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Annex 3
Sample questionnaire for data collection on intrahousehold dynamics

Enumerator
Country
Region/province
Village
Household
Date

 WomenMenChildrenFamily
Ownership    
Labour profile
Shelter construction    
Cleaning chicken house    
Supplementary feeding    
Providing water    
Selling chicken    
Selling eggs    
Treatment    
Decision making
Selling eggs    
Selling chicken    
Home consumption of eggs    
Home consumption of chicken    
Purchase of drugs    

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