The use of alternative safe water options to mitigate the arsenic problem in Bangladesh: a community perspective

APPENDIX 3

HOUSEHOLD SURVEY QUESTIONNAIRE

District: Upazilla: Union: Village:

1.    Information on identification

2.    Information of respondents

3.    How long have you been staying here?

4.    What are the problem do you think should get the highest priority in your village?

5.    Source of drinking and cooking water

Tube well 2. Pond 3. Others (specify)

6.    How long are you taking water from this current source? Before that what was the source for drinking and cooking  water?

7.    (If the respondent has a tube well) When have you installed the tube well?

8.    Do you have radio or television?

9.    What is arsenic? Have you ever heard of arsenic contamination in tube well water? If yes, what is the source of information and when?

10.    Have you tested your tube well water for arsenic? When and where?

11.    What is the test result?

12.    (If the tube well water is arsenic contaminated) Are you still using this water for drinking and cooking purposes?

13.    If yes, why? Mention the reason's).

14.    If no, where from do you get water? How far is that?

15.    Who usually collects water? Is there any problem collecting water from a distant place? If yes, what type of problems are you facing now?

16.    Is there any arsenic patient in your family?

17.    If yes, when and who detected it and what type of treatment methods are you following?

18.    Do you think arsenic is a contagious and hereditary disease?

19.    Do you have an idea about alternative safe water options? Is there any such type of option(s) available in you village?

20.    Who is providing the alternative options and from when?

21.    Do you think these options are good and suitable for your location?

22.    If yes, what are the potential advantages?

23.    If not, what are the potential disadvantages?

24.    What type of alternative options do you think would be ideal for you?

25.    Do you consider groundwater arsenic contamination is a problem? Why?

26.    From whom do you expect more in order to help alleviating this problem (Government, NGOs or others)?

27.    Do you think the information that you have received on is enough? If no, why?

28.    If your tube well is contaminated with arsenic, do you want to spend money for an alternative safe water option?

29.    Whom do you seek help in case of emergencies or facing new problems in your village?

SEMI-STRUCTURED QUESTIONNAIRE FOR PRA EXERCISE

1. What is the name of this village?

2. Distance from nearest growth center, union, upazilla, district with cost and mode of transportation?

3. What is the population number of this village?

4. Educational profile of the village

5. Occupational profile of the village

6. Average yearly income of the people of the village

7. Nutritional status of the villagers

8. Number of tube wells in the village

9. What is the source of drinking and cooking water?

10. How many people do have radio or television?

11. Have you ever heard about arsenic contamination in the water of tube wells? If yes, do you think is it a contagious or hereditary disease?

12. What is the source of information?

13. Do you have any idea about how many tube wells are contaminated in the village?

14. Do you consider arsenic is a problem?

15. How many people are still drinking arsenic contaminated water?

16. What are the reasons?

17. Is there any alternative safe water options available in this village? If yes, what are the options? How long these are available in the village?

18. Are these options widely accepted by people of the communities? Is there any difference among different types of communities in terms of accepting or rejecting the alternative safe water options? If yes, what are the differences?

19. Do you think all the provided alternative safe water options are suitable for this village?

20. If no, what are the potential problems?

21. How many people are still using arsenic contaminated water for drinking and cooking purposes?

22. How many people are using alternative safe water options?

23. Is there any arsenic patient in this village? If yes, what is the present and previous source of drinking and cooking water?

24. If yes, do they face any social problems? If yes, what are the problems?

25. Do you have any suggestions how to avoid this problem?

26. From whom do you expect more in order to help alleviating this problem (Government, NGOs or others)?