Survey Text

Angola 2015 Ghana 2014 Myanmar 2015 Senegal 2016
Benin 2006 Guinea 2012 Namibia 2006 Senegal 2017
Benin 2011 India 2015 Namibia 2013 South Africa 2016
Burkina Faso 2010 Kenya 2008 Nepal 2016 Tanzania 2010
Burundi 2010 Kenya 2014 Niger 2006 Uganda 2006
Burundi 2016 Lesotho 2009 Niger 2012 Uganda 2011
Cameroon 2011 Lesotho 2014 Nigeria 2008 Uganda 2016
Congo (Democratic Republic) 2007 Madagascar 2008 Nigeria 2013 Zambia 2007
Congo (Democratic Republic) 2013 Malawi 2010 Rwanda 2010 Zambia 2013
Cote d'Ivoire 2011 Malawi 2016 Rwanda 2014 Zimbabwe 2005
Ethiopia 2011 Mali 2006 Senegal 2005 Zimbabwe 2010
Ethiopia 2016 Mali 2012 Senegal 2010 Zimbabwe 2015
Ghana 2008 Mozambique 2011 Senegal 2015
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Angola 2015
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1016) Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE)_____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
REGIONAL HOSPITAL 12
MUNICIPAL HOSPITAL 13
CATV (Office for Advice and Voluntary Testing of HIV/AIDS) 14
HEALTH CENTER 15
PTV 16
OTHER PUBLIC: (SPECIFY)____ 17
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
CATV 22
PHARMACY 23
OTHER PRIVATE: (SPECIFY)____ 26
OTHER: (SPECIFY)____ 96

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Benin 2006
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821) Where was the test done?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
SCREENING CENTER 14
STRAT AV HEALTH WORKER/MOBILE CLINIC 15
HEALTH WORKER 16
OTHER PUBLIC (SPECIFY) ________ 17
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/OFFICE 21
PHARMACY 22
PRIVATE DOCTOR 23
HEALTH AGENT 24
OTHER PRIVATE MEDICAL (SPECIFY) ________ 26
OTHER (SPECIFY) ________ 96

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Benin 2011
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917) Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE)____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
FIELDWORKER 15
STRAT AV HEALTH WORKER 16
HEALTHWORKER/COMMUNITY LIAISON 17
SCHOOL CLINIC 18
OTHER PUBLIC SECTOR_______(SPECIFY) 19
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
RELIGIOUS HOSPITAL 22
INDEPENDENT VCT CENTER 23
PRIVATE DOCTOR'S OFFICE 24
PHARMACY 25
BENINESE FAMILY PLANNING ASSOCIATION (ABPF) 26
FIELDWORKER (NOG) 27
SCHOOL CLINIC 28
OTHER PRIVATE MEDICAL_____________ (SPECIFY) 29
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER ________(SPECIFY) 96

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Burkina Faso 2010
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917. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

NAME OF PLACE_______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
SCHOOL BASED CLINIC 16
OTHER (SPECIFY) _____ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
SCHOOL BASED CLINIC 25
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26
OTHER SOURCE
FIELDWORKER 31
HOME 32
CORRECTIONAL FACILITY 33
OTHER (SPECIFY) ______ 96

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Burundi 2010
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917) (2) Where was the test done? (4)

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)______ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)____ 96

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Burundi 2016
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1017) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)______________________
PUBLIC SECTOR
NATIONAL GOVERNMENT HOSPITAL 11
REGIONAL GOVERNMENT HOSPITAL 12
DISTRICT HOSPITAL 13
GOVERNMENT HEALTH CENTER 14
INDEPENDENT TESTING CENTER 15
SCHOOL CLINIC 16
MOBILE TESTING SERVICE 17
OTHER__________18
CERTIFIED MEDICAL SECTOR
CERTIFIED HOSPITAL 21
CERTIFIED HEALTH CENTER 22
OTHER PRIVATE MEDICAL____________26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/DOCTOR 31
PRIVATE HEALTH CARE CENTER 32
SCHOOL CLINIC 33
INDEPENDENT TESTING CENTER 34
PHARMACY 35
MOBILE TESTING SERVICE 36
OTHER PRIVATE MEDICAL___________37
OTHER SOURCE
HOME 41
WORKPLACE 42
CORRECTIONAL FACILITY 43
OTHER____________96

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Cameroon 2011
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1220) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF THE HOSPITAL, HEALTH CENTER, CTV CENTER, OR CLINIC IS PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE: ___
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/INTEGRATED HEALTH CENTER/DISPENSARY/
MOTHER AND CHILD CARE CENTER 12
HEALTH WORKER 13
HIV PREVENTION AND VOLUNTARY TESTING CENTER 14
MOBILE CLINIC 15
OTHER PUBLIC (SPECIFY): ___ 16
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL 21
PRIVATE SECULAR HOSPITAL/CLINIC 22
HEALTH CENTER/RELIGIOUS DISPENSARY/MISSION 23
MEDICAL OFFICE 24
PHARMACY 25
HEALTH WORKER 26
HIV PREVENTION AND VOLUNTARY TESTING CENTER 27
MOBILE CLINIC 28
OTHER PRIVATE MEDICAL (SPECIFY): ___ 29
OTHER SOURCE (SPECIFY): ___ 96

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Congo (Democratic Republic) 2007
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821) Where was the test done?

IF SOURCE IS HOSPITAL, HEALTH CENTER OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) _____________
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/OUTPOST 12
ANONYMOUS VOLUNTEER SCREENING CENTER 13
MOBILE VOLUNTEER SCREENING CENTER 15
TRAVELING TREATMENT CENTER 16
OTHER PUBLIC (SPECIFY) _____ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/POLYCLINIC 21
MOBILE VOLUNTEER SCREENING CENTER 22
TRAVELING TREATMENT CENTER 23
YOUTH SUPERVISING CENTER 24
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26
OTHER (SPECIFY) _____ 96

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Congo (Democratic Republic) 2013
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917) Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE) ____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONG VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE VCT CLINIC 15
FIELDWORKER 16
TRAVELING TREATMENT CENTER 17
OTHER PUBLIC SECTOR (SPECIFY) 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/MEDICAL POLYCLINIC 21
MOBILE VCT CLINIC 22
TRAVELING TREATMENT CENTER 23
YOUTH CENTER 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 26
OTHER (SPECIFY) 96

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Cote d'Ivoire 2011
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917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE
(NAME OF PLACE)___________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
INDEPENDENT VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
SCHOOL BASED CLINIC 16
OTHER PUBLIC SECTOR________ (SPECIFY) 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
INDEPENDENT VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
HEALTH AGENT 26
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL______ (SPECIFY) 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER______ (SPECIFY) 96

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Ethiopia 2011
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917. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR WRITE THE NAME OF THE PLACE.

NAME OF THE PLACE(S) _______
PUBLIC SECTOR
GOVT. HOSPITAL 11
GOVT. HEALTH CENTER 12
GOVT. HEALTH STATION/CLINIC 13
STAND-ALONE VCT CENTER 14
OTHER PUBLIC (SPECIFY) ______16
NGO
NGO HEALTH FACILITY 21
STAND-ALONE VCT CENTER 22
MOBILE 23
OTHER NGO (SPECIFY) ______ 24
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 31
PRIVATE CLINIC 32
OTHER PRIVATE MEDICAL (SPECIFY) ______ 36
OTHER (SPECIFY) ______ 96

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Ethiopia 2016
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1017. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
GOVERNMENT HEALTH POST 13
OTHER PUBLIC SECTOR (SPECIFY) 16
NGO
HEALTH FACILITY 21
OTHER NGO MEDICAL SECTOR (SPECIFY) 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 31
PRIVATE CLINIC 32
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 36
OTHER SOURCE
WORKPLACE 41
CORRECTIONAL FACILITY 42
OTHER (SPECIFY) 96

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Ghana 2008
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919. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ________________
PUBLIC SECTOR
GOVT. HOSPITAL/POLYCLINIC 11
GOVT. HEALTH CENTER 12
GOVT. HEALTH POST/CHPS 13
STAND-ALONE VCT CENTER 14
FAMILY PLANNING CLINIC 15
MOBILE CLINIC 16
FIELDWORKER/OUTREACH/PEER EDUCATOR 17
OTHER PUBLIC (SPECIFY) _____ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
CHEMICAL/DRUG STORE 24
FP/PPAG CLINIC 25
MATERNITY HOME 26
OTHER PRIVATE MEDICAL (SPECIFY) ____ 27
OTHER (SPECIFY) ______ 96

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Ghana 2014
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917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ___________
PUBLIC SECTOR
GOVT. HOSPITAL/POLYCLINIC 11
GOVT. HEALTH CENTER/CLINIC 12
GOVT. HEALTH POST/CHPS 13
STAND-ALONE VCT CENTER 14
FAMILY PLANNING CLINIC 15
MOBILE CLINIC 16
FIELDWORKER/OUTREACH/PEER EDUCATOR 17
OTHER PUBLIC (SPECIFY) _____ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
CHEMICAL/DRUG STORE 24
FP/PPAG CLINIC 25
MATERNITY HOME 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) _____ 96

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Guinea 2012
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917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE
(NAME OF PLACE)

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
FIELDWORKER 15
SCHOOL BASED CLINIC 16
OTHER PUBLIC (SPECIFY) 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
FIELDWORKER 24
SCHOOL BASED CLINIC 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 26
OTHER SOURCE 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) 96

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India 2015
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1024. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF FACILITY/PLACE)___________
PUBLIC HEALTH SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTRE 12
STAND-ALONE ICTC 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY) ________18
NGO OR TRUST HOSPITAL/CLINIC 20
PRIVATE HEALTH SECTOR
PRIVATE HOSPITAL/CLINIC PRIVATE DOCTOR 21
STAND-ALONE ICTC 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) _________96

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Kenya 2008
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916B12. Where was the test done?

IF SOURCE IS HOSPITAL, HEALTH CENTRE OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE ___________

IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '21'.

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER/CLINIC 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC (SPECIFY) _______ 16
PRIVATE MEDICAL SECTOR
MISSIONARY/CHURCH HOSP./CLINIC 21
FPAK HEALTH CENTER/CLINIC 22
PRIVATE HOSPITAL/CLINIC 23
VCT CENTRE 24
NURSING/MATERNITY HOMES 25
BLOOD TRANSFUSION SERVICES 26
OTHER PRIVATE MEDICAL (SPECIFY) ___________ 27
OTHER (SPECIFY) _______________________ 96

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Kenya 2014
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917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF
PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

______________________________ (NAME OF PLACE)
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER/CLINIC 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC SECTOR (SPECIFY) __________ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
MISSIONARY/CHURCH HOSPITAL/CLINIC 22
FAMILY OPTIONS/FHOK CLINIC 23
VCT CENTRE 24
NURSING/MATERNITY HOMES 25
BLOOD TRANSFUSION SERVICES 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 34
OTHER (SPECIFY) ________ 96

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Lesotho 2009
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917A Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE MEDICAL SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
OTHER PUBLIC SECTOR 13
PRIVATE MEDICAL SECTOR
PVT HOSPITAL/CLINIC 21
LPPA 22
PHARMACY 23
PVT DOCTOR 24
OTHER PRIVATE MEDICAL SECTOR 26
CHAL
CHAL HOSPITAL 31
CHAL HEALTH CENTER 32
COMMUNITY HEALTH WORKER/SUPPORT GROUPS 41
OTHER 96

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Lesotho 2014
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917) Where was the test done?

PROBE TO IDENTIFY TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE ____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
GOVERNMENT HEALTH POST 13
FAMILY PLANNING CLINIC 14
OTHER PUBLIC SECTOR (SPECIFY) ____ 15
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PHARMACY 22
PRIVATE DOCTOR 23
LESOTHO PLANNED PARENTHOOD 24
PSI/NEW START CENTER 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ____ 26
CHAL
CHAL HOSPITAL 31
CHAL HEALTH CENTER 32
CHAL HEALTH POST 33
RED CROSS HEALTH CENTER 41
VILLAGE HEALTH WORKER 51
SUPPORT GROUPS 52
FACILITY OUTSIDE LESOTHO 61
OTHER (SPECIFY) ____ 96

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Madagascar 2008
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919. Where was the test done?

PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S). IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTER, OR CLINIC IS A PUBLIC OR PRIVATE INSTITUTION, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S) ______
PUBLIC SECTOR
DISTRICT HOSPITAL II (facility equipped for surgeries) 11
DISTRICT HOSPITAL I (non-surgical medical capabilities) 12
BASIC HEALTH CENTER II (basic health care, physician-run) 13
BASIC HEALTH CENTER I (basic health care, run by para-medical officer) 14
OTHER PUBLIC PLACE (SPECIFY) ____ 15
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PRIVATE HEALTH CENTER 22
PHARMACY/MEDICINE DISPERSAL CENTER 23
PRIVATE DOCTOR 24
PF/FISA CENTER 25
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER (SPECIFY) ______ 96

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Malawi 2010
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1308. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

NAME OF PLACE_________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
GOVERNMENT HEALTH POST/OUTREACH 13
HSA 14
DOOR TO DOOR 15
OTHER PUBLIC 16
CHAM/MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
DOOR TO DOOR 24
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
PRIVATE COMPANY HOSPITAL/CLINIC 32
OTHER PRIVATE MEDICAL 36
BLM 41
MACRO 51
OTHER 96

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Malawi 2016
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1017. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
GOVERNMENT HEALTH POST/OUTREACH 13
HSA 14
CBDA/DOOR TO DOOR 15
OTHER PUBLIC SECTOR (SPECIFY) 16
CHAM/MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
CBDA/DOOR TO DOOR 24
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
LIGHT HOUSE 32
DREAM CENTRE 33
PHARMACY 34
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 36
BLM 41
MACRO 51
OTHER SOURCE
HOME 61
WORKPLACE 62
CORRECTIONAL FACILITY 63
OTHER (SPECIFY) 96

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Mali 2006
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821. Where was the test done?

IF THE PLACE IS A HOSPITAL OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PLACE NAME___
PUBLIC SECTOR
NATIONAL REF LAB 11
NATIONAL HOSPITAL 12
REGIONAL HOSPITAL 13
CSREF (heath referral center) 14
CSCOM (Centre de Sant? Communitaire) Community Health Center 15
OTHER PUBLIC (SPECIFY) __16
PRIVATE MEDICAL SECTOR
CESAC (AIDS treatment center in Mali) 21
VCT 22
OTHER PRIVATE MEDICAL (SPECIFY) __26
OTHER (SPECIFY) __96

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Mali 2012
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Mozambique 2011
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917. Where was the test done?

GATV (Office for Advice and Voluntary Testing of HIV/AIDS)/ATS 01
HOSPITAL/HEALTH CENTER 02
BLOOD DONATION BOOTH 03
PRIVATE CLINIC/LABORATORY 04
SAAJ 05
GATV/ATS STANDS 06
PTV 07
COMMUNITY ATS 08
OTHER (SPECIFY)____ 96

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Myanmar 2015
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917) Where was the test done? PROBE TO IDENTIFY THE TYPE OF SOURCE
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.____(NAME OF PLACE)

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER (RHC) 12
GOVT. HEALTH POST (SUB-CENTER) 13
STAND-ALONE VCT CENTER 14
FAMILY PLANNING CLINIC 15
MOBILE CLINIC 16
FIELDWORKER 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR____(SPECIFY) 19
NGO
MARIE STOPES 21
MYANMAR RED CROSS SOCIETY 22
PSI/M (SUN) 23
MMA 24
OTHER NGO SECTOR___(SPECIFY) 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
STAND-ALONE VCT CENTER 32
PHARMACY 33
MOBILE CLINIC 34
DIAGNOSTIC LABORATORY 35
OTHER PRIVATE MEDICAL SECTOR____(SPECIFY) 36
OTHER SOURCE
HOME 41
CORRECTIONAL FACILITY 42
OTHER___(SPECIFY) 96

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Namibia 2006
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919. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER/CLINIC 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
PHC CLINIC (MOBILE) 15
COMM. HEALTH WORKER 16
OTHER PUBLIC (SPECIFY) _____ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
OTHER PRIVATE MEDICAL (SPECIFY) ____ 26
OTHER (SPECIFY) ____ 96

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Namibia 2013
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917) Were was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) __________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
GVT. PRIMARY HEALTH CARE CLINIC 14
OUTREACH POINT 15
MOBILE CLINIC 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY __________) 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASKED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY __________) 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY __________) 96

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Nepal 2016
Survey form view entire document:  text 

1017. Where was the test done/ PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE __
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
PRIMARY HEALTH CARE CENTER 12
OTHER PUBLIC FACILITIES (SPECIFY) ___ 16
NON-GOVT. (NGO) SECTOR
FPAN 21
MARIE STOPES 22
OTHER NGO FACILITIES (SPECIFY) __ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/NURSING HOME 31
PRIVATE CLINIC 32
STAND-ALONE HTC/VCT CENTER 33
PHARMACY 34
MOBILE HTC/VCT SERVICES 35
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) __ 36
OTHER SOURCE
HOME 41
WORKPLACE 42
CORRECTIONAL FACILITY 43
OTHER (SPECIFY) ___ 96

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Niger 2006
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821. Where was the test done?

IF THE PLACE IS A HOSPITAL OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PLACE NAME __________
PUBLIC SECTOR
HOSPITAL 11
CEDAV (ANONYMOUS AND VOLUNTARY TESTING CENTER) 12
OTHER PUBLIC (SPECIFY) __________ 16
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC 21
PRIVATE LAB 22
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26
OTHER (SPECIFY) __________ 96

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Niger 2012
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917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE
(NAME OF PLACE) _____________

PUBLIC SECTOR
NATIONAL HOSPITAL 11
REGIONAL HOSPITAL 12
HD 13
MATERNITY 14
INTEGRATED HEALTH CENTER 15
CARITAS D?VELOPPEMENT 16
AMBULATORY TREATMENT CENTER 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR (SPECIFY) 19
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PRIVATE LABORATORY 22
SCHOOL BASED CLINIC 23
CLINIC/ NIGERIEN ASSOCIATION FOR FAMILIAL WELL-BEING 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) 96

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Nigeria 2008
Survey form view entire document:  text 

919. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
OTHER PUBLIC (SPECIFY) ______ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
CHEMIST/PMS 24
MOBILE CLINIC 25
FIELDWORKER 26
OTHER PRIVATE MEDICAL (SPECIFY) ______ 27
OTHER (SPECIFY) _______________ 96

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Nigeria 2013
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917) (2) Where was the test done? (4)

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)______ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)____ 96

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Rwanda 2010
Survey form view entire document:  text 

917) Where was this test done?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S)
PUBLIC/AGREE SECTOR
REFERAL HOSPITAL 11
DISTRICT HOSPITAL 12
HEALTH CENTER 13
HEALTH POST 14
OUTREACH 15
COMMUNITY HEALTH WORKER 16
OTHER PUBLIC HEALTH FACILITY (SPECIFY) 17
PRIVATE MEDICAL SECTOR
POLYCLINIC 21
CLINIC 22
DISPENSARY 23
PHARMACY 24
FAMILY PLANNING CLINIC 25
OTHER PRIVATE MEDICAL FACILITY (SPECIFY) 26
OTHER SOURCE
KIOSK 31
TRADITIONAL BIRTH ATTENDANT 32
FRIEND/RELATIVE 33
OTHER (SPECIFY) 96
DON'T KNOW 98

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Rwanda 2014
Survey form view entire document:  text 

927) How many months ago was your most recent HIV test?

MONTHS AGO_____
TWO OR MORE YEARS 96

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Senegal 2005
Survey form view entire document:  text 

821. Where was the test done?

IF THE PLACE IS A HOSPITAL, HEALTH CENTER OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE ______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
PLANNING FAMILY CENTER 13
TESTING CENTER 14
STRAT. AVANC??E/EQU. MOBILE 15
HEALTH CARE WORKER 16
OTHER PUBLIC (SPECIFY) _____17
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/OFFICE 21
PHARMACY 22
PRIVATE DOCTOR 23
HEALTH CARE WORKER 24
OTHER PRIVATE (SPECIFY) _____26
OTHER (SPECIFY) _____96

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Senegal 2010
Survey form view entire document:  text 

917. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE ______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
HEALTH POST 13
GOVERNMENT FAMILY PLANNING CLINIC 14
HEALTH HUT/RURAL MATERNITY 15
BASIC HEALTH CARE CENTER 16
COMMUNITY PHARMACY 17
MOBILE CLINIC 18 [##translator note: original document has "Strat. avanc??/equ. mobile," but was not able to find precise translation of these terms. Mobile clinic is likely the closest without knowing what the abbreviations stand for. The standard questionnaire does not list this location as an option]
OTHER PUBLIC (SPECIFY) _____ 19
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/OFFICE 21
PRIVATE HOSPITAL/CLINIC/OFFICE 22
PHARMACY 23
PRIVATE DOCTOR 24
RELIGIOUS DISPENSARY 25
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER SOURCE
SHOP 31
CHURCH 32
RELATIVES/FRIENDS 33
BAR 34
OTHER (SPECIFY) _____96

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Senegal 2015

No questionnaire text is available for this sample.


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Senegal 2016
Survey form view entire document:  text 

1017) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
HEALTH POST 13
GOVERNMENT FAMILY PLANNING CENTER 14
RURAL MATERNITY 15
HEALTH HUT 16
COMMUNITY PHARMACY 17
VOLUNTARY TESTING CENTER 18
MOBILE CLINIC 19
OTHER PUBLIC SECTOR (SPECIFY) _____ 20
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21
PHARMACY 22
PRIVATE DOCTOR 23
RELIGIOUS FREE CLINIC 24
PRIVATE LABORATORY 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ 26
OTHER SOURCE
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
BAR 34
OTHER (SPECIFY) _____ 96

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Senegal 2017
Survey form view entire document:  text 

1017) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
HEALTH POST 13
GOVERNMENT FAMILY PLANNING CENTER 14
RURAL MATERNITY 15
HEALTH HUT 16
COMMUNITY PHARMACY 17
VOLUNTARY TESTING CENTER 18
MOBILE CLINIC 19
OTHER PUBLIC SECTOR (SPECIFY) _____ 20
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21
PHARMACY 22
PRIVATE DOCTOR 23
RELIGIOUS FREE CLINIC 24
PRIVATE LABORATORY 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ 26
OTHER SOURCE
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
BAR 34
OTHER (SPECIFY) _____ 96

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South Africa 2016

No questionnaire text is available for this sample.


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Tanzania 2010
Survey form view entire document:  text 

917A. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ___________
GOVERNMENT/PARASTATAL
REFERAL/SPEC. HOSPITAL 11
REGIONAL HOSPITAL 12
DISTRICT HOSPITAL 13
HEALTH CENTRE 14
DISPENSARY 15
VILLAGE HEALTH POST (WORKER) 16
CBD WORKER 17
RELIGIOUS/VOLUNTARY
REFERAL/SPEC. HOSPITAL 21
DISTRICT HOSPITAL 22
GOVT. HEALTH CENTRE 23
DISPENSARY 24
PRIVATE
HOSPITAL 31
HEALTH CENTRE 32
DISPENSARY 33
OTHER
PRIVATE PHARMACY 41
NGO 42
VCT CENTRE 43
OTHER (SPECIFY) ________________________ 96

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Uganda 2006
Survey form view entire document:  text 

919) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

NAME OF PLACE____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
OUTREACH 15
GOVERNMENT COMMUNITY BASED WORKER 16
OTHER PUBLIC (SPECIFY) 17
PRIVATE/NGO MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
STAND-ALONE VCT CENTER 22
PHARMACY/DRUG SHOP 23
PRIVATE DOCTOR/NURSE/MIDWIFE 24
OUTREACH 25
TASO 26
AIDS INFORMATION CENTER 27
OTHER PRIVATE/NGO MEDICAL (SPECIFY) 28
OTHER (SPECIFY) 96

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Uganda 2011
Survey form view entire document:  text 

917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _________________________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
OUT REACH 15
VILLAGE HEALTH TEAM 16
OTHER PUBLIC (SPECIFY) ___________ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
STAND-ALONE VCT CENTER 22
PHARMACY/DRUG SHOP 23
PRIVATE DOCTOR/NURSE/MIDWIFE 24
OUT REACH 25
TASO 26
AIDS INFORMATION CENTRE 27
OTHER PRIVATE/NGO MEDICAL (SPECIFY) _____________ 28
OTHER (SPECIFY) ____________ 96

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Uganda 2016
Survey form view entire document:  text 

1016) I don't want to know the results, but were you tested for HIV as part of your antenatal care?

YES 1
NO 2

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Zambia 2007
Survey form view entire document:  text 

919. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 10
GOVT. HEALTH CENTER 11
STAND-ALONE VCT CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
FIELDWORKER 15
OTHER PUBLIC (SPECIFY) ______ 16

PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 20
MISSION HOSPITAL/CLINIC 21
STAND-ALONE VCT CENTER 22
MOBILE CLINIC 23
COMMUNITY/FIELDWORKER 24
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26
OTHER (SPECIFY) _______________ 96

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Zambia 2013
Survey form view entire document:  text 

916) I don't want to know the results, but were you tested for the AIDS virus as part of your antenatal care?

YES 1
NO 2 (GO TO 920)

917) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

NAME OF PLACE_____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT CENTER/POST 12
STAND-ALONE VCT CENTRE 13
FAMILY PLANNING CLINIC 14
MOBILE HOSPITAL/CLINIC 15
COMMUNITY BASED AGENT/FIELDWORKER 16
OTHER PUBLIC SECTOR (SPECIFY) __________________17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
MISSION HOSPITAL/CLINIC 22
STAND-ALONE VCT CENTRE 23
MOBILE HOSPITAL/CLINIC 24
COMMUNITY BASED AGENT/FIELDWORKER 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____________________ 26
OTHER SOURCE
PRISON 31

OTHER (SPECIFY) _________________________96

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Zimbabwe 2005
Survey form view entire document:  text 

922) Where was the test done?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE SOURCE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE __________
PUBLIC SECTOR
CENTRAL HOSPITAL 11
PROVINCIAL HOSPITAL 12
DISTRICT/RURAL HOSPITAL 13
RURAL HEALTH CENTER 14
MUNICIPAL CLINIC 15
OTHER PUBLIC (SPECIFY) __________ 16
MISSION FACILITY 21
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
NEW START CENTER 32
OTHER PRIVATE VCT CENTER (SPECIFY) __________ 33
OTHER PRIVATE DOCTOR (SPECIFY) __________ 36
OTHER (SPECIFY) __________ 96

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Zimbabwe 2010
Survey form view entire document:  text 

917) Where was this test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE___
PUBLIC SECTOR
CENTRAL HOSPITAL 11
PROVINCIAL HOSPITAL 12
DISTRICT HOSPITAL 13
RURAL HOSPITAL 14
RURAL HEALTH CENTER/COUNCIL CLINIC 15
URBAN MUNICIPAL CLINIC 16
FAMILY PLANNING CLINIC 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR (SPECIFY) 19
MISSION HOSPITAL/CLINIC 21
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
NEW START CENTRE 32
SCHOOL BASED CLINIC 33
OTHER PRIVATE VCT CENTRE (SPECIFY) 36
OTHER SOURCE
MOBILE VCT 41
HOME 42
CORRECTIONAL FACILITY 43
OTHER (SPECIFY) 96

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Zimbabwe 2015
Survey form view entire document:  text 

1016. I don't want to know the results, but were you tested for HIV as part of your antenatal care?

YES 1
NO 2 (GO TO 1020)