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HELLO, I am your BALMED community surveyor. You are invited to take part in an IMPACT SURVEY to assess and gather information on the social, economical and environmental impact of Ebola on communities and households in the area. You will be asked questions about your daily activities, farmwork, labour, trade, processing, harvest and marketing of agricultural goods that are produced by or within the area of the community. The survey is conducted by a committee of International Development Agencies, NGO´s, Private Businesses and the Government of Sierra Leone. The information collected through this survey will be used to identify the needs of the communities and the measurements to be put in place to eradicate Ebola within the next month and return to normal life. Ebola is a deadly virus desease that is transmitted from human to human. (Close contact to LIVING and DEAD persons infected with Ebola, touching, kissing, hugging, breatfeeding, sex, blood, urine, feases and cloths of the infected person.) The main symptoms of Ebola are: Sore throught, fever, rash, headache, (bloddy) vomiting, (bloody) diarrhea and joint pain. Symptoms are similar like Malaria, Typhoid or Cold. Once a person show symtoms (even if its very small), the person transmit the virus on, to those individuals who are in close contact with the infected person. Doctors, healthworkers and person who care for sick people are at the highest risk, especially when they don´t know that the desease might be Ebola. We hope that we have the full support of the communities and households we are working with in order to eradicate Ebola disease and return back to normal life. ONLY together we can fight the disease for a good future of Mama Salone! |
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GENERAL INFORMATION In this part of the survey, I will ask you questions about the community and the households. |
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| What is the name of the community? | | |
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| What is the name of the chiefdom? | | |
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| What is the name of the District? | | |
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Please take a picture! Ensure your location mode is switched on. |
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| How many households are in the community? | | |
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| How many people live in the community? | | |
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EBOLA INFORMATION In this part of the survey I will ask you questions about Ebola and how it affected the community.
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Has the community confirmed cases of Ebola |
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Are or was there any quarantined households in the community? |
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Has people left the community or migrated to other areas due to Ebola? |
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When did you hear the first time about Ebola? |
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How did you hear about Ebola? |
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Where do you think Ebola comes from? |
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How can you contract Ebola? |
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Your mother feels very sick and weak. How would you help her? |
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Somebody from your close family is sick and calls you for help. What would you do? |
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SOCIAL IMPACT OF EBOLA ON THE COMMUNITY Here I will ask questions about the life and the situation in the community since the Ebola outbreak. It has to do with your social activities and responsibilities. We will talk about entertainement, travel, institutions and supply situation. |
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How do you see the situation in the community? |
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Which restrictions do you face in your social activities? |
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Has Ebola become a major issue in the community and in your daily life? |
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ECONOMICAL IMPACT OF EBOLA ON THE COMMUNITY Here I will ask you questions about the economic situation of the community/household. This involves food supplies, provision and household goods, goods in stock, cash and liquidity, labour and workforce as well as rural finance and banking. |
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Do you currently experience food shortage? |
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Since when do you experience food shortage? |
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Which plant based foods are missing most? |
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Which animal based foods are missing most? |
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Which household and provison goods are missing most? |
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Do you currently experience rising prices for food products? |
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Since when do you expirience rising food prices? |
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Compare the prices of commodities mainly sold to exporters.
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How do traders and exporters demand these products currently?
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Are those traders and exporters currently buying your products? |
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Will you have stock left that you could not sell due to Ebola? |
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Please compare the prices of plant based foods.
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Please compare the prices of animal based foods.
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Please compare the prices of additional cooking supplies.
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Describe your sales of products produced by the community. |
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How do you see the accessability of foods? |
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How do you see the transportation and marketing costs of food? |
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How do you see the availability of workforce? |
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Which finance facility do you normally use? |
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Can you still access these facilities? |
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In which development programs the community is involved? |
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Which development programms stopped due to Ebola outbreak? |
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ENVIRONMENTAL IMPACT OF EBOLA ON THE COMMUNITY In this section I will ask you questions about the environmental and agricultural conditions due to the Ebola outbreak. This involves crop production, processing and marketing as well as farm sanitation and farm conditions. |
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Which crops are produced by the community? |
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Do you experience reduced crop production? |
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Which livestock is produced by the community? |
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Do you experience reduced livestock production? |
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Which bushmeat is produced by the community? (Hunting, trapping, collecting) |
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Do you experience reduced bushmeat production? |
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Does the community receive support for agricultural activities from organisations? |
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Describe your current agricultural activity in the community.
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How did Ebola effect your agricultural activities? |
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Do you think you will have losses or profit in agricultural production due to the Ebola? |
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Do you experience restrictions in accessing your farmland due to Ebola? |
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Do you think you will have to spend more money on farm sanitation and rehabilitation in the next season due to Ebola? |
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Is the community involved in seed supply projects? (Government, NGO´s Private Sector, FBO´s) |
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Which type of seeds are supplied by those projects? |
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Does Ebola affect the supply of seeds? |
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THANK YOU VERY MUCH!
The survey is now over. We will inform you, once the statistics have been analyzed.
Stay healthy! |
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