IDB GUIDELINES of the household e.g.

wife son
daughter or mother
1. Identifying Information c) GENDER -enter M for male or F
female
a) HEAD OF THE FAMILY -write the d) BIRTHDAY -enter the month, day
name of the recognized head of the and year (ex. January 9, 1978)
household start with family e) CIVIL STATUS -enter any of the
name, first name, middle initial following status
(reminder: record in your jot-down e.1) Single – person who are not
notebook the full middle and have never been married
name in cases you need to verify e.2) Married – include couples
your clients of same family name living together as husband and wife
and given name especially with the benefit of legal
among very common family names marriage
and given names ex. Jose Santos , e.3) Common in law - includes
Juan dela Cruz couple living together as husband
and wife without benefit of
ADDRESS– write the full address to legal marriage
include household number street e.4) Widowed – a person whose
municipality district and spouse is dead and who has not
or city remarried
a) NAME -write the names of the e.5) Separated /divorced – a
household surnames first, then person legally separated from his
given name; in case of the wife, /her spouse or who is living
indicate the maiden name; if apart from his/her spouse because
several members with the same of marital discord or similar reasons
surname are listed in order, the of
surname need not to be written of persons’ whose bond of
names of the other members of marriage has been dissolved and
household like servant and can therefore
boarders should be entered remarry
f) EDUCATIONAL ATTAINMENT –
b) RELATIONS TO THE HEAD OF refers to the highest level
THE FAMILY -indicate the completed in regular or formal
relationship of the members to the system
head
of education Excluded are purely (c.1) Cooking facility – LPG gad
vocational courses such as stove, electric stove, charcoal,
dressmaking or carpentry firewoods, butane gas
g) OCCUPATION– indicate the type (c.2)Sanitary condition – describe
of work and place or location of briefly the state of cleanliness of
work the kitchen area support
a) HOME your impression with objective data
(a.1)Ownership (c.3)Drainage facility
(a.2)Construction Materials c.3.1) None – when there is no
a.2.1) Light – refers to materials as drainage system; waste water from
bamboo, nipa, coconut leaves or the kitchen flows
cardboard directly to the ground often times
a.2.2) Mixed – refers to the forming nearly permanent pool
combination of light material, wood c.3.2) Open drainage – waste water
and concrete flows through the system of pipes
a.2.3) Strong – refers to concrete to an open pit
materials including the wall and the or canal
use of steel or iron as c.3.3) Blind drainage – waste water
(a.3) Bedroom(s) flows a system of closed pipes to
(a.4)Lighting facilities underground pit
(a.5)General sanitization condition or covered canal
– write your impression of the d) WASTE
general state of cleanliness (d.1) Refuse and Garbage
of the house Include objective data d.1.1) Container
to support your impression d.1.2) Method of disposal
b) WATER SUPPLY  hog feeding – garbage is used for
(b.1)Drinking water hog feed
b.1.1) Source  open dumping – refuse and or
b.1.2)Distance from house – write garbage piled in a dumping place
the distance of the water source with or
from the house in without pit and with no soil
meters If there is faucet connected covering
to the public or private source  open burning – regularly piles of
inside the house refuse /garbage and later burned in
write ‘ inside the house’ an open
b.1.3)Storage air
c) KITCHEN
 burial in a pit – refuse / garbage is e..1.6) Water sealed – bored hole
placed in a pit and covered when latrine or any pit privy wherein
filled up. water sealed
 There is no intention to dig it up bowl is placed instead of simple
later for use as fertilizer. platform hole
 composting – refuse/ garbage is (e.2)Septic tank
disposed with the used of (e.3)Distance from house – write
incinerator the distance of the toilet from the
e) TOILET house in meters If
(e.1) Type The toilet is inside the house write’
e.1.1) Pail system – a pail or box is inside the house ‘
used to receive the excreta and (e.4)Sanitary condition – describe
disposed later briefly the state of cleanliness of
when filled up. This will include the the toilet
“ballot” system when f) DOMESTIC ANIMAL
excreta is wrapped in a piece of  Kind – write the kind of animal
paper or plastic and thrown kept in the house and to those
away later. present in the
e.1.2) Open privy pit – consist of a community
pit covered in a platform with a  Number – indicate the number
hole. The hole is for each kind of animal kept in the
usually not covered. The platform house and
may in its simplest community
form consist only of two pieces of  Where kept- indicate were
flat wood or bamboo domestic animal is kept e.g. tied in
e.1.3) Closed privy pit –a pit privy backyard
with the hole over the platform or G) THE COMMUNITY IN GENERAL
toilet floor is  General sanitary condition –
provided and with cover briefly describe the state of
e.1.4) Bored hole latrine – consist sanitation of the
of a deep but relatively narrow hole immediate vicinity where the house
made with a is located Mentioned specific
boring system observation to
e.1.5) Overhung latrine – the toilet substantiate general impression
house is constructed over a body of  Housing congestion – describes
water into how close houses are from another
excreta is allowed to fall freely house and the
space inside their house in Sex Age Birthday Civil
reference to number of household Status
members living Educational
inside Attainment
 Recreational facilities – write the Occupation Religion Ethnic
recreational facilities available in Background
the community Describe in paragraph form:
e.g. basketball court reading center  Type of family structure
 Availabilty of health care facilities  Dominant family members in
– health facilities include terms of decision making in matters
government health of health care
center and hospitals; private  General family relationship
medical and dental practitioners; B. Socio – Economic and Cultural
practicing nurses factors – describe in paragraph
and midwives form
 Distance of house from nearest C. Environmental Factors – See
health care facility – give attached Checklist
approximate distance D. Health Assessment of the
Name of the Interviewer: members of the family – describe in
_____________________________ paragraph form and give a
_ Date of sample menu for nutritional
Interview:_______________ assessment
Name of the respondent: E. Value placed on prevention of
_____________________________ disease – describe in paragraph
_ form
Name of the head of the
family:_______________________
__ (start with family name first
name and middle initial)
Address:
_____________________________
____
A. Family Structure and
Characteristics
Name Relation
to the
head