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RECOVR Survey and Health Messaging Study
IPA RECOVR SURVEY (Ghana)
Version: 4 May 2020, Round 1
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ModuleSectionVariableQuestionResponse set
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CONS. Introduction and Consent
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coreCONS"GREETING/ INTRODUCTION
Good morning/afternoon/evening. My name is ______________________ from Innovations for Poverty Action, a Ghanaian research NGO. Today we are doing a survey about the effects of covid-19 on economic and social conditions in Ghana. Your phone number has been randomly selected from all possible phone numbers in Ghana.
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coreCONScons1We can continue this call in Twi, Dagbani, Ewe, or Ga. Which language would you prefer?*Available languages list, select one*
Twi
Dagbani
Ewe
Ga
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coreCONS*If enumerator cannot speak that language fluently*
I am not able to continue in that language and will have a colleague who can call you soon.
[Hand-off tracking protocol, include preferable times]
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coreCONS*If no language options work: end survey here*
Thank you for your response. We will end the survey now.
[End survey]
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coreENDend4What is your first name?
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coreDEMdem1How old are you?*Enter age*
##
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coreCOND*If DEM1<18*
Thank you for your response. We will end the survey now.
[End survey]
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coreCONSCONSENT SCRIPT

We would like to invite you to participate in a research survey. If you choose to participate, we will ask you questions about you and your household’s background, household items, children’s education, knowledge of and practices on coronavirus, employment and business, financial health, and government support. The survey will take about 45 minutes of your time. For participating in this survey, you will receive GH₵ 5 phone credit.

Your participation in this survey is completely voluntary. If you decline to answer any questions or to withdraw at any point during the survey, your decision will not in any way affect you. There are no anticipated risks from study participation. Your responses will be kept anonymous. Answers to these questions will be combined with answers from other respondents and we will never identify you personally as a participant in this survey. The research team will not share your personal information with anyone outside the study. We will strive to maintain the privacy of your responses and audio recordings.


The information you provide may help researchers to understand people's needs during this difficult time. If you have questions, comments, or concerns about the research, please contact XXXXX. If you have any questions about your rights as research participants, please contact IPA IRB at humansubjects@poverty-action.org.
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coreCONScons2Do you agree to participate in this survey?Y/N
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coreCONScons3During this interview you may be audio recorded. You and the enumerator will both not know when this recording may happen. The audio recording may only happen if you consent to it and you will not be recorded against your will. This recording will only be used for data quality assurance purposes only.

Do you consent to a possible audio recording?
Y/N
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DEM. Demographics and Household CharacteristicsNOTES
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coreDEMFirst, I'm going to ask some basic questions about you and your household.
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coreDEMdem2What is your gender?M/F
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coreDEMdem3In which region are you currently living?*Do not ask, auto-populate*
Adjust to ask at lowest unqiue level, auto-populate up
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coreDEMdem4In which district are you currently living?*Drop-down options based on previous*Adjust to ask at lowest unqiue level, auto-populate up
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coreDEMdem5In which city, town or village are you currently living? Is it [largest city/town in 2nd largest sub-national unit] or another place?*Response options to minimize data entry*
Largest city/town in each 2nd largest sub-national unit
Other (specify)
Adjust to ask at lowest unqiue level, auto-populate up
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OPTIONDEMdem6Were you living in the same place before the partial lockdown in parts of Ghana [before mid-March]?Y/N/Refused
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OPTIONDEMdem7*If N to DEM6*
At the end of February 2020, were you living in the national capital, a regional capital, a district capital, another town/village in the country, or outside the country?

*Single response*
National capital
Regional capital
District/Local capital
Another town/village
Outside the country
Refused to answer
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coreDEMdem8A household is defined as a person or group of persons: who are related or unrelated; who live together in the same dwelling unit; who acknowledge one adult male or female as the head of household; who share the same living arrangements; who share food; and who are considered as one unit.

What is your relationship with the head of your household? The head of your household is ….?
*Do not read, code to fit*
respondent is the HoH
spouse/ partner
parent/ parent-in-law
grandparent/ spouse's grandparent
child/ adopted child/ step child
son or daughter-in-law
grandchild
other relative
domestic worker
other (specify)
Refused to answer
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coreDEMdem9How many people, including yourself, live in your current household?## Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreDEMdem10How many children who had been attending school this academic year before government closed down the schools live in your current household?

Note: This question includes only children living in the household, not children of the respondent or others who now live away.


##

Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreDEMdem11What is the highest level of education you have completed?*Single response, code to fit*
None
Kindergarten
Primary
Middle/ Junior High
Vocational
Secondary
Post-Secondary
Refused to answer
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coreDEMdem12How many functional mobile phone numbers including this one do you personally have?#

Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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PPI. Poverty Measurement - PPI or Alternative
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I will now ask you a few questions about items in your household.
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corePPIppi1What is the main fuel used by the houshold for cooking?Do not prompt.

None/No cooking
Wood, crop residue, sawdust, animal waste, or other
Charcoal, or kerosene
Gas, or electricity
Other specify
Don’t know
Refuse to answer
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corePPIppi2Does any member of the household own a working fan?Y/N
Refused to answer
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corePPIppi3Does any member of the household own a working television?Y/N
Refused to answer
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HLTH. Health Symptoms and Care
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coreHLTHNow I'm going to ask a few questions about health care for your household.

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coreHLTHhlth2How many children living in your household are less than two years of age?#
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreHLTHhlth3How many people living in your household are older than 60 years of age (born before 1960)?#
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreHLTHhlth4Have you or any other person in your household delayed, skipped or been unable to complete needed health care visits since the middle of March (i.e., since schools were closed by the government)?

Y/N/DNK/Refused
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coreHLTHhlth5*If YES to HLTH4*
For what reasons have you or any other members of your household delayed or skipped needed health care since the middle of March (i.e., since schools were closed by the government)?
*Code to fit - do not read out since it might discourage health-seeking behaviors, prompt up to 3*
Cost - Could not afford care
Cost - Could not afford transportation
Clinic was closed
Clinic had a long wait time / was understaffed
Concerns about covid-19/coronoavirus infection
Appointment forgotten
Too busy
Had to work
Other-specify
Refused to answer
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OPTIONHLTHhlth7In the past 7 days, have you or any other adults in your household experienced fever with a dry cough?Y/N/DNK/Refused
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OPTIONHLTHhlth8In the past 7 days, have you or any other adults in your household experienced fever with difficulty breathing or shortness of breath?Y/N/DNK/Refused
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OPTIONHLTHhlth9If Y to HLTH7 or HLTH8: The Ghanaian Ministry of Health has provided the following guidance.

"Stay at home if you begin to feel unwell, even with mild symptoms such as headache and slight runny nose, until you recover. If you have a fever, cough and difficulty breathing, seek medical attention and call in advance. You can call the shortcode 112 for emergency or 311 for general information. You can also call the following numbers: +233 55 843 9868 / +233 50 949 7700 for assistance."
*No response*
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COV. Covid Mitigation
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Now, I will ask you questions about measures you and your household are taking to prevent covid-19.
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coreCOVcov1In the past 7 days, how many days have you stayed at home all day, without going out at all and without receiving any visits?

Note: Staying within your home unless you are using shared water/cooking/toilet/laundry facilities common to a compound or apartment building, or working on your farm or kitchen garden. Receiving visits would include others in the compound who do not live in your home.
0-7
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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OPTIONCOVcov3In the past 7 days, how many days did members of your household go to a market or food store?0-7
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreCOVcov4In the past 7 days, have you washed your hands with soap and water more often, less often, or about the same as you did before mid-March (or before government closed schools)?*Do not read*
More
Less
Same
DNK
Refused to answer
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OPTIONCOVcov5In the last 7 days have you worn any type of face mask? If yes, what type?*Prompt for type if YES* Multiple select for Yes
Y, manufactured medical face masks
Y, homemade (cloth) facemasks or other nose/mouth covering
N
N/A, Have not gone out
Refused
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OPTIONCOVcov6*If NO to COV5*
In the last 7 days why have you not worn a face mask?



*Ask for each PPE item selected in COV5 above, select all that apply*
Not necessary
Too expensive
Not available locally
Afraid to be stigmatized
Other (specify)
Refused to answer
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coreCOVcov7Do you feel that you or anyone in your household is at risk of contracting covid-19?Y/N/DNK/Refused
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coreCOVcov8*If NO to COV7*
Why do you feel that your household is not at risk of contracting covid-19?
*Code to fit, do not read out*
Belief in God
Follow preventive/protective measures
Does not exist where I live
Does not exist at all
We are strong and healthy
Hot weather
Because my racial or ethnic group is not affected
Other (specify)
Refused to answer
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OPTIONcov9Do you think the reaction of your country’s government to the current coronavirus outbreak is appropriate, too extreme, or not sufficient?Much too extreme
Somewhat too extreme
Appropriate
Somewhat insufficient
Not sufficient
Refused to answer
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OPTIONcov10What is your main source of concern related to the effects of the Coronavirus crisis on Ghanaians?*Read out, select one*
Health
Lack of money
N/A, Not concerned
DNK
Refused to answer
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EDU. Education
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Now let's talk about children's participation in education.
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coreEDU*If DEM10>0 (children in household)*
Now I'm going to ask some questions about the school-aged children living in your household.
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coreEDUedu1In the past 7 days, what have you been MOST concerned about in relation to school-aged children?*Do not read, code to fit*
Children having enough to eat
Children falling behind in their education
Children not being able to take their exams (eg. high stakes primary leaving exams)
Children getting sick
Children loitering, not being occuppied
Children being safe
Children getting into trouble because they are not in school
Children being disobedient
Other (specify)
(I have not been concerned)
Refused to answer
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coreEDUedu2Are primary school-age children in your household currently spending time on education since schools were closed?

Note: Education includes any learning activities, not just formal distance education.
*Prompt for all/most/some if YES*
Y, all of them
Y, most of the them
Y, some of them
N, none of them
There are no primary school aged children in my household
Refuse to answer
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coreEDUedu3Are secondary school-age children in your household currently spending time on education since schools were closed?

Note: Education includes any learning activities, not just formal distance education.
*Prompt for all/most/some if YES*
Y, all of them
Y, most of the them
Y, some of them
N, none of them
There are no primary school aged children in my household
Refused to answer
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OPTIONEDUedu4*If YES to EDU 2 or 3*
On average over the past week, how many hours a day do children in the household spend on education since schools have been closed?
*Code to fit, prompt as needed*
More than two hours each day (10+ hours/week)
About one hour each day (~5 hrs/ week)
About a half hour each day (~3hrs/week)
A few minutes each day (<1 hr/week)
None (0)
Refused to answer
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OPTIONEDUedu5*If YES to EDU 2 or 3*
What are children in the household doing to spend time on education since schools have been closed?
*Read, select all that apply*
Ghana Learning TV
Other educational TV programs
Radio
Books provided by school
Their own school books
Books we have in the household
I/Others in my household are teaching them
Educational content on the internet
Official educational content - courses, audiobooks, or lessons
iBox/iCampus
Other
Refused to answer
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OPTIONEDUedu6What are the main reasons children in your household are not spending more time on education during this time while schools are closed?*Code to fit, prompt for multiple responses, up to 3*
Lack of access to television
Lack of access to radio
Lack of access to internet
Lack of access to educational programs
Lack of access to textbooks or learing materials
Lack of motivation
Lack of support from teachers and schools
Children are working to earn money
Children are taking care of their siblings
Children are doing housework
Lack of supervision from adults in the household
There is not a good/quiet place to study
Children need to spend their time doing other things
Other (specify) x3
Refused to answer
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OPTIONEDUedu 7Have you or any other adult in the household been contacted by anyone from your children's schools since schools have been closed? (e.g. headteacher, teacher)Y/N/DNK/Refused
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INC. Work and Income
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coreEMPNow I'm going to ask some questions about work and income.
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coreINCinc1During February 2020, did you work for someone else for pay, for one or more hours?Y/N/Refused
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coreINCinc2*If N to INC1*
During February 2020, did you run or do any kind of business, farming or other activity to generate income?
Y/N/Refused
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coreINCinc3*If N to INC2*
During February 2020, did you help in a family business or farm?
Y/N/Refused
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coreINCinc4If YES to INC1, INC2 or INC3
Which sector best describes your main job/activity as of the end of February 2020?
*Do not read, Code to fit*
Agriculture
Fishing or mining
Manufacturing
Construction or utilities
Retail or Wholesale
(Street) Vendor
Transportation and storage
Accomodation and food services
Information and communication
Financial activities or real estate
Education
Health
Other services
Refused to answer
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coreINCinc5*If INC4=Agriculture*
Since February 2020, have you or members of your household had to alter planned planting, harvesting or marketing of agricultural products because of Covid-19/coronavirus or related restrictions?
No particular change, things have proceeded as normal
DNK
*If Yes, which did you have to do?, select all*
delayed planting
decreased acreage planted
delayed harvesting
harvested early
could not harvest in time
Refused to answer
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coreINCinc6*If YES to INC1 or INC2*
Is your business/place of work currently open?

Note: If the business is closed to the public but operates it should be considered open.

*After YES/NO, prompt with the relevant categories*
DNK
No, temporarily closed by government mandate
No, temporarily closed due to challenges related to the COVID-19 outbreak
No, temporarily or permanently closed due to factors unrelated to the COVID 19 outbreak
No, permanently closed due to challenges related to the COVID-19 outbreak
Yes, Business remains open but some/many people are working from home
Yes, Business remains open but operations have been reduced
Yes, Business remains open but some or many workers have been laid off
Yes, Business remains open as usual
Yes, Farming work has not changed
Refused to answer
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coreINCinc7If YES to INC1 or INC2
In the past 7 days, did you spend at least one hour working?

Please consider day labor, work for wages or in-kind, and working on your own account or your own business, including an agricultural business (farm).
Y/N/Refused
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coreinc8If YES to any INC1, INC2 or INC3 AND YES to INC7*
In the past 7 days, did you spend more, the same, fewer or no hours (working for pay/ running a business/ helping on a family business) than you did in a typical week before mid-March (i.e., before government closed the schools)?
More
Same
Fewer
None
Refused to answer
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coreinc9If YES to If YES to INC1 or INC2
During the past 7 days, did you earn more, the same, or less pay than you did in a typical week before mid-March (i.e., before government closed the schools)?
More
Same
Less
None
Refused to answer
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NET. Social Safety Net
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Now I'm going to ask some questions about access to food and social protection programs.
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coreNETnet1Do you usually receive a regular transfer from Livelihood Empowerment Against Poverty (LEAP) or another government program?
Y/N/Other-specifcy (if not LEAP)/DNK
HINT: Social safety net programs include cash transfers and in-kind food transfers (food stamps and vouchers, food rations, and emergency food distribution).
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(core)NETnet2*If YES to NET1*
Since February 2020, have you experienced any delays or difficulties in receiving LEAP [or Other specified] payments? If so, what are they?
None
Delays
Difficulty receiving cash from banks
Difficulty receiving cash from mobile money or banking agents
Unable to travel to pick up cash
Location/bank I pick up cash is closed
Location/bank I pick up cash has no cash
Other (specify)
Refused to answer
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coreNETnet3Have you received any food, cash or other support from the government in the past month that you do NOT usually receive [e.g., name of program]? If so, which type of support?*Multiple responses possible, prompt*
No, none
Food
Cash
PPEs
Free electricity
Free water
Other (specify)
Refuse to answer
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coreNETnet4Have you received any food, cash or other support from anyone else in the past month, that you do NOT usually receive? If so, from which source?No

Yes --> *Multiple responses possible, prompt*
Church/mosque
Relatives in country
Relatives outside the country
MP or other politicians
Celebrity
NGO/CSO
Other (specify)
Refused to answer
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FSEC. Food and Market Security
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I will now ask you questions about access to food and market.
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coreFSECfsec1In the past 7 days, how many days have you or someone in your household had to… Limit portion size at meal-times?0-7
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreFSECfsec2In the past 7 days, how many days have you or someone in your household had to… Reduce number of meals eaten in a day?0-7
Hint: Enter -888 if Don’t know or -999 if Refused to answer.
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coreFSECfsec5In the past 7 days, have you or any household member been unable to buy the amount of food you usually buy because of shortages in the markets you buy from?
Y/N/DNK/Refused
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coreFSECfsec6In the past 7 days, have you or any household member been unable to buy the amount of food you usually buy because the price of food was too high?Y/N/DNK/Refused
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coreFSECfsec7
In the past 7 days, have you or any household member been unable to buy the amount of food you usually buy because the household income has dropped?
Y/N/DNK/Refused
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FIN. Financial Health
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Now I have a few questions for you about financial challenges Ghanaians may face.
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OPTIONFINfin1Imagine that you have an emergency and you need to pay 500 cedis. What would be the MAIN source of money that you would use to come up with 500 cedis within the NEXT 30 DAYS?*Read out options, select one*
Savings
Family, relatives, or friends
Money from working
Borrowing from a bank, employer, or private lender
Selling assets
Some other source
(I could not come up with the money)
Refused to answer
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optionFINfin2*IF FIN1 was not "I could not come up with the money"*
How difficult would it be for you to come up with 500 cedis within the NEXT 30 DAYS? Would it be very difficult, somewhat difficult or not difficult at all?
*Read out options, select one*
Very difficult
Somewhat difficult
Not difficult at all
Refused to answer
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coreFINfin4Since February 2020 have you or someone in your household been forced to do any of the following to pay for food, healthcare, or other expenses?*Read out options, select all that apply*
Sell off assets (including livestock)
Deplete your savings
Borrow money you were not certain you could pay back on time
Skip making a required payment on a loan (NOT taking advantage of govt programs to delay)
Buy fewer inputs than planned for a farm or business
None of the above
Refused to answer
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coreFINfin5Do you have an account that you can use to make or receive payments, or to receive wages or financial help, such as a bank account or mobile money account?Bank account
Mobile money
No account
Refused to answer
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OPTIONFINfin6*If YES to FIN5*
Over the past 30 days, have you been able to access your bank accounts?
Y/N/DNK
Refused to answer
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OPTIONFINfin7*If YES to FIN5*
Do you currently have an account that you can access to send or receive money using your mobile phone?

Note: This could be mobile money or a mobile bank account. DNK for those who may have never tried to use these account features but might have them.
Y/N/DNK
Refused to answer
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EXP. Experiment
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EXPEXPWe have a few final questions about the effects of covid-19 on life in Ghana.

Note: Ask exp2-exp5 to those in the treatment condition. You should also ask exp6, exp7, and exp8 only to those in the treatment condition who answered either exp2 or exp4 by providing the name of a person they care about. Ask exp9 only to those in the control condition and to those who did not provide the name of a person they cared about in the treatment condition (those who did not answer exp2 or exp4). Ask exp10 to all participants.
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EXPEXPPeople over 65, cigarette smokers, and those with other health conditions are at a higher risk of dying from coronavirus, including those who have high blood pressure, sickle cell anemia, cancer, diabetes, lung disease, or other illnesses.
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EXPEXPexp2Is there anyone you care about who is at high risk of dying from coronavirus?Y/N/DNK/Refused

NOTE: ​It can be anyone. The point is just to get participants to reflect on a specific person who is at risk.
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EXPEXPexp3*If YES to exp2*
Can you tell me about them?
*Record name, if given to allow inclusion in EXP6, EXP7, EXP8, and EXP10*
NAME________________________________

Yes, respondent think or identify an individual
Refused, respondent couldn't think of an individual
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EXPEXPexp4*If NO to exp2*
Is there anyone in your neighborhood, family or broader community who is over sixty-five or has any health problems that could put them at higher risk?
Y/N/DNK/Refused
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EXPEXPexp5*If YES to exp4*
Can you tell me about them?
*Record name, if given to allow inclusion in EXP6, EXP7, EXP8, and EXP10*
NAME______________________________________
Yes, respondent think or identify an individual
Refused, respondent couldn't think of an individual