Q8001
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Have you ever heard of an illness called AIDS [or use local term] or a virus called HIV? |
Q8002
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Over the last 12 months, have any members of your household, adults or children, needed care or support for any reason? |
Q8003
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In total, how many adult household (HH) members have needed care or support in the last 12 months? |
Q8004
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Person (HH member) number from Section 0400: HH Roster - Enter 67, 68, or 69 for those who are not currently HH members |
Q8005
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Is this adult alive or dead? |
Q8005A
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What is your relationship to this person? |
Q8006
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Why does/did this person need care or support?* OR Why did this person die?* |
Q8007
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Providing care for this adult? Is it you yourself, someone else in this household, or someone outside of this household? |
Q8008
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Even if you were not the main caregiver, did/do you provide care or support to this person? |
Q8009
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For how long have/had you been providing care? |
Q8010
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What type of care or support is/was provided? |
Q8011
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What type of personal care is/was provided? |
Q8012
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As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care? |
Q8013
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How many of these household members, who had a prolonged illness or died in the last 12 months, were contributing an income to the household and now have stopped? |
Q8014
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Was one of these persons (who have/had a prolonged illness or who died) from your household the main economic provider? |
Q8015
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In relation to providing care and support in the last 12 months, has your household received any help or assistance from outside the household? |
Q8016
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What kind of help have you, as a caregiver, received? |
Q8017
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Who provided this help or assistance? |
Q8018
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Getting enough sleep? |
Q8019
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Eating enough food? |
Q8020
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Having enough energy to do the extra work? |
Q8021
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Taking care of your health, ailments or chronic condition (if exist) - including impact of care giving on your own health (stress, fatigue, muscle strains, insomnia, anxiety, grief)? |
Q8022
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Able to pay for medication/treatments for your ailments / chronic condition? |
Q8023
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Visiting friends and relatives as much as before you were providing this level of care? |
Q8024
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Sharing feelings about care giving responsibility with others? |
Q8025
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Financial problems due to loss of income, decreased time available for paid employment, or increased costs or expenses? |
Q8026
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Knowing the correct care to provide for health problems (for example, knowing the best treatment, getting access to medicines (for example, anti-retroviral), knowing how to protect yourself, as the caregiver, from getting the illness/disease)? |
Q8027
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Stigma or problems you experienced as a result of the illness or death (that is, response to you or other members of the household by the community, friends or family members)? |
Q8028
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Has anyone in your household provided care for any child aged 15 or under in the household in the last 12 months? |
Q8029
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Please think of the next youngest of the children aged 15 years or younger. Enter person (HH member) number from Section 0400: HH Roster - Enter '66' for child who is not currently HH member |
Q8029A
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What is [NAME]'s relationship to you? |
Q8029B
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Is this child alive or dead? |
Q8029C
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Which of [NAME]'s parents are ill, absent or dead? Neither, only his/her mother, only his/her father or both parents? |
Q8029D
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What was/were the reasons for parent(s) being ill or absent (or reasons for death)? |
Q8029E
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Now, please tell me, who is or was the main person providing care for this child? Is it you yourself, someone else in this household, or someone outside of this household |
Q8029F
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Even if you are/were not the main caregiver, did/do you provide care or support to this child? |
Q8029G
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What type of care or support is/was provided?I |
Q8030
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Please think of the next youngest of the children aged 15 years or younger. Enter person (HH member) number from Section 0400: HH Roster - Enter '66' for child who is not currently HH |
Q8030B
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Is this child alive or dead? |
Q8030C
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Which of [NAME]'s parents are ill, absent or dead? Neither, only his/her mother, only his/her father or both parents? |
Q8030D
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What was/were the reasons for parent(s) being ill or absent (or reasons for death)? |
Q8030E
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Now, please tell me, who is or was the main person providing care for this child? Is it you yourself, someone else in this household, or someone outside of this household |
Q8030F
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Even if you are/were not the main caregiver, did/do you provide care or support to this child? |
Q8030G
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What type of care or support is/was provided? |
Q8031
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Please think of the next youngest of the children aged 15 years or younger. Enter person (HH member) number from Section 0400: HH Roster - Enter '66' for child who is not currently HH member |
Q8031A
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What is [NAME]'s relationship to you? |
Q8031B
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Is this child alive or dead? |
Q8031C
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Which of [NAME]'s parents are ill, absent or dead? Neither, only his/her mother, only his/her father or both parents? |
Q8031D
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What was/were the reasons for parent(s) being ill or absent (or reasons for death)? |
Q8031E
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Now, please tell me, who is or was the main person providing care for this child? Is it you yourself, someone else in this household, or someone outside of this household |
Q8030F_1
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Even if you are/were not the main caregiver, did/do you provide care or support to this child? |
Q8031G
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What type of care or support is/was provided?I |
Q8032
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Please think of the next youngest of the children aged 15 years or younger. Enter person (HH member) number from Section 0400: HH Roster - Enter '66' for child who is not currently HH member |
Q8032A
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What is [NAME]'s relationship to you? |
Q8032B
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Is this child alive or dead? |
Q8032C
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Which of [NAME]'s parents are ill, absent or dead? Neither, only his/her mother, only his/her father or both parents? |
Q8032D
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What was/were the reasons for parent(s) being ill or absent (or reasons for death)? |
Q8032E
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Now, please tell me, who is or was the main person providing care for this child? Is it you yourself, someone else in this household, or someone outside of this household |
Q8032F
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Even if you are/were not the main caregiver, did/do you provide care or support to this child? |
Q8032G
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What type of care or support is/was provided? |
Q8033
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As the main or other caregiver in the household, how much time per day on average did/do you usually spend providing care? |
Q8034
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In relation to providing care and support in the last 12 months, has your household received any help or assistance from outside the household? |
Q8035
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What kind of help have you, as a caregiver, received? |
Q8036
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Who provided this help or assistance? |
Q8037
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Getting enough sleep? |
Q8038
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Eating enough food? |
Q8039
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Having enough energy to do the extra work? |
Q8040
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Taking care of your health, ailments or chronic condition (if exist) - including impact of care giving on your own health (stress, fatigue, muscle strains, insomnia, anxiety, grief)? |
Q8041
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Able to pay for medication for your ailments / chronic condition? |
Q8042
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Visiting friends and relatives as much as before you were providing this level of care? |
Q8043
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Sharing feelings about care giving responsibility with others? |
Q8044
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Financial problems due to loss of income, decreased time available for paid employment, increased costs or expenses, or selling household items? |
Q8045
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Knowing the correct care to provide for health problems (for example, knowing the best treatment, getting access to medicines (for example, anti-retroviral), knowing how to protect yourself, as the caregiver, from getting the illness/disease)? |
Q8046
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Stigma associated with illness/death (that is, response to you or other members of the household by the community, friends or family members)? |
Q8047
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Think about the care you have given to the ill household member(s) or to the orphaned child (ran) in your home over the last 12 months and think about your own health. Because of this care giving, how often have you been going to seek medical care or consultation or check ups for your own health? |