transportation / Limited transportation /
no transport .................3 no transport .................3 no transport .................3
Movement / travel statements ...4 Movement / travel statements ...4 Movement / travel statements ...4
Price increase .................5 Price increase .................5 Price increase .................5
Not enough money to buy them ...6 Not enough money to buy them ...6 Not enough money to buy them ...6
Does not need to use ...........7 Does not need to use ...........7 Does not need to use ...........7
Other (specify) ...............96 Other (specify) ...............96 Other (specify) ...............96
A B C D E
inorganic organic Pesticide/h Paid Animal
fertilizer fertilizer erbicide labor traction
20. 21.
Why did you or other members of your Why did you or other members of your
household not use paid labor? household not use animal traction?
ASKED ONLY OF THOSE WHO RESPOND ASKED ONLY OF THOSE WHO RESPOND
Q16D==2 Q16E==2
SELECT ALL THAT APPLY SELECT ALL THAT APPLY
DO NOT READ OPTIONS DO NOT READ OPTIONS
Stores are out of stock ........1 Stores are out of stock ........1
Local markets non-operational/ Local markets non-operational/
closed ......................2 closed ......................2
Limited transportation / Limited transportation /
ort .................3 no transport .................3 no transport .................3
Movement / travel statements ...4 Movement / travel statements ...4
Price increase .................5 Price increase .................5
Not enough money to buy them ...6 Not enough money to buy them ...6
Does not need to use ...........7 Does not need to use ...........7
Other (specify) ...............96 Other (specify) ...............96
Section 7. FOOD SECURITY
1 2 3 4
Now I would like to ask you You or other members of your You or other members of your You or other members of your You or other members of your
food related questions. In household have been worried household were unable to eat household have eaten not enough household have had to skip a meal
the past 30 days, were there about not having enough food due healthy and nutritious food due to varied food due to lack of money because you did not have enough
times when … to lack of money or other lack of money or other resources? or other resources? money or other resources to buy
resources? food?
Yes ............1 Yes ............1 Yes ............1 Yes ............1
No .............2 No .............2 No .............2 No .............2
Does not know..98 Does not know..98 Does not know..98 Does not know..98
Refused .......99 Refused .......99 Refused .......99 Refused .......99
5 6 7 8
You or other members of your Your household run out of food You or other members of your You or other members of your
household ate less than you because there was not enough household felt hungry but did not household go a whole day without
thought you should have eaten due money or other resources? eat because there was not enough eating due to lack of money or
to lack of money or other money or other resources to buy other resources?
resources ? food?
Yes ............1 Yes ............1 Yes ............1 Yes ............1
No .............2 No .............2 No .............2 No .............2
Does not know..98 Does not know..98 Does not know..98 Does not know..98
Refused .......99 Refused .......99 Refused .......99 Refused .......99
Section 8. Other revenues
1 2
Since the last interview the [interview Compared to the same period last year (January
date], have you or your household 2020), has the household revenue from
received [REVENUE TYPE]? [SOURCE]…?
R SELECT ALL RELEVANT OPTIONS
E
V
E
N
U
Increased ..............................1
C Yes .....1 Remained the same.......................2
O No ......2 >>NEXT REVENUE Decreased...............................3
No revenue from this source in 2020.....4
D
E
1 Transfers from abroad
2 Family assistance from within the country
3 Help from other non-family people
4 Real estate income, investments or savings
5 Pension
Section 9. SHOCKS
1.
I would like to ask you questions about events that may have affected your household since the last Has your household been negatively
S time we spoke on [LAST INTERVIEW DATE] affected by the following problem
H over the past four weeks?
O
C
K
N
U
M
B
E
R Yes ...1
No ...2 >>
NEXT SHOCK
1 Death or disability of an active adult household member
2 Death of a person sending money to the household
3 Illness of an earning household member
4 Loss of important contact
5 Job Loss
6 Bankruptcy of a non-agricultural family business
7 Theft of crops, money, livestock or other property.
8 Poor harvest due to lack of manpower
9 Rodent or insect infestation causing poor harvest or deterioration of stocks
10 Increase in the price of inputs
11 Decrease in the selling price of production
12 Increase in the price of the main foods consumed
13 Other (specify)
2. 3. CODES FOR Q3.
Determine which are the three What was the strategy adopted by the
SOLD ASSETS ............................................. 1
most important problems household after the [SHOCK] to deal with
the situation? IS ENGAGED IN ADDITIONAL INCOME-GENERATING ACTIVITIES ... 6
The most severe (1), Second (2), RECEIVED HELP FROM FRIENDS OR FAMILY .................... 7
The least severe of the three (3). SEE CODES.
BORROWED FROM FRIENDS OR FAMILY ......................... 8
SELECT WHAT APPLIES
CONTRACTED A LOAN FROM A FINANCIAL INSTITUTION .......... 9
PURCHASED USING CREDIT ................................. 11
PAYMENT OBLIGATION DEFERRED ............................ 12
SOLD THE HARVEST IN ADVANCE ............................ 13
REDUCED ITS FOOD CONSUMPTION ........................... 14
REDUCED ITS NON-FOOD CONSUMPTION ....................... 15
WITHDRAWN FROM HIS SAVINGS ..............................16
RECEIVED HELP FROM AN NGO .............................. 17
RECEIVED AN EARLY PAYMENT FROM HIS EMPL................. 18
RECEIVED GOVERNMENT ASSISTANCE ......................... 19
WAS COVERED BY AN INSURANCE POLICY ..................... 20
HAS DONE NOTHING ......................... ............. 21
OTHER (SPECIFY) ........................................ 22
Section 11. FRAGILITY, CONFLICT, VIOLENCE
1 2 3 4
How would you describe the How would you describe the social Have you been confronted with any of these social Are you planning to settle in another
overall level of physical security in relationships and trust in your tensions within the locality in the past month? region or country outside of your
your area, on a scale of 1 to 5? area? locality?
CHECK ALL APPLICABLE MENTIONS
Very low ............1 Very low ............1 Change in attitudes or perceptions Yes ...................1
Low .................2 Low .................2 towards particular group .......... 1 No ....................2 >>Q6
Neutral .............3 Neutral .............3 Increase in crime ................... 2 Does not know .........3 >>Q6
High ................4 High ................4 Violence against a specific group.... 3 Refused to answer......4 >>Q6
Very high ...........5 Very high ...........5 Conflict between groups ............. 4
Refused to answer...99 Refused to answer...99 Violence against women or based
violence on gender ................ 5
Violence against children ........... 6
IF Q1==99 & Q2==99 >> Other, specify ...................... 7
NEXT SECTION
5 6
What is the main reason you are L'Etat répond-il suffisamment aux
considering moving to another region or besoins de votre ménage ?
country outside of your locality?
Worsening of security Yes .................1
conditions................. 1 No ..................2
Worsening of the Does not know........3
economic situation ........ 2 Refused to answer....4
Better opportunities in
other places .............. 3
Other, specify .............. 4
Does not know ............... 5
Section 12. SURVEY REPORT
1 2 3 4 5
INTERVIEWER READS: Thank you Is this the best number What would What would be the best What would be the best day WHAT IS THE INTERVIEW'S RESULT?
very much for participating in this to reach you or your be the best day of the week to contact of the week to contact your
survey! I will be transferring a 500 household in the future number? your household next time household next time for an
FCA credit to your phone shortly or would it be better to for an interview? interview?
to thank you for your time today. I use another number?
might try to contact you in the
Any day ..........0 Completed....................1 >>Q9
future for another short Any time ............. 0
Partially completed .........2
Monday........... 1 Morning .............. 1
interview. Before I go, I have a Tuesday ......... 2 Refused .....................3 >>Q7
Afternoon ............ 2
Wednesday........ 3 Cannot understand
few questions to help if I need to Evening .............. 3
Thursday ........ 4 the language ..............4 >>Q8
contact you in the future. Friday .......... 5 No response..................5 >>Q12
This number.....1 >>Q3 Invalid number ..............6 >>Q12
Another number..2 Saturday ........ 6
Sunday .......... 7 Closed/unreachable
phone .....................7 >>Q12
Does not know the
household................. 8 >>Q7
Cannot/Does not want
visit the household .......9 >>Q7
6 7 8 9
THE INTERVIEWER CONFIRMS ALL QUESTIONS HAVE INTERVIEWER: CAN THE INTERVIEWER: PLEASE DETAIL WHY INTERVIEWER: WHAT INTERVIEWER: PLEASE
BEEN ANSWERED. INTERVIEW END IF ANOTHER THE HOUSEHOLD COULD NOT BE LANGUAGE DO YOU SELECT RESPONDENT ID
INSTRUCTION: READ ONLY IF Q12.05 == 1 INTERVIEWER WILL TRY TO REACHED, WHY THEY REFUSED, OR THINK THE RESPONDENT
READ: That's it for now. Thank you very much for CALL LATER? WHY THE INTERVIEW COULD NOT SPEAKS
answering all questions and helping us understand the BE COMPLETED.
current COVID19 situation in Burkina Faso and around WRITE "DK" FOR "I
the world. It's really important. IF PARTIALLY COMPLETED >> Q9 DON'T KNOW"
OTHER >> Q12
Yes ....1
I will transfer the XXX FCFA to you after this call. If you No .....2
have any questions about the survey, you can call XXX >> Q12
XXX XXXX. If you have any questions about COVID19,
please call the INSD at X XXX XXX XXXX.
10 11 12 13 14
INTERVIEWER: IN WHICH INTERVIEWER: INTERVIEWER: DO YOU INTERVIEWER: NOTE RECORDING END DATE
LANGUAGE DID YOU MAINLY INDICATE THE HAVE ANY NOTES THAT AND TIME
CONDUCT THE INTERVIEW? NUMBER CALLED TO WILL BE RELEVANT
REACH THE WHEN CALLING THIS
RESPONDENT HOUSEHOLD IN THE
Moore .................1 FUTURE?
Dioula ................2
Fulfuldé ..............3
Gourmatchema ..........4
Bobo ..................5
Senoufo ...............6
Lobiri ................7
San/samo ..............8
Dagari ................9
Français .............10
Yes .....1
Lélé/Nuni/Kassena ....11
No .....2 >>Q14
Bissa ................12
Bwamu ................13
Autres ...............14
Crop nomenclature
Code Label Code Label Code Label Code Label Code Label
1 Mil 13 Sesame 25 Melon 37 Green bean 49 Coffee
2 Sorghum 14 Cassava 26 Watermelon 38 Calabash 50 Tea
3 Paddy rice 15 Yam 27 Lettuce 39 Radish 51 Oil palm tree
4 Maize 16 Potato 28 Cabbage 40 Turnip 52 Rubber tree
5 Nutcracker 17 Pepper 29 Tomato 41 Leeks 53 Citrus
6 Corn 18 Ginger 30 Carrot 42 Amaranth (Tchapata) 54 Mango
7 Fonio 19 Cloves 31 Jaxatu 43 Cotton 55 Other (Specify)
8 Cowpea 20 Mint 32 Eggplant 44 Beet
9 Voandzou 21 Spinach 33 Onion 45 Peas
10 Peanut 22 Celery 34 Cucumber 46 Taro
11 Okra 23 Parsley 35 Squash 47 Yam
12 Sorrel 24 chilli pepper 36 Garlic 48 Cocoa