susenas - rand corporation...2 central bureau of statistics susenas 79 – ii susenas national socio...

2

CENTRAL BUREAU OF STATISTICS SUSENAS 79 – II SUSENAS NATIONAL SOCIO ECONOMIC SURVE

LISTING II: FERTILITY, WORK FORCE AND FOODS CONSUMPTION LIST

URBAN -1 RURAL -2 CONFIDENTIAL CONDUCTED MONTH:

IDENTIFICATION II. ENUMERATING CHARACTERISTICS 1. Province 5 1. Name of Enumerator : 2. Regency/Municipality 7 2. Date of Enumeration : 3. District 3. Signature of Enumerator : 4. Village 4. Name of Supervisor : 5. Enumerating Area Number 5. Date of Supervising : 6. Sample Code Number 9 6. Date of Checking : 7. Building Serial Number 7. Signature if Supervisor : 8. Household Serial Number 11 III. NOTE 9. Number of Household members 14 10. Number of Household member aged 10 years old and above 16

4

III. FERTILITY AND HOUSEHOLD MEMBERS LISTING

FOR AGED 10 YEARS OLD AND ABOVE

For ever married woman If column (9), not coded 1, school and last grade ever/ being attended:

Serial number

Name of h.h member

Relation to household head’s: Head of hh -1 Wife -2 Children –3 Son/daughter in-law -4 Grand children -5 Parents -6 Parents in-law -7 Relative -8 Other -9 Housemaid -0

Sex: Male -1 Female -2

Year and month of birth (in Christian calendar)

Age (in year)

Dwelling of mother: Living in this household -1 Living outside of this household -2 Passed away -3 Don’t know -4

If she lived in this household fill in serial number of the mother

Education completed: Not School -1 Not completed Primary School -2 Primary School -3 Junior High School -4 Vocational Junior High School -5 Senior High School -6 Vocational Senior High –7 Acad/univ. -9

School Code 3 to 8 like column (9)

Grade

Status of marriage: Single -1Married -2Widowed -3Divorced -4

Is this present married is the last marriage which is first married? Yes -1 No -2

If this not first marriage, what marriage do you have?

Aged at first married (in year)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15

6

III. FERTILITY AND HOUSEHOLD MEMBERS LISTING (CONTINUED)

PARTICULARLY FOR EVER MARRIED WOMAN For married status woman Serial

Number (same as column 1)

Name of woman who ever married (taken from column 2)

Number of children born alive

Children who are living here

Children who are not living here

Deceased children

If column (18) the content is not 0, month and year of the last baby born (in Christian calendar)

Have you ever heard about birth spacing Yes -1 No -2

If ‘Yes’, type of contraceptives have been known: Pill -1 IUD -2 Condom -3 Coitus interruptus -4 Tubectomy -5 Calendar system -6 Not making love -7 Vasectomy -8 Herbs, massages -9

Do you currently use contraceptive? Yes -1 No -2

If “yes” what contraceptive do you used? Pill -1 IUD -2 Condom -3 Coitus interruptus -4 Tubectomy -5 Calendar system -6 Not making love -7 Vasectomy -8 Herbs, massages -9

Place of obtained contraceptive of advice about birth spacing: FP Clinic -1 Hospital -2 FP Field Worker -3 Pharmacy -4 Private doctor -5 FP Field Assistant -6 Other -7

How long the time spent to that place from your house?: < 1 hour -1 1-2 hours -2 2-3 hours -3 3 and more -4 hours

(16) (17) (18) (19) (20) (21 (22) (23) (24) (25) (26) (27) (28) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15

8

V. SOURCE OF HOUSEHOLD INCOME VI. AGRICULTURAL BUSINESS HAVE BEEN DONE DURING 6 MONTHS AGO

Production What is the household income? (Put sign √ to small boxes)

Code 1 to 8: Worker –1 Businessman -2 Workers and Businessman -3

Type of business

Harvest area

(0,000 ha)

Number of trees Total Unit

Production value

Productions cost *)

RP

Income (Rp)

(6) – (7)

Card column

(1) (2) (3) (4) (5) (6) (7) (8) (9) Source of income

Workers

Businessman

Workers and Businessman

(1) (2) (3) (4) (5) 1. Agriculture ↓

continue

↓

to VI

18

1. Seasonal Plants …………… ……………

Hundred

2. Industry 19 3. trade 20 4. Transportation

21

5. Services 22

2. Yearly Plants …………… ……………

hundred

6. Other business

23

7. Government 24

3. Husbandry Egg Milk Livestock Total

Hundred

8. Revenue income

(Pension, gifts, etc)

25

4. Fishery Hundred 5. Hunting/ Forestry

Hundred

6. Land area: FILL IN HA, 3 DIGIT AFTER COMA a. Private : ………………………………Ha b. Private but deliver to other party such as to rent, sharecropping, etc : ……………………………… Ha c. Obtained from other party, sharecropping, etc : ……………………………… Ha d. Land area possessed : ……………………………… Ha

(0,000 ha) (0,000 ha) (0,000 ha) (0,000 ha)

9. From the source of income of column (1) above, main source of income is:

……………………………………………….. 10. As a businessman on column (1) above,

main source of income is : ………………………………………………..

26 27

*) Production cost means all costs paid since beginning until production, such as seed, fertilizer, renting animal, worker’s wage, etc. Purchasing large equipment or capital goods such as, mattock etc is not includes production cost.

10

VII. LISTING OF WORK FORCE OF HOUSEHOLD MEMBER AGED 10 YEARS OLD AND ABOVE

Name of household member Household member serial number

1 18

VII. A. ACTIVITY DURING PREVIOUS WEEK • Can you tell us, the activity have been done during previous week, start from yesterday…….., day before

yesterday…….., 3 days ago etc. • If you work, how long (hours) a day? • Put sign check (√) on the small boxes as appropriated Activity Day

Working (at least 1

hour a day)

Have permanent work, but

temporary not working

Looking for work

School Housekeeper Others (Pension,

handicap, etc.)

(1) (2) (3) (4) (5) (6) (7) Yesterday, ………… Day before yesterday, ……….. 3 days ago, ………….. 4 days ago, ………….. 5 days ago, ………….. 6 days ago, ………….. 7 days ago, …………..

�…….hours �…….hours �…….hours �…….hours �…….hours �…….hours �…….hours

Total ………hours Card Column VII C VII D VII B (Only asked if column 2,3,and 4 Blank)

VII. B. Particularly for ‘School, Housekeeper/ other’ 1. Have ever looking for work during 3 months ago? 1. Yes 2. No 2. Reason why not looking for work:

1. Housekeeper 2. School 3. Health 4. Pension, too old, handicap 5. Don’t want to work

3. If a suitable work for you, will you take the work? 1. Yes 2. No

12

VII. C. WORKING/HAVE A JOB CARD

COLUMN VII. D. LOOKING FOR WORK CARD

COLUMN 1. Where is your work, describe your field working in the

company/office of your work ……………………………………… field working:

……………………

1. How long that you’ve been looking for work? …………….. month

2. Type/position of your work: …………………………. 2. Are you looking the work for full time or part time?

1. Full time 2. Part time

3. Work status: 1. Worker 3. Businessman with workers 2. Businessman without workers 4. Family worker without paid

4. How many hours you have been done of your work during previous week?

………………. Hours

5. Your previous week worked is the same work with the last 3 months work?

1. Yes 2. No

3. Source of income to fulfil your daily needs: 1. Working 3. From family/friend 2. Working sometimes 4. Other

4. Have you ever worked before? 1. Yes 2. No

VII. E. OTHER REVENUE DURING PREVIOUS MONTH

6. How much you’re net income of your last month work? (exclude the harvest in block VI column 8)

In money Rp ………………… In kind Rp ………………… Total Rp. ………………..

hundreds 1. Renting land, house, interest Rp. ………………………

2. Other, in kind formed (gifts, own production) Rp. ……………………… Total Rp. ………………………

Hundreds

VII. F. OTHER INCOME AND EXPENSES DURING PREVIOUS MONTH 7. Besides of your permanent work, do you have another work? 1. Yes 2. No→ go to Q. 10

Income Expenses

Income Total Expenditure Total 8. How many hours you do all the work during previous week? ……………………………hours

(1) (2) (3) (4)

9. How much your net income of all other work during the last month? In money Rp ………………… In kind Rp ………………… Total Rp. ………………..

hundreds

1. Pension 2. Money transferred 3. Took a saving 4. Other (to lend, ‘arisan’,

etc)

………….. ………….. ………….. …………..

1. Sending money 2. Saving 3. Other (paying loan, ‘arisan’ contribution, pension, etc)

……….. ……….. ………..

hundreds

10. Are you willing and have time to take another work? Total ……………

Total ………..

14

VIII. HOUSEHOLD EXPENDITURE/CONSUMPTION LISTING

VIII. A. NUMBER OF HOUSEHOLD EXPENDITURE DURING PREVIOUS MONTH: Rp. ……………….. III. B. USED OF FOODS, DRINKS, TOBACCO AND KEROSENE DURING PREVIOUS WEEK AND FINISHED ON : ……………………

Serial num-ber

Detail Local Unit

Standard Unit

Local unit conver-ted to standard unit

Price per local unit Rp.

Quan-tity in local unit

Quan-tity in stan-dard unit

Value in Rp.

Serial num-ber

Detail Local Unit

Standard Unit

Local unit conver-ted to standard unit


Quan-tity in local unit

Quan-tity in standard unit

Value in Rp.

(1) (2) (3) (4) (5) (6) (7) (8) (9) (1) (2) (3) (4) (5) (6) (7) (8) (9) 0170 Taro, etc Kg

0010

a. Cereals and its products Rice of free market/distribution

Kg

0020 Own production rice Kg

0180 Sago (not made of sweet potato, for example Ambon sago, etc)

Kg

0030 Sticky rice Kg 0190 Other (…………..) Kg 0040 Rice products Kg 0200 Sub-total b. Kg 0050 Wet corn with a skin Kg 0060 Dry corn with a skin Kg 0070 Dry-shelled corn Kg

0210

c. Fish and its products Fresh sea water fish

Kg

0080 Corn flour Kg 0090 Wheat flour Kg

0220 Fresh water fish Kg

0100 Other (…………………….) Kg 0110 Sub-total a

0230 Salted fish and dried fish

Kg

0120

b. Tuber and its products Cassava

Kg

0340 Fish in a can Kg

0130 Dried cassava chip Kg 0140 Flour of cassava (such as

tapioca) Kg

0250 Shrimps, crabs, squid, etc

Kg

0150 Sweet potato Kg 0260 Other (…………..) Kg 0160 Potato Kg 0270 Sub-total c.

16



Serial num-ber

Detail Local Unit

Stan dard Unit

Local unit conver ted to standard unit


Quan tity in local unit

Quan tity in stan dard unit

Value in Rp.

Serial num-ber

Detail Local Unit

Stan dard Unit





Value in Rp.

(1) (2) (3) (4) (5) (6) (7) (8) (9) (1) (2) (3) (4) (5) (6) (7) (8) (9)

Kg

0430

f. Vegetables Spinach

0281 0282

d. Meat 1. meat beef 2. other

Kg

0440

Swamp cabbage

Kg

0450 Cabbage 0291 0292

1. meat buffalo 2. other

Kg 0460 “Petsai” (mustard)

0470 String beans 0301 0302

1. meat Lamb 2. other

0480 Peas

0490 Legume 0311 0312

1. meat Ham 2. other

0320 Preserved meat Kg 0500 Tomato

0330 Other meat Kg 0510 Radish 0340 Chicken meat Unit

0350 Other poultry meat Unit 0520 Carrot

0360 Sub-total d. 0530 Cucumber

0540 Cassava leaves

0550 Egg plant

0140 0371 0372

e. Egg, milk and dairy products

1. Chicken Egg 2. Other

Pieces Pieces

0560 Bean sprout 0570 Gourd 0580 Shallot

0381 0382

1. pure milk Milk liquid 2. factory milk

Liter Liter

0590 Garlic 0390 Sweeten condensed milk

(‘indomilk’ ‘cap bendera’) Kg 0600 Red chili

0610 Small chili 0401 0402

1. milk for baby Powder milk 2. regular milk

Kg Kg

0620 Other (…………….) 0410 Dairy products (cheese, etc) Kg 0420 Sub-total e.

0630 Sub-total f.

18



Serial num-ber

Detail Local Unit

Standard Unit





Value in Rp.

Serial num-ber

Detail Local Unit

Standard Unit





Value in Rp.

(1) (2) (3) (4) (5) (6) (7) (8) (9) (1) (2) (3) (4) (5) (6) (7) (8) (9) 0640

g. Pulses Peanut

Kg

0790 “Rambutan” (with a stem)

0650 Mung bean Kg 0800 Lanzon 0660 Kidney bean Kg 0810 Durian 0670 Soybean Kg 0820 Snake fruit 0680 Lima bean Kg 0830 Pinapple with stem 0690 Tofu 0840 Banana 0700 Fermented soybean cake Kg 0850 Papaya 0710 Fermented soybean sauce Kg 0860 Rose-apple 0720 “Oncom” Fermented

peanut expeller cake Ounce 0870 Guava

0730 Other (……………) Kg 0880 Sapodilla 0740 Sub-total g. 0890 Star fruit 0750

h. Fruits Orange

Kg

0900 “Kedondong”

0760 Mango Kg 0910 Watermelon 0770 Apple Kg 0920 Other (……………..) 0780 Avocado KG 0930 Sub-total h.

20



Serial num-ber

Detail Local Unit

Stan dard Unit





Value in Rp.

Serial num-ber

Detail Local Unit

Stan dard Unit





Value in Rp.

(1) (2) (3) (4) (5) (6) (7) (8) (9) (1) (2) (3) (4) (5) (6) (7) (8) (9) 0940

i. Other consumption Salt

Ounce

1120

j. Prepared food Syrup

Bottle 700cc

0950 Pepper Ounce 0960 Fish paste/shrimp paste Ounce

1130 Soda pop, coca cola, Fanta, etc

Bottle 350cc

1140 Bread, biscuit, etc 0970 Soy sauce Bottle 350cc

0980 Coconut Unit 1150 Prepared food and drink

which eaten at home

0990 Cooking oil Liter 1000 Butter Ounce 1010 Fat oil Ounce

1160 Prepared food and drink which eaten outside home

1020 Sugar brown Ounce 1170 Sub-total j. 1030 Granulated sugar Ounce 1040 Tea Ounce 1050 Coffee Ounce

1180

k. Alcohol beverages Bier

Bottle 700cc

1060 Powder chocolate Ounce 1190 Other (……………..) Bottle 700cc

1200 Sub-total k. 1070 Crisp (crisp chip, shrimp crackers, etc)

Ounce 1210

l. Tobacco, betel Menthol Cigarettes

Pack 20 bars

1220 Clove cigarettes Pack 10 bars

1080 Noodle, wheat & rice noodle

Ounce

1230 Cigar Pack 10 bars

1240 Tobacco Ounce 1090 Monosodium glutamate (“sasa”, “miwon”, etc)

Ounce 1250 Betel leaves/areca nut

1100 Other (…………….) Ounce 1260 Other (……………….) 1270 Sub-total l. 1110 Sub-total i. 1280 Kerosene liter

22

VIII. C. SUMMARY OF HOUSEHOLD EXPENSES

Serial number

Type of expenses During a week Rp.

Serial number

Type of expenses During a week Rp.

(1) (2) (3) (1) (2) (3) 1. Cereals and its products (Block VIII B a) 9. Other consumption (Block VIII B i) 2. Tuber and its products (Block VIII B b) 10. Prepared food (Block VIII B j) 3. Fish and other fish products (Block VIII B c) 11. Alcohol beverages (Block VIII B k) 4. Meat (Block VIII B d) 12. Betel tobacco (Block VIII B l) 5. Egg, milk and dairy products (Block VIII B e) 13. Total (1 to 12) 6. Vegetables (Block VIII B f) 14. Total expenses for food (1 to 12) x 30/7 7. Pulses and its products (Block VIII B g) 15. Kerosene (Block VIII B detail

1280)

8. Fruits (Block VIII B h) 16. Total monthly expenses (Block VIII A)

susenas - rand corporation...2 central bureau of statistics susenas 79 – ii susenas national socio...

Documents