Group:  Doer
 Non-Doer
Barrier Analysis Questionnaire
Household Garbage Disposal
Behavior Statement
Heads of Households ensure that HH generated garbage is
disposed of in a designated place at least once per week.
Demographic Data
Interviewer’s Name: ___________________
Date: ____/____/____
Questionnaire No.: ______
Community: _____________
Scripted Introduction:
Hi, my name is_________; and I am part of a study team looking into household sanitation
practices. The study includes a discussion of this issue and will take about 20 minutes. I
would like to hear your views on this topic. You are not obliged to participate in the study
and no services will be withheld if you decide not to. Likewise, should you decide to talk
with me, you won’t receive any gifts, services or remuneration of any kind. Everything we
discuss will be held in strict confidence and will not be shared with anyone else.
Would you like to participate in the study? [ If not, thank them for their time.]
Section A - Doer/Non-doer Screening Questions
1. Are you the person who is in charge of making decisions about garbage disposal
in your home?
 A. Yes
 B. Not available / Won’t say  End interview and look for another house
2. Do you have a container that you use to collect garbage in the home?
 A. Yes
 B. No  Mark as Non-doer and continue to Section B
3. Can I please see this container?
 A. there is one
 B. there isn’t one  Mark as Non-doer and continue to Section B
4. The last time this container was emptied, where did you (or some other person)
put the garbage?
 A. Took it to the City Council garbage point / Community dustbin / Home pit /
Compost fence / outside the house for the pushcarts
 B. Other  Mark as Non-doer and continue to Section B
5. When was the last time this garbage container was emptied?
Page 1 of 5
 A. within the last week (7 days)
 B. More than 8 days ago  Mark as Non-doer and continue to Section B
 C. Doesn’t know/recall/won’t say  End the interview and look for another
respondent.
DOER /NON-DOER CLASSIFICATION TABLE
DOER
(all of the following)
Question 1 = A
Question 2 = A
Question 3 = A
Question 4 = A
Question 5 = A
Non-Doer
(any ONE of the following)
Question
Question
Question
Question
2
3
4
5
-B
=B
=B
=B
Group:  Doer
Do Not Interview
(any ONE of the following)
Question 1 = B
Question 5 = C
 Non-doer
Section B – Research Questions
Behavior Explanation (as needed)
In the following questions I am going to be talking about the emptying of household
waste to a designated place. By this I mean either putting it outside your house on the
day that the garbage collector (pushbin) comes; and/or taking the garbage to any one
of the following locations: a) City council garbage point b) Community dustbin c)
Home pit d) Compost fence
(Perceived Positive Consequences)
1a. Doers: What are the advantages of taking the garbage to the disposal point at
least once a week?
1b. Non-doers: What would be the advantages of taking the garbage to the
disposal point at least once a week?
(Write all responses below. Probe with “What else?”)
(Perceived Negative Consequences)
2a. Doers: What are the disadvantages of taking the garbage to the disposal point
at least once a week?
2b. Non-doers: What would be the disadvantages of taking the garbage to the
disposal point at least once a week?
(Write all responses below. Probe with “What else?”)
Page 2 of 5
(Perceived Self-efficacy)
3a. Doers: What would make it easier for you to take your garbage to the
designated place at least once a week?
3b. Non-doers: What would make it easier for you to take your garbage to a
designated place at least once a week?
(Write all responses below. Probe with “What else?”)
(Perceived Self-efficacy)
4a. Doers: What makes it difficult for you to take your garbage to a designated
place at least once a week?
4b. Non-doers: What would make it difficult for you to take your garbage to a
designated place every day?
(Write all responses below. Probe with “What else?”)
(Perceived Social Norms )
5a. Doers: Who are all the people that approve of you taking your garbage to a
designated place at least once a week?
5b. Non-doers: Who are all the people that would approve of you taking your
garbage to a designated place at least once a week?
(Write all responses below. Probe with “Who else?”)
(Perceived Social Norms )
6a. Doers: Who are the people that disapprove of you taking your garbage to a
designated place at least once a week?
6b. Non-doers: Who are the people that would disapprove of you taking your
garbage to a designated place at least once a week?
(Write all responses below. Probe with “Who else?”)
(Perceived Access)
7.
Doers and Non-doers: Do you have access to a place where you can dispose
of your garbage in an environmentally safe way, like the City council garbage
point , Community dustbin, Home pit, or a Compost fence or household collection
dustbin?
 a. Yes
 b. No
(Perceived Cues for Action / Reminders)
8a. Doers: How difficult is it to remember to take your garbage to a designated
place at least once a week? Very difficult, somewhat difficult, or not difficult at
all?
Page 3 of 5
8b. Non-doers: How difficult do you think it would be to remember to take your
garbage to a designated place at least once a week? Very difficult, somewhat
difficult, or not difficult at all?
 a. Very difficult
 b. Somewhat difficult
 c. Not difficult at all.
(Perceived Susceptibility / Perceived Risk)
9.
Doers and Non-doers: How likely is it that you or your children would get
malaria, lassa fever or cholera in the next 2 months? Very likely, somewhat likely,
or not likely at all?
 a. Very likely
 b. Somewhat likely
 c. Not likely at all
 d. Don’t Know / Won’t say
(Perceived Severity)
10. Doers and Non-doers: How serious would it be if you or your child got malaria,
lassa fever or cholera? A very serious, somewhat serious, or not serious at all?
 a. Very serious
 b. Somewhat serious
 c. Not serious at all
 d. Don’t Know / Won’t say
(Action Efficacy)
11. Doers and Non-doers How likely is it that you or your child would get malaria,
lassa fever or cholera if you do not empty the garbage to designated places?
 a. Very likely
 b. Somewhat likely
 c. Not likely at all
 d. Don’t Know / Won’t say
(Perception of Divine Will)
12a. Doers: Do you think that God approves of you taking your garbage to the
designated place at least once a week?
12b. Non-doers: Do you think that God would approve of you taking your garbage
to the designated place at least once a week?
 a. Yes
 b. No
 c. Don’t Know / Won’t say
(Policy)
Page 4 of 5
13. Doers and Non-doers: Are there any community policies, laws or rules that
made it more likely that you take your garbage to the designated places at least
once a week?
 a. Yes
 b. No
 c. Don’t Know / Won’t say
(Culture)
14. Doers and Non-doers: Are there any cultural rules or taboos that you know of
against taking your garbage to the designated places at least once a week?
 a. Yes
 b. No
 c. Don’t Know / Won’t say
Now I am going to ask you a question unrelated to garbage disposal.
(Universal Motivators)
15. Doers and Non-doers: What is the one thing that you desire most in life?
(Write all responses below. Probe with “What else?”)
THANK THE RESPONDENT FOR HIS OR HER TIME!
Page 5 of 5