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School Observation 4 -Form Fill
Structured Survey: To be conducted with Headmasters/Teachers (Primary Stakeholder)
Q01
GPS Coordinates
Q02
State/Union Territory
Q03
District Name
Q04
Mandal/Block Name
Q05
GP Name
Q06
Village name
Q07
Project code
Q08
Name of Implementing Agency
Q09
Interviewer code
Q10
Interviewer Name
Q11
Supervisor Name
Q12
Date of Interview
Q13
Interview Start Time
Q14
Interview End Time
Respondent profile
A01
Name of the respondent
A02
Respondent’s phone number
A03
What is the gender of the respondent?
Female
Male
Transgender
A04
What is your age? (in completed years)
A05
What is the highest level of education that you have completed?
No formal education
Has attended primary school (up to grade 6)
Has attended up to grade 10
Matriculate (10th pass)
Passed school (10+2)
Graduate
Postgraduate
ITI/ Diploma/ similar vocational course
Others (Specify)
A06
How many years of teaching experience do you have?
Less than 5 year
Between 5-10 years
Between 10-20 years
More than 20 years
A07
What is your subject specialization?
Mathematics
Science
Social science
Language
Other (specify)
A08
Till what grade do you teach?
Nursery
Till 3rd standard
Till 5th standard
Till 8th standard
Above 8th standard
A09
How many students are there in your class?
Nursery
Till 3rd standard
Till 5th standard
Till 8th standard
Above 8th standard
A10
How many students are there in your class?
1-10 students
11-20 students
21-50 students
More than students
A11
What is the ratio of boys to girls among children in the school?
More boys than girls
More girls than boys
Somewhat equal
Don’t know
A12
How would you rate the attendance of children in your school in the last 12 months?
Above 90%
Between 75%-90%
Between 50%--75%
Below 50%
A13
Have you seen any infrastructural changes in school past 2 years?
Yes
No
Access to Basic Amenities (School WASH)
B01
Is there a handwashing station with soap and water available in the school?
Yes
No
B02
Is there a functioning incinerator for waste disposal?
Yes
No
B03
Are utensil washing facilities available?
Yes
No
B04
Is there consistent water supply to the school?
Yes
No
B05
Is there a dedicated drinking water station?
Yes
No
B06
How often are water facilities cleaned and maintained?
Daily
Weekly
Monthly
Occasionally
Never
B07
What are the current problems with water facilities?
Low pressure
Contamination
Leakage
None
B08
Is there a rainwater harvesting system in place?
Yes
No
B09
How often is the garbage pit/dustbin emptied and maintained?
Daily
Weekly
Monthly
Occasionally
Never
B10
Is there a rainwater harvesting system in place?
Yes
No
B11
Is there a student committee responsible for promoting hygiene practices?
Yes
No
B12
Do you participate in hygiene-related activities or campaigns at school?
Yes
No
B13
Who maintains the hygiene facilities?
School Staff
Outsourced
B14
Is there a separate sanitary block for boys and girls?
Yes
No
B15
Are there adequate urinals and latrines for boys and girls?
Yes
No
B16
How often are toilets cleaned and maintained?
Daily
Weekly
Monthly
Occasionally
Never
B17
Who is responsible for cleaning the toilets?
School Staff
Outsourced
Students
B18
How do you rate the existing WASH facilities?
Excellent
Good
Fair
Poor
B19
Have you observed any changes in behavior related to WASH practices among students?
Yes
No
B20
If yes, what types of changes have you observed?
Increased handwashing frequency
Improved toilet cleanliness
Better waste disposal practices
More awareness about hygiene
No significant changes observed
Structured Survey: To be conducted with Students of the School
C01
Name of the respondent
C02
Respondent’s phone number
C03
What is the gender of the respondent?
Female
Male
Transgender
C04
What is your age? (in completed years)
C05
Which grade are you in?
C06
How often do you attend school?
Everyday
4-5 times a week
2-3 times a week
Once in a week
C07
How far do you live from the school?
Within walking distance
1-2 kilometres
3-5 kilometres
More than 5 kilometres
Access to Basic Amenities-Student(School WASH)
D01
Has ITC implemented infrastructure support in your school?
Yes
No
D02
Has there been any changes in your classroom infrastructure in the past 2 years?
Yes
No
D03
What has been the key areas of changes in classrooms?
Classroom walls
Benches
Development of e-classrooms
Lights
Fans
Lights
Tiles
Other (specify)
D04
How would you describe the painting on wall of the classrooms?
D04A
Pre-renovation
No paint
Old and chipped paint
In some color
Paintings/designs
Other (specify)
D04B
Post-renovation
No paint
Old and chipped paint
In some color
Paintings/designs
Other (specify)
D05
What paintings/designs do your school walls have?
Solar system (Planet’s name)
Career ladders
Trees/Subjects trees
Fundamental rights
Other education elements
COther (specify)
D06
What all amenities exist on the classroom walls?
Black board
White board
Bulletin board
Bulletin board with charts/artworks from students/teachers
Other (specify)
D07
What technological amenities exist in the classroom/school?
D07A
Pre-renovation
Projectors
Computers
Speakers
Other (specify)
D07B
Post-renovation
Projectors
Computers
Speakers
Other (specify)
D08
How often do you study in these classrooms?
D08A
Pre-renovation
Daily
Most days of the week
Once in a month
Once in few months
Never
Other (specify)
D08B
Post-renovation
Daily
Most days of the week
Once in a month
Once in few months
Never
Other (specify)
D09
Can you tell us about the availability of electricity in school?
6-7 hours
4-5 hours
2-3 hours
Less than 2 hours
Other (specify)
D10
Do these changes improve your attention in classroom?
Highly agree
Agree
Not sure
Disagree
Highly disagree
School infrastructure Details
E01
Which of the following facilities are present in your school?
E01A
Pre-renovation
Drinking water facilities
Same toilets for boys and girls
Different toilets for boys and girls
Boundary walls
Mid-day meals
Playground
Roof coverings (concrete)
Other (specify)
E01B
Post-renovation
Drinking water facilities
Same toilets for boys and girls
Different toilets for boys and girls
Boundary walls
Mid-day meals
Playground
Roof coverings (concrete)
Other (specify)
E02
What were the challenges in respect to drinking water before ITCs infrastructure intervention?
No water sources
Low water availability
Dirty water/Yellow water
Bad taste of water
No water stations earlier
Other (specify)
E03
How is your water consumption post water filtration renovation?
Has increased
Stayed the same
Somewhat less
Much less
E04
How familiar are you with basic hygiene practices such as handwashing with soap, tooth brushing, and bathing?
Very familiar
Somewhat familiar
Not familiar
E05
What kinds of diseases are caused by not washing hands with soap?
Dysentery
Diarrhea
Hepatitis – A/E
Covid-19
H1N1/Swine flu
Viral Influenzas
Worms
Don’t know.
Others (specify)
E06
Have you observed any improvements in the availability of clean water and sanitation in your school?
Yes, significant improvement
Yes, slight improvement
No improvement
E07
What were the prevailing challenges due to no toilets in school?
Health risks due to poor sanitation
Lack of dignity and privacy for girls
Lack of dignity and privacy for all children
Low attendance in school
Safety challenges
Other (specify)
No challenges faced
E08
How many total toilets are there in the school?
E08A
Pre-renovation
Less than 3 toilets
3-5 toilets
5-7 toilets
7-10 toilets
More than 10 toilets
E08B
Post-renovation
Less than 3 toilets
3-5 toilets
5-7 toilets
7-10 toilets
More than 10 toilets
E09
What is the availability of water supply in toilets?
E09A
Pre-renovation
Always available
Mostly available
Occasionally available
Rarely available
Never available
E09B
Post-renovation
Always available
Mostly available
Occasionally available
Rarely available
Never available
E10
How has the toilet facility impacted you?
I feel more secure
I feel more comfortable
I don’t have to leave school mid ways
Other (specify)
E11
Has there been any development or renovation of boundary wall in the school under the ITCs school infrastructure development programme?
Yes
No
E12
How does the boundary wall help the school?
Demarcated space for playing
Ensured safety in school
Limits entry of strangers in schools
Does not help
Other (specify)
E13
Do you witness any changes in your food post kitchen renovation?
Yes
No
E14
What changes do you witness in food?
More food options
Better taste
Other (specify)
E15
Has there been any development or renovation of playground in the school under the ITCs school infrastructure development programme?
Yes
No
E16
What changes do you witness in playground?
It is bigger
It is greener
It has a boundary wall
It has demarcated playing court has not changed
Other (specify)
E17
Has there been any development or renovation of library in the school under the ITCs school infrastructure development programme?
Yes, library was developed by ITC under the programme (did not exist before)
Yes, library was renovated by ITC under the programme.
No, library was not renovated.
No, library does not exist.
E18
Has there been any development or renovation of computer lab in the school under the ITCs school infrastructure development programme?
Yes, computer lab was developed by ITC under the programme (did not exist before)
Yes, computer lab was renovated by ITC under the programme.
No, computer lab was not renovated.
No, computer labs do not exist.
E19
How have the changes in the computer lab impacted you?
Improvement in understanding of computer
Computers are fast
More classes
Improvement in teacher motivation
It has not impacted
E20
Does the school have any infrastructure for children with disability?
E20A
Pre-renovation
Ramps for entry in spaces
Lower locks on door
Increase in volume due to e-learning.
Improvement in lighting for better visibility
Toilets for disabled
E20B
Post-renovation
Ramps for entry in spaces
Lower locks on door
Increase in volume due to e-learning.
Improvement in lighting for better visibility
Toilets for disabled
Knowledge on hygiene: To be conducted with Students of the School
F01
Has there been any knowledge and information sessions held in the school?
Yes
No
F02
List out the initiatives undertaken by school to impart hygiene knowledge and information
F02A
Before
Hygiene education classes
Dustbins in school to ensure cleanliness.
Competitions on hygiene focused days such as toilet days, hand washing days etc.
Development of hygiene and sanitation corner with information on hygiene
Hygiene monitoring board (nail cutting, dress, hair)
Soap donation to schools on special events such as birthdays
Other (specify)
F02B
After
Hygiene education classes
Dustbins in school to ensure cleanliness.
Competitions on hygiene focused days such as toilet days, hand washing days etc.
Development of hygiene and sanitation corner with information on hygiene
Hygiene monitoring board (nail cutting, dress, hair)
Soap donation to schools on special events such as birthdays
Other (specify)
F03
How have these activities impacted your hygiene and cleanliness?
Ensure regular hand washing.
Take regular baths.
Disease awareness
Other (specify)
F04
Do you have awareness on six steps of hand washing?
F04A
Before intervention
Yes
No
F04B
After intervention
Yes
No
F05
What kinds of diseases are caused by not washing hands with soap?
Dysentery
Diarrhea
Hepatitis – A/E
Covid-19
H1N1/Swine flu
Viral Influenzas
Worms
Don’t know.
Other (specify)
Structured Survey: To be conducted with Child Cabinet Members (Primary Stakeholder)
G01
Name of the respondent
G02
Respondent’s phone number
G03
What is the gender of the respondent?
Female
Male
Transgender
G04
What is your age? (in completed years)
G05
Which grade are you in?
G06
How often do you attend school?
Everyday
4-5 times a week
2-3 times a week
Once in a week
G07
How far do you live from the school?
Within walking distance
1-2 kilometres
3-5 kilometres
More than 5 kilometres
Child Cabinet Committee
H01
Are you a part of the child cabinet committee?
Yes
No
H02
Do you know about the child cabinet?
Yes
No
H03
What is the role of the child cabinet?
Ensure maintenance of toilets
Ensure cleanliness in school.
Ensure proper meals availability for MDM.
Ensure cleanliness of students
Maintenance of hygiene monitoring boards
Other (specify)
H04
To what extend do you think the child cabinet is active in your school?
To great extent
To some extent
To little extent
Not active at all
H05
How often do the cabinet meetings happen?
Weekly
Monthly
Half early
Annually
Never
Other (specify)
H06
Did the committee interact with coordinators from NGO?
Yes
No
H07
What support was provided by them in developing the cabinet committee?
Mobilization of children
Awareness of roles and responsibility
Hand holding support for maintenance.
Other (specify)
Semi-structured: To be conducted with School Management and Development Committee (SDMC) Committee member
I01
Name of the respondent
I02
Respondent’s phone number
I03
What is the gender of the respondent?
Female
Male
Transgender
I04
What is your age? (in completed years)
I05
Which grade are you in?
I06
How often do you attend school?
Everyday
4-5 times a week
2-3 times a week
Once in a week
I07
How far do you live from the school?
Within walking distance
1-2 kilometres
3-5 kilometres
More than 5 kilometres
School Development and Management Committee
J01
Does your school have a School Management and Development Committee (SDMC) committee?
Yes
No
J02
What is the role of SDMC committee?
Improvement initiatives and school development
Decision-making on school infrastructure, curriculum and resources
Promotion of community engagement in school
Other (specify)
J03
What are the total number of members in the SDMC?
Less than 5
Between 5-7
Between 7-10
More than 10
J04
What is the frequency of meetings held by SDMC?
Daily
Once in a week
Once in a month
Rarely
Never
J05
Since the implementation of the intervention, has your school received any of the following infrastructure improvements?
New classrooms
Improved sanitation facilities
Improved electrical systems
Renovation of the existing building
Other (specify)
J06
How satisfied are you with the quality of the infrastructure improvements provided?
Highly satisfied
Neutral
Dissatisfied
J07
Have these infrastructure improvements addressed any pre-existing challenges faced by the school?
Yes
No
J08
If yes, briefly explain the challenges addressed.
J09
Briefly explain how these infrastructure improvements have impacted the following:
Learning Environment
Student Well-being
Teacher Effectiveness
Overall School Functioning
J10
How frequently did the project team communicate with the SDMC committee regarding project implementation?
Once in a week
Once in a month
Rarely
Never
J11
Have you faced any challenges in maintaining infrastructure in the school?
Yes
No
J12
What are the main challenges faced in maintaining and upgrading infrastructure in the school?
Lack of funds
Limited availability of maintenance staff
Political apathy
Lack of support from school administration
Other (specify)
J13
Have you developed any specific strategies to address these challenges?
Yes
No
J14
Briefly explain what strategies have you that have been developed or implemented to address the challenges identified with the infrastructure facilities in the school?
J15
What additional support or resources would you require to improve infrastructure in the school?
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