Annual assessment of learning outcomes, 2011 Village/Mtaa data survey form
Ask the following questions to the village chief or chairperson:
Region: District: Ward:
Village/Mtaa: Code:
Council:
EA Number:
Interviewers: Start Time:
1. 2.
End Time:
Date:
ID Question Coding Instructions Answer
Population and Facilities
V1 Number of households in the village/mtaa Write actual number
V2 Total population in the village/mtaa Write actual number
V3 Main economic activities in the village/mtaa
(list three by their importance)
1 – Farming; 2 – Industry; 3 – Business;
4 – Livestock; 5 – Fishing; 6 – Employment;
7 – Other (Specify)
1.
2.
3.
V4 Approximately what proportion of people in the village/mtaa is connected to electricity? Write the actual proportion
V5 Are there health facilities? Write the actual number Government: Non-government:
V6 Is there a supply of piped water in the village/mtaa? 1 – Yes; 2 – No
V7 Is there a pharmacy in the village/mtaa? 1 – Yes; 2 – No
V8 Is there a bookshop in the village/mtaa? 1 – Yes; 2 – No
V9 Is there a public library in the village/mtaa? 1 – Yes; 2 – No
Schools
V10 How many pre-primary schools are there? Write actual number Government: Non-government:
V11 How many primary schools are there? Write actual number Government: Non-government:
V12 How many secondary schools are there? Write actual number Government: Non-government:
Transportation
V13 How far is the district headquarters from the village/mtaa? Write the distance in km
V14 How is the majority of the road from the village/mtaa to the district head quarter? 1 - tarmac; 2 - dust road
V15 What is the frequency of buses between the village/mtaa and the district headquarters? 1 – no bus; 2 – one bus a day; 3 – more than one bus a day
Uwezo Communication
V16 Have you heard of Uwezo before this visit? 1 – Yes; 2 – No
V17 If you have heard of Uwezo, how did you first learn about it? 1 – Radio; 2 – Newspaper; 3 – TV; 4 – Other (specify)
School data survey form
Annual assessment of learning outcomes, 2011
(If there are more than one school in the village or mtaa, collect data from the largest school only)
Questions S1 – S36 are for the Head Teacher; Questions S37 – S40 are to be completed through observation.
Head Teacher’s Bio data
ID Questuion Coding Instructions Answer
SI What is your position in school? {1 - Head teacher; 2 - Assistant Head teacher; 3 - Other}
S2 Gender of the person {1- Male; 2 – Female}
S3 In what year did you start teaching? Write the actual year
S4 In what year were you appointed as a head teacher? Write the actual year
S5 For how many years have been working in this school? Write the actual year
S6 Have you attended any training on managing a school in the last FIVE years? {1- Yes; 2- No}
S7 How long was the training? {1 - Less than a week; 2 - One Week; 3 - More than a week}
S8 What grade of teacher are you? {1- Grade III C; 2 - Grade III B; 3 – Grade III A; 4 –Diploma; 5 – Degree; 6 – None of the above, specify}
Pupil Enrolment 2010 - 2011
ID Question – Record Actual Numbers Male Female Total
S9 What was the total enrolment (Standard 1 to 7) in 2010?
S10 What is the total enrolment (Standard 1 to 7) in 2011?
S11 What was the enrolment in pre-primary classes in 2010?
S12 What is the enrolment in pre-primary classes in 2011?
Leadership by Head Teacher
ID Question Coding Instructions Answer
S13 Is this school part of any project such as Children’s Book Project? {1 – Yes; 2 – No}
S14 If yes, Which one?
Do not code – just write the name of the project
S15 Is this a single or double shift school? {1 - Single shift; 2 – Double}
S16 Is there an academic committee in school? {1 – Yes; 2 – No}
S17 Is there a student council in school {1 – Yes; 2 – No}
S18 When did inspectors last visit the school? Write the date (Month/Year)
Region: District: Ward:
School: Village/Mtaa: Council:
Code: EA Number:
Interviewers: Start Time:
1. 2. End Time:
Date:
Verbal Consent Form for the Head teacher:
Please ensure that the head teacher is informed of the purpose of the survey and time it will take to
complete the survey. Ask for his/her consent to continue. In case the head teacher is not present get
the information from the assistant head teacher.
General Instructions
1. Where the coding key is provided, enter the appropriate code in the space provided
2. When there are no coding instructions, write the actual answer
3. Do not leave a question blank, if the person refuses to provide the required information put the code XX
4. If the person does not know the answer, put the code YY
Teachers
NID Question – Record Actual Numbers Male Female Total
S19 How many teachers did you have on the payroll in 2010?
S20 How many teachers do you have on the payroll in 2011?
Teacher / Pupil Attendance
ID Question Coding instructions – Actual Numbers
Answer
S21 How many teachers are present in school today?
Number of teachers present
S22 How many teachers are absent today? Number of teachers absent
S23 How many children were present during the current week?
Monday
Tuesday
Wednesday
Thursday
Friday
S24 What was the average attendance for 2010
Write the average attendance
Resources
ID Question Date Received Amount Received
S25 How much capitation grant did you receive last year, 2009/2010? Fill the total received during the year.
1.
2.
3.
4.
5.
6.
7.
Total
Facilities
ID Question Coding Instructions Answer
S26 How many classrooms are there in the school? Write the actual number
S27 Is there a school library where children can borrow books from?
{1 – Yes; 2 – No}
S28 Are there books for all reading levels? {1 – Yes; 2 – No}
S29 Does the school have electricity? {1 – Yes; 2 – No}
S30 Does the school have water? {1 – Yes; 2 – No}
S31 How many toilet pits do you have for girls? Write the actual number
S32 How many toilet pits do you have for boys? Write the actual number
S33 Does the school provide lunch at school? {1 – Yes; 2 – No}
S34 Does the school provide tea/porridge for students? {1 – Yes; 2 – No}
Uwezo Communication
ID Question Coding Instructions Answer
S35 Have you heard of Uwezo before? {1 – Yes; 2 – No}
S36 If yes, how have you heard of it? {1 – Radio; 2 – Newspaper; 3 – TV; 4 – Other (specify)}
Observation by data collectors:
ID Issue Coding Instructions – Actual Numbers
S37 Attendance: Pupil Go to one class in each standard and count how many children are actually in class at the time. (if there are more than one stream, take ONLY one class for observation)
Enrolled Present
Pre-primary
Standard One
Standard Two
Standard Three
Standard Four
Standard Five
Standard Six
Standard Seven
S38 Textbook Availability In ONE of the class in standard ONE to THREE, ask children to hold up their textbooks for English, Kiswahili and Maths in turn. Count the number of pupils with textbooks and those without textbooks.
Write the actual numbers Pupils WITH textbooks Pupils WITHOUT textbooks
Standard One English
Kiswahili
Math
Standard Two English
Kiswahili
Math
Standard Three
English
Kiswahili
Math
S39 School library (if there is any)
Are the books in shelves? {1 – Yes; 2 – No}
Approximately how many books are there?
Write actual number
Is there a register to record children borrowing books?
{1 – Yes; 2 – No}
If yes, how many books were borrowed during the current week?
Write the actual number
S40 Teacher Attendance: 15 minutes after a period (any) starts, see how many classes are without teachers
Write Actual Numbers
Classrooms in school
Classrooms without teachers
Household data survey form
Annual assessment of learning outcomes, 2011
Please check the box if this household was a replacement household according to your sampling list:
Tafadhali kusanya taarifa zifuatazo kutoka kwa Please collect the following information from the head of the household. Follow the code given for each item in {}, otherwise, write actual number. Whenever there is no response or no information, code XX
ID Question Answer
HH1 Name of the head:
HH2 Gender {1 – M; 2 - F}
HH3 Age
HH4 What language do you normally speak at home? {1 – Kiswahili; 2 – English; 3 – Other}
HH5 What is your main occupation? {1 – Farming; 2 –Industry; 3 – Business; 4 - Livestock; 5 – Fishing; 6 – Employee; 7 – Housewife; 8 – Other (Specify)}
HH6 How many people live in the household?
HH7 How many children between the ages of 7 to 16 do you have?
HH8 How many of your children have education beyond primary level?
HH9 Do you own the house where you live? {1 – Yes; 2 – No}
HH10 What kind of walls does your house have? {1 – mud/poles; 2 – burnt brick house; 3 – cement brick house; 4 - Other}
HH11 What kind of roof does your house have? {1 – thatched with grass; 2 – corrugated iron; 3 – tiles/cement; 4 – Others, explain}
ID Question Answer
HH12 Does the house have electricity? {1 – Yes; 2 – No}
HH13 Do you own any cattle? {Write the number of cattle}
HH14 Do you own any goats? {Write the number of goats}
HH15 Does the house have access to piped water? {1 – Yes; 2 – No}
HH16 Do you have a mobile phone? {1 – Yes; 2 – No} If no, skip to Question 21.
HH17a Can you share your mobile number with us?
HH17b Can we use the number to call you? {1 – Yes; 2 – No}
HH18 Do you own a bicycle? {1 – Yes; 2 – No}
HH19 Do you own a motor – cycle? {1 – Yes; 2 – No}
HH20 Do you own a car, or a lorry or a tractor? {1 – Yes; 2 – No}
HH21 Do you have a fridge in the house? {1 – Yes; 2 – No}
HH22 Do you own a radio? {1 – Yes; 2 – No}
HH23 If yes, what radio station do you listen most?
HH24 Do you own a TV? {1 – Yes; 2 – No}
Na Swali Jibu
HH25 If yes, what TV station do you watch most frequently?
HH26 Do you read a newspaper? {1 – Every day; 2 – Sometimes; 3 – Never}
HH27 Which newspaper do you like to read?
HH28 Apart from children’s school books, do you have other books in the house? {1 – Yes; 2 – No}
HH29 Have you heard about Uwezo assessment? {1 – Yes; 2 – No}
HH30 If yes, how did you hear about it? {1 – Radio; 2 – Newspaper; 3 – TV; 4 – Other (Specify)}
HH31 Which of the following activities have you or another parent done in the past year? {1 – Speak with your child’s teacher; 2 – Help your child with homework; 3 – Discuss education at a school committee; 4 – Discuss education at a village meeting}
Region: District: Ward:
Household No.: Village/Mtaa: Council:
Code: EA Number:
Interviewers: Start Time:
1. 2. End Time:
Date:
General Swahili English Math Bonus
HH32. Child’s Name H
H3
3. G
end
er {
1 –
Ma
le;
2 –
Fe
mal
e}
HH
34
. Age
(ye
ars)
HH
35
. Mo
ther
’s E
du
cati
on
:
{1 –
Can
no
t re
ad;
2 -
Cla
ss I
– V
II;
3 –
Se
con
dar
y; 4
– H
igh
er
Edu
cati
on
}
HH
36
. Fat
her
’s E
du
cati
on
{ U
se s
ame
co
de
as
mo
ther
’s}
H
H3
7.
Are
yo
u c
urr
entl
y en
rolle
d in
sch
oo
l?
{1 –
Ye
s; 2
– N
o}
If y
es, g
o t
o q
ues
tio
n 4
0.
H
H3
8. I
f yo
u a
re n
ot
in s
cho
ol,
wh
y n
ot?
{1 –
Ne
ver
en
rolle
d;
2 –
Dro
pp
ed
ou
t}
HH
39
. If
yo
u d
rop
ped
ou
t fr
om
sch
oo
l, in
wh
ich
cla
ss d
id
you
dro
po
ut?
{
1-
Pre
-pri
mar
y; 2
- P
rim
ary
1-2
;
3-
Pri
mar
y 3
-4;
4-
Pri
mar
y 5
-7;
5 -
Se
con
dar
y 1
-4}
HH
40
. F
or
tho
se in
sch
oo
l - in
wh
ich
cla
ss a
re y
ou
in?
{1--
Std
1;
2-
Std
2;
3-
Std
3;
4-
Std
4;
5-
Std
5;
6-
Std
6;
7-
Std
7;
8-F
orm
1;
9-
Form
2;
10
- Fo
rm 3
; 1
1-
Form
4;
12
–
Pre
-pri
mar
y; 1
3 -
MEM
KW
A}
HH
41
. D
id y
ou
att
end
pre
-sch
oo
l (n
urs
ery)
bef
ore
join
ing
pri
mar
y sc
ho
ol?
{1
– Y
es;
2 –
No
}
HH
42
. W
hat
is t
he
nam
e o
f th
e sc
ho
ol t
hat
yo
u a
re
atte
nd
ing?
HH
43
. W
hat
typ
e o
f sc
ho
ol a
re y
ou
att
end
ing?
{ 1
–G
ove
rnm
en
t; 2
-N
on
- G
ove
rnm
en
t}
HH
44
.Ho
w lo
ng
do
es it
tak
e yo
u t
o g
et t
o t
he
sch
oo
l {m
in}
HH
45
. H
ow
do
yo
u t
rave
l to
sch
oo
l? {
1-
Wa
lk;
2-
Bic
ycle
; 3
-
Bu
s; 4
- C
ar}
HH
46
. D
uri
ng
this
we
ek, f
or
ho
w m
any
day
s d
id y
ou
no
t
atte
nd
th
e sc
ho
ol?
{N
um
be
r o
f d
ays}
HH
47
. H
ave
you
see
n e
xerc
ise
bo
oks
wit
h U
wez
o t
est
s?
{1 –
Ye
s; 2
– N
o}
HH
48
. W
hat
was
th
e h
igh
est
leve
l rea
ched
by
the
child
?
{ 1
– N
on
e;
2 –
can
re
cogn
ise
syl
lab
les;
3 –
can
re
ad w
ord
s;
4 –
can
re
ad p
arag
rap
hs;
5 –
can
re
ad t
he
sto
ry}
HH
49
. C
ou
ld t
he
child
man
age
to a
nsw
er F
IRST
qu
esti
on
on
th
e st
ory
? {1
– Y
es;
2 –
No
}
HH
50
. C
ou
ld t
he
child
man
age
to a
nsw
er S
ECO
ND
qu
esti
on
on
th
e st
ory
? {1
– Y
es;
2 –
No
}
HH
51
. W
hat
was
th
e h
igh
est
leve
l rea
ched
by
the
child
?
{ 1
– N
on
e;
2 –
can
re
cogn
ise
lett
ers
; 3
– c
an r
ead
wo
rds;
4 –
can
re
ad p
arag
rap
hs;
5 –
can
re
ad t
he
sto
ry}
HH
52
. C
ou
ld t
he
child
man
age
to a
nsw
er F
IRST
qu
esti
on
on
th
e st
ory
? {1
– Y
es;
2 –
No
}
HH
53
. C
ou
ld t
he
child
man
age
to a
nsw
er S
ECO
ND
qu
esti
on
on
th
e st
ory
? {1
– Y
es;
2 –
No
}
HH
54
. Co
uld
th
e ch
ild c
ou
nt
the
circ
les?
{1 –
Ye
s; 2
– N
o}
HH
55
. Jco
uld
th
e ch
ild r
eco
gniz
e n
um
ber
s?
{1 –
Ye
s; 2
– N
o}
HH
56
. Co
uld
th
e ch
ild a
nsw
er“W
hic
h n
um
ber
is b
igge
r?”
{1 –
Ye
s; 2
– N
o}
HH
57
. Co
uld
th
e ch
ild a
dd
?
{1 –
Ye
s; 2
– N
o}
HH
58
. Co
uld
th
e ch
ild s
ub
trac
t? {
1 –
Ye
s; 2
– N
o}
HH
59
. Co
uld
th
e ch
ild m
ult
iply
?
{1 –
Ye
s; 2
– N
o}
HH
60
. C
ou
ld t
he
child
an
swe
r “E
very
day
Mat
hem
atic
s?”
{1 –
Ye
s; 2
– N
o}
HH
61
. Co
uld
th
e ch
ild r
eco
gniz
e K
ikw
ete
?
{{1
– Y
es;
2 –
No
}
HH
62
. C
ou
ld h
te c
hild
rec
ogn
ize
Nye
rere
?
{1 –
Ye
s; 2
– N
o}
HH
63
. C
ou
ld t
he
child
rec
ogn
ize
Pin
da?
{1 –
Ye
s; 2
– N
o}
HH
64
. Wh
ich
set
did
yo
u u
se w
ith
th
is c
hild
? {
1, 2
, 3, 4
}
1.
2.
3.
4.
5.
6.
Answered by the Parent/Guardian of Children 7-16 Answered by Children 7-16