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BOOK NUMBER IDENTIFICATION PARTICULARS DISTRICT: COUNTY/MUNICIPALITY: SUB COUNTY/DIVISION/TOWN COUNCIL: PARISH/WARD: LC1: EA: ENUMERATOR'S NAME AND CODE: ENUMERATOR'S SIGNATURE: DATE: (dd/mm/yyyy): / / PARISH SUPERVISOR'S NAME AND CODE: PARISH SUPERVISOR'S SIGNATURE: DATE: (dd/mm/yyyy): / / A UGANDA BUREAU OF STATISTICS, P.O. Box 7186, Kampala, UGANDA. Tel: +256-414-706000. Fax: +256-414-237553. Email: [email protected] Website: www.ubos.org Republic of Uganda National Population and Housing Census 2014 HOUSEHOLD QUESTIONNAIRE CODE Code WRITE NAME IN CAPITAL LETTERS
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Page 1: Republic of Uganda National Population and Housing Census ... · 21 J1-J3 33 Law & Legal Studies Not working and not looking for work Street vendors and related workers e.g. food,

BOOK NUMBER

IDENTIFICATION PARTICULARS

DISTRICT:

COUNTY/MUNICIPALITY:

SUB COUNTY/DIVISION/TOWN COUNCIL:

PARISH/WARD:

LC1:

EA:

ENUMERATOR'S NAME AND CODE:

ENUMERATOR'S SIGNATURE:

DATE: (dd/mm/yyyy): / /

PARISH SUPERVISOR'S NAME AND CODE:

PARISH SUPERVISOR'S SIGNATURE:

DATE: (dd/mm/yyyy): / /

A

UGANDA BUREAU OF STATISTICS, P.O. Box 7186, Kampala, UGANDA. Tel: +256-414-706000. Fax: +256-414-237553. Email: [email protected] Website: www.ubos.org

Republic of Uganda

National Population and Housing Census 2014

HOUSEHOLD QUESTIONNAIRE

CODE

Code

WRITE NAME IN CAPITAL LETTERS

Page 2: Republic of Uganda National Population and Housing Census ... · 21 J1-J3 33 Law & Legal Studies Not working and not looking for work Street vendors and related workers e.g. food,

1 Completed Acholi Banyaruguru Kakwa No Religion Maize Cocoa2 Partially Completed Aliba Banyarwanda Karimojong Anglican Beans Paw Paw

3 Not Interviewed Alur Banyole Kebu (Okebu) Catholic Banana (Food) Eggplants

Aringa Banyoro Kuku Kenya Muslim Cassava Onions

Baamba Baruli Kumam Tanzania Seventh-Day Adventist Sweet Potatoes Passion fruit

Babukusu Barundi Lango Rwanda Orthodox G/nuts

Babwisi Basamia Lendu Burundi Pentecostal/ Born Again/ Evangelical Sorghum

10 Usual head of hh - Absent Bafumbira Basoga Lugbara South Sudan Baha’i Millets

11 Usual head of hh - Present Baganda Basongora Madi Dem. Rep. Of Congo Baptist Sim Sim Vanilla

12 Spouse Bagisu Batagwenda Mening Somalia Jews Banana (Beer) Tea

13 Biological Son Bagungu Batoro Mvuba Other Africa Presbyterian Irish Potatoes Wheat

14 Biological Daughter Bagwe Batuku Napore United Kingdom Mammon Soya Beans Barley

15 Step son Bagwere Batwa Ngikutio Other Europe Hindus Rice Spinach

16 Step daughter Bahehe Chope Nubi Asia Buddhist Banana (sweet) Cucumber

17 Grandson Bahororo Dodoth Nyangia USA Jehovah’s Witness Water melons

18 Grand daughter Bakenyi Ethur Pokot Canada Salvation Army Carrots

19 Parent to head or spouse Bakiga Gimara Reli Central & Latin America Traditional Cow Peas Garlic

20 Bakonzo Ik (Teuso) Sabiny Australia Others Pigeon Peas Mushrooms

Banyabindi Iteso Shana Oceania Sugar cane Tobacco

21 Other relative Banyabutumbi Jie So (Tepeth) Yam Grapes

22 Non relative Banyankore Jonam Vonoma Avocado Lemons & Limes

Banyara Jopadhola Other Ugandan Tomatoes

Sunflower

Cotton Straw berries

1 Usual household member 10 Health Sciences No - no difficulty Jackfruit Apples & Apricots

2 Regular household member 11 Life & Biological Sciences Yes – some difficulty Pineapples Pears

3 Visitor/Guest 12 Animal Sciences Yes – a lot of difficulty Pumpkins Coffee Arabica

13 Physical/Natural Sciences Cannot do at all Mango Coffee Robusta

14 Sport Sciences Not Applicable Oranges Other crops

15 Engineering Don’t know Cabbage N/A

16 Social Sciences & History

17 Agriculture

18 Computer & Information Sciences Attending school in 2014 Subsistence Agricultural Workers 44 Market-oriented crop and animal producers

19 Arts Left school in 2014 Agricultural, fishery and related labourers 45 Experienced non-professionals in teaching

01 Never been to school 20 Food science Left school before 2014 Subsistence animal rearing 46 Market oriented fishery workers, hunters, and trappers

02 Did not complete Pre-Primary 21 Business Studies Never been to school Retailers of food and beverages 47 Transport laborers

03 Completed Pre-Primary 22 Mathematics NA Retailers of general merchandise and domestic wares 48 Foremen, supervisors in elementary occupation services

04 In P1 but did not complete / 23 Economics Market oriented gardeners and crop growers 49 Travel attendants, guides, conductors,

attend Pre-Primary 24 Demography and Population Primary education teaching associate professionals 50 Market-oriented animal producers

10 Did not complete P1 25 Community and Development Studies Restaurant services workers and cooks 51 Cashier, teller, and related clerks, money lender, debt collectors

11 P1 26 Languages & Literature Working for pay General laborers 52

12 P2 27 Education Employer Stall and market salespersons

13 P3 28 Gender Studies Own account worker Domestic helpers e.g. house girls 53 Numerical clerks (Statistical, finance, book keeping and accounting)

14 P4 29 Psychology Helping without pay in hh business Motor Vehicle Drivers 54 Handicraft workers in wood, textiles, and related materials

15 P5 30 Sociology Volunteer Boda boda riders (motor cycle) 55 Secretaries and Keyboard operating clerks

16 P6 31 Special Needs Education An apprentice (not paid) Boda boda riders (bicycle) 56 Post-primary education teaching associate professionals

17 P7 32 Peace and conflict studies Looking for work Foods and related products processing trades workers 57 retailers of human drugs

21 J1-J3 33 Law & Legal Studies Not working and not looking for work Street vendors and related workers e.g. food, hawkers, tel. sales 58 Traditional medicine practitioners and faith healers

31 S1 34 Visual & Performing Arts Household chores Other personal services workers e.g. hair dressers, barbers 59 Medical assistants

32 S2 35 Commerce Full time student Construction laborers 60 Laborers in mining

33 S3 36 Procurement and Supply Mgt Retired/pensioner Textiles, footwear and other personal effects goods 61 Pre-primary Education Teaching associate professionals

34 S4 37 Administration and Human Resource Too old to work Builders, brick layers, masons and other related workers 62 Physical science and engineering technicians

35 S5 38 Communication and Journalism To young to work Building finishers and related trades workers 63 Electrical and electronic Instrument mechanics and fitters

36 S6 39 Philosophy & Religion Other Subsistence fishery and related workers 64

41 Professional Certificate 40 Architecture & Physical Planning NA Carpenters, cabinet makers, joiners, brush makers etc.

42 Diploma 41 Home Economics Forestry and related workers 65 Religion professionals (ordained catechist)

43 First Degree 42 Library and Archives Sciences Fashion and Other models sales persons and demonstrators 66 Computer assistants and computer equipment operators

44 Post Graduate Certificate 43 Tourism and hospitality Never married Textiles and garment trades workers (including tailors) 67 Finance and sales associate professionals

45 Post Graduate Diploma 44 Statistics Currently married/Cohabiting (Monogamous) Machinery mechanics and fitters 68 Accountants, business administrators, and business professionals

46 Masters Degree 45 Ethic Studies Currently married/Cohabiting (Polygamous) Manufacturing laborers 69 Public and private administrative associate professionals

47 PhD 96 Other specify Widowed Nurses and Midwives 70 Client Information Clerks

96 Other 97 NA Separated Produce buyers 96 Others

97 NA Divorced Secondary education teaching professionals 97 N/A

NA Protective service workers, policemen, police wardens

Don't Know Dealers in agricultural and farm Products

Messengers, watchers and security workers

School Attendance P18 )

1

Greens (Doodo/

Nakati/ Bbugga/

Malakwang, etc)

Section 5: Crop Codes

Type of Disability (P14-P17)

1

2

3

4

42

43

Metal molders, welders, sheet metal workers, structural and metal

prepares

Other street elementary occupation services e.g. shoe polisher, car

washers

Occupation (P23)

38

39

40

24

25

26

27

23

41

30

31

32

33

34

35

36

37

15

16

17

28

29

18

19

20

21

22

Hello, my name

is

..............................

and I work with

Uganda Bureau

of Statistics

(UBOS). We are

conducting the

National

Population and

Housing Census

2014. We are

visiting each

and every

household in the

country

collecting

information

about

individuals and

the homesteads

they live in. It

takes about 40

minutes to

complete the

interview.

Whatever

information you

provide will be

kept strictly

confidential. We

would very

much

appreciate your

participation

and co-

operation in this

Census.

14

15

7

12

10

11

12

13

14

Religion (P9)

Non-Ugandan-Not

Stated

Result Code (R1)

Brother or Sister to head or

spouse

516

Grade Completed (P19 )

Major Field of Specialization (P20)

8

18

19

20

7

21

22

23

24

26

27

Country Of Citizenship For

Non-Ugandans

10

11

12

13

14672

Relationship (P2 )

18

16

17

17

575

576

687

688

689

25

6

7

8

Residential Status (P4)

565

570

571

572

574

2

3

10

11

5

18

16

4

13

19

20

21

22

Activity Status (P22)

96

97

1

2

3

4

Marital Status (P26 )

19

20

21

22

23

1011

12

13

14

Ethnicity (P8)

555

556

557

559

15

16

17

671

29

30

682

673

674

15

31

32

33

24

25

26

27

35

36

37

38

551

552

553

554

573

28

3940

41

42

43

44

45

46

47

48

49

50

57

58 Tangarines &

Mandarines

59

60

51

52

53

54

549

550

62

63

96

97

61

55

56

34

511512

513

514

515

544

517

518

519

520

521

522

529

530

531

532

523

524

525

526

527

528

539

540

545

546

547

548

541

542

543

558

566

567

568

569

560

561

562

563

685

686

675

676

677

678

681

Field Peas

(Kawo)

533

534

535

536

537

538

564

683

684

Page 3: Republic of Uganda National Population and Housing Census ... · 21 J1-J3 33 Law & Legal Studies Not working and not looking for work Street vendors and related workers e.g. food,

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Page 8: Republic of Uganda National Population and Housing Census ... · 21 J1-J3 33 Law & Legal Studies Not working and not looking for work Street vendors and related workers e.g. food,

101 Kalangala 201 Bugiri 301 Adjumani 401 Bundibugyo

102 Kampala 202 Busia 302 Apac 402 Bushenyi 671 Kenya Mile Km Mile Km

103 Kiboga 203 Iganga 303 Arua 403 Hoima 672 Tanzania 0.5 = 0.8 16.5 = 26.4

104 Luwero 204 Jinja 304 Gulu 404 Kabale 673 Rwanda 1.0 = 1.6 17.0 = 27.2

105 Masaka 205 Kamuli 305 Kitgum 405 Kabarole 674 Burundi 1.5 = 2.4 17.5 = 28.0

106 Mpigi 206 Kapchorwa 306 Kotido 406 Kasese 675 South Sudan 2.0 = 3.2 18.0 = 28.8

107 Mubende 207 Katakwi 307 Lira 407 Kibaale 676 Dem. Rep. Of Congo 2.5 = 4.0 18.5 = 29.6

108 Mukono 208 Kumi 308 Moroto 408 Kisoro 677 Somalia 3.0 = 4.8 19.0 = 30.4

109 Nakasongola 209 Mbale 309 Moyo 409 Masindi 678 Other Africa 3.5 = 5.6 19.5 = 31.2

110 Rakai 210 Pallisa 310 Nebbi 410 Mbarara 681 United Kingdom 4.0 = 6.4 20.0 = 32.0

111 Sembabule 211 Soroti 311 Nakapiripirit 411 Ntungamo 682 Other Europe 4.5 = 7.2 20.5 = 32.8

112 Kayunga 212 Tororo 312 Pader 412 Rukungiri 683 Asia 5.0 = 8.0 21.0 = 33.6

113 Wakiso 213 Kaberamaido 313 Yumbe 413 Kamwenge 684 USA 5.5 = 8.8 21.5 = 34.4

114 Lyantonde 214 Mayuge 314 Abim 414 Kanungu 685 Canada 6.0 = 9.6 22.0 = 35.2

115 Mityana 215 Sironko 315 Amolatar 415 Kyenjojo 686 Central & Latin America 6.5 = 10.4 22.5 = 36.0

116 Nakaseke 216 Amuria 316 Amuru 416 Buliisa 687 Australia 7.0 = 11.2 23.0 = 36.8

117 Buikwe 217 Budaka 317 Dokolo 417 Ibanda 688 Oceania 7.5 = 12.0 23.5 = 37.6

118 Bukomasimbi 218 Bududa 318 Kaabong 418 Isingiro 689 Non-Ugandan-Not Stated 8.0 = 12.8 24.0 = 38.4

119 Butambala 219 Bukedea 319 Koboko 419 Kiruhura 8.5 = 13.6 24.5 = 39.2

120 Buvuma 220 Bukwo 320 Maracha 420 Buhweju 9.0 = 14.4 25.0 = 40.0

121 Gomba 221 Butaleja 321 Oyam 421 Kiryandongo 9.5 = 15.2 25.5 = 40.8

122 Kalungu 222 Kaliro 322 Agago 422 Kyegegwa 10.0 = 16.0 26.0 = 41.6

123 Kyankwanzi 223 Manafwa 323 Alebtong 423 Mitooma 10.5 = 16.8 26.5 = 42.4

124 Lwengo 224 Namutumba 324 Amudat 424 Ntoroko 11.0 = 17.6 27.0 = 43.2

225 Bulambuli 325 Kole 425 Rubirizi 11.5 = 18.4 27.5 = 44.0

226 Buyende 326 Lamwo 426 Sheema 12.0 = 19.2 28.0 = 44.8

227 Kibuku 327 Napak 12.5 = 20.0 28.5 = 45.6

228 Kween 328 Nwoya 13.0 = 20.8 29.0 = 46.4

229 Luuka 329 Otuke 13.5 = 21.6 29.5 = 47.2

230 Namayingo 330 Zombo 14.0 = 22.4 30.0 = 48.0

231 Ngora 14.5 = 23.2 30.5 = 48.8

232 Serere 15.0 = 24.0 31.0 = 49.6

15.5 = 24.8 31.5 = 50.4

16.0 = 25.6 32.0 = 51.2

H7-H13, H17

Distance Conversion

1 mile = 1.6 km

Central Eastern Northern Western

Country of Previous Residence

DISTRICT OF PREVIOUS RESIDENCE (P12)

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NATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUS

COMMUNITY (LC1) QUESTIONNAIRE

NAME OF INTERVIEWERInterviewer Code

IDENTIFICATION PARTICULARS

DISTRICT

COUNTY /MUNICIPALITY

SUB-COUNTY /DIVISION / T.C.

PARISH /WARD

LC1

WRITE NAME IN CAPITAL LETTERS CODE

NAME OF PARISH SUPERVISORSupervisor Code

Date

/ /

//

Date

DD MM YYYY

DD MM YYYY

SIGNATURE OF INTERVIEWER

SIGNATURE OF PARISH SUPERVISOR

REPUBLIC OF UGANDA

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NATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUSNATIONAL POPULATION AND HOUSING CENSUS

COMMUNITY (LC1) QUESTIONNAIRE

NAME OF INTERVIEWERInterviewer Code

IDENTIFICATION PARTICULARS

DISTRICT

COUNTY /MUNICIPALITY

SUB-COUNTY /DIVISION / T.C.

PARISH /WARD

LC1

WRITE NAME IN CAPITAL LETTERS CODE

NAME OF PARISH SUPERVISORSupervisor Code

PAGE 1

Date

/ /

//

Date

DD MM YYYY

DD MM YYYY

SIGNATURE OF INTERVIEWER

SIGNATURE OF PARISH SUPERVISOR

REPUBLIC OF UGANDA

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a) Generally, what is the major economic activity in this LC1?

Refer to the codelist C1 and write the appropriate code.

b) What is the major economic activity among the youth (18 - 30 years) in this LC1? Refer to the codelist C1 and write the appropriate code.

c) What is the major economic activity among children ( below 18 years) in this LC1?

Refer to codelist C1 and write the appropriate code.

1 = YES2 = NO

a) Is there a general market located within this LC1?

1 = YES2 = NO

b) Is there a market place for ONLY CROPS located within this LC1?

1 = YES2 = NO

c) Is there a market place for ONLY ANIMALS/POULTRY located within this LC1?

a) During the past 12 months, did farmers in this LC1 experience any major diseases affecting crops?

Crop 1

a) During the past 12 months, did farmers in this LC1 experience any major diseases affecting animals?

Animal 1

Animal 2

PAGE 2

C1: Economic Activity10 Animal rearing11 Crop farming12 Fishing13 Employees14 Trading in agricultural produce15 Trading in non-agricultural products96 Other (Specify)

COMMUNITY QUESTIONNAIRE CODE LIST

1 = YES2 = NO

b) If Yes, what were the two most affected crops starting with the one which was most affected?

Crop 2

b) If Yes, what were the two most affected types of animals starting with the onewhich was most affected?

Refer to codelist C4 and write the appropriate code. If No, write code 97 foranimal 1 and animal 2

1 = YES2 = NO

a) During the past 12 months, were farmers in this LC1visited by any Agricultural Extension Worker(s)?

1 = Yes, Government2 = Yes, private3 = Yes, both Government and Private4 = No

Agricultural extension service code

C4: Animals most affected by diseases

10 Local Cattle

11 Exotic Cattle

12 Goats

13 Local Poultry/Chicken

14 Exotic Poultry/Chicken

15 Sheep

16 Pigs

96 Other Animals (Specify)

97 No animal affected

C5b:Types of Extension Services

10 Treatment of Animal Diseases

11 Control of crop diseases

12 Vaccination

13 Artificial Insemination

14 Advice on good agricultural practices

15 Marketing

16 Use of fertilizers

17 Farm mechanization

18 Advice on credit services

19 Environmental conservation

97 Not Applicable

C14 : SOCIAL PROBLEMS

10 Theft

11 Poor sanitation

12 No health facility

13 No primary schools

14 No seconday schools

15 Poverty

16 Poor infrastracture (roads)

17 Unemployment

18 Lack of water

19 Famine

20 Idleness

21 Insecurity

22 Drunkenness

23 Crop pests and diseases

24 Animal pests and diseases

96 Other (Specify)

C10a : Commonly Spoken

language in LC1

10 Acholi

11 Adhola

12 Alur

13 Ateso

14 Bari

15 Chope

16 English (non native Speakers)

17 Gujarati

18 Hindu

19 Ik (Tueso)

20 Kakwa

21 Kakwa-Reli

22 Kuku

23 Kumam

24 Kupsabiny

25 Langi

26 Lendu

27 Lubukusu

28 Luganda

29 Lugbara

30 Lusamia-Lugwe

31 Lugwere

32 Lukenyi

33 Lukhekhe

34 Luluba or Olubogo or Olu'bo

35 Lumasaba

36 Lunyala

37 Lunyole

38 Luruuli

39 Lusamia

40 Lusinga (on Rusinga Island)

41 Lusoga

42 Lutwa

43 Madi

44 Mangbetu

45 Mening

46 Mvuba

47 Ndo or Kebu or Oke'bu

48 Ngadotho

49 Ngakaramojong

50 Ngikutio

51 Nubi

52 Nyang'i

53 Pokot or Pakot or Suk

54 Rubwisi or Talinga

55 Rufumbira

56 Rugungu

57 Rukiga

58 Rukonjo

59 Runyankole

60 Runyarwanda

61 Runyoro

62 Rusongora

63 Rutooro

64 Rutundi

65 Ruyabindi

66 Rwamba

67 Shana

68 Soo or So, or Tepeth or Tepes

69 Swahili

70 Vonoma

Refer to code list C3 and write the appropriate crop code. If No, write code 97 for crop 1 and

crop 2

C3: Crops most affected by diseases Code 10 Maize11 Beans12 Banana (Food)13 Cassava14 Sweet Potatoes15 G/nuts16 Sorghum17 Millet18 Sim Sim19 Banana (Beer)20 Irish Potatoes21 Soya Beans22 Rice23 Banana (sweet)24 Field Peas (Kawo)25 Cow Peas26 Pigeon Peas27 Sugar cane28 Yams29 Avocado30 Tomatoes31 Sunflower32 Cotton33 Jackfruit34 Pineapples35 Pumpkins36 Mangoes37 Oranges38 Cabbage39 Cocoa40 Paw Paws41 Eggplants42 Onions43 Passion fruits44 Greens (Doodo/Nakati/Bbugga/Malakwang,etc)45 Vanilla46 Tea

47 Wheat48 Barley49 Spinach50 Cucumber51 Water melons52 Carrots53 Garlic54 Mushrooms55 Tobacco56 Grapes57 Lemons & Limes58 Tangarines & Mandarines59 Straw berries60 Apples & Apricots61 Pears62 Coffee Arabica63 Coffee Robusta96 Other crops (specify)97 No crop affected

C11b : Youth Friendly Services

10 Counselling Services

11 Peer Education

12 STD/HIV/Sex Education

13 Adolescent/Youth Pregnancy

Checkups

14 Post Abortion Treatment

15 Drama

16 Indoor/Outdoor Games

95 None

96 Other (Specify)

C7a : Microfinance Institutions10 Savings and Credit Cooperative Organisations (SACCO)11 Micro Finance Deposit Taking Institutions (MDIs)12 Credit Institutions13 Non-Governmental Organisations (NGOs)14 Money Lending Institutions15 Community Based Organisations (CBOs)96 Others (specify)

Crop Code

Animal Code

ECONOMIC ACTIVITYC1.

PRODUCE MARKETC2.

CROPS MOST AFFECTED BY DISEASESC3.

C4. ANIMALS MOST AFFECTED BY DISEASES

C5. AGRICULTURAL EXTENSION SERVICES

b) If Yes, what were the types of extension services offered? (Refer to codelist C5b)?

Service 1

Service 2

Service 3

Service 4

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b) Do people in this LC1 have access to microfinance services?

a) Do you have a motorable road running through/bordering this LC1?

C8. ROAD ACCESS AND URBANIZATION

b) If Yes, is it all weather or seasonal? Write the appropriate code.

1 =YES2 = NO

1 = All Weather2 = Seasonal7 = N/A

PAGE 3PAGE 6

DETAILS OF THE OPINION LEADERS PROVIDING THE INFORMATION

NAME TITLENo

Stamp

SIGNATURE OF CHAIRPERSON, LC1

1 = Yes, within the LC12 = Yes,outside this LC1 but within the subcounty3 = Yes, within District4 = No

a) Please name the microfinance institutions serving this LC1 (Refer to codelist C7a and write the appropriate code)

TELEPHONE CONTACT

a) What is the most common type of land tenure system in this LC1?

c) What is the average cost of such a piece of land?

(Give value in Uganda shillings)

UgandaShillings

1 = 50 by 50 feet2 = 50 by 100 feet3 = 100 by 100 feet/25 decimals4 = 20 decimals5 = One acre6 = Others specify..............................................................................7 = Not Applicable/No undeveloped piece of land

1 = Customary2 = Freehold3 = Mailo4 = Leasehold

b) What is the most common size of an undeveloped piece of land available for sale in this LC1?

Date

/ /DD MM YYYY

c) What is the settlement setup of this LC1?Write the appropriate code.

1 = Urban Gazetted (City, Municipality, Town Council, Town Board)2 = Urban Ungazetted (none of the above)3 = Rural

1

2

3

4

5

6

7

8

9

10

LANDC6.

MICRO- FINANCEC7. Code

NAME OF CHAIRPERSON, LC1

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(Refer to codelist C11b ).

If code does not exist, please specify in the space below:

(ii) What is the other commonly spoken language in this LC1?

Refer to codelist C10a and write the appropriate code.

f) If YES, how many cases were reported in the past 12 months?

e) During the past 12 months, were there any residents in this LC1 that disappeared without any trace? Write the appropriate code.

d) If YES, how many cases were reported in the past 12 months?

c) During the past 12 months, were there any cases of sacrificing adults (18 years and

above) that were reported in this LC1?

Write the appropriate code.

b) If YES, how many cases were reported in the past 12 months?

1 = YES2 = NO

a) During the past 12 months, were there any cases of children (below 18 years) in thisLC1 that were sacrificed? Write the appropriate code.

b) Which Youth Friendly Services exist in this LC1?

MOSQUITO NETSC13.

Were any mosquito nets distributed for free during the past 12 months in this LC1?

(i)

Circle all services providedA = EmergenciesB = AdmissionsC = DeliveriesD = OperationsE = Blood TransfusionsY = Not Applicable

1 = Government2 = NGO3 = Private Not For Profit (PNFP)4 = Private7 = N/A

1 = Hospital2 = Health Centre3 = Clinic7 = N/A

What are the servicesprovided by the health

facility?

What is the ownershipstatus of the health

facility?What is thetype of the

health facility?

If no health facility exists withinthe LC1, write N/A on the first rowin C12(b) and insert code 7 in

C12(c) and C12(d)

Please give me the name of the healthfacilities that exist in this LC1

SERVICESPROVIDED

C12 (e) C12 (d)

TYPE OFOWNERSHIP

TYPE OFFACILTY

C12 (c)HealthFacilityNumber

NAME OF FACILTY

Other CommonlySpoken Language

Most Commonlyspoken Language

1 = YES; 2 = NO

PAGE 5

Third

Second

FirstWhat are the major social problems affecting the people of thisLC1?

('Refer to codelist C14 and rank upto 3 social problemsstarting with the most pressing need).

C12 (b)

a) Does any health facility exist in this LC1 ?

PAGE 4

(ii) Government Aided Primary School

(iii) Private Primary School

(i) Government Primary School

a) Do the following facilities exist in your LC1? Write the appropriate code

FACILITIESC11.

(vii) Any other network . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(v) ORANGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .

(iv) AIRTEL /ZAIN/ CELTEL. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .

(iii) UTL/MANGO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(ii) WARID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(i) MTN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d) Does this LC1 have the following network coverages? Write the appropriate code.

c) Does this LC1 have a public internet facility?

b) Does this LC1 have a Community Announcer?

a) (i) What is the most commonly spoken language in this LC1?

COMMUNICATIONC10.

1 = YES2 = NO

1 = YES2 = NO

1 = YES2 = NO

1 = YES2 = NO

1 = Yes, clear2 = Yes, not clear3 = No

1 = YES2 = NO

(iv) Government Secondary School

(vi) Private Secondary School

(vii) Church

(v) Government Aided Secondary School

(viii) Mosque

(ix) Community Centre

1 = Yes, Government2 = Yes, NGO3 = Yes, both Government and NGO4 = NO

(vi) K2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

HUMAN SACRIFICE AND PERMANENT DISAPPEARANCEC9.C11. Facilities continued 1 = YES; 2 = NO

HEALTH FACILITIES AND SERVICESC12.

SOCIAL PROBLEMSC14.

A B C D E Y

A B C D E Y

A B C D E Y

A B C D E Y

A B C D E Y

(ii)

(iii)

(iv)

(v)

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BOOK NUMBER

IDENTIFICATION PARTICULARS

DISTRICT

LC1

EA

NAME OF ENUMERATOR

SIGNATURE OF ENUMERATOR

DATE OF ENUMERATION / /

NAME OF PARISH SUPERVISOR

SIGNATURE OF PARISH SUPERVISOR

DATE OF SUPERVISION / /MM YYYY

INSTITUTIONS QUESTIONNAIRE

Republic of Uganda

UGANDA BUREAU OF STATISTICS, P.O. BOX 7186, Kampala, UGANDA.

Tel: +256-414-706000. Fax: +256-414-237553. E-mail: [email protected] Website: www.ubos.org

DD MM

CODE

CODE

COUNTY /

MUNICIPALITY

SUB-COUNTY/

DIVISION / T. C.

PARISH / WARD

WRITE NAME IN CAPITAL LETTERS

National Population and Housing Census 2014

DD

YYYY

CODE

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Institution Codelist

Type of Institution

Educational

Religious

Medical

Hostel

Prison

Barracks

Orphanage / Reformatory

Refugee Camp

IDP Camp

Homeless

Floating population

Other

15

21

22

96

16

17

18

19

20

11

12

13

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INSTITUTIONS QUESTIONNAIREBOOK NUMBER

Republic of UgandaNational Population and Housing Census 2014

IDENTIFICATION PARTICULARS

DISTRICT

COUNTY / MUNICIPALITY

SUB-COUNTY / DIVISION / T.C.

PARISH / WARD

LC1

EA

Male(3) (4)

Female

Total Population

Total(5)

Institution Number

Institution Type

(1) (2)

SUMMARY INFORMATION

WRITE NAME IN CAPITAL LETTERS CODE

DA2

Male(3) (4)

Female

Total Population

Total(5)

Institution Number

Institution Type

(1) (2)

ENUMERATOR'S NAME

DATE (dd / mm / yyyy)

SIGNATURE OF PARISHSUPERVISOR

PARISH SUPERVISOR'S NAME

DATE (dd / mm / yyyy)

SIGNATURE OFENUMERATOR

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DB3

DB3

Male(3) (4)

Female

Total Population

Total(5)

Institution Number

Institution Type

(1) (2)Male(3) (4)

Female

Total Population

Total(5)

Institution Number

Institution Type

(1) (2)

Total

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NAME OFINSTITUTION

INSTITUTION TYPE

INSTITUTIONNUMBER

FULL NAME

P0 P1

Person Number

Example:

SEX BIRTH DATE

What is [NAME]'s exact date of birth?Is [NAME]male orfemale?

1=Male 2=Female

BOOK NUMBER

PARTICULARS OF INSTITUTION MEMBERS

SEX DATE OF BIRTH AGE

P3 P4 P5

0 0 0F A l T H A L l A U 2 7 6

DD MM YYYY

Please give the full names of all persons who spentthe Night of 27/28th August 2014 in this institution

(Exclude caretakers with independent households)

(Write First Name and Last Name only. No Initials)

What is [NAME]'sage in

completed years?

If age is lessthan one year

record 00;if 95 years and

above record 95

DC4

DC4

(Write the Day, Month, Year)

l 3 0 8 l 9 3 8

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NAME OFINSTITUTION

INSTITUTION TYPE

INSTITUTIONNUMBER

FULL NAME

P0 P1

Person Number

Example:

SEX BIRTH DATE

What is [NAME]'s exact date of birth?Is [NAME]male orfemale?

1=Male 2=Female

BOOK NUMBER

PARTICULARS OF INSTITUTION MEMBERS

SEX DATE OF BIRTH AGE

P3 P4 P5

0 0 0F A l T H A L l A U 2 7 6

DD MM YYYY

Please give the full names of all persons who spentthe Night of 27/28th August 2014 in this institution

(Exclude caretakers with independent households)

(Write First Name and Last Name only. No Initials)

What is [NAME]'sage in

completed years?

If age is lessthan one year

record 00;if 95 years and

above record 95

DC4

DC4

(Write the Day, Month, Year)

l 3 0 8 l 9 3 8


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