Schedule No: A STUDY ON THE SOCIO-ECONOMIC CONDITION OF THE LAND MINE VICTIMS LIVING IN BATTAMBANG DISTRICT IN CAMBODIA Demographic

Details 101) 102) Age: Gender: 1) Female Education Occupation

2) Male

3) TG

103) 104)

105)

Marital Status: 1) Married 2) Unmarried 3) Widowed

4) Divorced/ Separated

106) What type of family do you live in? 1) Nuclear family 2) Joint family 3) Extended family 107) What type of house do you live in? 1) Kutcha (thatched) house 2) Pucca (tin/tiled/concrete) house

S.No.

Relationship

108) Gender

109) Educational status

110) 111) Occupation Income

1. 2. 3. 4. 5. 6. 112) Total family Income:

Social Conditions 201) 1) 2) 3) 4) 5) 202) 1) 2) 3) 4) 5) 203) Are your daily activities affected due to the injury? Does not affect me at all (0%) Affects me a little (25%) Affects me (50%) Affects me a lot (75%) Totally affects me (100%) How does your status as a landmine victim affect your occupation? Does not affect me at all (0%) Affects me a little (25%) Affects me (50%) Affects me a lot (75%) Totally affects me (100%)

Have you developed specific skills to improve your living conditions? 1) Yes 2) No If yes, specify the skills. Do you have sufficient knowledge about the landmine issues? To a great extent Sufficient knowledge Little Very little No knowledge

204) 1) 2) 3) 4) 5)

205) Does this knowledge help in spreading awareness to the people in the neighborhood? 1) To a great extent 2) Sufficient 3) Little 4) Very little 5) Does not help 206) What is the level of acceptance you receive from your neighborhood? 1) Very good 2) Good

3) Satisfactory 4) Dissatisfied 5) Highly dissatisfied 207) 1) 2) 3) 4) 5) 208) 1) 2) 3) 4) 5) 209) How do people in your neighborhood perceive you? Incapable With sympathy With empathy As a survivor With high regard What level of support do you get from your friends? Very good Good Satisfied Dissatisfied Highly dissatisfied

Are any of your friends also victims of landmine injury? 1) Yes 2) No How well do you think your friends who are victims of landmines cope? Very good Good Better than me Not as good as me Bad

210) 1) 2) 3) 4) 5) 211)

Are you the only landmine victim in your family? 1) Yes 2) No What is the level of acceptance in your family/ relatives? Very good Good Satisfactory Dissatisfied Highly dissatisfied

212) 1) 2) 3) 4) 5)

213) 1. 2. 3. 4. 5.

What is the level of interaction between you and your relatives? Very good Good Satisfied Dissatisfied Highly dissatisfied

214) What is the level of support you receive from your spouse/ children/ parents/siblings (inlaws)? 1) Very good 2) Good 3) Satisfied 4) Dissatisfied 5) Highly dissatisfied WOMEN in the family: 215) 1) 2) 3) 4) 5) 216) What dowry was given in marriage? Money Jewels Land / Property Or any other kind Not applicable

If dowry was given, what was it? 1) Voluntary 2) Mandatory What kind of problems do you face with your spouse? Misunderstanding Financial Alcoholic husband Domestic violence Extra marital affairs

217) 1) 2) 3) 4) 5) 218)

Were there any abortions? 1) Yes 2) No

If yes, what was the reason for abortion?

219)

Are there any self-help groups? 1) Yes 2) No

220)

Are you interested in creating a self-help group? 1) Yes 2) No Do you have any savings in the self-help group? 1) Yes 2) No

221)

ELDERS in the family: 222) Do the elders in your family live with you? a) Yes b) No 223) Are they in a Home for the aged? a) Yes b) No 224) Are they working? a) Yes b) No

225)

Do you financially support them? 1) Fully 2) Mostly 3) When needed 4) Rarely 5) Never What are the ailments they usually complain? Are they also victims of Landmines?

226) 227)

a) Yes b) No

YOUTH of the family:

228) 1) 2) 3) 4) 5) 229) 1) 2) 3) 4) 5)

Are landmine injuries a cause of unemployment? To a great extent Considerably Little Very little Not at all To what extent is unemployment a social problem? To a great extent Considerably Little Very little No problem

230) Has the presence of landmines in Cambodia in any way been a setback for the professional growth of the youth of the place? 231) 232) To what degree has the educational system played a role in teaching the adverse affects of landmine accidents and landmine safety? 1) To a great extent 2) Sufficient 3) Little 4) Very little 5) No role 233) Has the presence of landmines increased the distance to your school? 1) To a great extent 2) Considerably 3) Little 4) Very little 5) Not at all 234) Has your injury affected your performance in school?

1) 2) 3) 4) 5) 235)

To a great extent Considerably Little Very little Has not affected What leisure activities do the children indulge in? 1) Sports 2) Television 3) Hobbies

Economic Condition 236) What is your job type? 1) Full time 2) Part time 3) Seasonal 4) Multiple jobs 5) No fixed job Do you feel you are underemployed due to your injury? To a great extent Considerably Little Very little Has not affected

237) 1) 2) 3) 4) 5) 238)

What is your income type? 1) Monthly wages 2) Daily wages 3) Task based

239)

What is your monthly income?

240) 241)

What is your monthly household expenditure? Does your family income fully cover your family needs?

1) 2) 3) 4) 5)

Always Often Sometimes Rarely Never

242) Are you aware of any Government financial schemes for people affected by landmine explosions? 1) Yes 2) No If yes, name them.. 243) 1) 2) 244) Do you use any of the schemes provided by the Government? Yes No If no, why.. How effective are these governmental financial schemes? 1) Very effective 2) Effective 3) Satisfactory 4) Dissatisfactory 5) Highly Dissatisfactory How often do you receive aid from any other non- governmental sources? Always Often Sometimes Rarely Never What are the moveable assets that you own? 1) Jewels 2) Motor-vehicle 3) No movable assets

245) 1) 2) 3) 4) 5) 246)

247)

Do you own any life stock? Specify the number along with the options? 1) Cow 2) Goat 3) Fowl What are the fixed assets that you own? 1) House

248)

2) Land 3) No fixed assets 249) How do you save? 1) Bank 2) Funds 3) At home

250) 251) 1) 2) 3) 4) 5) 252)

How long have you been saving? What are your reasons for saving? Education Medical Household Unforeseen expenses Retirement plans How often do you take a bank loan? 1) Always 2) Often 3) Sometimes 4) Rarely 5) Never

253) 1) 2) 3) 4) 5)

What are your reasons for taking a bank loan? Educational loan Medical loan Personal loan Agricultural loan Housing loan

254)

What is the status of your debts? 1) Multiple debts 2) Single debt 3) In the process of paying them 4) Repaid all debts 5) Never had any debts

255)

Where did you borrow money from? 1) Money lenders 2) Family / Relatives 3) Friends 4) Co-workers

256)

Why did you borrow the money? 1) House hold 2) Education 3) Medical purpose 4) To repay other loans 5) Landmine losses

257)

Are your debts only due to landmine losses? 1) Yes 2) No

258)

What will you do with the excess money you have? 1) Save 2) Invest 3) Spend

Health Condition: 259) 1) 2) 3) 4) 5) How does your financial background affect your health condition? To a great extent Considerably Little Very little Has not affected

260)

How frequently have you been affected by a major illness? 1) Never 2) Rarely

3) Sometimes 4) Often 5) Always

261)

Has the landmine injury been a cause for other illnesses? 1) Yes 2) No If yes, specify the illness During sickness which hospital do you prefer? 1) Government hospital 2) Private hospital

262)

263) 1) 2) 3) 4) 5) 264) 1) 2) 3) 4) 5)

What is the quality of sanitation facilities in your place? Very good Good Satisfied Dissatisfied Highly Dissatisfied What is the status of water and sewage facilities? Very good Good Satisfied Dissatisfied Highly Dissatisfied

Impact 265) When were you injured by the land mine?

266)

At what age were you affected by the accident?

267)

Where were you when the accident occurred?

268) 1) 2) 3) 4) 5) 269)

What were you doing when the accident happened? Going to School Going to Work At work Playing Field During Cultivation How did the accident occur?

270)

Were there people around you when the accident happened? 1) Yes 2) No

271)

If Yes, Did they get affected by it? 1) Yes 2) No Did you get any first aid at the time of the injury? 1) Yes 2) No

272)

273) 1) 2) 3) 4) 5) 274)

Was there sufficient medical aid for you to cope with the injury? Lot of Medical Aid Considerable amount of Medical Aid Sufficient Barely any Medical Aid Insufficient How was the medical aid given to you? 1) Very good 2) Good 3) Satisfied 4) Dissatisfied 5) Highly Dissatisfied

Pre and Post Landmine Injury 275) 276) 1) 2) 277) 278) 1) 2) 3) 4) 5) What occupation were you engaged in before the landmine injury? Are you still engaged in the same occupation? Yes No If no, what is the current occupation. What are your reasons for changing your occupation? What degree of change in attitude has the injury brought in your spouse? To a great extent Considerably Little Very little Has not brought change

279) Did your spouse have to take up additional employment in your post injury period? 1) Yes 2) No If yes, what other jobs 280) Is the injury a cause for not having more children? 1) Yes 2) No 281) What type of denial did you go through after the accident? 282) When did you start accepting your situation? 283) 284) What did you do to cope with the pain? 285) Were you enrolled in a rehabilitation centre for landmine victims? 1) Yes 2) No If yes, which one and where? To what extent was your coping skills enhanced in the centre? 1) To a great extent 2) Considerably 3) Little 4) Very little 5) Did not rehabilitate

286)

287) 1) 2) 3) 4) 5) 288) 1) 2) 3) 289) 1) 2) 3) 4) 5) 290) 291) 292) 293) 294) 1) 2) 3) 4) 5)

What degree of motivation did you receive in your rehab? Very good Good Satisfactory Dissatisfactory Highly dissatisfactory What type of physical aid did you receive in the rehab? Crutches Wheelchair Prosthetic limbs What was the copy of psychological therapy in your rehab? Very good Good Satisfactory Dissatisfactory No such therapy was given What was the duration of the therapy? What training did you receive to perform your daily tasks? What training did you receive to enable you to be employed? In your post injury period what development have you had? To what extent has your personal development helped the others? To a great extent Considerably Little Very little Did not rehabilitate

Future direction 295) 1) 2) 3) 4) 5) What future prospects do you have Change of occupation Higher studies Move to another place Increasing personal skills No future plans If others, specify

Social Activities / Socialization

296)

Name some of your leisure time activities?

297)

Are you a member of any club? 1) Yes 2) No

298)

Do they have constructive activity centers to take part in? 1) Yes 2) No

299)

If yes, please name them?

300)

Are there any rehabilitation programs in place to overcome them? 1) Yes 2) No

Landmine History

301) 302)

Are you working in your free time? 1) Yes 2) No If yes, specify

401)