Professional Documents
Culture Documents
TIS
VIC
STA
E
G H NA
A
EN
2010
SU S
GHANA
Enumerator.............................................................. Supervisor..............................................................
Signature................................................................. Signature................................................................
Date......................................................................... Date........................................................................
REPUBLIC OF GHANA - -
PHC 1A GHANA STATISTICAL SERVICE
Quest. ID
STRUC. NO HH NO Q. NO
(A10) (A11)
(HOUSEHOLD POPULATION)
2010 POPULATION & HOUSING CENSUS
PLEASE PRINT CAREFULLY AND AVOID CONTACT
WITH THE EDGES AS SHOWN:
-
REPUBLIC OF GHANA
A01 Region Name A02 District Name A03 District Type
A10 Structure number of house/compound A15a Total number of visits A15b Form of
0946072211
PHC-1a: Page 1 of 14
A16a: HOUSEHOLD ROSTER Quest. ID - -
Usual members and visitors present on census night:
A--Usual member(s) present on census night; B--Visitor(s) present on census night
PERSON RELATIONSHIP REL.
FULL NAME STATUS
ID TO HEAD CODE SEX
M A
0 1 F B
M A
0 2 F B
M A
0 3 F B
M A
0 4 F B
M A
0 5 F B
M A
0 6 F B
M A
0 7 F B
M A
0 8 F B
M A
0 9 F B
M A
1 0 F B
RELATIONSHIP CODES REGION AND COUNTRY CODES CODES FOR ACTIVITY ABROAD (E02 ON
PAGE 3)
01 Head 01 Western 13 Sierra Leone
02 Spouse (Wife/Husband) 02 Central 14 Gambia
03 Child (Son/Daughter) 03 Greater Accra 15 Togo
04 Parent/Parent in-law 04 Volta 16 Burkina Faso 1 Employed
05 Son/Daughter in-law 05 Eastern 17 Cote d'Ivoire
06 Grandchild 06 Ashanti 18 Other ECOWAS states 2 Unemployed
07 Brother/Sister 07 Brong Ahafo 19 Africa, Other than ECOWAS
08 Step child 08 Northern 20 Europe 3 Student
09 Foster child 09 Upper East 21 Americas (North, South/ Caribbean)
10 Other relative 10 Upper West 22 Asia 4 Other (Specify)
11 Non-relative 11 Nigeria 23 Oceania
12 Liberia
1283072216
PHC-1a: Page 2 of 14
A16b: Usual members absent on census night (Status C) Quest. ID - -
A16b How many of your USUAL household members were absent on census night? IF 00, GO TO SECTION E
Region/
LINE FULL NAME RELATIONSHIP CODE SEX AGE DESTINATION Country MONTHS
NO. TO HEAD Town/Village CODE ABSENT
M
0 1 F
M
0 2 F
M
0 3 F
M
0 4 F
M
0 5 F
M
0 6 F
EMIGRATION OUTSIDE THE COUNTRY
ANSWER FOR ALL FORMER HOUSEHOLD MEMBERS 15 YEARS AND OLDER WHO HAVE BEEN LIVING CONTINUOUSLY FOR 6 MONTHS OR
MORE OUTSIDE GHANA (OR INTENDS TO DO SO)
E01: Has any former member of this household been living continuously for 6 months or more outside Ghana? Yes No IF NO, GO TO P00
E02: RECORD THE FOLLOWING INFORMATION ON FORMER HOUSEHOLD MEMBERS LIVING OUTSIDE GHANA
LINE DESTINATION YEAR OF ACTIVITY ABROAD (SEE PAGE 2)
NO. FULL NAME RELATIONSHIP TO HEAD CODE SEX AGE COUNTRY NAME CODE DEPARTURE CODE OTHER (SPECIFY)
M
0 1 F
M
0 2 F
M
0 3 F
M
0 4 F
M
0 5 F
M
0 6 F
6626072212
PHC-1a: Page 3 of 14
Quest. ID - -
0 1 / /
0 2 / /
0 3 / /
0 4 / /
0 5 / /
0 6 / /
0 7 / /
0 8 / /
0 9 / /
1 0 / /
0260072210
PHC-1a: Page 4 of 14
Quest. ID - -
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
1 0
0459072210
PHC-1a: Page 6 of 14
ECONOMIC ACTIVITY--P13-P17: SHOULD BE RELATED TO THE PAST 7 DAYS PRECEDING CENSUS NIGHT Quest. ID - -
(ANSWER ONLY FOR PERSONS AGED 5 YEARS OR OLDER)
P P13a P13b P13c P14
E During the 7 days before How was [NAME] mainly engaged? Why did [NAME] not seek OCCUPATION
R census night, did [NAME] work?
S engage in any activity for pay IF YES IN P13a; ASK: What kind of work did [NAME] mainly do?
(cash or kind) or profit or 1 Did not work but had job to go back to 1 Did home duties (household
O (GO TO P14) chores/ full time homemaker)
family gain for at least one IF P13b = 1, ASK: What kind of work did [NAME] do before the break period?
N 2 Worked before, seeking work and 2 In full time education /student
hour?
available for work (GO TO P14) 3 Pensioner/Retired
3 Seeking work for the first time and 4 Disabled/too sick to work
IF P13b = 2 OR 4, ASK: What kind of work did [NAME] do previously?
ID (THIS INCLUDES available for work (GO TO P18) 5 Too old/too young
HELPING IN THE 4 Did voluntary work without pay (GO 6 Other
FAMILY BUSINESS/ TO P14)
FARM, TRADING, 5 Did not work and not seeking work
STREET VENDING, ETC)
Y
E N OCCUPATION
S O DETAILED DESCRIPTION OF OCCUPATION CODE
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
1 0
7598072211
PHC-1a: Page 7 of 14
ECONOMIC ACTIVITY--P13-P17: SHOULD BE RELATED TO THE PAST 7 DAYS PRECEDING CENSUS NIGHT Quest. ID - -
(ANSWER ONLY FOR PERSONS AGED 5 YEARS OR OLDER)
P P15 P15a P16 P17
E NAME & PHYSICAL LOCATION INDUSTRY EMPLOYMENT STATUS EMPLOYMENT
R SECTOR
S What is the name and physical location What is the main product or service of the establishment where [NAME] What was [NAME]'s
O of the establishment where [NAME] works/worked? employment status in that In what sector was
N currently works/ previously worked? establishment/ industry? [NAME] mainly working?
ID
1 Employee 1 Public (Government)
2 Self employed without employees 2 Private Formal
3 Self employed with employees 3 Private Informal
4 Casual worker 4 Semi-Public/Parastatal
5 Contributing family worker 5 NGO (Local and
6 Apprentice International)
7 Domestic employee (househelp) 6 International Organisation
8 Other
NAME AND LOCATION OF
ESTABLISHMENT MAIN PRODUCT OR SERVICE CODE
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
1 0
7291072211
PHC-1a: Page 8 of 14
Quest. ID - -
P18: DISABILITY (ANSWER FOR ALL PERSONS) INFORMATION COMMUNICATION
P Does [NAME] have any serious disablilty that limits his/her full participation in life activities (such as mobility, TECHNOLOGY (ICT):
E work, social life, etc)? ANSWER FOR PERSONS AGED 12
R YEARS AND OLDER
S ASK ALL QUESTIONS
O P19a P19b
N a: b: c: d: e: f: g:
S H S P I E O Does [NAME] own Does [NAME] use
ID i e p h n m t a mobile phone? internet facility (at home,
g a e y t o h internet cafe, on phone,
h r e s e t e other mobile device?
t i c i l i r
n h c l o
g a e n
l c a
t l
Y Y Y Y Y Y Y Y Y
E N E N E N E N E N E N E N E N E N
S O S O S O S O S O S O S O If YES IN g (OTHER), SPECIFY S O S O
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
1 0
3908072212
PHC-1a: Page 9 of 14
Quest. ID - -
FERTILITY: CHILDREN EVER BORN AND CHILDREN SURVIVING NUMBER OF CHILDREN BORN ALIVE IN THE
PAST 12 MONTHS
(ANSWER FOR FEMALES 12 YEARS AND OLDER. IF FEMALE UNDER 12 YEARS OR MALE, GO TO NEXT
MEMBER OF HOUSEHOLD) (ANSWER ONLY FOR FEMALES 12-54 YEARS OLD)
ID
0 1
0 2
0 3
0 4
0 5
0 6
0 7
0 8
0 9
1 0
3961072211
PHC-1a: Page 10 of 14
Quest. ID - -
M: MORTALITY
Yes
M01 Has any member of this household died in the past 12 months? IF NO, GO TO C01
No
M02 RECORD THE FOLLOWING INFORMATION FOR EACH MEMBER WHO DIED DURING THE PAST 12 MONTHS
A B C D E
Name of deceased Sex of deceased Age at death Was the death due to accident, FOR ONLY FEMALES
L violence, homicide or suicide? 12 - 54 YEARS OLD
I
N Did the death occur whilst pregnant, during
E delivery, or within 6 weeks after the end of
a pregnancy or child birth?
NO
8873072218
PHC-1a: Page 11 of 14
G: AGRICULTURAL ACTIVITY
Quest. ID - -
G01 Does any member of your household cultivate crops or tree plant, rear livestock or breed fish for sale or family gain?
a b c d IF a, b, c & d = NO, GO TO SECTION H
Crop farming Tree growing Livestock rearing Fish farming
(EXCLUDE BACKYARD GARDENING)
(i.e. NO HOUSEHOLD MEMBER
ENGAGED IN AGRICULTURAL
YES NO YES NO YES NO YES NO
ACTIVITY)
Male Female
G02 How many household members cultivate crops or tree plant, rear livestock or breed fish for sale or family gain?
G03: CROP FARMING AND/ OR TREE PLANTING (THOSE WHO ANSWERED YES IN G01a and/ or G01b) (SEE APPENDIX 5 FOR CROP/ TREE CODES)
Line A B C D E
No. Type of Crop and Tree Planting Crop Code Farm Size Measurement Unit Type of Cropping MEASUREMENT TYPE OF
UNIT CROPPING
1 (Q. G03D) (Q. G03E)
5 Plot
4
5
6
G04: LIVESTOCK AND/OR FISHERIES (IF YES, IN G01c or G01d), ASK:
What type(s) and number of livestock/fishery is your household currently rearing? (SEE APPENDIX 5 FOR LIVESTOCK/FISHERIES CODES)
Line A B C
No. Types of Livestock/Fisheries Livestock/ Fishery Code Number
1
2
3
4
1584072210
PHC-1a: Page 12 of 14
Quest. ID - -
H: HOUSING CONDITIONS (FOR VACANT HOUSING UNIT FILL ONLY H01, H02 AND H04)
H01: TYPE OF DWELLING H04: ROOF H07: ROOMS--Cont.
In what type of dwelling does the household live? What is the main material used for the roof? H07c: Does the household share this sleeping room with Yes
01 Separate house 1 Mud/Mud bricks/Earth other households? No
02 Semi-detached house 2 Wood
3 Metal sheet IF NO, GO TO H08
03 Flat/Apartment
04 Compound house (rooms) 4 Slate/Asbestos
H07d: How many households, including your
05 Huts/Buildings (same compound) 5 Cement/Concrete
household, share this sleeping room?
06 Huts/Buildings (different compounds) 6 Roofing Tiles
07 Tent 7 Bamboo
08 Improvised home (kiosk, container) 8 Thatch/Palm leaves or Raffia H08: LIGHTING
09 Living quarters attached to office/shop 9 Other (Specify) What is the main source of lighting for your
10 Uncompleted building dwelling?
11 Other (Specify) 01 Electricity (mains)
H05: TENURE/HOLDING ARRANGEMENT 02 Electricity (private generator)
What is the present holding/tenancy arrangement of this 03 Kerosene lamp
dwelling? 04 Gas lamp
H02: OUTER WALL 05 Solar energy
1 Owner occupied
What is the main material of the outer walls of this 06 Candle
2 Renting
dwelling? 07 Flashlight/Torch
3 Rent-free
01 Mud bricks/earth 4 Perching 08 Firewood
02 Wood 5 Squatting 09 Crop residue
03 Metal sheet/slate/asbestos 6 Other (Specify) 10 Other (Specify)
04 Stone
05 Burnt bricks
06 Cement blocks/concrete H06: OWNERSHIP TYPE H09: WATER SUPPLY
07 Landcrete Who owns the dwelling? H09a: What is the main source of drinking water for the
08 Bamboo 1 Owned by household member household?
09 Palm leaves/Thatch (grass)/Raffia 2 Being purchased (e.g. Mortgage)
10 Other (Specify) 3 Relative not household member 01 Pipe-borne inside dwelling
4 Other private individual 02 Pipe-borne outside dwelling
5 Private employer 03 Public tap/Standpipe
6 Other private agency 04 Borehole/Pump/Tube well
H03: FLOOR
7 Public/Government ownership 05 Protected well
What is the main material of the floor of this dwelling?
8 Other (Specify) 06 Rain water
1 Earth/Mud 07 Protected spring
2 Cement/Concrete 08 Bottled water
H07: ROOMS 09 Sachet water
3 Stone
H07a: How many rooms does this household occupy? 10 Tanker supply/Vendor provided
4 Burnt bricks
5 Wood 11 Unprotected well
(COUNT LIVING, DINING, BEDROOMS
6 Vinyl tiles 12 Unprotected spring
BUT NOT BATHROOMS, TOILET & KITCHEN)
7 Ceramic/Porcelain/Granite/Marble tiles 13 River/Stream
H07b: How many of the rooms are used for sleeping? 14 Dugout/Pond/Lake/Dam/Canal
8 Terrazzo/Terrazzo tiles
9 Other (Specify) 15 Other (Specify)
IF MORE THAN 1,
GO TO H08
6758072218
PHC-1a: Page 13 of 14
H: HOUSING CONDITIONS--Cont. Quest. ID - -
H09: WATER SUPPLY--Cont. H11: COOKING SPACE (KITCHEN) H13b: TOILET FACILITIES--Cont.
H09b: What is the main source of water used by your What type of cooking space does this household use? Do you share this toilet facility with other households?
household for other domestic purposes such as
1 No cooking
cooking and washing?
2 Separate room for exclusive use of household 1 Yes, with other household(s) in same house
3 Separate room shared with other household(s) 2 Yes, with other household(s) in different house
01 Pipe-borne inside dwelling 4 Enclosure without roof 3 Yes, with other household(s) and located in different house
02 Pipe-borne outside dwelling 5 Structure with roof but without walls (GO TO H14) house
03 Public tap/Standpipe 6 Bedroom/Hall/Living room 4 No (GO TO H14)
04 Borehole/Pump/Tubewell 7 Veranda
05 Protected well 8 Open space in compound
06 Rain water 9 Other (Specify)
H13c: TOILET FACILITIES--Cont.
07 Protected spring
08 Tanker supply/Vendor provided How many households including your household use this
09 Unprotected well H12: BATHING FACILITIES toilet facility?
10 Unprotected spring
11 River/Stream What type of bathing facility is used by this household?
12 Dugout/Pond/Lake/Dam/Canal H14: SOLID WASTE DISPOSAL
13 Other (Specify) 1 Own bathroom for exclusive use How does the household dispose of rubbish (refuse)?
2 Shared separate bathroom in same house
3 Private open cubicle 1 Collected
4 Shared open cubicle 2 Burned by household
5 Public bath house 3 Public dump (Container)
H10: COOKING FUEL 6 Bathroom in another house 4 Public dump (Open space)
What is the main source of cooking fuel for this household? 7 Open space around house 5 Dumped indiscriminately
8 In a river, pond, lake or dam 6 Buried by household
9 Other (Specify) 7 Other (Specify)
01 None, no cooking
02 Wood
03 Gas
04 Electricity
05 Kerosene H13a: TOILET FACILITIES H15: LIQUID WASTE DISPOSAL
06 Charcoal
What type of toilet facility is usually used by the household? How does your household dispose of liquid waste?
07 Crop residue
08 Saw dust
09 Animal waste
1 No facility(eg bush/beach/field) (GO TO H14) 1 Through the sewage system
10 Other (Specify)
2 W.C. 2 Through drainage system into a gutter
3 Pit latrine 3 Through drainage into a pit (soak away)
4 KVIP 4 Thrown onto the street/outside
5 Bucket/Pan 5 Thrown into gutter
6 Public toilet(eg WC,KVIP,Pit,Pan) (GO TO H14) 6 Thrown onto compound
7 Other (Specify) 7 Other (Specify)
7989072215
PHC-1a: Page 14 of 14
Continuation sheet
PHC 1A: USUAL MEMBERS ABSENT CONTINUATION SHEET
GEOGRAPHICAL INFORMATION & HOUSEHOLD IDENTIFICATION
9874489515
PHC 1A: EMIGRATION CONTINUATION SHEET
GEOGRAPHICAL INFORMATION & HOUSEHOLD IDENTIFICATION
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
9682351431