Strengthen PSNP4 Institutions and Resilience (SPIR)

Development Food Security Activity (DFSA)

COVID-19 SURVEY ROUND 2: Male Questionnaire – August 14, 2020
Phone-based survey

DRAFT: For Research Purpose only

Contents:

Module A: Call information, household identification and consent

Part 1: Respondent identification and consent

Module B: Exposure and responses towards COVID-19

Part 1: Knowledge, exposure, and behavioral responses towards COVID-19
Part 2: Mental health and happiness

Module C: Livestock, agriculture and markets

Part 1: Livestock and agriculture
Part 2: Markets

Module D: Impacts on livelihoods

Part 1: Economic activity
Part 2: Food security
Part 3: Children’s diets

Module F: Desert locusts and fall armyworms

Module G: Experience with the SPIR program

Module Z: End of interview

Part 1: Contact information
Part 1A: Public Service Announcement about COVID-19
Part 2: Phone call status

Universal Codes (Include with all CAPI options):

-97=Refuse to respond -98=Don’t know -99= Not applicable
ENUMERATOR INSTRUCTIONS:

For this survey, we use the following definitions of a household, household member, household head, and primary male respondent:

• Household: a group of people who live and eat together, share resources and form a common decision-making unit. Often, a household is composed of a head of household, spouse(s), their unmarried
children, and possibly their relatives or other persons to whom they are unrelated. The household can be limited to only one person or a person with his or her children. In a polygamous household where
all the spouses do not live in the same compound as their husband, each of the spouses living elsewhere will be listed as a separate household with the persons they live with (the spouse being the head
of that household). A tenant who does not take his meals where he lives is considered as a separate household. In a case where a household head lives in a compound with a spouse or spouse(s) and
their children, among which some are married, each of the married children with their spouse(s) and own children and other unmarried dependents under their responsibility are all part of the same single
household. In this case, all three generations (and other unmarried dependents) belong to one household. In a group of unmarried people living together where everyone has his own means of livelihood,
each member of the group will form his own household.

• Household member: anyone who met the criteria for being part of the household more than six of the last twelve months, as well as anyone who recently entered the household through birth or
marriage to a household member.

• Household head: the individual who plays a leading role in household decision-making, particularly concerning farming, household economic activity and expenditures. Generally, the person identified
by the household as the household head is accepted in this role for the survey.

• Primary male respondent: The primary male respondent for this study will be the spouse or partner of the midline primary female. If the mother of the baseline index child is not a member of the
household, the primary male respondent will be the spouse or partner of the primary female caregiver of the baseline index child. If the mother or primary female caregiver of the baseline index child does
not have a spouse or partner who is a member of the household, the primary male respondent will be an adult male household member who plays a leading role in household decision-making,
particularly concerning farming, household economic activity and expenditures.
 Module A, Part 1: Respondent identification

No. Respondent Identification Response No. Respondent Identification Response

Household Census ID (10-digit number) PF_NAME_ Name of primary female respondent from
[CAPI to prompt enumerator: “According MID midline (preloaded from midline)
to our records the head of this household is
[HHH NAME]. At midline the primary Name of baseline index child (preloaded
BIC_NAME
male respondent was [PM_NAME_MID], from midline)
the primary female respondent was Name of midline index child (preloaded
[PF_NAME_MID] and the index child was MIC_NAME
from midline)
[BIC_NAME_MID].
HHID PM_NAME_Name of primary male respondent from
HHID: [HHID] MID midline (preloaded from midline)
Region: [A01a_region] Household was interviewed during Round 1 1. Yes
RD1_itw
Zone: [A02a_zone] of COVID-19 survey (preloaded from Rd 1) 2. No
Woreda: [A03a_woreda]
Kebele: [A04a_kebele] Name of respondent from Round 1 of
RD1_name
COVID-1 survey (preloaded from Rd 1)
Is this the correct household? Please Date of Round 1 interview (preloaded from Equals “8 June, 2020” if RD1_itw==2
confirm” RD1_date
Rd 1)
1st attempt……………………….1
A07 Code of Interviewer 2nd attempt………………………2
3rd attempt………………………3
4th attempt………………………4
A08 Code of Supervisor Which attempt is this at calling the number, 5th attempt………………………5
Z2_03
for this survey? 6th attempt………………………6
1. Yes 7th attempt………………………7
Is this household part of the supplemental 8th attempt………………………8
A16 2. No
sample? (preloaded) 9th attempt………………………9
10. Other, specify…………
A01/A01a Region (code and name) (preloaded) 1. Yes >> skip to A06ba
[Enumerator: Are you able to get hold of the
A06 2. No
household?]
A02/A02a Zone (code and name) (preloaded)
1. Phone number is no longer in
service
A03/A03a Woreda (code and name) (preloaded) 2. Line busy and is not being
picked up
3. Network problem
A04/A04a Kebele (code and name) (preloaded) 4. The phone rings but no
[Enumerator: Why were you not able to get response
A06a
1. ORDA hold of the household?] 5. The repsondent is not
A05 Implementing partner (preloaded) 2. CARE accepting the call
3. World Vision 6. Please dial an access code to
Name of household head (preloaded from complete the call
A09 7. Phone is switched off
midline)
8. Someone not related to the
household picked up
No. Respondent Identification Response No. Respondent Identification Response

9. Other, specify………….. 4. Respondent is temporarily

[End CAPI] away from home
The intended respondent for this interview is the primary male respondent from midline, 5. Respondent has permanently
whose name is [PM_NAME_MID] (preloaded) left the household
6. Household doesn’t know the
resp_name
If there was no primary male respondent at midline ([PM_NAME_MID] = N/A), the primary male respondent
intended respondent is primary female respondent from midline [PF_NAME_MID] 7. Other, specify…………..
(preloaded)
ENUMERATOR: SAY: Hi, my name is [enumerator name] and I am from Laterite Ltd, a research firm If the intended respondent was the primary male from the midline (resp_name = PM_NAME_MID),
based in Addis Ababa. Together with the International Food Policy Research Institute (IFPRI), we are and the intended respondent [resp_name] cannot be interviewed at all now or in the future
conducting a survey for research to learn about the health and wellbeing of people in Ethiopia, to (A06bb==2), ask the following:
provide information to improve services for people in your woreda and surrounding areas. We would 1. Yes, already speaking to her
Is the primary female respondent from
like to speak with [resp_name]. 2. Yes, phone will be handed to
A06bd midline, [PF_NAME_MID] available to be
1. Already speaking to him/her her
interviewed instead of [PM_NAME_MID]?
>> skip to consent 3. No skip to Z2_04
Is [resp_name], the primary respondent,
A06ba 2. Yes, phone was handed to
available to speak with me? If A06bd=1 or A06bd=2, update resp_name = PF_NAME_MID.
him/her >> skip to consent
3. No
Automatically recorded.
1. Yes >> record a time for A06hh Time of the call (hh:mm)
[Enumerator: If [resp_name] is not
calling back and skip to
A06bb available now, can you schedule a time to
Z2_04 Automatically recorded.
talk with him/her later? A06dd Day of the call (dd), Gregorian calendar
2. No
1. Respondent is too busy to be
interviewed Automatically recorded.
[Enumerator: Why are you not able to Month of the call (mm), Gregorian
2. Respondent is too sick to be A06mm
A06bc interview [resp_name], the midline primary calendar
interviewed
respondent (now nor later)?]
3. Other household member
refuses to hand over phone

4
CONSENT OF PRIMARY MALE RESPONDENT

[Enumerator, only read this paragraph if A06ba = 2 or A06bd = 2: SAY: Hi, my name is [NAME]. I am from Laterite Ltd, a research firm based in Addis Ababa. Together with the International
Food Policy Research Institute (IFPRI), we are conducting a survey for research to learn about the health and wellbeing of people in Ethiopia, to provide information to improve services for
people in your woreda and surrounding areas.]

Your household may already have participated in an interview for this study two months ago, and we are calling now with a brief follow-up phone survey. Your participation in this research is
completely voluntary. We will use approximately 20 minutes of your time. This call will not cost you any airtime. After this call, we will transfer phone credit worth ETB 100 to thank you for your
time. You are free to stop the interview at any time or to refuse to answer any question. There will be no risk because of your participation in the study.

This study is conducted anonymously. Any information we obtain from you during the research will be kept strictly confidential.

Do not hesitate to ask me questions, and if you have questions about the research after this interview, you may contact Laterite’s data team lead Fitsum Dagmawi on 0980635571. If you have
questions about your rights as a participant in this study, you may contact Olivette Burton, coordinator of the IRB at IFPRI, which protects the rights of study participants, at tel: #001-202-862-
5600.

Contact Persons:
Fitsum Dagmawi Dr. Dan Gilligan, IFPRI Dr. Alemayehu Seyoum Taffesse, IFPRI
Address: Laterite, Addis Ababa, Ethiopia Address: 1201 Eye St NW Address: IFPRI - ESARO - ILRI
Tel: (0) 904104193 Washington DC, 20005, USA P.O. Box 5689, Addis Ababa, Ethiopia
E-mail: fdagmawi@laterite.com Tel: +1 202-862-5600 Tel: (0) 11-617-2500
E-mail: d.gilligan@cgiar.org E-mail: a.seyoumtaffesse@cgiar.org
consent Do you agree to participate in the survey? 1. Yes
2. No >> Skip to module Not Consented
refreason [Enumerator: Discontinue interview and fill in the tracking sheet with information on interview status.] 1. Survey is too sensitive
2. Too busy to participate
Why did respondent not consent? 3. Currently sick, and unable to
participate
4. Worried about personal privacy
5. Other, specify……………………..
confirm_name May I confirm, what is your name?

confirm_name_yn [Enumerator, is the name given [confirm_name the same as [resp_name]?] 1. Yes >> skip to confirm_itw
2. No, no interview possible >> CAPI
should go back to A06ba—A06bc to
update the information accordingly.

Ask the following questions if RD1_itw==”No”:

confirm_itw Do you remember being interviewed by our research team between Hamle 2011 and Tikmit 2012 when we asked 1. Yes
about your livestock, shoats and poultry, crop cultivation and your wellbeing? 2. No
confirm_age What is your age in years?
confirm_educ What is the highest class that you passed in school? Never attended school….............. 96
Reads in class I ........................... 0
Completed class I ....................... 1
Completed class II ...................... 2
Put number of highest completed class.
For example, if currently in class IV,
put 3 (class III completed)
Completed High School............... 12
BA/BSc ...................................... 14
Higher National Diploma............ 15
MA/MSC and above ................... 16
Certificate ................................... 22
Preschool class (general) ............ 66
Religious school ......................... 67
Literacy/Adult programs ............ 68
Other .......................................... 76

6
Module B, Part 1: Knowledge, exposure, and behavioral responses towards COVID-19

INTERVIEWER: "We would like to ask you a few questions about coronavirus. This is so we can understand what communities are experiencing and what concerns you have.”

Code Protective measure Have you used the following protective measures to prevent
contracting coronavirus in the past 7 days?

1. Yes
2. No

B1_03
1 Washed hands for 20 seconds or more with soap?
2 Avoided large gatherings / long queues? (such as at church or at markets with 10 or more people)
3 Kept at least 2 adult steps away from others
4 Avoided public transportation
5 Avoided shaking hands or kissing on cheeks
6 Avoided touching my face
7 Used hand sanitizers / disinfectants
8 Worn face masks

B1_04 Since [RD1_date], have you attended any family gatherings with 10 or more people (holiday Yes …………………………1
celebrations, baptisms, wedding, funeral, etc.)? No ………………………….2

B1_05a How many times did you wash your hands with soap yesterday? [Number]

Skip if B1_03_1==”No”
B1_05b Do you have a hand washing station with water and soap available at the household? Yes …………………………1
No ………………………….2

B1_05c Have any of the following factors stopped you from using or made you use less personal protective Social pressure……………………….…..1
equipment such as soap, masks and hand sanitizer during the coronavirus pandemic? Cost of protective equipment…………….2
Availability of protective equipment…….3
[Enumerator: read options and check all that apply] None of the above………………………..4
B1_05d How much money have you spent on preventative measures such as soap, masks, hand sanitizer or [Value in Birr]
other in the past 4 weeks?

B1_06 Do you think your chance of getting infected with coronavirus is low, medium, or high, or do you 1. No risk
have no risk at all? 2. Low risk
3. Medium risk >> skip to B1_08
4. High risk >> skip to B1_08

B1_08 Between [RD1_date] and now, has coronavirus had the following impact on you or anyone in your Yes …………………………1
household? No ………………………….2

a Unemployment/loss of income
b Food shortage
 c Shops being closed
d Travel restrictions
e Church/mosque being closed
f School closures
g Additional people living with the household
h Social distancing/quarantine
i Being sick
J Fear of getting sick or fear of dying
B1_09 [For each one of B1_08a- B1_08i with a Yes answer] Which one of these issues has had the Unemployment/loss of income …………………..1
greatest impact on you and your household between [RD1_date] and now? Food access……………………………………….2
Shops being closed………………………………..3
[Enumerator, you may read the responses with a Yes in B1_08.] Travel restrictions…………………………………4
Church/mosque being closed………………….......5
School closures……………………………………6
Additional people living with the household….......7
Social distancing/quarantine………………………8
Being sick………………………………………….9
Fear of getting sick or fear of dying………………10

Module B, Part 2: Mental health and happiness

B2_02 How would you rate your current stress level related to everything in your life, like work, family,
health, and so on? Please use a scale from 1 (I am not stressed at all) to 10 (I am extremely stressed).
B2_03 Taking all things together, would you say you are (read out and code one answer)? [WVS6 V10] 1 Very happy
2 Rather happy
3 Not very happy
4 Not at all happy

8
Module C, Part 1: Livestock and agriculture

No. Question Response

C1_02a Compared to this time of the year normally, have you been able to perform the usual crop cultivation activities 1. Yes
like preparing your land, purchasing inputs, planting, weeding, planning the harvest since [RD1_date]? 2. No
3. No, because it has not been a cultivation season
C1_02b Compared to this time of the year normally, have you been able to perform normal crop harvesting since 1. Yes
[RD1_date]? 2. No
3. No, because it has not been a harvesting season.
C1_07a Since [RD1_date], did you travel to market to sell any crop you produced (excluding milk and eggs)? 1. Yes >> C1_07c
2. No
C1_07b What was the primary reason you did not travel to the market to sell any crop output? 1. Did not grow any crops
2. Crops failed and I had no output to sell
3. Did not wish to sell any crop output during this period
4. Market is not open / not functioning normally
5. Travel restrictions render it challenging to reach the market
6. Afraid of infection risk at markets
7. Expect that price I would receive is too low
8. Crops have not yet been harvested yet
9. Other, specify
>> Skip to C1_04 after this question
C1_07c What crop did you sell? If more than one crop, just name the crop you sold the most by value. 1. Sorghum
2. Maize
3. Teff
4. Wheat
5. Chat
6. Barley
7. Vegetables
8. Other, specify
C1_07d If you did sell crops, was the amount you earned from sales of your primary crop higher, lower, or roughly the 1. Higher
same compared to what you expected, based on your knowledge of selling this product in the same season in 2. Lower
prior years? 3. Roughly the same
4. Don’t know / don’t recall
C1_04 Since [RD1_date], has the number of livestock your household owned decreased, remained the same or 1. Increased >> skip to C1_06
increased? 2. Stayed the same >> skip to C1_08a
3. Decreased
4. Total (100%) loss (skip C1_08a – C1_11)
C1_05 What was the main reason for the decrease? 1. Natural death of animal
2. Animal killed for consumption
3. Animal sold (alive or as meat) for normal income needs
4. Animal sold (alive or as meat) for emergency income needs
5. Other
>> After the question, skip to C1_08a
C1_06 What was the main reason for the increase? 1. Birth of animal
2. Purchase of animal
3. Gift
4. Other

9
No. Question Response

C1_08a How many poultry of any kind do you own today? If 0 >> skip to next module

C1_08b How many improved breed (ferenji) chickens do you own today?

C1_09 Since [RD1_date], has the number of poultry your household owned decreased, remained the same or increased? 1. Increased >> skip to C1_11
2. Stayed the same >> skip to next module
3. Decreased
4. Total (100%) loss
C1_10 What was the main reason for the decrease? 1. Natural death of animal
2. Animal killed for consumption
3. Animal sold (alive or as meat) for normal income needs
4. Animal sold (alive or as meat) for emergency income needs
5. Other
>> After the question, skip to next module
C1_11 What was the main reason for the increase? 1. Birth of animal
2. Purchase of animal
3. Gift
4. Other

Module C, Part 2: Markets

C2_01a Has your household sold eggs since [RD1_date]? Yes…………………...1

No……………………2
C2_01b Has the price one can sell eggs at increased, stayed the same or decreased since [RD1_date]? Increased …………….1
Stayed the same………2
Decreased…………….3
Don’t know/ N/A…….4
C2_02a Has your household bought eggs since [RD1_date]? Yes…………………...1
No……………………2
C2_02b Has the price one can buy eggs at increased, stayed the same or decreased since [RD1_date]? Increased …………….1
Stayed the same………2
Decreased…………….3
Don’t know/ N/A…….4
C2_03a Has your household sold milk since [RD1_date]? Yes…………………...1
No……………………2
C2_03b Has the price one can sell milk at increased, stayed the same or decreased since [RD1_date]? Increased …………….1
Stayed the same………2
Decreased…………….3
Don’t know/ N/A…….4
C2_04a Has your household bought milk since [RD1_date]? Yes…………………...1
No……………………2
C2_04b Has the price one can buy milk at increased, stayed the same or decreased since [RD1_date]? Increased …………….1
Stayed the same………2
Decreased…………….3
Don’t know/ N/A…….4
10
Enumerator, say: “Now I want to ask about changes in food items that your household may purchase.”
C2_05a C2_05b
Food Item From BEFORE LENT (Yekatit 16, What is the primary reason that your household bought less [Food Item]?
2012/February 24, 2020) until today, has your 1. These foods are less available for seasonal reasons
household bought less [Food Item] or stopped 2. Did not wish to buy any [Food Item] during this period
buying them? 3. Afraid that anyone consuming these foods might contract the coronavirus
Yes, bought less/stopped buying………….1 4. Market is not open / not functioning normally
No…………………………..2 >> next food item 5. Travel restrictions render it challenging to reach the market
Never purchased item………3 >> next food 6. Afraid of infection risk at markets
item 7. Too high price
8. Other, specify _______________
a Grains (such as teff, wheat, barley)
b Pulses (such as chickpeas, lentils, beans)
c Oils
d Fresh fruits
e Fresh vegetables
f Dairy
g Meat

Module D, Part 1: Economic activity

D1_01 D1_02 D1_02a

Source In the last 12 months, was
[SOURCE] a means of livelihood
for your household?
1. Yes
2. No >> skip to next item
a. Family farming
Since [RD1_date], has income from
[SOURCE] … ?
1. Increased >> skip to next item
2. Stayed the same >> skip to next item
3. Decreased
4. Total (100%) loss
Why has income from [SOURCE] decreased since [RD1_date]?
[Enumerator: Read options and check all that apply.]
1. Harvest/production was low due to seasonal fluctuations
2. Harvest/production was unexpectedly low due to weather or
other shocks
3. Market to sell output was not functioning
4. Did not travel to market due to travel restrictions or health
reasons
5. Price of output at market was lower
6. Low demand/no customers
7. Disruptions to travel or work due to protests or insecurity
8. Other (specify)

b. Non-farm family business

c. Wage employment of household members SKIP

d. Remittances (abroad/within the country) SKIP

e. Livestock raising

11
No. Question Response

D1_03 Since [RD1_date], has the total income of the household … ? 1. Increased >> next section
2. Stayed the same >> next station
3. Decreased
4. Total (100%) loss
D1_04 How did your household cope with the income loss? Sale of assets ............................................................1
Engaged in additional income generating activities...2
[Enumerator: say, “I’ll record up to three responses.”] Received assistance from Friends & family ...........3
[Enumerator, do not read options out loud. Ask for maximum three options.] Took a loan from a financial institution.................4
Credited purchases .................................................5
Delayed payment obligations ................................6
Sold harvest in advance .........................................7
Reduced food consumption ...................................8
Reduced non-food Consumption ...........................9
Relied on savings .................................................10
Received assistance from NGO ............................11
Received assistance from government .................12
Did nothing ..........................................................13
Other (specify)…….............................................14
*Don't Know / * Refused……………………….-98

Module D, Part 2: Food security

Enumerator, read out loud:

Next, I would like to ask some questions about the food security status of your household in the last 4 weeks. For the following questions, consider what has happened in the past 4 weeks.
No. Question Response

D2_01 In the past 4 weeks, have you or others in your household worried about not having enough food to eat 1. Yes
because of a lack of money or other resources? 2. No
-98. Don’t know
D2_02 In the past 4 weeks, was there a time when you or others in your household were unable to eat healthy 1. Yes
and nutritious food because of a lack of money or other resources? 2. No
-98. Don’t know
D2_03 In the past 4 weeks, was there a time when you or others in your household ate only a few kinds of 1. Yes
foods because of a lack of money or other resources? 2. No
-98. Don’t know
D2_04 In the past 4 weeks, was there a time when you or others in your household had to skip a meal because 1. Yes
there was not enough money or other resources to get food? 2. No
-98. Don’t know
D2_05 In the past 4 weeks, was there a time when you or others in your household ate less than you thought 1. Yes
you should because of a lack of money or other resources? 2. No
-98. Don’t know
D2_06 In the past 4 weeks, was there a time when your household ran out of food because of a lack of money 1. Yes
or other resources? 2. No
-98. Don’t know
D2_07 In the past 4 weeks, was there a time when you or others in your household were hungry but did not 1. Yes
eat because there was not enough money or other resources for food? 2. No

12
No. Question Response

-98. Don’t know

D2_08 In the past 4 weeks, was there a time when you or others in your household went without eating for a 1. Yes
whole day because of a lack of money or other resources? 2. No
-98. Don’t know

Module D, Part 3: Children’s diets

D3_01a Do you have any children in your household that are between 6 months and 2 years old? Yes………….1
No…………..2 >> NEXT SECTION
Enumerator, say: “I would like to ask about some foods that a child in your household may have consumed yesterday.”
D3_01b How many children in your household are between 6 months and 2 years old? Number
If 2 or more, say “The questions are about the
youngest of these children.”
D3_02 Did this child consume any breast milk yesterday? Yes………….1
No…………..2
D3_03 Did this child consume any solid foods, for example any porridge, injera, vegetables or fruit yesterday? Yes………….1
No…………..2
D3_04 Did this child consume eggs yesterday? Yes………….1
No…………..2
C2_05 Did this child consume milk yesterday? Yes………….1
No…………..2

Module F, Part 1: Desert locusts

No. Question Response

F1_01 Have you heard of the desert locusts? 1. Yes
2. No >> F1_11
[Enumerator, if the answer is “no”, probe to make sure respondent really hasn’t heard of
the locusts. Say: “Desert locusts are a type of grasshoppers that form swarms, can travel
very long distances, and consume large amounts of green vegetation”.]
F1_06 Since [RD1_date], have your crops been damaged by the desert locusts? 1. Yes
2. No >> F1_08
3. No crops cultivated >> F1_08
F1_07 Since [RD1_date], how much of your crops have been damaged due to desert locusts? 1. Not at all / very little
2. Lost up to one quarter of my crops
3. Lost one quarter to one half of my crops
4. Lost one half to three quarters of my crops
5. Total or near total loss (100%)
-98. *Don't Know / * Refused
F1_08 Since [RD1_date], has vegetation on your grazing land been reduced by the desert locusts? 1. Yes
2. No >> F1_10
3. No grazing land >> F1_10

13
No. Question Response
F1_09 Since [RD1_date], how much of the vegetation on your grazing land has been lost due to 1. Not at all / very little
desert locusts? 2. Lost up to one quarter of my grazing land
3. Lost one quarter to one half of my grazing land
4. Lost one half to three quarters of my grazing land
5. Total or near total loss (100%)
-98. *Don't Know / * Refused
F1_10 How concerned are you about the effect of the desert locusts over the next 3 months? 1. Not at all
2. A little concerned
3. Somewhat concerned
4. Extremely concerned
-98. *Don't Know / * Refused
F1_11 Since [RD1_date], have your crops been damaged by fall armyworms? 1. Yes
2. No >> Module Z
3. No crops cultivated >> Module Z
4. Haven’t heard of fall armyworm >> Module Z
F1_12 Since [RD1_date], how much of your crops have been damaged due to fall armyworms? 1. Not at all / very little
2. Lost up to one quarter of my crops
3. Lost one quarter to one half of my crops
4. Lost one half to three quarters of my crops
5. Total or near total loss (100%)
-98. *Don't Know / * Refused

Module G, Part 1: Experience with the SPIR program

G1_01 Since [RD1_date], has your household received any PSNP food or cash payments for public works or permanent 1. Yes
direct support cash or food transfers? 2. No

G1_02 Since [RD1_date], have you or your household participated in any other [A05] project activities, apart from 1. Yes
receiving public works or direct support food/cash transfers? 2. No >> Module Z

G1_03 What [A05] activities have you or your household participated in since [RD1_date]? 1. Financial education training
(Enumerator: Read the list. Select all that apply.) 2. Income generating activity training
3. Value chain training
4. VESA group meeting
5. Poultry management training
6. Male engagement group meeting
7. Interpersonal therapy group meeting
8. Training on protective measures against coronavirus
9. Other, specify __________________
G1_04 How many [A05] meetings or trainings have you or members of your household attended since [RD1_date]? Number

G1_05 What protective measures are used at these SPIR meetings or trainings since [RD1_date]? 1. At least some people wearing masks
(Enumerator: Read the list. Select all that apply.) 2. Social distancing
3. No touching or embracing
4. Meetings are held outdoors
5. Meetings are kept short
6. No protective measures are used

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Module Z, Part 1: Contact information

No. Household Identification Response

Z1_01 If we want to call you in the future, is there a better phone number to reach you at than this one? 1. Yes
This number may be for household member or may be the number of a non-household member. 2. No >> skip to Z1_02

Z1_01a [Enumerator, please write down the phone number.]

Use IDs from household roster.
Z1_01b Whose phone number is this?

1. Yes >> skip to Z1_03

Z1_02 Is the number we called you at the best number to send you the phone credit of ETB 100?
2. No
[Enumerator, please write down the number at which the respondent wishes to receive their
Z1_02a
phone credit.]
1. Yes
Z1_03 Do you know the name and phone number of a leader in your kebele that we could contact?
2. No >> skip to Module Z1A
Z1_03a [Enumerator, note the name and number of the leader.]

Module Z, Part 1A: Public Service Announcement about COVID-19

Enumerator, read out loud:

“Before I end our call, I would like to say a few things to you about the Coronavirus health situation. Coronavirus is a virus spread when an infected person coughs or sneezes tiny drops
of liquid into the air that another person breathes in. Even when talking, a person can produce these tiny drops of liquid that can infect another person nearby. Coronavirus is also spread
when an infected person talks, coughs or sneezes and those droplets land on an object that someone else later touches and then touches their own face. It is possible for someone to spread
the virus before they even know that they are infected.

Washing your hands for 20 seconds with soap and water frequently, covering your cough or sneeze with a tissue, throw the tissue away, and then wash your hands, avoiding touching your
eyes, nose, and mouth, cleaning and disinfecting frequently touched objects or surfaces such as doors, avoiding close contact with people that are sick, staying home if you are sick and
maintaining physical distance of at least 2 adult steps from others when outside your household can help protect you from Coronavirus infection.

Module Z, Part 2: Interview status

No. Household Identification Response

1. Yes
Z2_01 Did the respondent terminate the survey early? 2. No >> skip to Z2_02
3. Temporary stop only. Wishes to continue survey at a later time
1. Tired
2. Too busy / doesn’t have time
Z2_01a Why did the respondent terminate the survey early? 3. Offended at a question
4. Suspicious of enumerator or survey intent
5. Not comfortable providing answers by phone
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No. Household Identification Response

6. Someone else in the household asked to terminate survey

7. Phone call dropped or bad reception
8. Other, specify….………………………
1. Very confident >> Skip to Z2_04
Are you very confident, somewhat confident or not very confident in the overall quality and 2. Somewhat confident
Z2_02
truthfulness of this respondent’s responses? 3. Not confident

Z2_02a Why are you not confident?

Enumerator, thank the respondent for their time and willingness to respond to the interview.
Z2_04 Please note any problems with the survey or any other notes, feedback or changes you
recommend. (Note the issue and the question number if possible)

Module, Not Consented

No. Household Identification Response

refreason Why did the respondent not consent? 1. Survey is too sensitive
2. Too busy to participate
3. Currently sick, and unable to participate
4. Worried about personal privacy
5. Other, specify……………………..
refreason_text Add any additional details to why the interview could not be completed (Describe why)

ref_newapp Will you be able to schedule an appointment to interview this household?

1. Yes >> record a time for calling back
2. No

******************************************************** END INTERVIEW ********************************************************

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