SUSENAS
VSEN98.GY
REPUBLIC OF INDONESIA
CENTRAL BUREAU OF STATISTICS
HOUSEHOLD IODIZED SALT SURVEY
(INTEGRATED WITH 2000 SUSENAS)
Confidential
I. IDENTIFICATION
01
02
03
04
05
06
07
08
01
02
03
Province
Regency/Municipality *)
Subregency
Village/ Kelurahan *)
Village/ Kelurahan classification
Enumeration area number
Segments number
Sample code number
Urban
1
II. SUMMARY
Number of household:
……..household
Number of household base on iodized salt level:
a. Adequate:
……..household
b. Less:
……..household
c. Not content:
……..household
Number of household use salt at home
(Total Q.2.a to Q.2.c)
Rural
2
For cooking
……..household
III. ENUMERATING CHARACTERISTICS
Name and employment identity number of
03
Date of enumeration
enumerator
02
Enumerator’s occupation:
04
Signature of enumerator
BPS provincial staff 1 Subregency staff 3
BPS regency staff
2 Hired worker
4
*) Cross out inapplicable category
01
Other salt
01
02
01
02
03
IV. HOUSEHOLD CHARACTERISTICS
Household serial number
03
Number of household member
Name of
04
Number of women aged 15-49 years old
head of household:…………………..
05
Number of children under five (“Balita”)
(household member aged 0-4 years old)
V. SALT CONSUMPTION CHARACTERISTICS
Do you know about the use/ benefits of
04
Salt iodized content used to cook:
iodized salt?
1. Adequate (dark purple)
1. Yes
2. No
2. Less (soft purple)
3. Not content (white)
4. Do not cook
05
Other salt iodized content:
Do you use salt in your home?
1. Adequate (dark purple)
1. Yes
2. No → Block IV
2. Less (soft purple)
Type of salt used:
3. Not content (white)
1. Refined/ table
4. Do not use other salt
2. Loose
3. Block
VI. HOUSEHOLD CHARACTERISTICS
Copied from Column 1,2 ,4 and 5 Block
Women aged 15-49 years old
IV.A, VSEN2000.K (for all household
member)
Serial
number
of
household
membe
r
(1)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Name of
househol
d
member
(2)
Sex
1. M
2. F
(3)
Age
(year
old)
Marital status
(Copied from
Column 6,
Block IV.A,
VSEN2000.K)
(4)
(5)
If Column
≠1,
5≠
pregnancy
status
1. Pregnant
2. Do not
Pregnant
(6)
Size of
“LILA”
(Cm)
(7)
Children under five
(“Balita”) (household
member aged 0-4 years
old)
Age at
Weight
weighing
(Kg)
(month old)
(8)
(9)
VII. NOTE OF SAMPLE SELECTION
Procedures on the Usage of the Tester
for Iodized Salt at 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