Survey Text

Jordan 2007
Jordan 2012
Jordan 2017
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Jordan 2007
Survey form view entire document:  text 
408) Where did you receive antenatal care for this pregnancy? (ASK ONLY FOR MOST RECENT BIRTH IN THE LAST FIVE YEARS)

Anywhere else?

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

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

(NAME OF PLACE(S))______________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC MEDICAL SECTOR
GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
UNIVERSITY HOSPITAL E
ROYAL MEDICAL SERVICES F
OTHER PUBLIC (SPECIFY)___________ G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC H
UNITED NATIONS RELIEF AND WORKS AGENCY HEALTH CENTER I
OTHER PRIVATE MEDICAL (SPECIFY)__________ J
OTHER (SPECIFY)_________ X

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Jordan 2012
Survey form view entire document:  text 
410. Where did you receive antenatal care for this pregnancy?
Anywhere else?
PROBE TO IDENTIFY TYPE(S) OF SOURCE(S) AND CIRCLE THE APPROPRIATE CODE(S).
IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) __________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC MEDICAL SECTOR
GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
UNIVERSITY HOSPITAL E
ROYAL MEDICAL SERVICES F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC H
UNRWA HEALTH CENTER I
OTHER PRIVATE MEDICAL (SPECIFY) _____ J
OTHER (SPECIFY) _____ X

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Jordan 2017
Survey form view entire document:  text 
410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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) ___________________________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC MED. SECTOR
GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
UNIVERSITY HOSPITAL E
ROYAL MEDICAL SERVICES F
OTHER PUBLIC (SPECIFY) __________________ G
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC H
UNRWA HEALTH CENTER I
UNHCR/OTHER NGO J
OTHER PRIVATE (SPECIFY) ___________________ K
OTHER (SPECIFY) ____________________ X