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 9 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. INTERVIEW INFORMATION: NUMBER 2. BASIC INFORMATIONS 5. ACCESS TO BASIC SERVICES 6a. EMPLOYMENT AND REVENUE: General 6b. EMPLOYMENT AND REVENUE: PAID JOB 6c. EMPLOYMENT AND REVENUE: NON-AGRICULTURAL ENTERPRISES 7. FOOD SECURITY 8. OTHER REVENUES 12. SURVEY REPORT Section 1a. SURVEY INFORMATION: TENTATIVE 1 2 3 4 INTERVIEWER: SELECT INTERVIEWER: ENTER INTERVIEWER: DID SOMEONE ANSWER? INTERVIEWER READS TO RESPONDENT: THE NUMBER TO BE TENTATIVE START TIME Hello! My name is___________. I work for the National Institute DIALED of Statistics and Demography. We are currently carrying out a 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 attempt # Yes ................1 No, no response ....2 >> NEXT ATTEMPT No, invalid number..3 >> NEXT ATTEMPT No, closed/unreachable phone .............4 >> NEXT ATTEMPT 5 5a 5b 5c 5d INTERVIEWER: ARE YOU INTERVIEWER: Are you INTERVIEWER READ: Is [RESPONDANT TO INTERVIEWER: EXPLAIN WHY INTERVIEWER: Is there TALKING TO [RESPONDANT TO talking to a member of the PREVIOUS ROUND] available? Can you [RESPONDANT TO PREVIOUS SURVEY] IS another eligible adult in the PREVIOUS SURVEY]? household? please give the phone to [RESPONDANT NOT AVAILABLE TO BE INTERVIEWED THIS household available to be TO PREVIOUS SURVEY]? ROUND? interviewed? Oui ........................1 >>Q7 Non, je peut vous doner un numéro de téléphone .......2 >> ENREGISTRER DANS LA LISTE DES NUMÉROS DE TÉLÉPHONE Non, ne peut pas / Ne se connectera pas au répondant de l'ENTRETIEN Yes ....1 >>Q7 Yes ............1 >>Q7 PRÉCÉDENT .................3 >> Yes ....1 No .....2 No .............2 PROCHAINE TENTATIVE No .....2 >>Q6 >> NEXT Does not understand the Oui, rappeler plus tard ....4 >>Q11A ATTEMPT language........3 Non, le répondant de l'ENTRETIEN >>NEXT ATTEMPT PRÉCÉDENT ne sera pas disponible pour étre interviewé ce round ..................5 6 7 8 9 INTERVIEWER READ: Could you give me a number INTERVIEWER, READ TO RESPONDENT: INTERVIEWER: DOES THE INTERVIEWER: RECORD or visit [RESPONDENT TO PREVIOUS ROUND] so I Thank you for participating in the interview last time. We really RESPONDENT CONSENT TO RESPONDENT'S NAME. can chat with them from your phone? It is very appreciate your participation. I'm calling again to ask follow-up PARTICIPATE IN THE questions about how you and your household have been doing since important that I speak with them. Please visit INTERVIEW? IF THE PERSON IS A NEW the last interview. This interview will last between 25 and 30 minutes. them only if you can practice social distancing in MEMBER, ADD TO LIST We inform you that we are recording calls and data for convenience, order to protect yourself and others. FILL IN THE but any information you share with us will be kept strictly confidential FIRST RESPONSE and will only be used for statistical purposes, and will not be used to decide whether your household is eligible for government assistance. If at any point you feel uncomfortable answering questions, you can choose not to answer them. You can also choose to stop the interview at any time. This call will not cost you any communication credits. Like last time, as a thank you for your participation, we will send a [% No, does not know the household....1 RespondentGift%]. >>NEXT ATTEMPT No, cannot/will not visit the household ...................2 >>NEXT ATTEMPT Yes, phone number obtained.........3 Yes ..............1 >>SAVE NUMBER IN PHONE CONTACT LIST Yes, not now .....2 >>Q10 Yes, call back later...............4 No, refused ......3 >>NEXT SECTION >>Q11A >>SURVEY REPORT 10 11a. 11b. May I call you back later at a time that What day? What time? is more convenient for you? It is very important that we talk to you or anyone else in your household. Yes .....1 No ......2 >>SURVEY REPORT >>Q12.05 Section 1b. INTERVIEW INFORMATION: NUMBER 12a 12 13 14 15 16 INTERVIEWER: THIS WHOSE IS THIS INTERVIEWER: IS QUEL EST LE INTERVIEWER: WHAT IS THE RELATIONSHIP BETWEEN INTERVIEWER: PLEASE LIST INCLUDES ALL NUMBER? [NAME OF PHONE RAPPORT ENTRE [PHONE NAME] AND THE HEAD OF HOUSEHOLD? INDICATE THIS OTHER NUMBERS NUMBER'S OWNER] [NOM DU RELATIONSHIP WITH THE NATIONAL PHONE SURVEY ASSOCIATED WITH THE A HOUSEHOLD TITULAIRE DU HEAD OF HOUSEHOLD HOUSEHOLD AND MEMBER? NUMERO DE WITH PERSONS ABLE TÉLÉPHONE] ET LE Head of household..........................1 TO CONTACT THE CHEF DE MÉNAGE? Partner ...................................2 Son, Daughter..............................3 HOUSEHOLD. ADD Father, Mother ............................4 NEW NUMBERS HERE. Grandson, grand daughter ..................5 Grand-parents .............................6 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 Former head of household .................98 Yes ....1 >>Q15 No .....2 if != 8 | 9 >>NEXT PHONE NUMBER Section 2. LIST OF HOUSEHOLD MEMBERS (UPDATE) 1. 2. 3. 4. INTERVIEWER: ALL HOUSEHOLD NAME INTERVIEWER: IS Is [NAME] still a What was the main reason that led [NAME] to leave MEMBERS REGISTERED DURING [NAME] A NEW member of this the household? [PREVIOUS INTERVIEW] ARE PRE- CAPI: PRE-FILL THE MEMBER ADDED household? FILLED IN Q1. NAMES FROM PREVIOUS DURING THIS INTERVIEW INTERVIEW? P FOR PRE-REGISTERED MEMBERS ASK E QUESTIONS Q3 AND Q4. INTEVIEWER: ADD NEW Divorce/Separation ..........................1 MEMBERS HERE For work ....................................2 R To pursue studies S AFTER FILLING IN ANSWERS FOR ALL or training opportunities...................3 To find better land .........................4 O PRE-REGISTERED MEMBERS, ASK: NATIONAL PHONE SURVEY Health reasons...............................5 N "Are there any members of this Security/terrorism reasons ..................6 For wedding/cohabitation ....................7 household that I did not mention?" To join family living I in another locality.........................8 Moved out with their family..................9 D IF YES, ASK WHO, WRITE DOWN To live in their own house..................10 Community conflicts.........................11 THEIR NAMES AND ASK QUESTIONS Conflicts with other household's members ...12 Yes ....1 >> Q5 - Q7. Kidnapped ..................................13 NEXT PERSON Yes ....1 >>Q5 Deceased ...................................14 No ....2 No .....2 Other, (specify) ...........................15 >>NEXT PERSON 1 2 3 4 5 6 7 8 9 10 5. 6. 7. 7_a. 8. What gender How old (in What is the relationship between [NAME] and [ONLY ASK NEW MEMBERS] Why did [NAME] join the household? is [NAME]? years) was the head of household? What class does [NAME] currently attend or what is [NAME] on the highest class [NAME] ever attented? their last birthday? New born.....................................1 Adopted child................................2 Wedding/Cohabitation.........................3 Divorce/Separation...........................4 Return from middle school/universit..........5 Return from institution......................6 Head of household......................1 Has come to live with a relative or other....7 Partner ...............................2 Kindergarten ............................... 1 Shared housing ..............................8 Son, Daughter..........................3 Primary .................................... 2 Return from job migration ...................9 Father, Mother ........................4 General Secondary 1 (Post-primary) ......... 3 Last visit forgotten .......................10 Grandson, grand daughter ..............5 Secondary 1 (Post-primary) ................. 4 Displacement due to conflict Grand-parents .........................6 Secondary 2 general ........................ 5 Militance/insurgency) ....................11 Brother, sister .......................7 Secondary 2 technical ...................... 6 Related to the Coronavirus (COVID-19).......12 Post-secondary (preparation for a Bac Other, specify .............................96 Other relatives of head of household/partner .............8 + 2 diploma) ..............................7 Male ....1 Superior ................................... 8 Female ..2 Non relative of head of household/partner .............9 No school ................................. 99 House help/House help's relative .....10 9a. 9b. IS THE PRE-FILLED What is the relationship between [NAME] and HEAD OF THE FAMILY the NEW head of household? STILL A MEMBER OF THE HOUSEHOLD? 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 Yes ....1 House help/House help's relative .....10 >>NEXT PERSON No .....2 Section 5. ACCESS TO BASIC SERVICES MEDECINES BASIC FOOD 1a 1b 2_1 2a 2b Since the last 7 days, has your Why was your household not able Since the last 7 days, did Since the last 7 days, was Why was your household unable to household been able to buy to buy medicine? you or a member of your your household able to purchase [Basic food 1]? medicines (modern and DO NOT READ THE OPTIONS household need to purchase [Basic Food 1]? DO NOT READ THE OPTIONS NATIONAL PHONE SURVEY traditional)? purchase [Basic Food 1]? Stores are out Yes, in Pharmacy .............1 of stock ................ 1 Pharmacy out of stock..... 1 Yes, modern in the street.....2 Local markets Local markets closed/ Yes, traditional .............3 Yes ....1 Yes ....1 >>Q2_2 closed/not operational... 2 not operational......... 2 Yes, pharmacy and No .....2 >>Q2_2 No .....2 Limited transport/None .... 3 Limited/no transport...... 3 traditional ................4 Restriction to Restriction to No, could not buy ............5 go outside .............. 4 go outside ............. 4 Did not need to ..............6 Price increase ............ 5 Price increase ........... 5 Cannot afford ............. 6 Cannot afford ............ 6 IF !=5 >>Q2_1 BASIC FOOD 2_2 2c 2d 2_3 2e 2f Since the last 7 days, did Since the last 7 days, was Why was your household unable Since the last 7 days, did Since the last 7 days, was Why was your household unable you or a member of your your household able to to purchase [Basic food 2]? you or a member of your your household able to to purchase [Basic food 3]? household need to purchase [Basic Food 2? DO NOT READ THE OPTIONS household need to purchase [Basic Food 3? DO NOT READ THE OPTIONS purchase [Basic Food 2]? purchase [Basic Food 3]? Stores are out Stores are out of stock ................ 1 of stock ................ 1 Local markets Yes ....1 Yes ....1 >> Q3a Local markets closed/not operational... 2 No .....2 >>Q3a No .....2 closed/not operational... 2 Limited transport/None .... 3 Yes ....1 >>Q2_3 Limited transport/None .... 3 Restriction to Yes ....1 go outside .............. 4 No .....2 Restriction to No .....2 >>Q2_3 Price increase ............ 5 go outside .............. 4 Price increase ............ 5 Cannot afford ............. 6 Cannot afford ............. 6 HEALTH 3a 3a_1 Have you or anyone in the What kind of service did you or a member of your household need? household needed medical attention in the past four DO NOT READ weeks? SELECT ALL THAT APPLY No ..,..0 >>NEXT SERVICE Yes ....1 Yes ........1 No .........2 >>Q4.1 Refused ...99 >>Q4.1 1 2 3 4 5 6 7 96 Maternal health Family planning Vaccination Child health Adult health Urgent Care Pharmacy / Pregnancy care Other (specify) >>Q3d_1a >>Q3d_2a >>Q3d_3a >>Q3d_4a >>Q3d_5a >>Q3d_6a >>Q3d_7a >>Q3d_96 HEALTH 3d_1a 3d_1b 3d_2a 3d_2b Have you or someone in the Why have you or the household member been unable to Have you or someone in the Why have you or the household member been unable to household been able to access access FAMILY PLANNING service in the past four household been able to access access VACCINATION service in the past four weeks? FAMILY PLANNING service in weeks? VACCINATION service in the the past four weeks? past four weeks? Lack of money .................................. 1 Lack of money .................................. 1 No medical staff available ..................... 2 No medical staff available ..................... 2 Refused because the establishment was full ..... 3 Refused because the establishment was full ..... 3 Refused because the establishment was closed ... 4 Refused because the establishment was closed ... 4 The hospital / clinic does not have enough Yes .......1 >>Q4.1 The hospital / clinic does not have enough Yes .......1 >>Q4.1 supplies or tests ............................ 5 No ........2 supplies or tests ............................ 5 No ........2 The health facility is too far away ............ 6 Refused ..99 >>Q4.1 The health facility is too far away ............ 6 Refused ..99 >>Q4.1 Fear of contracting the coronavirus ............ 7 Fear of contracting the coronavirus ............ 7 Other (specify) ............................... 96 Other (specify) ............................... 96 HEALTH 3d_3a 3d_3b 3d_4a 3d_4b Have you or someone in the Why have you or the household member been unable to Have you or someone in the Why have you or the household member been unable to household been able to access access MATERNAL HEALTH / PREGNANCY CARE service household been able to access access CHILD HEALTH service in the past four weeks? MATERNAL HEALTH / in the past four weeks? CHILD HEALTH service in the PREGNANCY CARE service in past four weeks? the past four weeks? Lack of money .................................. 1 Lack of money .................................. 1 No medical staff available ..................... 2 No medical staff available ..................... 2 Refused because the establishment was full ..... 3 Refused because the establishment was full ..... 3 Refused because the establishment was closed ... 4 Refused because the establishment was closed ... 4 The hospital / clinic does not have enough The hospital / clinic does not have enough Yes .......1 >>Q4.1 supplies or tests ............................ 5 Yes .......1 >>Q4.1 supplies or tests ............................ 5 No ........2 The health facility is too far away ............ 6 No ........2 The health facility is too far away ............ 6 Refused ..99 >>Q4.1 Fear of contracting the coronavirus ............ 7 Refused ..99 >>Q4.1 Fear of contracting the coronavirus ............ 7 Other (specify) ............................... 96 Other (specify) ............................... 96 HEALTH 3d_5a 3d_5b 3d_6a 3d_6b Have you or someone in the Why have you or the household member been unable to Have you or someone in the Why have you or the household member been unable to household been able to access access ADULT HEALTH service in the past four weeks? household been able to access access URGENT CARE service in the past four weeks? ADULT HEALTH service in the URGENT CARE service in the past four weeks? past four weeks? Lack of money .................................. 1 Lack of money .................................. 1 No medical staff available ..................... 2 No medical staff available ..................... 2 Refused because the establishment was full ..... 3 Refused because the establishment was full ..... 3 Refused because the establishment was closed ... 4 Refused because the establishment was closed ... 4 The hospital / clinic does not have enough The hospital / clinic does not have enough Yes .......1 >>Q4.1 Yes .......1 >>Q4.1 supplies or tests ............................ 5 supplies or tests ............................ 5 No ........2 No ........2 The health facility is too far away ............ 6 The health facility is too far away ............ 6 Refused ..99 >>Q4.1 Refused ..99 >>Q4.1 Fear of contracting the coronavirus ............ 7 Fear of contracting the coronavirus ............ 7 Other (specify) ............................... 96 Other (specify) ............................... 96 HEALTH 3d_7a 3d_7b 3d_96a 3d_96b Have you or someone in the Why have you or the household member been unable to Have you or someone in the Why have you or the household member been unable to household been able to access access PHARMACY service in the past four weeks? household been able to access access THIS OTHER service in the past four weeks? PHARMACY service in the past THIS OTHER service in the past four weeks? four weeks? Lack of money .................................. 1 Lack of money .................................. 1 No medical staff available ..................... 2 No medical staff available ..................... 2 Refused because the establishment was full ..... 3 Refused because the establishment was full ..... 3 Refused because the establishment was closed ... 4 Refused because the establishment was closed ... 4 Yes .......1 >>Q4.1 The hospital / clinic does not have enough The hospital / clinic does not have enough supplies or tests ............................ 5 Yes .......1 >>Q4.1 supplies or tests ............................ 5 No ........2 No ........2 Refused ..99 >>Q4.1 The health facility is too far away ............ 6 The health facility is too far away ............ 6 Fear of contracting the coronavirus ............ 7 Refused ..99 >>Q4.1 Fear of contracting the coronavirus ............ 7 Other (specify) ............................... 96 Other (specify) ............................... 96 Section 6a. EMPLOYMENT AND REVENUE: General FILTRE 1 1a 2 THE CAPI IDENTIFIES THE Last week, that is, from Monday [DATE] to Sunday Even if you didn't work last week, do you Were you working FOLLOWING CASES BASED ON [DATE], did you work at least one hour, for a have a job, business, or agricultural FOUR WEEKS AGO? THE LAST SURVEY remuneration (in kind or in cash), for your own exploitation that you were away from NATIONAL PHONE SURVEY account or on behalf of a another member of the last week and plan to return to? household, or as a boss, in a business, an agricultural CASE 1. THE RESPONDENT WAS activity, a processing activity, or a market service? WORKING AT THE TIME OF THE For example as a craftsman, trader or lawyer, [LAST SURVEY] medical doctor or other self-employed person? CASE 2. THE RESPONDENT WAS NOT WORKING AT THE TIME OF THE [LAST SURVEY] Yes ....1 >> IF CASE == 1 >>Q4 CASE 3. IF ROUND9 RESPONDENT IF CASE == 2 >>Q4A IS DIFFERENT FROM PREVIOUS IF CASE == 3 >>Q2 Yes ....1 No .....2 >> ROUND RESPONDENT IF CAS == 1 >>Q6.04 IF CASE == 1 >>Q3 Yes ....1 >>Q3 IF CASE == 2 | 3 >>Q6.04A IF CASE == 2 >>Q3A No .....2 >>Q3a No .....2 IF CASE == 3 >>Q2 Joh hunting 3 3a 3b 4 IF CASE 1 OR 2: Why have you stopped working In the past four weeks, What have you done mainly in the past four weeks to find IF CASE 1: Is it the same job SINCE THE PREVIOUS INTERVIEW? did you do anything to paid employment or start a business? you had during [LAST IF CASE 3: Why have you stopped working SINCE find paid employment or INTERVIEW]? THE FOUR LAST WEEKS? start a business? IF CASE 3: Is this the same job DO NOT READ THE OPTIONS you had four weeks ago? Apply to prospective employers for paid employment or an internship ............................................1 Place or respond to job advertisements ................... 2 Business/Government closed due to Post / Update CV on professional social media sites ...... 3 coronavirus-related legal restrictions ........ 1 Registration with the public employment service .......... 4 Business/Government Closed For Another Reason ... 2 Register with a private job center/agency ............... 5 Layoff while companies continue ................. 3 Take a public service examination or interview ............6 Leave ........................................... 4 Take a private company exam or interview.................. 7 Vacation ........................................ 5 Ask for help from relatives, friends, others ............. 8 Illness/Quarantine .............................. 6 Check factories, workplaces .............................. 9 Need to take care of few relatives............... 7 Wait in the street for recruitment....................... 10 Seasonal worker ................................. 8 Apply for financial assistance to start a business ...... 11 Retired ......................................... 9 Search land, building, equipment, material to start Not able to go to the farm due to a business .............................................12 movement restrictions ........................ 10 Developed a business plan ............................... 13 Yes ....1 >>Q6 Cannot farm due to lack of entries ............. 11 Yes ....1 Apply for a permit or license to start a No .....2 Non-agricultural season ........................ 12 No .....2 >> company ............................................... 14 Other (Specify) ................................ 13 SECTION SUIVANTE Other, specify .......................................... 15 Current job 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 … which you currently carry out your main work? DO NOT READ OPTIONS READ THE ANSWERS DO NOT READ OPTIONS Agriculture .................................1 Mining ......................................2 Business/Government closed due to Manufacturing branch.........................3 coronavirus-related legal restrictions ........ 1 Technical and scientific activities..........4 Business/Government Closed For Another Reason ... 2 Electricity/Water/Gas/Dechets ...............5 Layoff while companies continue ................. 3 In your own NON-AGRICULTURAL company ........... 1 Leave ........................................... 4 Construction ................................6 >>Q8 Vacation ........................................ 5 Transport ...................................7 In a NON-AGRICULTURAL exploitation operated Illness/Quarantine .............................. 6 Trade .......................................8 by a member of the household or family ........2 Need to take care of few relatives............... 7 Banks, insurance, real estate ...............9 Seasonal worker ................................. 8 >>Q8 Personal service ..........................10 Retired ......................................... 9 On a family agricultural exploitation or in Education ..................................11 Not able to go to the farm due to breeding or fishing........................... 3 Health .....................................12 movement restrictions ........................ 10 >>Q8 Cannot farm due to lack of entries ............. 11 Public administration .....................13 As someone else's employee ......................4 Non-agricultural season ........................ 12 Tourism ....................................14 As an apprentice, trainee, intern ...............5 Other (Specify) ................................ 13 Section 6b. EMPLOYMENT AND REVENUE: PAID JOB 6 7a 7b 7c During the past week, LISEZ LES OPTIONS Although Why couldn't you work as usual? Does your employer offer you the following benefits? that is, from Monday you were not able to work as PLEASE READ ALL MEASUREMENTS CAREFULLY AND REPORT [DATE] to Sunday usual, were you paid… ..? DO NOT READ OPTIONS YES / NO FOR EACH OF THEM NATIONAL PHONE SURVEY [DATE], have you been forced to reduce the READ THE OPTIONS time you usually devote to your paid job? Seasonal work ................. 1 Stopped activity (Enterprise or Administration) .......... 2 Staff reduction due to lack of activity ............ 3 No .....0 Temporarily absent ............ 4 Yes ....1 >>Q10 Retirement .................... 5 Yes ....1 Full normal payment .... 1 Illness ....................... 6 No .....2 >>Q8 Partial payment ........ 2 In charge of sick relatives ... 7 No payment ............. 3 Other, Specify ................ 8 Contribution to Contribution to Paid sick leave Paid annual leave health insurance the pension fund 8 8a 9 During the past week, that is, from If Yes, have at least one of these Which member (s) of the Monday [DATE] to Sunday [DATE], household members been household were they? has anyone in your household had precluded due to the COVID-19 IDENTIFIERS OF ALL MEMBERS to reduce the time they usually pandemic? CONCERNED spend at their paid job? Yes ....1 Yes ....1 No .....2 No .....2 >>NEXT SECTION >>NEXT SECTION Section 6c. EMPLOYMENT AND REVENUE: NON-AGRICULTURAL ENTERPRISES FILTRE 10 10a 10b CAPI: IDENTIFY THE FOLLOWING Since the last phone call on CASE 1: What is the current status of Why is your family business closed? CASES [ DATE], have you or a your family business, the one that was member of your household closed during [LAST INTERVIEW]? NATIONAL PHONE SURVEY CASE 1. HOUSEHOLDS OWNING A operated a non- COMPANY TEMPORARILY CLOSED AT agricultural family CASE 2: What is the current status of THE TIME OF THE LAST SURVEY exploitation? your family business, the one that was open when we spoke on [LAST CASE 2. HOUSEHOLDS OWNING A INTERVIEW DATE]? COMPANY IN SERVICE AT THE TIME Usual business location closed due to Coronavirus OF THE LAST SURVEY CASE 3: What is the current status of related legal restrictions ........................ 1 Usual business location closed for another reason ... 2 your family business? No costumers/Fewer clients .......................... 3 CASE 3. HOUSEHOLDS OWNING A Cannot obtain inputs ................................ 4 The goods cannot travel/be transported for trade .... 5 COMPANY NOT IN SERVICE DURING Diseases/Quarantined due to Coronavirus ............. 6 Other disease (No Coronavirus) ...................... 7 THE TIME OF THE LAST SURVEY AND Yes ...1 Open .................1 >>Q11 Need to take care of a family member ................ 8 Temporarily closed ...2 Seasonal closure .................................... 9 NOT OPERATIONAL DURING [LAST No ....2 >>Q14 Vacation ........................................... 10 Permanently closed ...3 Other, specify ..................................... 11 SURVEY]. 11 12 13 What do you do / produce in this family business? ASK IF Q10A==1 IF Q12 = 4: Why did the sales not generate income? DO NOT READ THE OPTIONS Compared to LAST MONTH, how is the IF Q12 = 3 Why was the company's sales revenue lower than income from commercial sales… [LAST_MONTH]? READ THE OPTIONS DO NOT READ THE OPTIONS Mining exploitation, manufacturing...... 1 Electricity, gas, water supply ......... 2 Construction ........................... 3 Purchase and sale of goods, repair of goods, hotels Usual place of business closed due to and restaurants ...................... 4 Coronavirus related legal restrictions ............. 1 Transportation, driving, post, Usual place of business closed for other reason ...... 2 travel agency ........................ 5 No costumers/Fewer clients ........................... 3 Professional activities: finance, Cannot obtain inputs ................................. 4 Superior ............1 Goods cannot travel/be transported for trade ......... 5 legal, analysis, computer, >>NEXT SECTION real estate .......................... 6 Diseases/Quarantined due to Coronavirus .............. 6 The same..............2 Other diseases (No Coronavirus) ...................... 7 Personal services, education, >>NEXT SECTION health, culture, sport, Need to take care of a member of the family .......... 8 Inferior ............3 Seasonal closure ..................................... 9 domestic work, others ................ 7 No revenue ..........4 Vacation ............................................ 10 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 household have had to skip a the past 30 days, were about not having enough food healthy and nutritious food due enough varied food due to lack meal because you did not have NATIONAL PHONE SURVEY there times when … due to lack of money or other to lack of money or other of money or other resources? enough money or other resources? resources? resources to buy 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 household go a whole day thought you should have eaten money or other resources? not eat because there was not without eating due to lack of due to lack of money or other enough money or other money or other resources? resources ? resources to buy 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], have you or Compared to the same period last year (Avril your household received [REVENUE 2020), has the household revenue from TYPE]? [SOURCE]…? C SELECT ALL RELEVANT OPTIONS O D E NATIONAL PHONE SURVEY R E V Increased ..............................1 Yes ...1 Remained the same.......................2 E No ....2 >>NEXT REVENUE TYPE Decreased...............................3 No revenue from this source in 2020.....4 N U 1 Transfers from abroad 2 Family assistance from within the country 3 Help from other non-family people from within the country 4 Real estate income, investments or savings 5 Pension 6 Family farming, breeding or fishing 7 Non-agricultural family business 8 Salaried employment of household members 3 Since the start of the pandemic in March 2020, has the total household revenue …? Increased ..............................1 Remained the same.......................2 Decreased...............................3 Section 12. SURVEY REPORT 1_a 1_b 1_c 1_d INTERVIEWER READS: Thank you very much From where are you taking that Are you indoors or How many mobile signal What mobile network are you for participating in this survey! I will be call? outdoors? bars do you currently using for this call? transferring a 500 FCA credit to your phone see on your phone? shortly to thank you for your time today. I might try to contact you in the future for another short interview. Before I go, I have a few questions to help if I need to contact you in the future. From your home.............1 Elsewhere in the Orange ..............1 community ................2 Onatel ..............2 Work place ................3 Indoors .....1 Telecel Faso ........3 Other place (specify) .....4 Outdoors ....2 Other (specify) .....4 1_e 1 2 3 4 5 Do you usually receive Is this number the best to What would be What would be the best When would be the best time WHAT IS THE INTERVIEW'S RESULT? phone calls in your reach you or your the best day of the week to contact on [q12.03] to contact your community? household in the future, or number? your household next time household next time for an would it be better to use for an interview? interview? another number? Completed....................1 >>Q9 Partially completed .........2 Refused .....................3 >>Q7 Cannot understand the language ..............4 >>Q8 Any day ..........0 No response..................5 >>Q12 Monday........... 1 Invalid number ..............6 >>Q12 Tuesday ......... 2 Any time ............. 0 Closed/unreachable Wednesday........ 3 Morning .............. 1 phone .....................7 >>Q12 Thursday ........ 4 Afternoon ............ 2 Does not know the Friday .......... 5 Evening .............. 3 This number.....1 >> Q3 household................. 8 >>Q7 Yes ....1 Saturday ........ 6 Cannot/Does not want No ....2 Another number..2 Sunday .......... 7 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 BE COMPLETED THE HOUSEHOLD COULD NOT BE LANGUAGE DO YOU SELECT RESPONDENT ID INSTRUCTION: READ ONLY IF Q12.05 == 1 IF ANOTHER INTERVIEWER REACHED, WHY THEY REFUSED, OR THINK THE RESPONDENT READ: That's it for now. Thank you very much for TRIES TO 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 I will transfer the XXX FCFA to you after this call. If you 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. Yes ....1 No .....2 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 FUTURE? Moore .................1 Dioula ................2 Fulfuldé ..............3 Gourmatchema ..........4 Bobo ..................5 Senoufo ...............6 Lobiri ................7 San/samo ..............8 Dagari ................9 French ...............10 Lélé/Nuni/Kassena ....11 Bissa ................12 Bwamu ................13 Yes .....1 Others ...............14 No ......2 >>Q14