Enumerator
-
Name of Enumerator
-
Phone Number
INDICATORS
-
LGA
-
Ward
-
Name of Community
- Gafang
- Lyoh Gyel
- Sot
- Tahei
- Tanchol
- Rahwol Kak
- Raku Sot
- Rankyeng
-
Sub-sector
-
Respondent role in the family
-
Phone Number of the Head of Household
-
Gender
-
Number of persons in the household
-
Occupation of Household
-
Type of water source
-
Means of water supply
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Where is the water source located?
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How long does it take to go there, get water, and come back?
-
Where do you defecate?
-
What is the state of the toilet facility?
- Private/Shared improved facility
- Private/Shared unimproved facility
-
What is the type of facility (toilet/latrine) in the HH?
-
Does the pan have a return cover or water separator?
-
Does the latrine have a cover?
-
Is there a superstructure (toilet building)?
-
Is the superstructure well ventilated?
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Does the superstructure have installed doors, windows, and a roof? (Select all applicable)
- has a window
- has a door
- has a roof
-
Does the toilet facility hygienically separate waste?
-
Does the toilet facility have containment?
-
Is the toilet facility clean?
-
Does the toilet facility itself have any issue?
-
Take pictures of the toilet facility
-
Picture_URL
-
Does the facility have a handwashing station?
-
Is there water at the station?
-
Is there soap at the station?
-
Take pictures of the handwashing station.
-
Picture_URL
-
GPS of survey location
