MALARIA INDICATORS SURVEY IN MALI ("EIP" MALI 2021)
FIELDWORKER QUESTIONNAIRE
Date: 31 August 2021
MINISTRY OF THE ECONOMY AND FINANCE
NATIONAL INSTITUTE OF STATISTICS ("INSTAT")
MINISTRY OF HEALTH AND SOCIAL DEVELOPMENT
NATIONAL PROGRAM IN THE FIGHT AGAINST MALARIA ("PNLP")
LANGUAGE OF QUESTIONNAIRE: FRENCH
101. RECORD FIELDWORKER'S NUMBER
As part of the MIS ("EIP"), we are collecting information on all fieldworkers for the Mali 2021 MIS. Please answer the questions below. The information you provide will be part of the database of the survey; however, your name will be removed and will not be part of the database. Thank you for providing the necessary information.
102. What REGION do you live in?
02 KOULIKORO
03 SIKASSO
04 SÉGOU
05 MOPTI
06 TIMBUKTU
07 GAO
08 KIDAL
09 BAMAKO
10 MÉNAKA
11 TAOUDÉNIT
103. Do you live in Bamako, in another city, or in a rural area?
2 OTHER CITY
3 RURAL AREA
104. How old are you?
RECORD AGE IN COMPLETED YEARS.
105. Are you a man or a woman?
2 WOMAN
106. What is your current marital status?
2 LIVE WITH A MAN/WOMAN
3 WIDOWER/WIDOW
4 DIVORCED
5 SEPARATED
6 NEVER MARRIED OR NEVER LIVED WITH A MAN/WOMAN
107. How many living children do you have?
INCLUDE ONLY YOUR BIOLOGICAL CHILDREN.
108. Have you had a child who died?
2 NO
109. What is the highest level of studies that you have reached: basic 1 (1st cycle), basic 2 (2nd cycle), secondary (high school, technical, professional), or higher?
2 BASIC 2nd Cycle
3 SECONDARY (High School/Technical/Professional)
4 HIGHER
110. What is the highest [GRADE/YEAR] that you have completed at this level?
IF LESS THAN ONE YEAR WAS COMPLETED AT THIS LEVEL, RECORD '00'.
Codes for Q. 110
1 1ST GRADE
2 2ND GRADE
3 3RD GRADE
4 4TH GRADE
5 5TH GRADE
6 6TH GRADE
1 7TH GRADE
2 8TH GRADE
3 9TH GRADE
1 10TH GRADE
2 11TH GRADE
3 12TH GRADE
4 4TH YEAR (College Prep)
1 1ST YEAR
2 2ND YEAR
3 3RD YEAR
4 4TH YEAR
5 5TH YEAR
02 CATHOLIC
03 PROTESTANT
04 OTHER CHRISTIAN RELIGION
05 ANIMIST
06 WITHOUT RELIGION
95 NO RELIGION
96 OTHER RELIGION (SPECIFY) ______
02 MALINKE
03 PEUL
04 SARAKOLE/SONINKE/MARKA
05 KASSONKE
06 SONRAÏ
07 DOGON
08 TUAREG/BELLA
09 SENUFO/MINIANKA
10 BOBO
11 BOZO
12 ARAB/MOOR
16 OTHER MALIAN ETHNICITY (SPECIFY) ______
NATIONALTIY CODE (For FOREIGNERS)
22 OTHER AFRICAN COUNTRIES
23 OTHER NATIONALITIES
113. What languages do you speak?
RECORD ALL LANGUAGES THAT YOU SPEAK.
B BAMBARA/MALINKÉ
C SONRAÏ/DJERMA
D PEUL/FOULFOULDÉ
E SENOUFO
F MARKA/SONINKÉ
G DOGON
H MINIANKA
I TAMACHECK
J BOBO/DAFING
K BOZO
X OTHER (SPECIFY) ______
114. What is your native language (language spoken at home when you were young)?
02 BAMBARA/MALINKÉ
03 SONRAÏ/DJERMA
04 PEUL/FOULFOULDÉ
05 SENOUFO
06 MARKA/SONINKÉ
07 DOGON
08 MINIANKA
09 TAMACHECK
10 BOBO/DAFING
11 BOZO
96 OTHER (SPECIFY) ______
2 NO
2 NO
2 NO
116. Were you already working for "INSTAT" at the time you were hired to work on MIS Mali 2021?
3 NO (Skip to 119)
117. Are you a permanent or temporary employee of "INSTAT"?
2 TEMPORARY
118. If you have any comments, please write them here.