village/mtaa data survey form region: district: ward...

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


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)


School: Village/Mtaa: Council:

Code: EA Number:


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


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


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}


Household No.: Village/Mtaa: Council:

Code: EA Number:


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

village/mtaa data survey form region: district: ward...

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