Skip to main content
. 2022 Jun 7;19:101141. doi: 10.1016/j.ssmph.2022.101141
Section 1: Demographic data
Gender
  • Female

  • Male

Age
  • 18–29

  • 30–39

  • 40–49

  • 50 +

What is the highest level of schooling completed?
  • Primary school

  • Junior secondary school

  • High school

  • University

Name of village Free text
How many years have you worked as a kader?
  • Less than 1 year

  • 1–5 years

  • 6–10 years

  • More than 10 years

On average, how many hours per week do you work as a kader?
  • Less than 1 h

  • 1–5 h

  • 6–12 h

  • More than 12 h

Section 2: Willingness
Have you been instructed to conduct specific tasks in response to COVID-19 in your neighbourhood?
  • Yes

  • No

If yes, please check which tasks you have been instructed to conduct:
  • Disseminating COVID-19 information to people around you

  • Health promotion for healthy life during "new normal" to people around you

  • Reporting person with suspected COVID-19 to authority in your area

  • Support Ponkesdes nurses to monitor high risk individual during self-isolation

  • Support Ponkesdes nurses to screen high risk individual

Do you routinely conduct any of the following to protect yourself from COVID-19?
  • I have not taken any protective action

  • Washing your hands with soap and water for 20 s.

  • Standing 6 feet/2 m apart from people

  • Staying at home (unless it is absolutely necessary to go outside)

  • Wear mask to cover nose and mouth

Are you confident that you are safe from COVID-19 when working as a kader?
  • Very confident

  • Moderately confident

  • Not very confident

  • Not at all confident

Section 3: Knowledge
How would you rate your knowledge of how to prevent the spread of COVID-19?
  • Very good knowledge

  • Good knowledge

  • Poor knowledge

  • Very poor knowledge

If a concerned community member had questions for you about COVID-19, how confident do you feel about your ability to answer those questions?
  • Very confident

  • Moderately confident

  • Not very confident

  • Not at all confident

Which of the following can be symptoms of COVID-19? (Please select as many as apply)
  • Dry cough

  • Urinary infection

  • Fever

  • Swollen lymph nodes

  • Fatigue/tiredness

  • Hypertension

  • Diabetes

How is COVID-19 spread between people? (Please select as many as apply)
  • Direct physical contact

  • From mosquitoes

  • Through food or drinking water

  • Through the air

  • Through masks and clothes

  • Other

Do you feel that you require additional training to support the public health response to COVID-19?
  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree

Do you agree or disagree with the following statement: "the community listens to and trusts the information that I provide to them"?
  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree

Do you agree or disagree with the following statement: "it is difficult to decide which information I receive about the COVID-19 is real, fake, or just rumours"?
  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree

Section 4: Social Capital
In the last 12 months have you been a member of any of the following types of groups in your community?
  • Work related/trade union

  • Community association/co-op

  • Women's group

  • Political group

  • Religious group

  • Credit/funeral group

  • Sports group

In the last 12 months, did you receive from the group any emotional help, economic help or assistance in helping you know or do things?
  • Work related/trade union

  • Community association/co-op

  • Women's group

  • Political group

  • Religious group

  • Credit/funeral group

  • Sports group

In the last 12 months, have you received any help or support from any of the following, this can be emotional help, economic help or assistance in helping Friends who are not neighbours you know or do things?
  • Family

  • Neighbours

  • Friends who are not neighbours

  • Community leaders

  • Religious leaders

  • Politicians

  • Government officials/civil service

  • Charitable organisations/NGO

In the last 12 months, have you joined together with other community members to address a problem or common issue?
  • Yes

  • No

In the last 12 months, have you talked with a local authority or governmental organization about problems in this community?
  • Yes

  • No

In general, can the majority of people in this community be trusted?
  • Yes

  • No

Do the majority of people in this community generally get along with each other?
  • Yes

  • No

Do you feel as though you are really a part of this community?
  • Yes

  • No