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To begin with, I would like to ask you questions about your age, ethnicity, the place you live and level of education and
training.
Long term Outcome 3.2: Adolescent girls and young women living in informal urban settlements experience a
reduction in levels of violence, abuse, discrimination and stigmatization and have improved access to the services
they require to live with dignity
PART B: RESPONDENTS RELATIONSHIP STATUS
3. Widowed/partner died
5. Refused/no answer
In your life, how many times have you been married and/or
B0 1. Married
lived together with a man and/or had a relationship with a
4
man? Numberoftimes..................................................[][]
INCLUDE CURRENT PARTNER COUNT EVERY PERSON ONLY 2. Livingwithman,notmarried
ONCE, ACCORDING TO MOST RECENT SITUATION
Numberoftimes..................................................[][]
3. RegularPartnerWithoutLivingTogether
NumberOfTimes................................................[][]
READ TO RESPONDENT:
When two people marry or live together, they usually share both good and bad moments. I would now like to ask you
some questions about how your current (or most recent) husband/partner treats (treated) you. If anyone interrupts us, I
will change the topic of conversation.
READ TO RESPONDENT:
I would now like to ask you some questions about how (any of) your previous husband/partner treated you (any partner
that you may have had before the partner that we just talked about).
READ TO RESPONDENT:
I would now like to ask you some questions about how other people (other than your partner) may have treated you
within your area of residence.
Yes No No answer
F01: Did you tell anyone about these experiences with your partner?
Who did you tell? Yes No No answer
i. A woman in your family
ii. A man in your family
iii. A female friend
iv. A male friend
v. The police
vi. A counsellor
vii. An NGO/Womens Organization
viii. A community activist, or paralegal
ix. Someone at a health centre or hospital
x. A religious leader
xi. A community health volunteer.
F02: If yes, were satisfied with the service(s) provided by: Satisfied Not Satisfied Not resolved
i. The community health volunteer?
ii. The police
iii. Religious leader
iv. The health centre
v. The local leader (e.g. chief)
vi. NGO/Womens Organization
vii. community activist, or paralegal
NTF Outcome Indicator 3.2: Proportion of target adolescent girls and young women who are survivors/at risk of
VAWG who express satisfaction with the quality and availability of services that address their specific needs in their
locality
READ TO RESPONDENT:
Girls/women who experience some of the acts we have discussed may require certain services that address their needs.
I would now like you to tell me some of the services that are available within your locality and whether you are
satisfied with their extent of availability as well as their quality
Please tell me about the services that are available in your Availab Not Satisfied with Satisfied with
locality that address the needs of girls/women who experience le availab availability quality
the acts we have discussed? le
Yes No Yes No
i. General medical care
ii. Reproductive health services and supplies like birth
control and sanitary supplies
iii. Police
iv. Legal aid
v. Psychosocial assistance (counselling)
vi. Safe spaces or shelters
vii. Crisis hotlines
viii. Support groups
ix. Income generating activities
x. Training on crisis prevention skills and self defense
The law forbids Do you know Do you know a
The next set of questions asks whether certain this/ someone in your community leader
actions are illegal and whether people have neighborhood who has helped
taken action with respect to these who reported women/children
this experience who experience
to the police? this?/ Je,
Yes No No Yes No No Yes No No
answe answe answe
r r r
36.A husband hits, kicks, or beats his wife
37.A husband threatens to harm his wife
38.A parent physically punishes their child
39.A husband forces his wife to have sexual
intercourse
40.A husband throws out or tries to sell his wifes
things
41.A husband doesnt give his wife money for food,
rent, medical needs, childrens expenses, or school
fees.
42.A husband refuses to let his wife seek employment
or engage in an income-generating activity
43.A parent takes their daughter for FGM
44.A man forces a woman (who is not his wife) to
have sexual intercourse
Indicator 3.2.1: Average level of perceived safety from GBV in public spheres and in the household among target
women and girls
Safety in Public Spaces: I will ask you some questions about this community. For each question, could you
please say to what extent the statement describes you not at all, a little, a good bit, or a lot? Remember you are
free to not answer any question that you dont want to.
To what extent do the sentences below 1. Not 2. A 3. A 4. A 1. Dont
describe you? at all little good lot know/pref
bit er not to
say
i. Public spaces indicator ranked No. 1
ii. Public spaces indicator ranked No. 2
iii. Public spaces indicator ranked No. 3
iv. Public spaces indicator ranked No. 4
v. Public spaces indicator ranked No. 5
Safety at Home: I will ask you some questions about life in your home. For each question, could you please say
to what extent the statement describes you not at all, a little, a good bit, or a lot? Remember you are free to not
answer any question that you dont want to.
To what extent do the sentences below 1. Not 2. A 3. A 4. A 1. Dont
describe you? at little good lot know/pref
all bit er not to
say
vi. Home spaces indicator ranked No. 1
vii. Home spaces indicator ranked No. 2
viii. Home spaces indicator ranked No. 3
ix. Home spaces indicator ranked No. 4
x. Home spaces indicator ranked No. 5
Outcome 1: Levels of economic and personal power among adolescent girls and young women
Immediate outcome 3.1.3.3: Impoverished, vulnerable and/or marginalized adolecent girls and young women are
more financially independent and have increased levels of economic security, particularly in inoformal urban
settlements
Indicator 1.1: Adolescent girls and young women are willing to say no and/or know how to report any experience of
unwanted sexual activity
Indicator 3.1.3.3.1: Proportion of target women and girls who have their own source of income and/or assets
As women/Girl what were your important sources of income in the last 12 months that you can rely on?
Source of income Was this your own/ joint If Yes was it a new Based to your experience, is
source of income in the Activity since last 12 this activity a reliable source
past 12 months? months or ongoing of income you wish to
1= own source of income activity? continue with in the future?
2= joint source of income 1=Yes 1=Yes
3= Not a source of income 2=No 2=No
3=NA 3=NA
Selling agriculture
produce (vegetable
excluded)
Selling vegetable
produce
Selling own livestock
Business
Selling Hand craft and
other arts activities
Selling property (own
land, house, etc.)
Salary for regular wage
Casual labour
Benefit from
Cooperatives
Loan and other benefits
from saving and Loan
Groups
Others1:
Others 2:
Indicator 3.1.3.3.2: Proportion of targeted women and girls who are able to meet their basic needs on a monthly
basis
B1 What do you consider to be your basic needs in this household
1 Food |____|
2 Water |____|
3 Health |____|
4 Education |____|
5 Housing |____|
6 Clothing
B2 Of the basic needs you have mentioned, which ones were you unable to adequately
access/have/undertake in the last one month?
1 Food |____|
2 Water |____|
3 Health |____|
4 Education
5 Housing
6 Clothing
Outome Indicator 1.3: Level of understanding and knowledge of labour rights in the informal sector and key
vocational skills among adolescent girls at risk of violence, HIV and/or with disabilities
CRF Indicator 3.2.1.1 Number of targeted women and girls who report taking action to start a business or find a job
CRF Indicator 3.2.2.1 Number of targeted women and girls who report that they feel supported by community
members to engage in economic activities
CRF Indicator 3.2.3.1 Number of targeted women and girls who have increased levels of saving and credit
No. Question Response
C10 If yes (to the above question), what kind 1 = Farmers Cooperative society,
of an association or group is the member
2 = Merry-go-round
a part of?
3 = Village Savings & Loans Association (VSLA)/ SILC
4 = Pastoralist or Farmer Field Schools
5 = Livestock Production Group
6=Crop production
7 = Bee keeping
Other (specify)____________________
C11 How many people are members of the C11 _________Men; C12:_________Women; -9 (Not applicable)
group
C13 How much money have you (respondent) KShs|___|___|___|___| -9 (Not applicable)
saved with the group to date (record 0 if
none)
C14 How much money have you (respondent) KShs|___|___|___|___| -9 (Not applicable)
No. Question Response
C15 How much has your group saved to date KShs|___|___|___|___| -9 (Not applicable)
(record 0 if none)
C16 How much has your group loaned out to KShs|___|___|___|___| -9 (Not applicable)
date (record 0 if none)
C17 In general, what is the rate of loan 1 = Excellent (all repay) 2 = Very Good (most repay) 3 =
repayment by members during normal Average (about 50% repayment) 4 = Poor (less than 50% repay)
(good seasons) 5= Very Poor (Most do not repay) 6 = N/A
C18 In general, what is the rate of loan 1 = Excellent (all repay) 2 = Very Good (most repay) 3 =
repayment by members during Lean Average (about 50% repayment) 4 = Poor (less than 50% repay)
(drought seasons) 5= Very Poor (Most do not repay) 6 = N/A
C19 Have you saved other monies elsewhere? 1 = Yes; 2 = No; if NO, skip to C22
C20 If yes, with whom/where do you save the 1 = Mpesa (Mshwari/KCB); 2 = SACCO; 3 = Commercial Banks; 4
money = Micro-finance (e.g. KWFT); 5 = Homebank
CRF Indicator 3.2.4.1 Number of targeted women and girls who have applied for government social protection and
investment funds
IAPF Indicator3.1.1 Average level of impact on formal/informal decision making structures reported by targeted
women and girls
Do you belong to: Yes No What was your position in this structure?
1. Secretary
2. Chairperson
3. Vice Chairperson
4. Treasurer
5. Other leadership Position (specify)
6. Member
A church committee
Nyumba Kumi committee
Ward Committee
Citizens Accountability Group
Residents Association
School Board/Committee
Community Based Organization
Voluntary Savings and Loan Committee
On average, in the past 12 months, how often did the 1. Once every week
structure meet? (Select one) 2. Once every two weeks
3. Once every month
4. Four times a year
5. Once every years
How would you describe your level of attendance at the 1. Low
structure meetings over the past 12 months? (Select one) 2. Medium
3. High
3.1. In the past 12 months, have you ever spoken at a 1. Yes If No, why not?
meeting of the structure? 2. No
If 3.1 is 3.2. In the past 12 months do you feel that 1. Dont Know If No, why not?
No go to your views were generally listened to in the 2. Yes
3.3 meetings of the structure? 3. No
3.3. In the past 12 months have you put forward any 1. Dont Know If No, why not?
ideas or proposals to the structure? 2. Yes
3. No
If 3.3 is 3.4. Has there been action taken as a result 1. Dont Know
No go to of your ideas and proposals? 2. Yes Yes If Yes, please
3.5 describe
3. No If No, why not?
3.5. In the past 12 months, have you been asked/invited 1. Yes Yes If Yes, please
to represent the structure by attending a decision-making describe
meeting at the [add next/higher level] (replace next with 2. No If No, why not?
relevant level. E.g. District/national)?
IAPF Indicator 3.1.3.1 Average level of self-esteem and confidence reported by targeted women and girls
IAPF Indicator 3.1.3.2 Proportion of targeted women and girls who report that they have a say in household decisions
Women and men in single headed households do not answer the following questions.
In your household, who usually: I make this My husband/ My husband/ No
decision partner & I partner makes answer
on my own together make this decision
this decision
Decides how the money is spent?
Makes decisions about major household
purchases such as land, a car, house, farm?
Makes decisions about where the children go to
school?
In your household, who usually: I pay My husband and I No
together pay My husband answer
pays
Outcome 2: The safety and dignity of adolescent girls and young women are supported by positive
transformations in gender norms, attitudes, behaviors and practices that relate to VAW/G within their
community
Indicator 3.2.3.1.2: Proportion of women and men demonstrating positive attitudes towards women
participating in decision-making in public spheres and the household
Indicator 3.2.3.1.1 Number of targeted men and women who believe it is wrong to commit violence
against women
In your opinion, is it acceptable for a man to discipline his wife if: Yes No No
answer
24.The wife disobeys the husband
49.The wife accuses the husband of infidelity
50.The wife disrespects the husbands relatives
51.The wife spends a lot of time with friends
52.The wife neglects taking care of the children
53.The wife doesnt complete the household work to the husbands satisfaction
54.The wife refuses to have sex with the husband
55.The husband finds out the wife has been unfaithful
56.The husband is angry with the wife
In your opinion is it acceptable for a married woman Yes No No
answer
57.To refuse to have sex with her husband
58.To leave a husband who beats her
59.To take her children when she leaves a husband who beats her
In your opinion, is it acceptable for a man to: Yes No No
answer
60.Refuse to pay school fees for some of the children in the household?
61.Force his wife to have sex
Outcome Indicator 2.2: Proportion of targeted community members who demonstrate knowledge of what
constitutes VAW/G
The following question is asked of men and women respondents. For the second part of the question, the
interviewer poses asked the question then allows the respondent to mention as the interviewer checks against the
listed forms violence as mentioned by the respondent. (NOTE: The interviewer should not use the response prompts
listed in the table)
Do you understand what violence against women/girls is? If yes, what are some of the acts that would constitute
violence against women/girls? (What would you consider as violence against women/girls?)
Indicator 3.2.3: Level of social stigmatization (GBV and/or HIV) experienced by target women and girls (However,
the UNTF indicator is specific to AGYW with HIV and disabilities)
People with HIV have different experiences. Tell me if any of Someone in my Someone in my
these have happened to someone in your household, or to household neighbourhood
someone in your neighborhood. experienced this experienced this
In the past 6 months Yes No NO YES NO NO
ANSWE ANSWE
R R
62.A man with HIV was abandoned by his partner
63.A woman with HIV was abandoned by her partner
64.A person with HIV was neglected
65.There was shame because a family member had HIV
66.People didnt associate with someone with HIV because having HIV is
shameful
67.A person with HIV felt ashamed, guilty and felt they deserved to be
punished
68.A person with HIV was denied health services because of their HIV
status
69.A person with HIV challenged others who stigmatized or
discriminated against them
The following are asked ONLY of women recruited because they are participating in an HIV support group Yes in a=3.
HIV support members
Have you experienced any of the following in the past 6 months Yes No NO
ANSWER
W38. I was abandoned by my husband or partner
W39. I was neglected
W40. My family experienced shame because I have HIV
W41. People didnt associate with me because having HIV is shameful
W42. I felt ashamed, guiltyand felt I deserved to be punished because of HIV
W43. I was denied health services because of my HIV status
W44. I challenged others who stigmatized or discriminated against me because
of my HIV status
Have you done any of the following in the past 6 months? Yes No No
answer
70.I spoke to a group of people in my neighbourhood about HIV.
71.I spoke up in defence of someone who was being treated poorly because they
were HIV positive
72.I advised or assisted someone with HIV to get help or treatment
73.I participated in community action to improve the lives of people with HIV
Outcome 3:Capacity of front-line service providers to effectively identify, prevent and respond to risks
posed by violence and abuse against adolescent girls and young women in the community
IAPF Indicator 3.2.4.1: Proportion of target girls and women who express satisfaction with the quality and
availability of services that address their specific needs in their locality
CRF Indicator 3.2.4.1.1 Number of targeted girls and young women who express satisfaction with HIV and SGBV
services
Outcome 4 : Capacity of community members and duty bearers at county level to influence and
implement laws, policies and plans to protect adolescent girls and young women from violence, abuse,
discrimination and stigmatization
CRF Indicator 3.2.2.5.1 Number of actions taken by targeted women and girls to influence County government
legislation, policy and/or budgets