Appendix - One Health questionnaire.
Visit date: ………… /………… / …………
Interviewer name:
Supervisor name:
Section (1)-Human and animal socio-demographic characteristics
1. How old are you?
1.
2.
3.
4.
5.
15-25
26-35
36-45
46-55
>55
2. What is your gender?
1. Male
2. Female
3. What is your marital status?
1.
2.
3.
4.
Single
Married
Divorced
Widowed
4. What is the highest level of education you completed?
1. Illiterate
2. Religious education
3. Primary
4. Intermediate
5. Higher secondary
6. Vocational training
7. University diploma
8. University bachelor
9. M.Sc.
10. Ph.D.
11. Other, please specifiy
5. What is the highest level of education completed among your household members?
1.
2.
3.
4.
5.
Illiterate
Religious education
Primary
Intermediate
Higher secondary
1
6. Vocational training
7. University diploma
8. University bachelor
9. M.Sc.
10. Ph.D.
11. Other, please specify
6. What is your current occupation?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Student
Farmer
Herdsman
Housewife
Teacher
Governmental
Employee
Private sector employee
Freelancer (Grain mill, Labor) Business man (owns a company that employs more
than 6 persons)
10. Professional (Lawyer, Physician, Lab technician, Nurse, Engineer, Accountant,
etc.)
11. Technician (Blacksmith–Welder-etc.)
12. Unemployed
13. Other, please specify
7. How many people live in your household?
1.
2.
3.
4.
Less than 3
3-6
7-10
More than 10
8. Do you breed animals?
1. Yes
2. No, go to question 11
9. Which types of animals?
1.
2.
3.
4.
5.
6.
Sheep
Goat
Cattle
Dog
Poultry
Other, please specify
10. Where do you keep them?
1. Inside home
2. Outside near home
3. Outside a bit far from the home
2
4. Other, please specify
11. Does any of your household members work as herdsman?
1. Yes
2. No
Section (2) - Knowledge about the disease in human and animal
12. Have you ever heard about the disease Rift Valley fever (RVF)?
1. Yes
2. No, go to question 87
13. Did any of your family members catch RVF during 2007?
1. Yes (Cases to be compared with the MoH registers)
2. No
3. I do not know
14. From what source had you heard about RVF?
1. Radio
2. Television
3. Physician
4. Medical assistant
5. Nurse
6. RVF patients
7. Relatives and friends
8. Newspapers
9. Magazine
10. Veteranarian
11. Other, please specify
15. What is the host range of RVF?
1. Human (answer question 16-22, then go to 42)
2. Animals, go to question 23
3. Both human and animal.
4. Mosquitoes (go to question 42)
5. Other, please specify (go to question 42)
16. What is the cause of RVF in human?
1.
2.
3.
4.
5.
6.
Bacteria
Fungal
Virus
Parasite
Don't know
Other, please specify
3
17. How can a person get RVF?
1.
2.
3.
4.
5.
6.
Direct contact with infected animals
Mosquito bite
By eating uncooked meat.
By drinking raw milk
Do not know
Other, please specify
18. What are the symptoms of RVF in humans?
1. Digestive disorder if the liver is infected
2. Breath shortness and pulmonary infections if a lung is infected
3. Abdominal pain if stomach or intestine is infected
4. Neurological symptoms and convulsions if brain is infected
5. Fever and weight loss
6. Eye inflammation
7. Abortion in pregnant women
8. Hemorrhage
9. Do not know
10. Others, please specify
19. How can a person avoid infection with RVF?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Vaccination
Cleaning the house
Carefully washing vegetables before eating them
Avoid eating uncooked meat
Slaughter of animals under veterinary supervision
Avoid handling sick animals
Avoid handling aborted animals
Don't know
Other, please specify
20. In your opinion, who is the most suitable person to diagnose RVF in humans?
1.
2.
3.
4.
5.
6.
7.
Yourself
Family and relatives
Religious man
A nurse
Medical assistant
A physician
Other, please specify
21. Does a patient with RVF need medical tests?
1. Yes
2. No, go directly to question (23)
3. Don't know, go directly to question (23)
4
22. What are the required medical tests to diagnose RVF in human?
1. X-rays
2. Ultrasound
3. Check a blood sample
4. Do not know
5. Other, please specify
23. What is the cause of RVF in animals?
1.
2.
3.
4.
5.
6.
Bacteria
Fungal
Virus
Parasite
I do not know
Other, please specify
24. In your opinion, which type of animals are most affected by RVF?
1.
2.
3.
4.
5.
6.
7.
8.
9.
Cow
Sheep
Goat
Camel
Dog
Cat
Donkey
Horse
Other, please specify
25. How can animals get RVF?
1.
2.
3.
4.
Direct contact with infected animals
Mosquito bites
Eating contaminated food
Other, please specify
26. What are the symptoms of RVF in animals?
1. Digestive disorder if a liver is infected
2. Breath shortness and pulmonary infections if a lung is infected
3. Abdominal pain if a stomach or intestine is infected
4. Neurological symptoms and convulsions if brain is infected
5. Fever and weight loss
6. Eye inflammation
7. Hemorrhage
8. Abortion in pregnant animals
9. Stop eating food
10. I do not know
11. Others, please specify
27. How can we avoid animals from getting RVF?
5
1.
2.
3.
4.
5.
6.
7.
8.
Vaccination
Cleaning the animal house
Isolate the sick animal
Slaughter of animals under veterinary supervision
Isolate aborted animal
Medicines from Veterinarian
Do not know
Other, please specify
28. In your opinion, who is the most suitable person to diagnose RVF in animals?
1.
2.
3.
4.
5.
6.
7.
Yourself
Family and relatives
Veterinarian
A veterinary assistant
Medical assistant
A physician
Other, please specify
29. Do the animals with RVF need medical tests?
1. Yes
2. No, go to question 31
3. Do not know, go to question 31
30. What are the required medical tests to diagnose RVF in animals?
1.
2.
3.
4.
5.
X-rays
Ultrasound
Check a blood sample
Do not know
Other, please specify
31. Have you ever noticed abnormal death in your animals or animals in the area during 2007
outbreak?
1.
2.
3.
4.
Yes
No
I heard about that
I do not remember
32. Have you ever noticed abnormal death in animals or animals in the area before 2007
outbreak?
1.
2.
3.
4.
Yes
No
I heard about that
I do not remember
33. Have you ever noticed abnormal death in your animals or animals in the area after the
2007 outbreak?
6
1.
2.
3.
4.
Yes
No
I heard about that
I do not remember
34. What was the main symptoms of the dead animals if your answer is yes for any of the
questions 31 to 33?
1.
2.
3.
4.
5.
6.
7.
High fever
Nasal and ocular discharge
Abortion
Vomiting
Diarrhea and often hemorrhagic
I do not remember
Other, please specify
35. Do you notify the veterinary authority if you have had animals that died abnormally?
7
1. Yes
2. No
36. Do you get compensation if you notify to the veterinary authority about the animals
that died abnormally?
1.
2.
3.
4.
Yes
No, go to question 38
I heard about compensation
I do not know, go to question 38
37. Who is compensating you?
1. Governmental authority
2. Agricultural insurance company
38. Have you ever noticed abortion in your animals or animals in the area during 2007?
1.
2.
3.
4.
Yes
No
I heard about that
I do not remember
39. Have you ever noticed abortion in your animals or animals in your area before 2007?
1.
2.
3.
4.
Yes
No
I heard about that
I do not remember
40. Have you ever noticed abortion in your animals or animals in your area after 2007?
1. Yes
2. No
3. I heard about that
4. I do not remember
41. Have your animals ever experienced RVF during the 2007 outbreak?
1. Yes
2. No
3. I do not know
42. In your opinion, does RVF spread more in a certain year season?
1. Yes
2. No, go directly to question 44
3. Do not know, go directly to question 44
8
43. In your opinion, during which season is RVF more common?
1.
2.
3.
4.
5.
Summer
Winter
Autum
Not restricted to a certain season
Do not know
44. Did you notice any change in the rain level during the year 2007 RVF outbreak?
1.
2.
3.
4.
Yes, increased at that time compared to previous years
Yes, decreased at that time compared to previous years
No, it was the same
I do not know
45. Did you notice any change in the rain level before the year 2007 RVF outbreak?
1.
2.
3.
4.
Yes, increased at that time compared to previous years.
Yes, decreased at that time compared to previous years
No, it was the same.
I do not know.
46. Did you notice any change in the rain level after the year 2007 RVF outbreak?
1.
2.
3.
4.
Yes, increased at that time compared to previous seasons.
Yes, decreased at that time compared to previous years.
No, it was the same.
I do not know.
47. Have you noticed any mosquito swarms during the 2007 RVF outbreak?
1. Yes
2. No, go to question 49
3. I do not know, go to question 49
48. Was that the normal mosquito type that is usually present in your village?
1. Yes
2. No
3. I do not know
49. Do you think RVF can cross from one region to another within the country?
1. Yes
2. No
3. I do not know.
50. Have you ever heard that the disease has spread to other parts of the country?
1. Yes
9
2. No
3. I do not know
51. Do you think RVF can cross from your country to another country?
1. Yes
2. No
3. I do not know.
52. Could the disease lead to a livestock trade ban between regions in the country?
1. Yes
2. No
3. I do not know.
53. Could the disease lead to a livestock export trade ban?
1. Yes
2. No
3. I do not know.
Section (2)- Attitude
54. If you suspect that you have RVF disease, where you would like to go?
1.
2.
3.
4.
5.
Clinic
Health care center
Official hospital
Private hospital
Other, please specify
55. If RVF spreads in the area, do you think you can get the disease?
1. Yes
2. No, go to question 57
56. If yes, Why?
1.
2.
3.
4.
5.
6.
7.
8.
We have animals
I am handling animals
I am working as butcher
I do not use mosquito bed net
Person to person contact
I can get it through people coughing
STD
Other, please specify
10
57. Do you think RVF could be treated in humans?
1. Yes
2. No, go to question 62
58. In your opinion, what type of treatment would be appropriate?
1.
2.
3.
4.
Medical treatment
Traditional treatment, go to question 60
Do not know, go to question 62
Other, please specify and go to question 62.
59. Why should a patient with RVF seek medical treatment?
1.
2.
3.
4.
5.
Effective
Not expensive
Treatment place is nearby
Has no side effects
Other, please specify
60. If the answer was "Traditional treatment", what is the type of such treatment?
1. Religious man
2. Herbs
3. Other, please specify
61. In your opinion, why should a patient with RVF seek traditional treatment?
1.
2.
3.
4.
5.
Effective
Not expensive
Treatment place is nearby
Has no side effects
Other, please specify
62. If your neighbor or someone from the village has RVF, how do you react?
1.
2.
3.
4.
Keep dealing normally with neighbor
Avoid contacting
Other, please specify
I do not know
63. Do you think that it is important to medically isolate patients with RVF?
1.
2.
3.
4.
Yes
No
Sometimes
I do not know
64. Do you think that it is important to medically quarantine animals with RVF?
11
1.
2.
3.
4.
Yes
No
Sometimes
I do not know
65. Do you think agricultural areas are more prone to RVF than the cities?
1. Yes
2. No
3. I do not know
66. In your opinion, what are the necessary disciplines to work together to control RVF?
1.
2.
3.
4.
5.
6.
Veterinary authority
Health authority
Environmental authority
Community
I do not know
Other, please specify
67. In your opinion, what is the role of the community in confronting RVF?
1.
2.
3.
4.
Health education
Destroy the manmade mosquito habitat
Improve hygienic measure at home
Other, please specify
68. In your opinion, how serious health problem is RVF in your area during the 2007
outbreak?
1.
2.
3.
4.
5.
6.
Small
Middle
Big
Seasonal
Do not know
Other, please specify
Section (3) - Practices
69. Do you eat uncooked meat?
1. Yes
2. No
70. Do you drink raw milk?
1. Yes
2. No
12
71. How do you handle a sick animal?
1. Separate them inside home and treat them by one by the household members
2. Leave them as they are with other animals
3. Separate them inside home and bring them to the veterinary clinic
4. Other, please specify
72. Do you help animals to deliver?
1. Yes
2. No
73. How do you handle aborted animals?
1.
2.
3.
4.
5.
6.
Help them ourselves by hand and without mask
Help them ourselves using gloves and mask
Bring them to the veterinary clinic by hand and without mask.
Bring them to the veterinary clinic using gloves and mask
I leave them without help
Other, please specify
74. How do you handle dead animals?
1.
2.
3.
4.
5.
Bury them
Burn them
Throw them away outside the home.
Throw them outside at the street to be fed on by dogs
Other, please specify
75. Do you buy the meat of animals that are slaughtered in the slaughterhouse under
veterinary supervision?
1. Yes
2. No
76. Are you slaughtering animals for meat inside the home?
1. Yes, continuously
2. Yes, sometimes
3. No, go to question 79
77. How do you get rid of the carcass waste when slaughtering inside the home?
1.
2.
3.
4.
5.
Bury them
Burn them
Throw them away outside the home.
Throw them outside at the street to be fed on by dogs.
Other, please specify
13
78. Why don't you take such animals to be slaughtered in the slaughterhouse under
veterinary supervision?
1.
2.
3.
4.
5.
6.
There is no slaughterhouse in the area
Not sure that the slaughterhouse is working through all the day
Not sure of continuous availability of a veterinarian to check them
It is expensive
It is far from our area
Other, please specify
Section (4)- Economic impact and media habits
79. In general, did you use animal products as main source of food for your family before
2007 RVF outbreak?
1. Yes
2. No, go to question 81
3. Partially
80. Was that disrupted by the RVF outbreak 2007?
1. Yes
2. No
81. Did you use animal milk as main source of food for your children before 2007 RVF
outbreak?
1. Yes
2. No, go to question 73
3. Partially
82. Did you stop using milk as main source of food for your children during 2007
outbreak?
1. Yes
2. No
83. Did you sell animals as source of family income before the 2007 RVF outbreak?
1. Yes
2. No, go to question 75
84. Was that trade income disrupted by the 2007 RVF outbreak?
1. Yes, strongly
2. Yes, partially
3. No
14
85. Do you sell animal products such as milk, margarine or cheese as source of family
income before 2007 RVF outbreak?
1. Yes
2. No, go to question 87
86. Was that disrupted by 2007 RVF outbreak?
1. Yes, strongly
2. Yes, partially
3. No
87. Do you use mosquito bed net?
1. Yes
2. No, go to question 90
88. Are they impregnated?
1. Yes
2. No
3. I do not know
89. Where did you get those mosquito bed nets?
1.
2.
3.
4.
Local authority
NGOs
Market
Other, please specify
90. In your opinion, who is the most reliable person you can get information about RVF
from?
1.
2.
3.
4.
5.
6.
Nurse
Medical assistant
Universities students
Physician
Religious man
Other, please specify
91. In your opinion, who is the most reliable media source you can get information about
RVF from?
1.
2.
3.
4.
5.
6.
Newspaper
Magazines
Radio
Television
The mosque or church
Other, please specify
15
92. Do you wish you could get more information about RVF?
1. Yes
2. No
16