Survey Text

Chad 1996
Chad 2004
Chad 2014
top
Chad 1996
Survey form view entire document:  text 
407) When you were pregnant with (NAME), did you see anyone for a consultation about this pregnancy?

IF YES, Whom did you see? Anyone else?

PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS SEEN.
IF 'TRADITIONAL BIRTH ATTENDANT' PROBE TO DETERMINE IF SHE RECEIVED TRAINING.

- SOMETIMES TRAINED BIRTH ATTENDANTS HAVE A CASE CONTAINING VARIOUS DRUGS.

- ASK IF THE BIRTH ATTENDANT HAS CONTACTS WITH REGIONAL HEAD NURSE

HEALTH PROFESSIONAL
DOCTOR A
MIDWIFE B
NURSE C
MATRON/HOSPITAL/HEALTH CENTER WORKER D
TRAINED TRADITIONAL BIRTH ATTENDANT E
UNTRAINED TRADITIONAL BIRTH ATTENDANT F
VILLAGE HEALTH WORKER G
FIRST AID WORKER H
HEALER I
OTHER (SPECIFY): ___ X
NO ONE Y (GO TO 410)

top
Chad 2004
Survey form view entire document:  text 
407) Did you see anyone for antenatal care for this pregnancy?
IF YES: Whom did you see?
Anyone else?
PROBE FOR THE TYPE OF PERSON AND RECORD ALL PERSONS SEEN.

IF "TRADITIONAL BIRTH ATTENDANT", PROBE TO FIND OUT IF SHE HAD TRAINING.
SOMETIMES TRAINED BIRTH ATTENDANTS HAVE A KIT CONTAINING VARIOUS DRUGS.
ASK IF THE BIRTH ATTENDANT HAD CONTACT WITH THE ZONE NURSE.

HEALTH PROFESSIONAL
DOCTOR A
MIDWIFE B
NURSE C
OTHER HEALTH PERSONNEL
MATRON/HOSPITAL/HEALTH CENTER AGENT D
TRAINED TRADITIONAL BIRTH ATTENDANT E
OTHER PERSON
UNTRAINED TRADITIONAL BIRTH ATTENDANT F
VILLAGE FIELDWORKER G
FIRST AID WORKER H
HEALER I
OTHER X
NO ONE Y --SKIP TO 415

top
Chad 2014
Survey form view entire document:  text 
410) Where did you receive this antenatal care for this pregnancy?
ANYWHERE ELSE?
PROBE TO IDENTITY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S))___________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
OTHER PUBLIC SECTOR (SPECIFY) E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
OTHER PRIVATE MEDICAL G
OTHER (SPECIFY) X