1
SUSENAS
VSEN98.GY
REPUBLIC OF INDONESIA
CENTRAL BUREAU OF STATISTICS
HOUSEHOLD IODIZED SALT SURVEY
(INTEGRATED WITH 1998 SUSENAS)
Confidential
I. LOCATION IDENTIFICATION
01
02
03
04
05
06
07
08
09
10
Province
District/Municipality *)
Sub-district
Village/Village Unit*)
Area
Enumeration area number
Segments group number
Segment number
Sample code number
Village classification
01
02
Number of households:
Number of households based on iodized salt level:
a. Enough iodine :
……..household
b. Not enough iodine:
……..household
c. Does not contain iodine:
……..household
03
Number of households using salt at home
(Total Q.2.a to Q.2.c)
Urban
1
Rural
2
Least developed village
Developed village
1
2
Fill in at
CBS
II. SUMMARY
For cooking
Other salt
……..household
III. ENUMERATION PARTICULARS
01
02
Name and NIPof enumerator
Enumerator’s occupation:
Provincial staff 1
District staff
2
Sub-district staff 3
Partner
4
03
Date of enumeration
04
Signature of enumerator
*) Cross out inapplicable category
2
3
IV. HOUSEHOLD AND IODIZED SALT CONSUMPTION LISTING
Serial
number
Name of
respondent
Relation
to the
head of
household
(code)
(1)
(2)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Codes for column (3):
The head of household
Wife/husband
Children
Son/daughter in-law
Grandchildren
(3)
1
2
3
4
5
(Result of interview, observation and checking)
Do you use
Do you
If
If column
iodized salt at
know the
Column
(4)=2, do
home?
use of
you use salt (4)=1,
Iodized
where
at home?
Yes
1↓
Salt?
Yes
1↓ did you
Column (9)
Yes
1↓
Column (9) get the
No
2
informati Does not 3
2
Column (6) No
on for
(finished)
No
2
use salt↓
the first
(finished)
time?
(code)
(4)
(5)
(6)
(7)
Parent/In-law 6
Other relative 7
Servant
8
Others9
If
column
(7)=2,
reason
not using
iodized
salt
(code)
Where do
you buy
salt?
Market 1
Stall
2
Ambulant3
Vendor
Other
4
(8)
(9)
Codes for column (6):
Codes for column (8):
Neighbor/family1
PKK woman
2
Radio, TV,
3
Newspaper
Nearest vendor/market/ 1
shop does not sell iodized
salt
Doesn’t like the taste 2
Expensive
3
Other
4
Health advisor 4
Education
5
Other
6
4
5
Salt
Product
bought
(code)
IV. HOUSEHOLD AND IODIZED SALT CONSUMPTION LISTING
(Result of interview, observation and checking)
Salt used for cooking
Type of salt:
Table/fine 1
salt
Coarse 2
Cube
3
(10)
(11)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Codes for column (10):
Local
1
Non local
2
Don’t know
3
Brand
of salt
(12)
Container
for salt
storage
(code)
How is the
salt stored
Covered
1
Uncovered 2
Where is
the salt
stored
(code)
Level of
iodized salt
Enough 1
Not
2
Enough
None
3
(13)
(14)
(15)
(16)
Codes for column (13):
Ceramic
1
Plastic
2
Glass
3
Metal
4
Other
5
Codes for column (15):
Above the stove
Inside a cabinet
On top of the table
Other
Other level of
iodized salt
Enough
1
Not enough 2
None
3
Not using 4
other salt
(17)
1
2
3
4
6
7
V. Procedures on Tester Usage for Iodized Salt in the Households
The tester is a diluted solution used for testing iodine in salt qualitatively. The solution is packed in a small
plastic bottle of 10 ml that can be used for approximately 75 times of testing.
Procedures:
1. Take ½ teaspoon of salt and put on a plate/thick paper and flatten the surface
2. If the salt is the cube/brick type, before testing grind the salt
3. Put 2-3 drops of solution test on the surface of the salt
4. Observe the change of color that happens after the solution is on the salt
Reading the results:
1. If the color is dark purple, which is the same color as that is on the label of the bottle, indicates that the
salt contains enough iodine based on the criteria (30-80 ppm).
2. If the purple color is brighter than the color that is on the label of the bottle, indicates the salt contains
iodine less than 30ppm.
3. If there is no change of color indicates that it does not contain iodine.
Notes:
1. The testing solution lasts for 3 years, pay attention on the date of manufacture on the bottle label.
2. The tested salt has to be discharged and not consumed
3. Be careful not to spoil clothes with the solution
4. Keep the solution out of reach of children
5. The tested salt is cooking salt
6. The household serial number Column (1) has to be the same as serial number of Core household
Level of Color
Estimation of Iodine Level
White
Grey/light blue
Purple
Does not contain iodine
Low
Enough
V.
NOTES
8