Appendix 1 COMMUNITY AND HOUSEHOLDS QUESTIONNAIRES CONSULVEC LOCAL COMMUNITY SURVEY INTERCONNECTION: MOZAMBIQUE-MALAWI INTERCONNECTION COUNTRY: MOZAMBIQUE Note to the investigators: * Complete section A (socioeconomic data), section B (wayleave survey), section C (general comments) with village leaders and some of their advisors; * Women must take part in this survey to talk about their concerns, the presence of specific community sites (NTFP1 harvesting, ceremonial or heritage site) in the wayleave; * Register the name of participants to every sections by using the Signatures sheet for communities. INFORMATION ABOUT THE INTERVIEW Information about the Interview Questionnaire number (day/month/initialslinterview of the day): I / / / / / Interviewer name: District: Cidade de Tete E Changara E Moatize E Administrative Post: Cidade de Tete ED Is the village connected to the power Chipembere E grid? Moatize E Yes E No E Kambulatsisi E Z6bu6 E LocalitylVillage: Zone: Rural F Urban F Interview location GPS WP #: Information about the Village Leader and the Informant Village leader family name: First name: Village leader cellular phone #: No phone E 1 NTFP: Non-timber forest product - refers to products of biological origin other than timber, derived from forests. Mozambique-Malawi Interconnection January 2017 MEWSP 1 1A CONSULTEC CumuMfct AdeocOdon tdc Is the respondent the head of village? Yes E No F If not, what is the respondent's name: And what is his status: Respondent cellular phone # : Mozambique-Malawi Interconnection January 2017 W SP 2 CONSULTEC SECTION A: SOCIOECONOMIC DATA I. POPULATION Total population in the village: inhabitants YesEZ No D Presence of special groups (permanent or transient) Sec gro E] (refugees, migrants, pastoralists crossing the area): Ner:ygroup(s): Number:. II. ETHNIC GROUP Ethnic group Percentage (%) Main ethnic group: Second main ethnic group: Third main ethnic group: Other ethnic groups (specify): Ill. OCCUPATION Occupation Percentage (%) Farmer Pastoralist Self-employed Private employee Public employee Other(s) (specify): Note: If there is no member in a specific category, please put 0. IV. RELIGION Religion Percentage (%) Christian Muslim Traditional/Ethnic religion/Animist Other(s) (specify): Note: If there is no member in a specific category, please put 0. Mozambique-Malawi Interconnection January 2017 MEWSP 3 1A CONSULTEC V. SOCIAL AND ECONOMIC INFRASTRUCTURES PRESENT IN THE COMMUNITY Does the village have any of the following social and economic infrastructures/facilities? Infrastructurel Number connected Facility to power grid Yes F Primary: # Primary: # 1. School No F Secondary: #_ Secondary: # Tertiary: # Tertiary: # 2. Health facility Yes F PHC: # PHC: # No E Hospital: # Hospital: # Market: # 3. Market/ Yes E Names: Market: # Trading center No E Trading center: # Trading center: # Names: 4. Slaughterhouse Number: # Connected: # No E_ 5. Administrative Yes NC t buildings (hall, No F Number: # Connected: # meeting room, etc.) Yes F Mosque: #_ Mosque: # 6. Church, mosque, etc. No F Church: # Church: # Other: # Other: # 7. Heritage or cultural site (historic site or Yes F building, community No NC t burial sites, etc.) 8. Machinery/ Production centre Yes NC (sawmill, grain mill, NoNumber: # Connected: # workshop, pottery, honey, etc.) 9. Water supply facilities Yes NC t (bore boles, protected NoNumber: # Connected: # spring) 10. Lodging facilities Yes F (hotel No ~ Number: #___ Connected: #___ (hotel) No F- 11. Police center Yes D . Pc cNumber: # Connected: # No F- Mozambique-Malawi Interconnection January 2017 MEWSP 4 1A CONSULTEC VI. WORKFORCE 1. In the village, are there workers in the following fields? Number of Trades Presence workero workers Experienced pylon assembler Yes E No E Carpenter Yes E No E Welder Yes E No E Electrician Yes E No E Truck driver Yes E No D Taxi driver (car, tricycle, motorcycle) Yes E No E Heavy machinery operator (shovel operator, caterpillar, etc.) Yes E No E Mechanic Yes E No D Mason Yes E No D Painter Yes E No D Chainsaw operator Yes E No D Commercial Farm workers Yes E No D Other (specify): Yes E No D 2. In the village, are there any association? Yes F No F If yes, enumerate them: VII. SERVICES Are these businesses present in the village? Number of Service Presence busiesses businesses Trucks/Lorry Yes ] No D Mechanical (dealers, repairs, etc.) Yes E No E Gas/Petroleum products (sales, storage, etc.) Yes D No D Heavy machinery (crane, bulldozer, excavator, etc.) Yes D No D Materials (wood, stone, sand, cement, etc.) Yes E No E Food eating place Yes E No D Sleeping place (hotel, lodge) Yes E No D Logging companies Yes E No D Bank/Mobile money Yes E No D Post Office Yes E No D Security company Yes E No D Other (specify): Yes D No D Mozambique-Malawi Interconnection January 2017 MEWSP 5 ~.s t� a ,�,� �'wsп (fi �Q� � °�п � й О р � _ ❑ ❑ ❑ ❑ �� i�� Е �; оа о•° �`а д аиi г ш z .� R ш•� � � � ш д R п о° t 3 .��. ш о• >.,v о •- д д ��� !- У С > ❑ ❑ ❑ ❑ ад`о�б ' �•�� аиi г° ш z° � � ы = � � s с � т й � « о s а � иш иш а � и а с� Е Е � Е Е Е � Е й I I и �I I I и �I r и t � .- � .- и й о и -° с � Е -° с з Е � ш о т � ш о т а � п J ,� 'о J ; •о � С Ф � � Е о аЕ � ❑❑❑❑❑ ❑❑❑❑❑ о =' ,� д � „__�, п� о °� � о w. ш .� ш ,=° с°'i Е � � ш � й 9 ш � й .�.. ш т �' �-°о ш ш�� �-°о ш ш � a�i� �` « U Q U Н О о U Q U Н О,г� т .:. о. � . . о г N М � и� г N М � � � �г ш � л ❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑❑ ° � 3 о •- т ш z v °3 v д � о '" ш и и ш и и р р _ � У и U Q Е � у (6 а � с.> У о � с.� у р � И с i+ и й � U Q у � й � U д� �� v � n п и � у�3 Sx п и Q ш 3 ,со Е С �6 и т л� У� i� с о��, �° У а? v с � о л � У �� ° L_ С `� с Й У.� и L_ 'С `� с Й �'_ � й�-° 3 а о а Е � й т � 3� о а� � +'С. 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О_ � О_ � } О° � U и Q� U }, '', }, � ~ cc�i ❑ �ой;°иш ш � � � � � � � � ш° г ш�о ��с `°� д ш� ш � °� а ш� т � ш �' � `' =° Е � � о � �' °' � � � � о � � �о � � ёа ❑ ��ц Q� �. о и с� �� о }. ° и с� ш � г � т со св ш�- т со т � . v�'е�а ш с� °i г I�aиUO= г�аи sN � а Q• } � N М� ln СО г N М� т со и � � г N 0 С � � � �1$ � � � �� � Q� `�'v`� �� ❑ ❑ ❑ ❑ ш о ш о � г } г ❑ ❑ ❑ ❑ и и � z° � z° иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш иш �а а� L �а о � .` > о' � ❑ ❑❑❑❑❑❑ ❑❑❑❑❑❑ � и .� и .� а и � � .� т � о а о й и о � о � � � � Q � � о о о о � о � о � L ` L 2 с �' � с й _�' т � � c�v � � � со о с� й о о о о � Q � й Q' о Q � й°' о 4 ci и С j1 N о и С jy N о и и i N с�. L i с� с�. � i v � ш и N'U -р ° � ш � N'U -р ° L � Ф .� � "� О � Ф .-� � "� О � Ф ,-� � О � (р Ф О �� О � (0 Ш о р� о � о= �с����о= �с����о_ � CU г N М� L(� Со г N М� lf� Со � N й ш о � Г � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ й о с� � ш � � � у_�' О у,�' О v_�' � c�i Cf U � � U � � U � N .. � N С N � N С � � •д � 4 - �' и о °� � 'й �' и т °� � 'й �' и � т � � �� а ш� а� � �� а ш а � � rn т � ш� � ��� ш ш� ш L о� � ш ш� ш � о о� � о о й i� � о� R �� ш� о г"и о сив т ш� о со о сл с� ш� о � s о ,с�0= z I�aиUO= г I�aиUO= г �г l!') Со г N М� Ln Со г N М� lл Со т� �„� � о с � � AA9hkk, CONSULIMC Comultow Asvuc4odc L60 SECTION C: GENERAL COMMENTS After the explanation of the project and the visit of the ROW with the village authorities, how do they perceive the project? Have they specified recommendations, concerns? End of the community survey! The local authorities who answered the questions MUST SIGN the Sigginature Sheet for Communities. Mozambique-Malawi Interconnection WSP January 2017 10 CONSULTEC Co .-xk0$UL Aso tdo d HOUSEHOLD SURVEY INTERCONNECTION: MOZAMBIQUE-MALAWI INTERCONNECTION COUNTRY: MOZAMBIQUE Information about the Interview Questionnaire number (day/month/initialslinterview of the day): 1 / I I I I I / Interviewer name: District: Cidade de Tete E Changara F Moatize F Administrative Post: Cidade de Tete E Chipembere E Moatize E Kambulatsisi E Z6bub E Locality: Zone: Rural F Urban F Hi, my name is . I am hired by Consultec, a Mozambican consultancy mandated by Electricidade de Mogambique (EDM) to conduct an environmental impact assessment on a high-voltage electricity transmission line project between the Matambo substation (south of Tete, Mozambique) and the Phombeya substation (south of Balaka, Malawi). This project is at a preliminary stage. We need to evaluate the potential impacts of the project on the population and affected households (fields, houses, etc.). This is why we are performing this survey. Do you have any questions on this survey or the project before I start? IDENTIFICATION OF THE HOUSEHOLD Information about the Head of Household (HofH) and the Informant HofH family name: First name: HofH cellular phone #: No phone E Is the respondent the HofH? Yes F No D If not, what is the respondent's name: And what is his status: Spouse of HofH E Child of HofH E Other E Specify: Respondent cellular phone #: Mozambique-Malawi Interconnection January 2017 ~jwsp CONSULTEC SECTION A: HOUSEHOLD DATA Household data is collected for the head of household and the members of the household currently residing in the principal residence of the household. (Note: Definition of members of household: People sleeping and eating in the house for at least the last 6 months. Do not count visitors, boarding children BUT count children of the household away for school, visiting others, etc.) I. HEAD OF HOUSEHOLD Gender: Male R Female R Age: _ years old Marital status: 1. Single F If married: 2. Married E 1. Polygamous E How many wives? 3. Widowed E 2. Monogamous F 4. Divorced/Separated E 3. DNK E 5. DNK E Ethnic group: Religion: 1. Nyngu6 D 1. Catholic E 2. Chichewa E 2. Protestant (including Evangelical) E 3. Nyanja D 3. Muslim E 4. Other D 4. Zionist / Zion E If other, specify: 5. Animist E 6. Do not practice any religion E 7. DNK E 8. Other E If other, specify: Highest formal education level attained: No formal education E Primary E Secondary E Tertiary E University E DNK E Informal education received: No informal education R Adult Education E Technical/Vocational training E Koranic School E Other E If other, specify: Main Occupation: Farmer R Pastoralist E Self-employed E Private employee E Public employee E DNK E Other E If other, specify: Mozambique-Malawi Interconnection January 2017 j&wsp 2 CONSULTEC II. MEMBERS OF HOUSEHOLD Members of household (excluding HofH) currently living in the residence(s) in the affected area. (Note: People sleeping and eating in the house for at least the last 6 months, include children of the household away for school or visiting.) If in school, Highest Formal Ifiscol Member Age Gender HighetFora time taken to reach school* #1 Male E Female E #2 Male E Female E #3 Male E Female E #4 Male E Female E #5 Male E Female E #6 Male E Female E #7 Male E Female E #8 Male E Female E #9 Male E Female E #10 Male E Female E #11 Male ED Female ED #12 Male E Female E #13 Male E Female E #14 Male E Female E #15 Male E Female E *Highest Formal Education: 1-Primary School; 2-Secondary; 3-Tertiary; 4-University; 5-DNK **Time taken to reach school: 1- < 30 min; 2- 30 min to 1 hr; 3- 1 hr to 2 hrs; 4- > 2 hrs; 5- Not applicable Mozambique-Malawi Interconnection January 2017 j&wsp 3 CONSULTEC Ill. HOUSEHOLD INCOMES Now, I would like to ask you some questions about the sources of livelihood. A- Did the household practice these activities during the past 12 months? 1. Agriculture: Yes E No E If yes, complete this table. Over the past Quantity Quantity Crops/Fruits 12 months, If, yes... who? produce per trees have you (bags/cans) ag (bags/cans) produced... HofH E Corn Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Sorghum Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Millet Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Cowpeas Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Sweet potato Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Peanut Yes E No E Spouse(s) of HofH E _ Bags - Bags Both E HofH E Pumpkin Yes E No E Spouse(s) of HofH E _ Qnt _ Qnt Both E HofH E Cabbage Yes E No E Spouse(s) of HofH E _ Qnt _ Qnt Both E HofH E Cucumber Yes E No E Spouse(s) of HofH E _ Qnt _ Qnt Both E HofH E Mangos Yes E No E Spouse(s) of HofH E _ Basket Basket Both E Mozambique-Malawi Interconnection January 2017 j&wsp 4 CONSULTEC HofH E Orange Yes E No E Spouse(s) of HofH E _ Basket Basket Both E HofH E Bananas Yes E No E Spouse(s) of HofH E _ Bunch Bunch Both E HofH E Papaya Yes E No E Spouse(s) of HofH E _ Basket Basket Both E HofH E Avocado Yes E No E Spouse(s) of HofH E _ Basket Basket Both E Yes E No E HofH El Other If yes, specify: Spouse(s) of HofH E] Both El Yes El No E HofH El Other If yes, specify: Spouse(s) of HofH El Both El Yes E No E HofH El Other If yes, specify: Spouse(s) of HofH El Both El 2. Livestock: Yes E] No E] If yes, complete this table. Over the past 12 If you have Animals months, did you If yes, sold some Who sold them? have... many? (multiple responses) of them, how many? Self-consumption F] HofH E Cow Yes EI No El Exchange El Spouse(s) of HofH E Sale El Both El Self-consumption El HofH El Pig Yes E No El Exchange El Spouse(s) of HofH E Sale El Both El Chicken YesSelf-consumption El HofH El (poultry) Yes No El Exchange El Spouse(s) of HofH El Sale El Both El Self-consumption El HofH El Goat Yes El No El Exchange El Spouse(s) of HofH El Sale E Both El Mozambique-Malawi Interconnection January 2017 j&wsp 5 CONSULTEC Self-consumption E HofH E Donkey Yes E No E Exchange E Spouse(s) of HofH E Sale E Both E Self-consumption E HofH E Sheep Yes E No E Exchange E Spouse(s) of HofH E Sale E Both E Self-consumption E HofH E Ram Yes E No E Exchange E Spouse(s) of HofH E Sale E Both E Other Yes E No E Self-consumption E HofH E If yes, specify: Exchange E Spouse(s) of HofH ] Sale E Both E 3. Fishing from river or fish pond: Yes E No E If yes, complete this table. Use Over the past 12 months, the fishing Frequency of fishing ue income (for the household) (multiple responses) amounted to... Daily E Weekly 0 Household consumption D Z WeelyEl Exchange F- MZN Monthly E xhae E-_ Seasonal O Sale 4. Hunting: Yes E No E If yes, complete this table. Use Over the past 12 months, the hunting Frequency of hunting ue income (for the household) amounted (multiple responses)to... Daily E Household consumption F Weekly E Exchange E MZN Monthly E xhae EM SeasonalaD Sale 5. Charcoal (production): Yes E No E If yes, complete this table. of charcoal Use Over the past 12 months, the charcoal F reuecy n production income (for the household) prod uction (multiple responses) aone o. amounted to... Daily E Household consumption F Weekly D Z WeelyEl Exchange El MZN Monthly E xhae E_ SeasonalaD Sale Mozambique-Malawi Interconnection January 2017 j&wsp 6 CONSULTEC 6. Firewood (collect): Yes E No E If yes, complete this table. Over the past 12 months, the wood- Frleuengc s e wses) collecting income (for the household) collecting activities (multiple responses) amounted to... Daily E Household consumption F Weekly E Exchange E MZN Monthly Exhae E_ _ SeasonalaD Sale 7. Bricks (production): Yes E No E If yes, complete this table. of bricks Use Over the past 12 months, the bricks production income (for the household) production (multiple responses) amounted to... Daily E Household consumption F Weekly E Exchange E MZN Monthly Exhae EM Seasonal E Sale 8. Business: (owned shoplstore): Yes F No F If yes, what is the income associated to this source of money for the past 12 months? MZN 9. Pension: Yes E No E If yes, what is the income associated to this source of money for the past 12 months? MZN 10. Money transfer (family): Yes E No E If yes, what is the income associated to this source of money for the past 12 months? MZN 11. Renting (land, house, etc.): Yes E No R If yes, what is the income associated to this source of money for the past 12 months? MZN 12. Salary (official): Yes E No R If yes, what is the income associated to this source of money for the past 12 months? MZN 13. Odd or casual jobs: Yes E No R If yes, what is the income associated to this source of money for the past 12 months? MZN 14. Other sources: Yes E No R If yes, specify: Mozambique-Malawi Interconnection January 2017 j&wsp 7 CONSULTEC If yes, what is the income associated to this source of money for the past 12 months? MZN B- In which market(s) do you sell your products?: IV. HEALTH AND VULNERABILITY A- Is the HofH handicapped or chronically sick? Yes F No F If yes, provide details on his/her sickness or handicap: B- Are there any other members of the household handicapped or chronically sick? Yes E No E If yes, provide details on their sickness or handicap: C- What were the main diseases of the members of the household during the last 12 months? D- Were there any deaths in the household in the last year? Yes F No F If yes, provide details on cause(s) of deaths: E- Where do you and the members of your family go for medical care? What is the distance (by walk) from your house? 1) Less than 30 mins E 2) 30 mins to 1 hour F 3) 1 to 2 hours F 4) More than 2 hours F F- Do you or the members of your family use traditional medicine? Yes E No E If yes, specify the type(s) of traditional medicine: V. HOUSEHOLD FACILITIES A- Does the household have any of the following facilities? Power generator Yes E No E Car/Truck Yes E No E Gas stove/Kerosene Yes E No E Motorbike Yes E No E Refrigerator Yes E No E Bicycle Yes E No E Television Yes E No E Plow Yes E No E Radio/cassette/music system Yes E No E Cart Yes E No E Telephone/cellular Yes E No E House in town Yes E No E Computer Yes E No E Land in town Yes E No E Mozambique-Malawi Interconnection January 2017 ~jwsp 8 CONSULTEC B- For the main dwelling of the household : What is the main building material used in the construction of the: Roof Walls Floor 1. Corrugated Iron Sheets E 1. Plain mud E 1. Earth/sand/dirt/straw E 2. Thatch E 2. Mud E 2. Smoothed mud E 3. Asbestos E 3. Mud bricks E 3. Smooth cement E 4. Concrete/cement E 4. Wood E 4. Wood/planks E 5. Wood and mud E 5. Grass E 5. Ceramic tiles E 6. Bamboo/reed E 6. Compacted E 6. Other E 7. Plastic canvas E 7. Burnt bricks E If other, specify: 8. Bricks E 8. Concrete E 9. Other E 9. Other E If other, specify: If other, specify: VI. CONSUMPTION A- Energy and Drinking Water ENERGY What is the household's main source of energy for...? 1. Firewood E 1. Wood E 2. Coal E 2. Charcoal E 3. Diesel E 3. Paraffin E 4. Generator E 4. Candles E Cooking 5. Other E Lighting 5. Generator E If other, specify: 6. Electricity (EDM) E 7. Torch E 8. Other E If other, specify: How much do you spend per month on fuel for...? 1. Nothing E 1. Nothing E 2. Less than 50 Mt E 2. Less than 50 Mt E Cooking 3. Between 50 and 100 Mt E 3. Between 50 and 100 Mt E 4. Between 100 Mt and 200 Mt EL 4. Between 100 Mt and 200 Mt E 5. Between 200 Mt and 300 Mt E 5. Between 200 Mt and 300 Mt E P. More than 300 Mt E . More than 300 Mt E DRINKING WATER What is the household's main source of drinking water during the...? Mozambique-Malawi Interconnection January 2017 j&wsp 9 CONSULTEC 1. Piped water at home E 1. Piped water at home E 2. Piped water in yard E 2. Piped water in yard E 3. Well in the backyard E 3. Well in the backyard E 4. Community well E 4. Community well E Dry 5. Hole / fountain Wet 5. Hole / fountain E season season 6. River / lake E 6. River / lake E 7. Borehole E 7. Borehole E 8. Other E 8. Other E If other, specify: If other, specify: How long (in minutes) do you take to get to the main source from your house? Dry T __ minutes Wet minutes season season How many times do you fetch water? 1 . Once a week ED 1 . Once a week ED 1Once aweek D 1. Once aweek D 2. Once a week El 2. Once a week El Dry 3. Two or three times per week E Wet 3. Two or three times per week E season 4. Three or four times per week E season 4. Three or four times per week E 5. Five or six times per week E 5. Five or six times per week E P. Everyday E . Everyday E B- Household Food Consumption 1. How many meals the household normally has per day? _ IDay (between 1 and 3) 2. In the last week, how many days the household consumed meat? _ (between 0 and 7) 3. In the last week, how many days the household consumed fish? _ (between 0 and 7) 4. In the last year, how often could the head of household satisfy the food needs of the household? Never E Seldom E Sometimes E Often E Always F 5. Do you need to buy food to satisfy household needs? Yes E No E Mozambique-Malawi Interconnection January 2017 j&wsp 10 CONSULTEC VII. LAND OWNERSHIP Record all land parcels owned/used by the household in the last 12 months (including land owned, rented or leased, use of common/community land, etc.). Note: All land parcels within and outside the wayleave are included. A- How many pieces of land do you use: _ pieces of land Parcel Ownershipl Ownership of the use Use Area # Use rights rights (ha) 1. Crop growing E 2. House/store E 1. Leasehold/ Certificate 1. HofH E 3. Rented to others E of ownership E 2. Wife E 4. Pasture E 2. Customary law E 3. Son/Daughter E 5. Planted trees E 3. Bought E 4. Father of HofH E 6. Savana - natural 1 4. Rented E 5. Mother of HofH E bush E _ ha 5. Borrowed E 6. Other relative 7. Fallow E 6. Shared cropping E male E 8. Uncultivated 7. Other form of tenure E 7. Other relative (excluding fallow) E 8. N/A D female E 9. Unusable E 10.Other E If other, specify: 1. Crop growing E 2. House/store E 1. Leasehold/ Certificate 7. HofH E 3. Rented to others E of ownership E 8. Wife E 4. Pasture E 2. Customary law E 9. Son/Daughter E 5. Planted trees E 3. Bought E 10. Father of HofH 6. Savana - natural 2 4. Rented E 11. Mother of HofH bush ha 5. Borrowed E 12. Other relative 7. Fallow E 6. Shared cropping E male E 8. Uncultivated 7. Other form of tenure E 13. Other relative (excluding fallow) E 8. N/A D female E 9. Unusable E 10. Other E If other, specify: Mozambique-Malawi Interconnection January 2017 j&wsp CONSULTEC Parcel Ownershipl Ownership of the use Use Area # Use rights rights (ha) 1. Crop growing E 2. House/store E 1. Leasehold/ Certificate 1. HofH E 3. Rented to others E of ownership E 2. Wife E 4. Pasture E 2. Customary law E 3. Son/Daughter E 5. Planted trees E 3. Bought E 4. Father of HofH E 6. Savana - natural h 3 4. Rented E 5. Mother of HofH E bush _a 5. Borrowed E 6. Other relative 7. Fallow E 6. Shared cropping E male E 8. Uncultivated 7. Other form of tenure E 7. Other relative (excluding fallow) E 8. N/A D female E 9. Unusable E 10. Other E If other, specify: 1. Crop growing E 2. House/store E 1. Leasehold/ Certificate 1. HofH E 3. Rented to others E of ownership E 2. Wife E 4. Pasture E 2. Customary law E 3. Son/Daughter E 5. Planted trees E 3. Bought E 4. Father of HofH E 6. Savana - natural h 4 4. Rented E 5. Mother of HofH E bush _a 5. Borrowed E 6. Other relative 7. Fallow E 6. Shared cropping E male E 8. Uncultivated 7. Other form of tenure E 7. Other relative (excluding fallow) E 8. N/A ] female E 9. Unusable E 10. Other E If other, specify: Mozambique-Malawi Interconnection January 2017& 12 CONSULTEC SECTION B: IMPACTS RELATED TO THE WAYLEAVE Section B must be completed by the interviewer in the field with the help of the community authority. The interview with the household is used to complete or confirm the information. A. CONTROL GROUP (OUTSIDE ROW) Yes F (STOP INTERVIEW HERE AND ASK THE INTERVIEWEE TO SIGN AT THE END OF THE QUESTIONNAIRE) B. AFFECTED GROUP (INSIDE ROW) Yes 0 (PLEASE FILL SECTION B) 1. CULTIVATED PARCELS IN THE WAYLEAVE Are there any parcels (used by the household) partially or entirely located in the wayleave? Yes E No E (If no, go to question # II) If yes, how many? For each parcel affected, provide numbers of trees and perennial crops (and estimate the area for crops in m2) that are entirely located in the wayleave. Mozambique-Malawi Interconnection January 2017 3 ; wSP 13 &l」팜―& � и и и и и и и и и � ш й ш й а°�i ш ш ш ш � � : + : + + : : : : о о о о о о о о о о о � р �t �t xt at xt �t at at at at с � д д с #i � `� "� LL 1� l � = т д Q. и и т со � � с � а ~ � � � Q о � � � � � � �� � О т а Q � � � О й ■� � ° �� N " N н N N N N N � Е Е Е Е Е Е Е Е Е ❑ �� � ш р � v й v с_ с �а п = о � т с� � ❑ ш и о С v� а� Н � а ш � Q- � L`� о С � � � � � а U й � U й а а U О й а, С � иш иш иш иш ❑ � с � � � о � .л � о с`� г � � � � � п � еа с � ❑ ш �а �� � � � с� � о иш иш иш иш а� ❑� _ �О � � О � п г�аа " � °�.' � ❑ и � � И П3 � :�. О � а ~ � � i l.L � � � Q � � � ❑ N о � еа С п п п п "�' L !2 G1 � � 3 � о � = L � > R и ш . �� й � о U � о � о � п U � Z й s с�. 3 � д � п ° ❑❑❑ �. ❑❑❑❑❑❑ ❑ ❑❑ = а �`а � � а � п ш�° сfбi с �� ш ш ��°� 0 � � � N � � = 2 :� '� е�в С � о. � й а> ш�`. ° �,� о т си а 3 о �.� �ито.а � � о L ш ши а� о= � r .. � _ о a�i � и •и о ш У •и = _ш °' � � � � �_ �0 У С > � а � � С°' и С� г о � 2� сл о ii � О Е О� о �_,w_'• о 3 3 о �. 3 0 `� о п:, о � � c�i м v�ci cfl � оо ai д о и � Ф с � 'о ❑❑❑❑❑❑ � -оа й � � �, � (�. � СЛ л у ++ с т � � •3 о >, s �� N �!� U�' О � � � � *k � G, й � (6 � � � ш � а"' U Ш Й С �� � N V ++ � � � ш о ... �г Q о о� а� U� � О N� о д = � N М� � СО �� � и и и и и и и и и � ш й ш й а°�i ш ш ш ш � � : + : + + : : : : о о о о о о о о о о о � р �t �t xt at xt �t at at at at с � д д с #i � `� "� LL 1� l � = т д Q. и и т со � � с � а ~ � � � Q о � � � � � � �� � О т а Q � � � О й ■� � ° �� N " N н N N N N N � Е Е Е Е Е Е Е Е Е ❑ �� � ш р � v й v с_ с �а п = о � т с� � ❑ ш и о С v� а� Н � а ш � Q- � L`� о С � � � � � а U й � U й а а U О й а, С � иш иш иш иш ❑ � с� �� о � .л � о с`� г � � � � � п � еа с � ❑ ш �а �� � � � с� � о иш иш иш иш а� ❑� _ �О � � О � п г�'а а " ° °�..' � ❑ со � � И П3 � :�. О � а ~ � � i l.L � � � Q � � � ❑ N о � еа С п п п п "�' L !2 G1 � � 3 � о � = L � > R и ш . �� й � о U � о � о � п U � Z й s с�. 3 � д � п ° ❑❑❑ �. ❑❑❑❑❑❑ ❑ ❑❑ = а �`а � � а � п ш�° сfбi с �� ш ш ��°� 0 � � � N � � = 2 :� '� е�в С � о. � й а> ш�`. ° �,� о т си а 3 о �.� �ито.а � � о L ш ши а� о= � r .. � о � � � •- � � и У и � �N С � � .�.°. ш ш ш т � j �+ д ш и и о и о о г о о о т� о� т�� У о и еа 3 �3о°'��zo �=�иош�оЕо.�г � _ ' о 0 `� о п:, о � � c�i м v�ci cfl � оо � д о и � Ф с � 'о ❑❑❑❑❑❑ � -оа й � � �, � (�. � СЛ л у ++ с т � � �3 о >, s �� м � i`а �� о 0=� � �k � Q, й� т о � � ш +�,и,, 's�' V Ш й С �� � с°v V ++ � � � ш о ... �г Q о о� а� U� � О N� о д = � N М� � СО �� � и и и и и и и и и L а°�i ш й а°�i ш ш ш ш ш Q � : : + + : : : : : о о о о о о о о о о о � р � �t �t xt xt at at at at at с � д д с � #i � `° ", LL �1l � = т д � и ° т сл -°в � с � а ~ � � � Q о � � � � � � �� � О т а Q � � � О й ■� � ° �� N " N н N N N N N � Е Е Е Е Е Е Е Е Е ❑ �� � ш О ,t v й v =_ с �а п = о � т с� � ❑ а> и о = � а� Н � а ш � Q- Q L'� о с � � � � � а U й � U й а а U О й а, � � иш иш иш иш ❑ � 3 � � � с�0 О .л � О N г � �° _ � � й � •!� С V ❑ N � а � � � � 7 U � о иш иш иш иш а� ❑� _ �О � � О � п г�•а а " т �' � ❑ г� � � И П3 � :�• О � а ~ � и i LL � � � Q ь. v � ❑ N о � еа = п ппп " � .. а д � =3°.' о� = L � > R и ш . �� й � о U � о � о � п V � Z й = с�. 3 � д 3 п ° ❑❑❑ �. ❑❑❑❑❑❑ ❑ ❑❑ � а <`о � � а � пш�сfбi с �� ш ш ��°� о� � � т� 3 = 2:' :' е`а с� Q. � й а> ш�`. о �,� о со т а 3 о ш °' ° о = i'� � Ш L V L ч�.. � L ` N N N и о � ���.�` и У и�� _ ��� шш `шт � j � и ш и и о и и о г о о о т о о���� У о� еа 3 � 3 о�' �� z о �_� и о�� О Е о.� г �_' о 0 '� о п:� о � � c�i м v�гi cfl г� оо � и о и �� Ф с � 'а ❑❑❑❑❑❑ � -оа й � � �, � (�. � СЛ л у ++ с т � � •3 о >, s �� � и � ° о 0 = � � � о и ш о� L � Q. и с о � Ш Ф s � � О�� � � о � �+✓ � � � ш о � �г а ;� а� U� � O N� д = • ° т � N М� � СО �� � и и и и и и и и и L а°�i ш й а°�i ш ш ш ш ш � � : : + + : : : : : о о о о о о о о о о о � р � �t �t xt xt at at at at at с � д д с #i � `° ", LL 1� l � = т д � и ° т сл -°в � с � а ~ � � � Q о � � � � � � �� � О т а Q � � � О й ■� � ° �� N " N н N N N N N � Е Е Е Е Е Е Е Е Е ❑ �� � ш О ,t v й v =_ с �а п = о � т с� � ❑ а> и о = � а� Н � а ш � Q- Q L'� о с � � � � � а U й � U й а а U О й а, � � иш иш иш иш ❑ � 3 � � � с�0 О .л � О N г � �° _ � � й � •!� С V ❑ N � а � � � � 7 U � о иш иш иш иш а� ❑� _ �О � � О � п г�а а " � �' � ❑ оо � � И П3 � :�. О � а ~ � и i l.L � � � Q � � � ❑ N о � еа = п ппп " � .. а д � =3°.' о� = L � > R и ш . �� й � о U � о � о � п V � Z й = с�. 3 � д 3 п ° ❑❑❑ �. ❑❑❑❑❑❑ ❑ ❑❑ � а <`о � � а � пш�сfбi с �� ш ш ��°� о� � � т� 3 = 2:' :' е`а с� Q. � й а> ш�`. о �,� о со т а 3 о ш °' ° о = i'� � Ш L V L ч�.. � L ` N N N и о � ���.�` и У и�� _ ��� шш `шт � j � и ш и и о и и о г о о о т о о���� У о� еа 3 � 3 о�' �� z о �_� и о�� О Е о.� г �_' о 0 '� о п:� о � � c�i м v�гi cfl г� оо � и о и �� Ф с � 'а ❑❑❑❑❑❑ � -оа й � � �, � (�. � С=Л л � � с т � � •3 о >, s �� � �� и V �+ О � � � � о а и с т о � � Ш Ф s � � О�� � � о � �+✓ � � � ш о � �г а ;� а� U� � O N� д = • ° т � N М� � СО �� � и и и и и и и и и L а°�i ш й а°�i ш ш ш ш ш � � : : + + : : : : : о о о о о о о о о о о � р � �t �t xt xt at at at at at с � д д с #i � `° ", LL Е= Н 1 д � и ° т сл -ов � с V� �� а � � с т cv с�°i о т й ш� ri" гв с Q- о � � ° � ш �� � О т а Q � � � О й ■� � ° �� N " N н N N N N N � Е Е Е Е Е Е Е Е Е ❑ �� � ш О ,t v й v =_ с �а п = о � т с� � ❑ а> и о = � а� Н � а ш � Q- Q L'� о с � � � � � а U й � U й а а U О й а, � � иш иш иш иш ❑ � 3 � � � с�0 О .л � О N г � �° _ � � й � •!� С V ❑ N � а � � � � 7 U � о иш иш иш иш а� ❑� _ �О � � О � п г�•аа " т �' � ❑ и � � И П3 � :�. О � а ~ � и i l.L � � � Q � � � ❑ N о � еа = п ппп " � .. а д � =3°.' о� = L � > R и ш . �� й � о U � о � о � п V � Z й = с�. 3 � д 3 п ° ❑❑❑ �. ❑❑❑❑❑❑ ❑ ❑❑ � а <`о � � а � пш�сfбi с �� ш ш ��°� о� � � т� 3 = 2:' :' е`а с� Q. � й а> ш�`. о �,� о со т а 3 о ш °' ° о = i'� � Ш L V L ч�.. � L ` N N N и о � ���.�` и У и�� _ ��� шш `шт � j � и ш и и о и и о г о о о т о о���� У о� еа 3 � 3 о�' �� z о �_� и о�� О Е о.� г �_' о 0 '� о п:� о � � c�i м v�гi cfl г� оо � и о и �� Ф с � 'а ❑❑❑❑❑❑ � -оа й � � �, � (�. � С=Л л � � с т � � •3 о >, s �� � �� и V �+ О � � � � о а и с т о � � Ш Ф s � � О�� � � о � �+✓ � � � ш о � �г а ;� а� U� � O N� д = • ° т � N М� � СО �� � т � � �� и= �� и ш и ш � �ао�� � о о- Z ;� � � �� ■� �. о А,'т6 т R �� а� ❑❑ ❑❑ л- t тп � й.• и и pL о" 3 о''ai } г � г w т т т = '=пу�п�° ❑ ❑ ❑ ❑ mmw+�m ��°'vco � г � г° ��д°со 3т£-`�� о .. с# r а с и ш и ш а 'о с7 � �а 3 � � и � � � и � т I I й� �Е I I й'� �Е гЛ �� а о сЕо I � о, о � Е I � � �� т � � � о т ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ И Ш - � И N - � с �� � а 3 � �� � о �о о ш 3 s�3 � ш ш�� �'3 �� ш N о�и �с �` с о�и �с г' с и .� � " � � о � N � �� ".' � "О о � Ф (0 С f0 О И (6 f6 С (0 О и (6 zй�й3�й0 гслQй3�г�п0 � c�i ri v ui ш � c�i ri v ui со ❑❑❑❑❑ti ❑❑❑❑❑„', 8 о � т С1. д р и с й и с и ш ш т ао ш ш_ L_ s т vo ш ш_ �_ г � U Q U� О О U Q U Н О О Г . . . . 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U 7 Й и Ф � S] N У i] i Й а и У � У И � т и ш�� о � т с� о с о о т� � ш � о � т с� о с о о т т л� й U т n� а л � л 2 n0 f0 °� " � о т�� и U т а� а д � n= о ; . л N М V и СО 1� W W Г N М V �(D 1� 00 а ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ � �� � � � $ т в а�иi о. и и и � и т L и iu L � и si � и ш i и n п и а� � � � С (6 � i -i' � С (О � в�.+ -� j ш С7 Н и� О о С� Н й Н О о а � = = J О Г Г М И t� � �' и � L 'rn �тош о� о� ш о о s��о 3 ш т = л д w ��° � 3 � 3 � � �, и .��.`° г° - го �: а а = и п с� U L '" й � '�'- � д ❑❑❑❑❑❑❑ �'� ❑❑❑❑❑❑❑ � и•� и л � " � ` -а ш � т ш и гга '°_ r L-� 3 ш й �-о � ш й й Ё с 3w �'с ° а� �-•� ш �'с ° ш тУ� `ш т � ы =д т�т �С7т0 о т�т �С7т0 о 0 о и т � . � Г М �П h г й с а � с ;'о 3 т и v°- г`� а'иw й т � и и � 3N `° о и=> I I � � а. лс `о � °�rs � Ci U о �r 16 т о � И � � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ с и т т � а'г� � ш й й й й °1 � v с`' � � � � Q � � а _ = а '- с N О т г г L ��' N � г L ��' т ',� ' г � ❑ � � v о � �' и � о � �` и � т n с �ц и ;_, и и � � .�' �а Ф Z о � 1L � Ф о` � °� L и � N � � °� � и = о ._� . 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Г . . . . � 7 � � ° т м v 써 l「 tt я р �CL � 5 а°,а иш иш иш ' с ,�• ZрΡ ;� ° i° •п о �� �1 � о •- �о а� � ° �.. а � т А т � ❑ ❑ ❑ ❑ ❑ ❑ � � ю r д т � о � о � о ��w � г � г � г л д '� о° .а�- д' �� О О О С в+ С ° � � V .✓ а=�' V � ® ❑ ❑ ❑ ❑ ❑ ❑ V w = � � N � Z � Z � Z = � д а_д �� � w °' ° > д � Ё л е� 3 и s � « .__ о а о °�; � � а о _о л й L � С д и ш и ш и ш о дt а' �- N � � а и а ci t7 � ш � Е о � т т N 3 �I �I �I �I �I �I Ф :�i � i L i L i а_ � в_ т в_ �' о � J � J � J (6 С N L � д � L � У i. � Ф N N � ° •а °' о о о т � т + � о о о о °- °д� ш ш ш й � �� � _ � _ � _ И w г V г U г U (6 � > т � ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ а о � ш � ?� � а •` � �� } ш а_ � й U U � � а о_ � -° Q � -С ш и ш и ш v v v +.е а+ а.+ W ш с й� о'С С � � �� о•с С � � �� о•С 7 С i П% Ф у � П% 7 С i П% П7 .'_'' � П% 7 С � N �� � т� т� С� т О о т� т� С� т О о т� т� Z_ � � г N М V � СО f� � г N М V �П CD 1� � г N М V Ш � ш � � ��о ❑❑❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑ и « V ° � д � � а � Е Е � _ О L � о о о fj й w � о о о ш ° ы ь � � у � � р � � р с � � L51 � в+ О N С Ш ° N С Ш ° N С Ф � Q С ° N �r L �.' L w N L� r' i w � t � �`' � � ш . О О С �, L О .. N� N О i ч`,' .. (0 � N О i ч��' .. N N � � U v л ч-. ° (D С � о U Q О f6 � ° U 4 О (0 - - г й С Ф L% � � � й � U Ф ч=� С � i ° N ч=• С п !зс � а❑ о � 1л С с ш°> ш° г' °` й С с ш°> ш° г' °` й С с aCi °> `° 'ж. -С i С С <р r � > � � у`� И ш г о о � х о�°' `т ш�� U О° � х о�°' `т ш�� U О о � к о�°' = о � � ° У ш U Н� т х У д Г о У ш U Н� т х 1 а Г о 1 ш U�� sN �� ... }, ❑и � � г N М � и CD 1� 00 � � г � г N М � ln (Si 1� 00 б) �г г � г N М � � г�о � � � р А А а с � Q } w � � г N М �' … IV. GRAVES AND SPIRITUAL SITES IN THE WAYLEAVE Are there any graves on the land(s) of the household? Yes F-1 No F-1 If yes, how many? Take GPS WP # for each of them: Are there any spiritual, cultural, sacred or religious site on the land(s) of the household? Yes E] No E] If yes, how many? Take GPS WP # for each of them: V. PREFERENCES AND SUGGESTIONS ABOUT THE ASSISTANCE MEASURES FOR AFFECTED HOUSEHOLDS With the implementation of this project, EDIVI will take possession of a 55 m wide wayleave under the power line. For security reasons, all houses or structures located within the wayleave will have to be displaced. Crops and tall trees (over 4 meters high) will also be prohibited (to avoid dangerous contact with the lines). Towers will be located along the line, but their exact location has yet to be determined. Once the line is constructed, maintenance work will be performed on a cyclical basis (ex. once a year), which could also disturb some crops or agricultural activities. As per national practice in Mozambique for public utility projects, no cash compensation will be provided for customary lands. The Project may however integrate compensation and resettlement assistance measures to assist the households that will be affected by the wayleave and associated land use restrictions. To help us better plan for such assistance measures, we would like to hear you on your needs and preferences with regards to potential compensation and assistance measures for losses of houses, structures or crops. A) House(s): Households having houses located within the wayleave will receive assistance for the construction of new replacement house(s). Al. Would you prefer the replacement house(s) to be constructed: " By an entrepreneur contracted by the Project? El " By you and your family, with financial support and material provided to you by the Project? El Why (explain your preference): A2. Would you prefer this new house to be located: " On the same land plot? El " On a different land plot already owned by you, or accessible to you? El " On a different land plot, but you would need support to identify and secure a site for it? El Why (explain your preference): A3. What would you consider as the most needed improvements for replacement houses, in comparison to pre-existing house(s)? (Take up to three propositions) 1 . 2. 3. 113) Permanent loss of agricultural land under a tower: Mozambique-Malawi Interconnection 0 January 2017 25 ;KWSP Every tower will take an area of 18 m x 18 m to 23 m x 23 m, where crops will not be allowed. The exact locations of the towers are not known yet, but will be determined latter based on technical considerations. BI. If one tower happens to be located on your land, or there where your crops are, do you think that this could affect your capacity to feed your family or to generate incomes? * Yes E * No E Why: B2. If one tower happens to be located on your land, or there where your crops are, how difficult would it be for you I your household to find another similar area to grow similar crops or perform similar activities? * No difficulty. Access to similar land E * Difficulty. Access to alternative land, but quality is not as good E * Major difficulty. No access to alternative land E C) Graves and spiritual sites (if any inventoried in previous section) If the grave(s) or site(s) is/are located within the wayleave (under the future line), what would be your preference? * The grave/site should stay there and be secured E * The grave/site should be relocated outside of the wayleave E * Other proposition (describe): E_ Why: Assistance expected from the Project? VI. CONCERNS ABOUT OTHER FORMS OF IMPACT OF ESTABLISHING THE WAYLEAVE Let alone compensation and resettlement issues, do you have any other Yes E] No E] concerns or expectations about this project? If YES, what are they? Interviewer comments (write down anything particular about this interview): End of the PAP survey! The person who answered the questions must sign the consent form table. Use the signatures sheet for the PAPs. 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