HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

IFPRI-Hohenheim Food-Water-Energy Nexus Project

Household Endline Survey

Dedza District, Malawi and Angonia District, Mozambique
May-July 2016
Funded by GIZ

Start Time
Finish Time

Day Month Year

Date 2016

Name
Traditional Authority
Group Village Head
Village

Household Identification Number

Southings Eastings Elevation

GPS Coordinates of Residence

Please provide two phone numbers for reaching the

main agricultural decision maker and/or spouse:

PID
Respondent Name (preferably main Agricultural Decision
Maker)
Name of Household Head

Interviewer Name and Code

Supervisor Name and Code

Day Month Year

Date Checked by Supervisor 2016

1
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

2. Household Demographics (Anthu okhala pa Khomo)

Please tell me how your household family membership changed since 2014. (Household members of a
common decision-making unit (usually within one residence) that are sharing income and other
resources. Include workers or servants as members of the household if they live in the HH for more than
six months of the year. (Mungathe kundiuzako za anthu omwe mumakhala nawo pakhomo panu, omwe
mumadya nawo mbale imodzi, mumagwiritsa ntchito nawo ndalama kapena kugwiritsa ntchito zinthu
zofunikira zina. Anthu awa ndi kuphatikizapo antchito anu ngati amakhala nawo pa khomo panu nthawi
yosachepera miyezi isanu ndi umodzi).

2. Has there been changes in the family composition since 2014, i.e., new family members joining or leaving the
household? Yes/no _____________
3. If yes, please complete the following table
Age group New family Major reason for Members who left Major reason for
member joining family a family leaving family a
1. Children 0 to 5 years
2. Children 6 to15 years
3. Youth: 16-17 years
4. Adults: ≥19 years
i. Men
ii. Women
a
Reason for joining/leaving family: 1= birth 2= Adoption 3= Marriage 4=Divorce 5=New domestic employee
6=Became independent 7=Death 8=termination of domestic employment 99=Other (specify)

2
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

2015/20162015/20164. Cropland Management Practices (Njira zogwiritsa ntchito ndi kusamalira malo
olima)
A plot is a contiguous piece of land in a parcel that has the same cropping system or land use. This means a parcel could als o be a plot if it has the
same cropping system or land use throughout.

4.1. Plot Level Land Management and Labor Input

The following questions refer to your plots in the 2015/2016 agricultural year. (Mafunso otsatirawa akutengera zigawo zomwe zinalimidwa mu
chaka cha ulimi cha 2015/2016)

Type of Qua Seed Synt Pric Organic inputs applied?

seed ntity price hetic e Yes=1, no=2
used used (kwa fertili per
1=impr (kg) cha) zer 50
1 oved kg 2 3 4 5 6
2=Recy bag
cled
3=tradi
tional

3
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Plot Crop Fertil Q’ Kwa Man Hh Com Ot How

are ping izer ty cha ure dd post her much
a syste nam (k ref of this
(acr m2 e3 g) use crop
es) from
this
plot
was
sold in
2015/2
How 016?
much of (Pa
this crop zomwe
was munak
harveste olora
d from pa
this plot chigaw
in ochi,
2015/20 ndi
16 mbeu
Which (Munako yochul Price per
crops lorapo uka unit
were mbewu bwanji (Pazomw
grown on yochuluk yomwe e
this plot a bwanji munag munagul
(Munadz pachiga ulitsa itsazo,
alapo wochi mu munapez
mbewu mu chaka apo
Par zanji chaka cha ndalama
cel Plot pachigaw cha 2015/2 zochuluk
(M (Chig ochi)?1 2015/20 016)? a
alo) awo) (one crop 16)? (amou bwanji)?

Unit3

Unit3
# # per row) (amount) nt) (kwacha)

4
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

2 Cropping system: 1=monocrop 2=intercrop 3=mixed cropping 9=Other (specify)

3 Synthetic fertilizer: 1=Urea 2=NPK 3=CAN 4= D compound 9=Other type (specify)

5
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

8 9
How many labor days were hired in total in 2015/2016 for work on this
plot? (prompt respondent with land preparation, planting, weeding, Average wage rate of hired labor per day
fertilizer application, harvest activities) (Ndi masiku ochuluka bwanji omwe (Munawalipira ndalama zingati (zonse pa
aganyu anagwirapo ntchito pa chigawochimu chaka cha 2015/2016? (if chaka) aganyu amene anagwira ntchito
Parcel Plot “0”>>10) pachigawochi)?
(Malo) (Chigawo) Land Planting Weeding Soil fertility Harvesting
# # preparation mngt kwacha
FL HL FL HL FL HL FL HL FL HL

6
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

4.2 Seeds, Irrigation and Agrochemicals for irrigated crops (Mbewu, Ulimi wamthilira ndi Mankhwala a mbewu)
Did you irrigate crops or used other water management practices? Yes/No_____
If yes, answer the following questions

10 11 12
Parce Plo Crops irrigated What share (%) Source of Which Yield Quantity sold Price per unit
l# t# of the plot was irrigation irrigation (kwacha)
irrigated? (if water a technologies
0>>17) were used on
(Ndi malo this plot? 12 (list
aakulu bwanji top three,
(peresenti) a most
chigawochi important
omwe first). (Ndi njira
munapangapo ziti zaulimi
ulimi wamthilira
wamthilira?) zomwe
munagwiritsa
ntchito
pachigawochi?
Dry Rainy Dry Rainy Dry Rainy )
seaso seaso seaso seaso seaso seaso
n n n n n n
dry rainy Dry Rainy Dry Rainy
Unit
1 2 3 seaso seaso seaso seaso seaso seaso
s
n n n n n n

7
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Source of irrigation water: 1=River 2=Dam 3=Groundwater 4=Harvested rainwater 5=wetlands 6=Lake 7=Wells/springs 99=Other

Please report the inputs on the irrigated crops

Parcel # Parcel # Parcel # Parcel # Parcel # Parcel #

Farm operation Plot # Plot # Plot # Plot # Plot # Plot #
DS RS DS RS DS RS DS RS DS RS DS RS
Land preparation
- Total labor days
- Equipment hire (Kwacha)
Planting
- Total labor days
- Equipment hire (Kwacha)
- Cost of seed
Weeding
- Total labor days
- Cost of herbicide (kwacha)
Plant protection
- Cost of agrochemicals (kwacha)
- Spraying equipment hire (kwacha)
- Labor (days)
- Other costs
Soil fertility management

8
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

- Quantity of inorganic fertilizer used

(kg)
- Urea
- NPK
- Other synthetic fertilizers
- Total cost of synthetic fertilizer
- Total cost for organic inputs
Labor for soil fertility management (transportation and application of fertilizers)
- Total labor for organic inputs
- Total labor for synthetic fertilizer
Harvesting
- Total labor days
- Harvesting equip’t hire (Kwacha)
Note: DS=dry season, RS=rainy season

9
HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

10
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

4.3 Agroforestry, Conservation Agriculture (Kudzala mitengo yobwezeretsa chonde m’nthaka, kasamalidwe ka chonde m'nthaka,
ulimi wa mtaya khasu)
Did you practice ___ on this plot in 2015/2016? (0=no, 1=yes) (Kodi munadzalako/munathirako ______ mu chaka
chaulimi cha 2015/2016?
21 22 23 24 25 26 27 28 29 30 31

Leguminous plants in Alley cropping Crop residue

Scattered trees
Parcel boundaries (mbewu (kudzala mbeu ndi (zotsalira
Plot # (mitengo
(Malo) za gulu la nyemba mitengo yopezetsa zamunda e.g.
(Chigawo) yosakhala mu
# m’mbali mbali mwa ndalama ngati masangwe,
ndondomeko)
munda) macademia) mapesi)

Tephrosia
Msangu

No till)
Cassia

11
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Did you practice ___ on this plot in 2015/2016? (kodi munadzalako/munapangako ______ mu chaka chaulimi cha 2015/2016?)
(0=no, 1=yes)
3 3 4
2 3 34 35 36 37 38 39 0 41

Grass strips
Deep tillage Box ridges Terraces (eg.
Contour farming Trenches/ridges (kulima Cover crops
Parcel Plot (ulimi (ulimi opanga Vertivar)
(ulimi wa (ulimi okumba mizere (mbeu
# # opanga mizere ya (kudzala
akalozera) mayenje m’munda) yolingana pa zoyanga)
mizere) mabokosi) chitunda) udzu wa
vetiva)

12
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

5. Input Access (Kupezeka kwa zipangizo zina ndi zina zogwiritsa ntchito paulimi)
Please tell me about your access to inputs in 205/16 season (Mu gawo ili, ndikufuna tichezeko zokhudzana ndi mmene mumapezera zipangizo zina
ndi zina zogwiritsa ntchito paulimi).

FISP inputs (Zipangizo zaulimi za sabuside (zotsika mtengo)

FISP legume seeds

FISP fertilizer FISP fertilizer (Mbewu za
(NPK) (Feteleza (urea) ( Feteleza FISP maize seeds sabuside zagulu
wa sabuside wa sabuside wa (Mbewu ya chimanga lanyemba)
wa Chitowe). yureya) ya sabuside)
1 Which FISP coupons were you eligible for in agricultural
year 2015/2016 (Kodi inu munali ndi zokuyenerezani
kulandira nawo ma kuponi a feteleza ndi mbewu mu
chaka cha 2015/2016)? (0=not eligible, 1=eligible, 2=not
sure)
2 How much subsidized input did you get with your share
of the coupon (Munakwanitsa kupeza feteleza/mbewu za
sabuside zochuluka bwanji pogwiritsa ntchito kuponi
yanu)? (kg)
3 Did you get the subsidized input in the full amount
allowed by your share of the coupon (Kodi munapeza
feteleza/ mbewu yokwanira monga mwa mlingo umene
mumayenera kuti mupeze pogwiritsa ntchito kuponi
yanu)? (0=no (I got less than expected)? (0=no (I got less
than expected), 1=yes)
4 Did you pay anyone, either in cash or in-kind, to obtain
an input coupon for this input (Kodi munalipirako
aliyense kuti mupeze kuponi ya chipangizo cha ulimichi)?
(0=no, 1=yes) (if “0”>>6)

13
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

FISP NPK FISP urea FISP maize seed FISP legume seed
5 If yes, how much did you pay (Ngati munalipira,
munalipira ndalama zingati)? (kwacha and/or in-kind
kwacha value)
6 Did you use a coupon to buy the full amount of the input
that you needed (Kodi munakwanitsa kupeza mlingo wa
feteleza/mbewu imene imafunika pa ulimi wanu
pogwiritsa ntchito kuponi yanu)? (0=no, 1=yes, 2=both
with and without coupon)
7 What price per kg did you pay with the subsidy coupon
(Kodi munalipira ndalama zingati pa kilogalamu pogula
feteleza/mbewu zotsika mtengo)? (kwacha) (-999=not
sure)
8 If you hadn’t used the coupon, what would have been
the price per kg at the time when you used the coupon
(Mukanakhala kuti simunagwiritse kuponi, mtengo wa
feteleza/mbewuyi pa kilogalamu pamsika unali ndalama
zingati)? (kwacha per kg) (-777=don’t know)
9 What did you do with the subsidized input? (1=used on
own farm, 2=shared with other farmer(s) for free, 3=sold
it) (Kodi munapanga nacho chani chipangizo cha ulimi
chotsika mtengo chomwe munapeza)

14
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

6. Non-Crop Income (Ndalama zopezeka kuchokera ku ulimi wa ziweto)

Now I will ask you about livestock and livestock products that you sold in agricultural year 2015/2016. Pano tichezako za ziweto ndi zinthu zochokera
ku ziweto zomwe munagulitsa mu chaka cha ulimi cha 2015/2016.

1 2 3 4 5 6
Did your HH Did your HH sell What was the total How many of What was the total What were the total
raise (these products (meat, revenue (not (these live revenue (not costs incurred
animals) in milk, eggs, skins, accounting for costs animals) did accounting for costs (purchasing animal,
2015/2016? etc.) from (these incurred) that your HH your HH sell in incurred) that your HH vaccinations, feed,
(0=no, 1=yes, animals) in received for sales of 2015/2016? (if received for sales of building shelter) from
if no>>next 2015/2016? (0=no, products from (these “0”>>6) (Kodi (these live animals) in raising (these
animal) 1=yes, if no>>4) animals) in 2015/2016? munagulitsa 2015/2016? (kwacha) animals) in
(Kodi (Kodi munagulitsa (kwacha) (Kodi ziweto zingati (Kodi munapeza 2015/2016? (kwacha)
munawetako zinthu izi (nyama, munapeza ndalama zamoyo mu ndalama zochuluka (Kodi munaononga
ziweto izi mkaka, mazira, zochuluka bwanji zonse chaka cha bwanji zonse pamodzi ndalama zochuluka
pakhomo panu zikumba ndi zina pamodzi 2015/2016? (osawerengara zimene bwanji zonse pamodzi
mu chaka cha zilizonse zochokera (osawerengara zimene munaononga) (pogulira; ziwetozi,
2015/2016? ku ziwetozi) mu munaononga) pogulitsa pogulitsa ziwetozi mu katemera, chakudya
chaka cha zinthu zochokera ku chaka cha 2015/2016? ndikumanga khola la
2015/2016? ziwetozi mu chaka cha ziwetozi) mu chaka
2015/2016? cha 2015/2016)?
Cattle
(ng’ombe)
Goats
(mbuzi)
Sheep
(nkhosa)
Chickens
(nkhuku)
Pigs
(nkhumba)

15
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Other
animals
(specify)
(ziweto
zina)
________
Other
animals
(specify)
(ziweto
zina)
________
Other
animals
(specify)
(ziweto
zina)
________

16
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

7 8 9
Did your HH earn What was the total
income (cash or in- revenue (not
kind) from (source) accounting for costs What were the
in 2015/2016? incurred) from total costs
(0=no, 1=yes, if (source) in incurred from
no>>next source) 2015/2016? generating
(Kodi (kwacha) (Kodi (source) in
munapangako munapeza ndalama 2015/2016?
ndalama kapena zochuluka bwanji (kwacha) (Kodi
kulandira zinthu zonse pamodzi munaononga
zina kuchokera ku (osawerengara ndalama
______ mu chaka zimene zochuluka bwanji
cha 2015/2016? munaononga) (zonse pamodzi)
kuchokera ku______ kuti mupeze
mu chaka cha ______ mu chaka
2015/2016? cha 2015/2016)?
Forest/agroforestry products (like
wood, charcoal, medicinal plants,
etc.) (Nkhalango ndi zinthu zina
zochokera ku mitengo yobwezeretsa
chonde mthaka) (monga: nkhuni,
matabwa, makala, mankhwala a
zitsamba ndi zina zotero)
Fishery/acquaculture products
(Nsomba ndi zinthu zina za mmadzi)
Wildlife products (mice, bush meat,
wild skins, etc.) (nyama za mtchire
monga mbewa, insa, gwape, ndi
zikumba za nyam za mtchire)
Agricultural wage (maganyu a
kumunda)
Non-agricultural wage (maganyu
ena osakhala a kumunda)
Non-agricultural business (shops,
handicrafts, etc.) (Bizinesi osakhala
ya ulimi (monga mashopu, ntchito
zamanja)
Government aid (Chithandizo
chochokera ku boma)
Non-governmental aid (Chithandizo
china chosakhala chochokera ku
boma)
Retirement payment (Malipiro
opumira pantchito)
Remittances/gifts (Mphatso)

17
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________
Mutual support groups (local
community) (Magulu ena
othandizana a mmudzi)
Other source of income, please
specify (Njira zina zopezera
ndalama)
__________________________
Other source of income, please
specify (Njira zina zopezera
ndalama)
__________________________

11. Household Dietary Diversity (Zakudya zakasinthasintha)

For this section about your household’s eating habits, I need to please ask the questions to the member
of your household who regularly prepares the food. (Mugawo ili ndikufuna ndicheze nanu zamadyedwe a
panyumba panu.)

PID
Who is most responsible for food preparation in your household? (Kodi amakonza
1
chakudya pakhomo pano ndi ndani nthawi zambiri? (person answering this section)
Enumerator: if the main agricultural respondent is NOT the person who regularly prepares food, skip
this section.

In the last 24 hours, have you or any member of your household eaten the following
foods (this includes food eaten outside the house, for example lunch in the field or
0=no,
dinner at a friend’s house) (if there was a special event in the last 24 hours, likea
1=yes
wedding or big party, then recall for the preceding day): (Kodi mumaola 24 apitawa,
inuyo kapena wina wapakhomo lanuli wadyako zakudya monga):
Any nsima, bread, noodles, biscuits, or any other foods made from millet, sorghum,
2 maize, rice or wheat (Nsima, buledi, nudozi, bisiketi, kapena Zakudya zilizonse
zochokera kumapira, mawere, chimanga, mpunga kapena tirigu)?
Any potatoes, yams, cassava, or other foods made from roots or tubers (Mbatata,
3
mbatatesi, chinangwa, kapena chakudya chochokera ku mizu)?
4 Any vegetables (zamasamba)?
5 Any fruits (zipatso)?
Any goat, chicken, beef, pork, duck, other birds, game, mice, monkey, liver, kidney,
6 heart or other meats (Nyama ya mbuzi, nkhuku, ng’ombe, nkhumba, bakha, mbalame,
nyama zakutchire, mbewa, anyani, ndi nyama zamitundu ina)?
7 Any eggs (mazira)?
8 Any fresh or dried fish or shellfish (Nsomba zouma kapena zafuleshi)?
Any foods made from beans, soy beans, peas, lentils or nuts? (Zakudya zopangidwa
9
kuchokera kunyembe, soya, sawawa, kalongonda kapena mtedza)
Any cheese, yoghurt, milk, or other milk products (mkaka, chakudya chochokera ku
10
mkaka monga yogati, chambiko)
11 Any foods made with oil, fat or butter (Zakudya zochokera kumafuta)?
12 Any sugar or honey (shuga kapena uchi)?

18
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________
Any other foods, such as condiments, coffee, tea (Zakudya zina monga zokometsera
13
ndiwo, khofi, tiyi?

19
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

14 15
What was the average size of one of these
Last week, how many times did the following people in your HH have beans, bean/pea/lentil portions (Kodi chakudyachi
peas, soy beans or lentils with a main meal (mu sabata yapitayi, anthu awa chimakhala chamlingo wochuluka bwanji)?
amadya kangati nyemba, sawawa, soya ndi ndiwo zina zamgulu lanyemba
pamodzi ndi nsima)? Amount Unit15
Male adults
Male children
Female adults
Female children

In the previous year, how frequently did you experience food shortages ( Ndikangati
16
munakhala opanda chakudya mchaka chapitachi)? 16

12. Fuel Use and Access (Kagwiritsidwe ntchito ndi kapezedwe ka zokolezera moto)
This part of the questionnaire is about the types of energy your household uses and the access you have to them, (Gawo lino ndiyokhudzana ndi
zinthu zomwe mumagwiritsa ntchito pokolezera moto pakhomo panu and kapezekedwe kake).

PID
Which member of your HH is most knowledgeable about energy use and
access (Ndi ndani nyumbamu amadziwa kwambiri zakagwiritsidwe ntchito ndi
1 kapezedwe ka zinthu zokolezera moto)?

Enumerator: if the main agricultural respondent is NOT the person who regularly uses and collects fuel, skip this section.

20
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

2 3 4 5 6 7
From which
location did
you obtain
(this energy How far away
source) (one-way trip) is
What were your (zinthu this location
main energy zokolezera from your home Did you buy or What quantity was
sources for motozi in walking collect (this energy purchased per month
cooking and mumazipeza minutes (Kodi source) from this (Pamwezi mumagula
heating in the last kuti) 3 ? (if mumayenda location (Zokolezera zambiri bwanji)? If the energy
12 months (Kodi separate phindi (min) motozi mumagula source was
mumagwiritsa locations are zingati kuchoka kapena purchased, how
ntchito zinthu ziti used for a pakhomo panu mumangotola much was spent
zokolezera moto significant kukafika kumalo komwe per month
pophikira amount of a komwe mumazipezako)? (Mumagwiritsa
ndikutenthetsera fuel source mumapeza (1=purchase, ntchito za
pakhomo panu then write zokolezera 2=collect, 3=both ndalama zingati
mchaka info in a motozi)? purchase and pamwezi)
chapitachi) 2 ? separate row) (minutes) collect, if 2>>8) Amount Fuel Unit Code6 (kwacha)?
Rainy Season (nyengo ya dzinja)
Main Source in 2013 and 2016
• 2013
• 2016
Major reason
for change7
Second Main Source
• 2013
• 2016
Major reason
for change7
Dry Season (nyengo yachilimwe)

21
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Main Source
• 2013
• 2016
Major reason
for change7
Second Main Source
• 2013
• 2016
Major reason
for change7
Reason for change (for all questions): 1= Planted woodlot 2= Bought a fuel efficient cookstove 3=My fuel efficient cookstove is broken 4=new
supplier/source of energy 5=supplier/source no longer available 6=new rule that prohibits harvesting solid bioenergy 7=New rule that allows harvesting soil
bioenergy 99=other (specify)

22
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

8 9 10 11
If you
In the past week how much time
were to
did (PID) spend acquiring (this
sell (this
In the past week how many trips energy source) from the location?
energy
did (PID) spend in total (include time spent going to the
In the past week, how much of (this energy source),
gathering (this energy source) location, acquiring the source,
source) was acquired per trip by (PID) (Musabata how
(Musabata yapitayi (ujeni) returning home) (Musabata
yapitayi, ndizokolezera moto zochuluka bwanji much
anayenda maulendo angati yapitayi (ujeni) anatenga nthawi
zinatoleredwa ndi ujeni)? would
kukatolera ndi kunyamula yochuluka bwanji potolera zinthu
you
zokolezera motozi)? zokolezera motozi (kuphatikizapo
receive?
popita, kutolera ndi pobwerera
(kwacha
kunyumba)
per unit)
PID

# of trips

PID

PID

# of trips

PID

Minutes

PID

Minutes

PID

Minutes

Amount

Unit6

Amount

Unit6

Amount

Unit6

Kwacha

Unit6
# of trips

PID

PID

PID
Source 1
Source 2

23
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

13. Time Labor Allocation to fuelwood collection (Kagawidwe ka nthawi)

Enumerator: If the main agricultural respondent does not collect firewood, ask them about the last day that whichever HH member is the
collector collected/did not collect firewood.

For this section, I would like to ask you about the amount of time different household members spend on different activities. (Mu gawo lino,
ndikufuna tichezeko za kuchuluka kwa nthawi yomwe anthu a pakhomo panu amatenga pogwira ntchito ndi kuchita zinthu zosiyanasiyana)

13.1 Collecting day

If there significant
changes between
2013 and 2016,
why?
Firewood collection last week (Pano ndikufuna tichezeko Rainy season Dry season
za tsiku lomaliza limene munakatolera nkhuni
osawerengera lero. Papita masiku angati kuchoka pa tsiku
limeneli kufika lero?
2013 2016 2013 2016
1 In the past week how many trips did (PID) spend in total
gathering (this energy source)
2 On average how people were involved in collecting
firewood?
i. Adult women (above 18 years old)
ii. Adult men (above 18 years old)
iii. Girls (15-18 years)
iv. Boys (15-18 years)
v. Children (below 15 years)
3 On average how many minutes per trip do you spend
traveling from home to fuelwood source?
4 How many minutes per trip do you spend collecting
firewood?

24
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

3 total quantity of firewood collected per trip (includes going

to/from) pokatolera nkhuni (kuphatikizapo nthawi
yoyendera popita ndi pobwelera)
Units
Conversion factor to standard headload
Reason for change (for all questions): 1= Planted woodlot 2= Bought a fuel efficient cookstove 3=My fuel efficient cookstove is broken 4=new
supplier/source of energy 5=supplier/source no longer available 6=new rule that prohibits harvesting solid bioenergy 7=New rule that allows harvesting soil
bioenergy 99=other (specify)

Cooking stove
Please report type of cooking stove you use and answer key questions on how you manage cooking. Please report all cookstoves owned

Traditional Chitetezo Rocket Charcoal Kerosene Electric Gas Other type

three stone mbaula cookstove metallic cooker cooker cooker (specify)
cooker
Year
purchased/started
using
Number owned
Price at purchase
(kwacha)
Vendor of
cookstoves a
Average number of sticks used to cook using the corresponding cookstove
Nsima
Rice
Beans
Meat
Where do you
cook? b
Nsima
Rice
Beans

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 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

Meat
a Cookstover vendor: 1=Homemade 2=Given by friend/relative3=entrepreneur in community 4=NGO 5=Project 6=Government program
99=other (specify)

bCooking location: 1=House built specifically as kitchen with walls and roof 2=Dwelling house with specific cooking room 3=Dwelling house in seating/bedroom
4=Kitchen with no roof but with solid walls 5=Kitchen with no roof and with well-ventilated walls 6=Open air 99=Other (specify)

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 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

14. Cookstoves and Health (Mbaula ndi Umoyo)

For this section, I need to please ask the question to the household member who is mainly responsible
for cooking. Mu gawo lino, ndikufuna ndichezeko ndi munthu yemwe ali ndi udindo ophika chakudya
pakhomo panu.

PID PID Reason for changea

2013 2016
1 Which HH member is mainly responsible for
cooking? Ndi ndani pakhomo panu yemwe ali
ndi udindo ophika chakudya?
Reason for change of main cook: 1= Acquired new cookstove2=Main cook in 2013 left family 3=New
cook joined family 4=2013 cook grew older/incapacitated 5=New cook aged into cooking age6=Family
grew smaller to allow younger cooks to cook 7=Farmily grew too big for 2013 to cook 99=Other
(specify)

If more than one household is involved in cooking, which type of food do each cook and what kind
cooking stove does each mainly use?

Food type Cook PID Cooking locationa Type of cookstove usedb

Nsima
Rice
Beans
Meat
aCooking location: 1=House built specifically as kitchen with walls and roof 2=Dwelling house with specific
cooking room 3=Dwelling house in seating/bedroom 4=Kitchen with no roof but with solid walls 5=Kitchen with no
roof and with well-ventilated walls 6=Open air 99=Other (specify)

b Cooking stove used: 1=Traditional three stone 2=Chitetezo mbaula 3=Rocket cookstove
4=Charcoal metallic cooker 5=Kerosene cooker 6=Electric cooker7=Gas cooker
99=Other type (specify)

If different types of food are cooked in different location/cookstove, why? Give at most three major
reasons.

Food Cooking locationa Type of cookstove usedb Different cooks

type
Reason # 1 2 3 1 2 3 1 2 3
Nsima
Rice
Beans
Meat
Reasons for cooking location: 1=to avoid smoke/indoor air pollution 2=Prevent fire hazard 3=avoid wind
4=avoid dust and other impurities 5=avoid attention from passers-by or non-family members 6=More
comfortable/space/light cooking at this location 7=Traditional cooking location for this type of food 8=Avoid
damage wall/roof/furniture 99=Other (specify)

27
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________
Reasons for different cookstove: 1=Chitetezo mbaula cannot handle cooking this type of food 2=Rocket cooker
cannot handle cooking this food type 3=Food cooked using chitetezo mbaula does not taste good 4=Food
cooked using rocket cookstove does not taste good 99=Other (specify)

Reason for different cooks: 1= Traditional values for men/women/girls/boys to cook this food 2=
men/women/girls/boys cook this food better 99=Other (specify)

I will now ask you about improved cook stoves< Chitetezo mbaula and the rocket stove.

Other, name
Rocket stove type:
Chitetezo (Mbaula ya ___________
Mbaula loketi) ___________

If own an improved cookstove, when did you acquire

this improved cookstove (Munaigula liti mbaula
3 yamakonoyi)? (mm, yy)
How did you acquire this improved cookstove (Mbaula
4 imeneyi munaipeza bwanji)? 4 (if not purchased>>5)
How much did you pay for this improved cookstove?
(Munalipira ndalama zingati kugulira mbaulayi?)
5 (kwacha)
If this improved cookstove were to break, how much
would you be willing to pay to replace it Mbaulayi itati
iwonongeke, mungalole kuononga ndalama zingati kuti
6 mugule ina)? (kwacha)
2013 or year acquired
2016
If there is change of amount willing to replace, why? a
Give at most two major reasons 1 2 1 2 1 2

28
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

If not owned, have heard of the

7 improved cookstoves (ICS)?
If yes, from whom? b
Were you connviced that the ICS is
better than traditional cookstove
(TCS) yes=1, no=2
If not, why? c
If convinced but don't own ICS,
why? (N’chifukwa ninji inu mulibe
mbaula yamakonoyi)? 7 (rank in
order, most important first,
separated by commas)
How much would you be willing to
pay for each of these improved
cookstoves (Mungalole kulipira
ndalama zingati kuti mugule mbaula
iyi)? (kwacha)
8 (-999=unwilling to buy one)
a Reasons for change of replacement amount: 1=have experienced the good attributes of new cookstove
2=experienced the downside of the new cookstoves 3= increased scarcity of fuelwood 4=Have new and
cheaper fuelwood source that allows me to use traditional cookstove 5=Have purchased another cookstove
99=Other (specify)

b Heard from whom? 1=NGO selling ICS 2=Private company selling ICS 3=Government extension
agent/official 4=Community worker not associated with any institution
5=Neighbor/relative/friend 5=Read in books/printed media 6=Heard it over the radio/TV
6=Read it from the internet 99=Other (specify)

c Why if not convinced ICS is better than TCS or don’t own ICS yet? 1=Did not fully understand some of the
attributes of the ICS 2=I did not agree with the good attributes promoted 3=The good
attributes promoted are no better than the TCS 4=Convinced but I need to test the ICS before
acquiring it 5=ICS too expensive 6=ICS breaks too easily 7=No repair artisan in village
8=No supplier of ICS in this area 99=Other (specify)

29
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________
I will now ask you about the frequency of different stove-related health problems that members of your
household experienced in the last 12 months (Pano ndikufuna ndidziwe ngati anthu okhala pakhomo
panu anakumanako ndi mavuto a zaumoyo obwera kamba ka mbaula yomwe mumagwiritsa ntchito mu
miyezi khumi ndi iwiri (12) yapitayi komanso kuwirikiza kwa mavuto amenewa).

PID PID PID PID PID PID PID PID PID PID

In a typical day, is this person present in the same room as the stove while the fire is active (0=
9 no, 1=yes, 2=cooking is done outdoors) (Mu tsiku longa lililonse [munthu uyu] amakhalako mu
chipinda chomwe mwaikamo mbaula yoti ikuyaka)?
• 2013 or before acquiring ICS
• 2016
If there is difference why? a
Has this person had an illness with a
cough at any time 2 (kodi [munthu
10 uyu] anadwalako chifuwa mu miyezi
isanu ndi umodzi yapitayi) (0=no,
1=yes, if no>>13)
• In the last six months of 2013
• In the last six months of 2016
• If there is change, why?b
When this person had the illness with
the cough, did they breathe faster
than usual, with short rapid breaths,
or have difficulty breathing? (Pa
11
nthawi yomwe munthuyu amadwala,
ankapumako mwabefu, mobanika
kapena movutikira? (0=no, 1=yes, if
no>>14)
Did their coughing illness affect this
person’s ability to work? (Kodi
12 nthenda yachifuwayi inamupangitsa
munthuyu kuti asinthe magwiridwe
ake antchito? (0=no, 1=yes)
how many times has this person been
burned by the stove, the hot pot, or
the fire (Mu miyezi isanu ndi umodzi
13
yapitayi, [munthu uyu] wapsako ndi
mbaula, poto otentha kapena ndi
moto kangati)?
Over the last six months 2013,
Over the last six months in 2016
If there is change, whyb
How many times did this person have
14 an eye infection (Mu miyezi isanu ndi
umodzi yapitayi, ndikangati komwe

30
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________
[munthu uyu] anadwalako nthenda
yamaso)?
Over the last six months in 2013
Over the last six months in 2016
If there is change, why? b
a Reason for change:1= Received training on indoor pollution effects
2= Built a separate kitchen3=This person is
no longer in household 4= This person was not household emmber in 2013 99=Other (specify)

b
Reasons for change of morbidity: 1= Acquired new ICS 2=ICS got broken and switched back to TCS
3=Kitchen/cooking room got damaged leading more indoor pollution 4=Repaired/improved kitchen
ventilation 5=Changed the time of cooking 6=restricted presence of people in kitchen/cooking room/area
99=Other (specify)

31
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

15 16 17 18 19
How much of (fuel
type) does your HH
use in an average How much of (fuel type)
Enumerator: How much of (fuel type) week on your rocket does your HH use in an
Enter the How much of (fuel type) does your HH use in an stove? average week on your
three most does your HH use in an average week on your (-999=do not have _______ stove (please
used average week on your 3- chitetezo mbaula? this stove) kodi specify stove type)?
(combine stone stove? (-999=do not have this mumaononga Kodi mumaononga
rainy and (-999=do not have this stove) kodi mumaononga (zokolezera moto izi) (zokolezera moto izi)
dry season) stove) kodi mumaononga (zokolezera moto izi) zochuluka bwanji pa zochuluka bwanji pa
fuel sources (zokolezera moto izi) zochuluka bwanji pa sabata, pa khomo sabata, pa khomo panu,
from Section zochuluka bwanji pa sabata, pa khomo panu, panu, mukamaphikira mbaula
12, Column sabata, pa khomo panu, mukamaphikira mbaula ya mukamaphikira ya________? (nenani
2 mukaphikira pa mafuwa? chitetezo? mbaula ya roketi? mtundu wa mbaula)
Fuel Code Fuel Code Fuel Code
Fuel Type Fuel Code Unit 6 Unit 6 from Unit 6 from Unit 6 from
Code 15 Amount from Section 12 Amount Section 12 Amount Section 12 Amount Section 12
Fuel Type 1: 2013
2015/16
If change, why? a
Fuel Type 2: 2013
2015/16
If change, why? a
a Reason for change: 1= Acquired new ICS 2=ICS got broken and switched back to TCS 3=Kitchen/cooking room got damaged leading
stronger wind/greater consumption of energy 4=Repaired/improved kitchen/cooking area 5=Changed type of fuelwood/energy source
99=Other (specify)

32
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

FOR TREATMENT GROUPS ONLY

Answer the following questions if you owned ICS but no longer own it. Give at most three major reasons

1. Did you use the ICS when you owned it? Yes=1, no=2_______
2. How long did you use the ICS (weeks)?______________
3.

Reason #
1 2 3
What is the reason that you no longer use ICS? a
Do you have plans to acquire another ICS? Yes=1, No=2
If not, why? a
If you sold your improved cookstove. What were the reasons
for selling it? a
a Reason not owning/replacing ICS: 1=Got broken 2=Didn’t like it 3=Got a better cookstove 4= Family too big
to use it 5=Now cook food that cannot be cooked using ICS 6=Got an emergency required sale of assets7=There
are service artisans in my area 8=There are no parts for repair 9= Bad experience of first ICS
10=Stolen 99= Other (specify)

If you sold your ICS, how much did you receive? (Kwacha)__________
If your ICS got broken, why?

1=Too fragile 2=Got hit by falling heavy objects 3=Natural wear and tear 4=Inadequate repairs 5=Lack
of artisans for repairs/services 6=Improper use/lack of experience using it properly 7=Don’t know reason
8=Improper storage 99=Other (specify)

Which part of ICS got broken? List all broken parts:

1=Base 2=Handles 3=Nozzle/chimney 4=Combustion chamber 5=Pot support 6=wall

7=Vent/air inlet 99=Other (specify)

ONLY If you own ICS (question 2 == 1). Please respond for the time when you still owned the ICS:

Chitetezo Rocket Other, name type:

Mbaula Cookstove ________________
______________
27 How often do you use the cookstove indoors per
week?
29 If frequency of use is fewer than 7 times per
week, Why?

33
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

ONLY If you own an improved cookstove (question 2 == 1) or if you do not have your ICS anymore,
because it was stolen/got broken/was sold (question 7 == 6, 7, 8). Please respond for the time when you
still owned the ICS:

37 Are you generally satisfied with your improved

cookstove?
(0= no, 1=yes)
38 Which cookstove do you enjoy more cooking (best
one first)?

39 What is/are the benefit/s of the improved

cookstove?
40 Do you collect less firewood because of the
improved cookstoves?
(0= no, 1=yes)
if no >> 42
41 What do you use the time for?

42 Are there other things that have changed because

of owning an improved cookstove?
44 What is/are the disadvantage/s of the ICS?

46 How long did it take until you knew the optimal way
how to use it (in weeks)? (chop the wood in the
right size, start a fire, use ICS for certain meals)

47 How did you learn how to use it?

48 Are other people interested in the improved

cookstove?

49 Did you borrow or rent the cookstove to other

people in the village?

50 How much did the other person had to pay?

51 Are trees today scarcer than 10 years ago?

(0= no, 1=yes)
52 If everybody in the village would own an improved
cookstove, what would be the effect on the
forests?
53 What alternative policy measure could have a
stronger effect on the trees?

34
 HH ID: _____ - _____ - _____ PID: _______ Interviewer Code: ____________

18. Wrap-Up

Enumerator:

Thank your respondent for their participation and present them with the household gift. (One gift per
household only please).

35