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
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
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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)
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
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
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
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
(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)
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
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
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
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
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
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