International Institute for Population Sciences
Deemed to be University (An Autonomous Organization of Ministry of Health & Family Welfare, Government of India)

Study on global AGEing and adult health (WHO-SAGE) – INDIA

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SAGE Instrument

The WHO-SAGE India instrument has following Schedules:

1.    Household Schedule

0400 Household Roster :

•    Create a list of  household occupants from which a respondent will be randomly selected;
•    Better understand the impact of  the household members on household dynamics and individual health;
•    Collect basic information required for estimating the non- response bias in the survey; and,
•    Provide key information for statistical analysis in order to determine the health-related outcome rates in respective countries.

0500 HOUSING

•   Dwelling/Home
•   Environmental Risk Factors/Water and Sanitation

0700 Assets and Household Income & Assets:

•    Record the number of items the household possesses, regardless of their condition
•    Asks about the total income for the household in the last 12 months from paid work or all other sources

0800 Household Expenditure:

•    This section asks about household (by all its member) spends/expenditure (can be monetary or in-kind) on:
•    Food
•    Household items
•    Health services
•    Other things
•    The section covers the expenditure in different time periods:
•    Last 30 days and Last 12 months

2.    0910 Verbal Autopsy

•    SAGE Wave 3 has used the 2012 version of the WHO VAQ. The same version used during SAGE Wave 2.
•    SAGE has opted to use the VAQ instrument for death of person in the household  aged 50 years or more at the time of death
•    Verbal Autopsy-2012 version has 192 cause of death related indicators, subdivided into 4 sections and 118 subgroups.

3.    Individual Schedule

1000 Socio-Demographic Characteristics :

•    This section provides information on different background characteristics and gives an indication of income and socio-economic status of respondents.

2000 Health State Description:

>   This section asks questions about overall health.  It  covers  all  aspects  of  physical  and  mental health, including:

•     Mobility
•     Self-care
•     Pain and Discomfort
•     Cognition
•     Interpersonal Activities
•     Sleep and Energy
•     Affect
•     Hearing
•     Vision
•     Functioning Assessment

3000 Risk Factors and Preventive Health Behaviours:

This  section  on  risk  factors  and  preventive  health behaviours relate to some aspects of  how we live on a daily basis.   
In particular, they are designed to record details about:

•     Tobacco use (Smoke and Smokeless)
•     Alcohol consumption
•     Nutrition, and
•     Physical activity

4000. Chronic Conditions and Health Services Coverage

Assesses chronic conditions (through self-reporting and symptoms) and access to health care services.  
Evaluates access of the poor to effective interventions. The questions are about:

•    Diagnosed conditions
•    Treated conditions,
•    Plus common symptoms for these conditions

 
5000 Health Care Utilization:

Know about the recent experience with obtaining health care from health care worker, hospitals, clinics, and the heath care system. Questions are asked about:
–    Needing health care
–    Inpatient care and Outpatient care and care at long term facilities,
–    Responsiveness of health care professionals and systems to the respondent’s health needs

6000 Social Networks:

Assesses the impact of stress, security and social cohesion on health
Asks questions about: Social network , Feelings, Trust , Security/safety

7000-Subjective Well-being and Quality of Life:

•    SAGE uses an adapted version of the Day Reconstruction Method (DRM) to assess hedonic well-being i.e. “Information about the allocation of time in the daily life and measures of the satisfaction people derive from their activities”

SAGE uses the following to capture evaluative well-being:
    2 Global questions
Q7008  Taking all things together, how satisfied are you with your
 life as a whole these days (from WVS-World Values Survey)
Q7010  Taking all things together, how would you say things are
 these days (from GSS-General Social Survey)

•     Short version 8 item WHOQoL instrument (Q7001-Q7007, Q7009)
•     Cantril self-anchoring ladder

2500 Anthropometrics, Performance Tests & Biomarkers

A critical objective of incorporating a biomarker module in SAGE is to compare and measure prevalence of health conditions with self-reported prevalence.