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Afghanistan 2015

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy? Anywhere else?

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)________________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
CHC/POLYCLINIC D
BASIC HEALTH CENTER E
HEALTH SUB-CENTER F
HP/SHP G
CHW H
MOBILE CLINIC I
OTHER PUBLIC SECTOR________J

NGO SECTOR

MARIE STOPES K
RED CROSS L
AFGA M
OTHER NGO________N

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC O
PRIVATE DOCTOR P
OTHER PRIVATE MED. SECTOR________Q

OTHER SOURCE

CHARITY/FOUNDATIONS R
REFUGEE CAMP S

OTHER___________X

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Bangladesh 2007

Survey form view entire document: text

408) 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 UN ABLE 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

OWN HOME A
OTHER HOME B

PUBLIC SECTOR

HOSPITAL/MEDICAL COLLEGE C
FAMILY WELFARE CENTRE D
THANA HEALTH COMPLEX E
SAT. CLINIC/EPI OUTREACH F
MAT. AND CHILD WELFARE CENTER G
COMM. CLINIC H
OTHER (SPECIFY)____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY)____ L

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY)____ X

Survey form view entire document: text

408) 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 UN ABLE 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

OWN HOME A
OTHER HOME B

PUBLIC SECTOR

HOSPITAL/MEDICAL COLLEGE C
FAMILY WELFARE CENTRE D
THANA HEALTH COMPLEX E
SAT. CLINIC/EPI OUTREACH F
MAT. AND CHILD WELFARE CENTER G
COMM. CLINIC H
OTHER (SPECIFY)____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY)____ L

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY)____ X

Survey form view entire document: text

408) 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 UN ABLE 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

OWN HOME A
OTHER HOME B

PUBLIC SECTOR

HOSPITAL/MEDICAL COLLEGE C
FAMILY WELFARE CENTRE D
THANA HEALTH COMPLEX E
SAT. CLINIC/EPI OUTREACH F
MAT. AND CHILD WELFARE CENTER G
COMM. CLINIC H
OTHER (SPECIFY)____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY)____ L

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY)____ X

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Bangladesh 2011

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (ONLY FOR MOST RECENT BIRTH)
Anywhere else?
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))____

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE B
SPE. MEDICAL COL. (SPECIFY) __________ C
DIST. HOSP. D
MCWC E
UPAZILLA HEALTH COMPLEX F
H and FAMILY WELFARE CENTRE G
SAT. CLINIC/EPI OUTREACH H
COMM. CLINIC I
OTHER (SPECIFY) __________ J

NGO SECTOR

NGO STATIC CLINIC K
NGO SAT CLINIC (SPECIFY) L
OTHER (SPECIFY) _____________ M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
QUAL. DOCTOR P
PHARMACY Q
PVT. MED COLL.
HOSP. (SPECIFY) ____________ R
OTHER (SPECIFY)____________X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (ONLY FOR MOST RECENT BIRTH)
Anywhere else?
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))____

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE B
SPE. MEDICAL COL. (SPECIFY) __________ C
DIST. HOSP. D
MCWC E
UPAZILLA HEALTH COMPLEX F
H and FAMILY WELFARE CENTRE G
SAT. CLINIC/EPI OUTREACH H
COMM. CLINIC I
OTHER (SPECIFY) __________ J

NGO SECTOR

NGO STATIC CLINIC K
NGO SAT CLINIC (SPECIFY) L
OTHER (SPECIFY) _____________ M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
QUAL. DOCTOR P
PHARMACY Q
PVT. MED COLL.
HOSP. (SPECIFY) ____________ R
OTHER (SPECIFY)____________X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (ONLY FOR MOST RECENT BIRTH)
Anywhere else?
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))____

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE B
SPE. MEDICAL COL. (SPECIFY) __________ C
DIST. HOSP. D
MCWC E
UPAZILLA HEALTH COMPLEX F
H and FAMILY WELFARE CENTRE G
SAT. CLINIC/EPI OUTREACH H
COMM. CLINIC I
OTHER (SPECIFY) __________ J

NGO SECTOR

NGO STATIC CLINIC K
NGO SAT CLINIC (SPECIFY) L
OTHER (SPECIFY) _____________ M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
QUAL. DOCTOR P
PHARMACY Q
PVT. MED COLL.
HOSP. (SPECIFY) ____________ R
OTHER (SPECIFY)____________X

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Bangladesh 2014

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy?
Anywhere else?
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)) ____________

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE/SPE. MED. COL B
DIST. HOSP. C
MCWC D
UPAZILLA HEALTH COMPLEX E
UH AND FAMILY WELFARE CENTRE F
SAT. CLINIC/EPI OUTREACH G
COMM. CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) _____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY) _____ L

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY) _____ X

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy?
Anywhere else?
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)) ____________

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE/SPE. MED. COL B
DIST. HOSP. C
MCWC D
UPAZILLA HEALTH COMPLEX E
UH AND FAMILY WELFARE CENTRE F
SAT. CLINIC/EPI OUTREACH G
COMM. CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) _____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY) _____ L

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY) _____ X

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy?
Anywhere else?
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)) ____________

HOME

HOME A

PUBLIC SECTOR

HOSP./MEDICAL COLLEGE/SPE. MED. COL B
DIST. HOSP. C
MCWC D
UPAZILLA HEALTH COMPLEX E
UH AND FAMILY WELFARE CENTRE F
SAT. CLINIC/EPI OUTREACH G
COMM. CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) _____ I

NGO SECTOR

NGO STATIC CLINIC J
NGO SAT CLINIC K
OTHER (SPECIFY) _____ L

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC M
QUAL. DOCTOR N
TRAD. DOCTOR O
PHARMACY P

OTHER (SPECIFY) _____ X

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Egypt 2005

Survey form view entire document: text

508) Where did you receive antenatal care for this pregnancy?
CIRCLE ALL MENTIONED.

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

(NAME OF PLACE(S)) ________________

HOME

YOUR HOME A
OTHER HOME B

GOVERNMENT

URBAN HOSPITAL C
URBAN HEALITH UNIT D
HEALTH OFFICE E
RURAL HOSPITAL F
RURAL HEALITH UNIT G
MCH CENTER H
OTHER GOV'T (SPECIFY) _________ I

NONGOVERNMENTAL

EGYPTIAN FP ASSOC J
CSI PROJECT K
OTHER NGO (SPECIFY) __________ L

PRIVATE MEDICAL

PVT. HOSPITAL/CLINIC M
PVT. DOCTOR N
OTHER PVT. MED. (SPECIFY) _________ P

OTHER NON-MEDICAL (SPECIFY) __________ X

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Egypt 2008

Survey form view entire document: text

508. Where did you receive antenatal care for this pregnancy? CIRCLE ALL MENTIONED. IF SOURCE IS HOSPITAL, HEALTH UNIT, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE(S)) _________________

HOME

YOUR HOME A
OTHER HOME B

GOVERNMENT

URBAN HOSPITAL (GNRL/DSTRCT) C
URBAN H'LTH UNIT D
HEALTH OFFICE E
RURAL HOSPITAL (COMPL'TARY) F
RURAL HEALTH UNIT G
MCH CENTER H
OTHER GOV'T (SPECIFY) ________ I

NONGOVERNMENTAL

EGYPTIAN FP ASSOC J
CSI PROJECT K
OTHER NGO (SPECIFY) ________ L

PRIVATE MEDICAL

PVT.HOSPITAL/CLINIC M
PVT.DOCTOR N
OTHER PVT.MED.(SPECIFY) __________ P

OTHER NON-MEDICAL (SPECIFY) _________ X

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Egypt 2014

Survey form view entire document: text

510. Where did you receive antenatal care for this pregnancy? Anywhere else?

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

HOME

YOUR HOME A
OTHER B

GOVERNMENT

URBAN HOSPITAL (GENERAL/DISTRICT) C
URBAN HEALTH UNIT D
RURAL HOSPITAL (CENTRAL) F
RURAL HEALTH UNIT G
MCH CENTER H
OTHER GOVERNMENT (SPECIFY)_________I

NONGOVERNMENTAL

EGYPTIAN FP ASSOCIATION J
CSI PROJECT K
OTHER NGO (SPECIFY)_________L

PRIVATE MEDICAL

PRIVATE HOSPITAL/CLINIC M
PRIVATE DOCTOR N
OTHER PRIVATE MEDICAL _________P

OTHER NON-MEDICAL X

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Eswatini (Swaziland) 2006

Survey form view entire document: text

408) Where did you receive antenatal care for this pregnancy?
CIRCLE ALL MENTIONED.
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)__________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
PHU/CLINIC E
OTHER PUBLIC (SPECIFY)________F

PRIVATE SECTOR

PRIVATE. HOSPITAL/CLINIC G
OTHER PRIVATE (SPECIFY)______H

MISSION

HOSPITAL I
CLINIC J
OTHER MISSION (SPECIFY)_______K

NGO

FLAS L
OTHER NGO (SPECIFY)______M

OTHER (SPECIFY)_________X

Survey form view entire document: text

408) Where did you receive antenatal care for this pregnancy?
CIRCLE ALL MENTIONED.
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)__________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
PHU/CLINIC E
OTHER PUBLIC (SPECIFY)________F

PRIVATE SECTOR

PRIVATE. HOSPITAL/CLINIC G
OTHER PRIVATE (SPECIFY)______H

MISSION

HOSPITAL I
CLINIC J
OTHER MISSION (SPECIFY)_______K

NGO

FLAS L
OTHER NGO (SPECIFY)______M

OTHER (SPECIFY)_________X

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Ethiopia 2005

Survey form view entire document: text

408. Where did you receive antenatal care for this pregnancy?
CIRCLE ALL MENTIONED. 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.
[FOR LAST BIRTH ONLY]

NAME OF PLACE_______________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
GOVERNMENT HEALTH POST E
OTHER PUBLIC (SPECIFY) ________F

NON-GOVERNMENT (NGO)

NGO HEALTH FACILITY G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
OTHER PRIVATE MEDICAL (SPECIFY) ___________________ I

OTHER (SPECIFY) _____________ X

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Ethiopia 2011

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy? Anywhere else?
[ASK ONLY FOR MOST RECENT BIRTH]

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

NAME OF PLACE(S) ______

HOME

RESPONDENT'S HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH STATION/CLINIC E
GOVT. HEALTH POST F
OTHER PUBLIC (SPECIFY) ______ G

NGO

HEALTH FACILITY H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL I
PRIVATE CLINIC J
OTHER PRIVATE MEDICAL (SPECIFY) ____ K

OTHER (SPECIFY) _____ X

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Ethiopia 2016

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER/STATION D
GOVERNMENT HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY) F

NGO

HEALTH FACILITY G
OTHER NGO HEALTH FACILITY H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL I
PRIVATE CLINIC J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) K

OTHER (SPECIFY) X

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Ethiopia 2019

No questionnaire text is available for this sample.

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH
CENTER D
GOVERNMENT HEALTH
POST E
OTHER PUBLIC SECTOR (SPECIFY) __ F

NGO

HEALTH FACILITY G
OTHER NGO HEALTH FACILITY (SPECIFY) ___ H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL I
PRIVATE CLINIC J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ___ K
OTHER (SPECIFY) ___ X

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India 2005

Survey form view entire document: text

410. Where did you receive antenatal care for this pregnancy? Any other place?
[ASK FOR LAST BIRTH ONLY]

IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL SECTOR, WRITE THE NAME OF THE PLACE(S).
RECORD ALL PLACES MENTIONED.

NAME OF PLACE(S) ________

HOME

YOUR HOME A
PARENTS' HOME B
OTHER HOME C

PUBLIC MEDICAL SECTOR

GOVT./MUNICIPAL HOSPITAL D
GOVT. DISPENSARY E
UHC/UHP/UFWC F
CHC/RURAL HOSPITAL/PHC G
SUB-CENTRE H
ANGANWADI/ICDS CENTRE I
VILLAGE CLINIC BY ANM J
OTHER PUBLIC SECTOR HEALTH FACILITY K

NGO/TRUST HOSPITAL/CLINIC L

PRIVATE MEDICAL SECTOR

PVT. HOSP./MATERNITY HOME/CLINIC M
OTHER PRIVATE SECTOR HEALTH FACILITY N

OTHER (SPECIFY) ________ X

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India 2015

Survey form view entire document: text

415. Where did you receive antenatal care for this pregnancy? Any other place?
[ASK FOR MOST RECENT BIRTH ONLY]

RECORD ALL PLACES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S).

(NAME OF FACILITY/PLACE(S))_________

HOME

YOUR HOME A
PARENT'S HOME B
OTHER HOME C

PUBLIC HEALTH SECTOR

GOVT./MUNIC. HOSPITAL D
GOVT. DISP E
UHC/UHP/UFWC F
CHC/RUR. HOPS./BLOCK PHC G
PHC/ADD. PHC H
SUB-CENTRE I
ANGANWADI/ICDS CENTRE J
VILLAGE CLINIC BY ANM K
OTHER PUBLIC SECT. HEALTH FACILITY L

NGO/TRUST HOSP./CLINIC M

PVT. HEALTH SECTOR

PVT. HOSP./MATERNITY HOME/CLINIC N
OTHER PVT. SECT. HEALTH FACILITY O

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

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

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Myanmar 2015

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))

HOME

HOME A
OTHER B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER (RHC) D
GOVT. HEALTH POST SUB-CENTER E
MOBILE CLINIC F
UHC/MCH CENTER G
OTHER PUBLIC SECTORY___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
OTHER PRIVATE MED. SECTOR___(SPECIFY) O

OTHER___(SPECIFY) X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))

HOME

HOME A
OTHER B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER (RHC) D
GOVT. HEALTH POST SUB-CENTER E
MOBILE CLINIC F
UHC/MCH CENTER G
OTHER PUBLIC SECTORY___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
OTHER PRIVATE MED. SECTOR___(SPECIFY) O

OTHER___(SPECIFY) X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))

HOME

HOME A
OTHER B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER (RHC) D
GOVT. HEALTH POST SUB-CENTER E
MOBILE CLINIC F
UHC/MCH CENTER G
OTHER PUBLIC SECTORY___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
OTHER PRIVATE MED. SECTOR___(SPECIFY) O

OTHER___(SPECIFY) X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))

HOME

HOME A
OTHER B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER (RHC) D
GOVT. HEALTH POST SUB-CENTER E
MOBILE CLINIC F
UHC/MCH CENTER G
OTHER PUBLIC SECTORY___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
OTHER PRIVATE MED. SECTOR___(SPECIFY) O

OTHER___(SPECIFY) X

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))

HOME

HOME A
OTHER B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER (RHC) D
GOVT. HEALTH POST SUB-CENTER E
MOBILE CLINIC F
UHC/MCH CENTER G
OTHER PUBLIC SECTORY___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC N
OTHER PRIVATE MED. SECTOR___(SPECIFY) O

OTHER___(SPECIFY) X

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Nepal 2006

Survey form view entire document: text

408. 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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___ H

NON-GOVT. (NGO)

UMN/RED CROSS HOSPITAL I
OTHER NGO (SPECIFY) __ J
PRIVATE MED. SECTOR PVT. HOSPITAL/CLINIC/NURSING HOME K
OTHER PRIVATE MED (SPECIFY) __ L

OTHER (SPECIFY) __ X

Survey form view entire document: text

408. 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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___ H

NON-GOVT. (NGO)

UMN/RED CROSS HOSPITAL I
OTHER NGO (SPECIFY) __ J
PRIVATE MED. SECTOR PVT. HOSPITAL/CLINIC/NURSING HOME K
OTHER PRIVATE MED (SPECIFY) __ L

OTHER (SPECIFY) __ X

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Nepal 2011

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).
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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH POST F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___________ H

NON-GOVT. (NGO) SECTOR

FPAN I
MARIE STOPES J
ADRA K
UMN L
OTHER NGO. (SPECIFY) __________ M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/NURSING HOME N
OTHER PRIVATE MEDICAL (SPECIFY) ___________ O

OTHER (SPECIFY) __________ X

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).
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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH POST F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___________ H

NON-GOVT. (NGO) SECTOR

FPAN I
MARIE STOPES J
ADRA K
UMN L
OTHER NGO. (SPECIFY) __________ M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/NURSING HOME N
OTHER PRIVATE MEDICAL (SPECIFY) ___________ O

OTHER (SPECIFY) __________ X

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).
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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH POST F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___________ H

NON-GOVT. (NGO) SECTOR

FPAN I
MARIE STOPES J
ADRA K
UMN L
OTHER NGO. (SPECIFY) __________ M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/NURSING HOME N
OTHER PRIVATE MEDICAL (SPECIFY) ___________ O

OTHER (SPECIFY) __________ X

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).
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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH POST F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___________ H

NON-GOVT. (NGO) SECTOR

FPAN I
MARIE STOPES J
ADRA K
UMN L
OTHER NGO. (SPECIFY) __________ M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/NURSING HOME N
OTHER PRIVATE MEDICAL (SPECIFY) ___________ O

OTHER (SPECIFY) __________ X

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).
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

GOVT. SECTOR

GOVT. HOSPITAL C
PHC CENTER D
HEALTH POST E
SUB-HEALTH POST F
PHC OUTREACH G
OTHER GOVT. (SPECIFY) ___________ H

NON-GOVT. (NGO) SECTOR

FPAN I
MARIE STOPES J
ADRA K
UMN L
OTHER NGO. (SPECIFY) __________ M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/NURSING HOME N
OTHER PRIVATE MEDICAL (SPECIFY) ___________ O

OTHER (SPECIFY) __________ X

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Nepal 2016

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL/CLINIC C
PHC CENTER D
HEALTH POST/SUB-HEALTH POST E
PHC OUTREACH CLINIC F
OTHER PUBLIC FACILITIES (SPECIFY) ____ G

NON-GOVT. (NGO)

FPAN H
MARIE STOPES I
OTHER NGO FACILIITES (SPECIFY) ____ J

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/NURSING HOME K
PRIVATE CLINIC L
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) ___ M

OTHER (SPECIFY) ___ X

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL/CLINIC C
PHC CENTER D
HEALTH POST/SUB-HEALTH POST E
PHC OUTREACH CLINIC F
OTHER PUBLIC FACILITIES (SPECIFY) ____ G

NON-GOVT. (NGO)

FPAN H
MARIE STOPES I
OTHER NGO FACILIITES (SPECIFY) ____ J

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/NURSING HOME K
PRIVATE CLINIC L
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) ___ M

OTHER (SPECIFY) ___ X

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL/CLINIC C
PHC CENTER D
HEALTH POST/SUB-HEALTH POST E
PHC OUTREACH CLINIC F
OTHER PUBLIC FACILITIES (SPECIFY) ____ G

NON-GOVT. (NGO)

FPAN H
MARIE STOPES I
OTHER NGO FACILIITES (SPECIFY) ____ J

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/NURSING HOME K
PRIVATE CLINIC L
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) ___ M

OTHER (SPECIFY) ___ X

top

Yemen 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? Anywhere else?
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))____

YOUR HOME A
OTHER HOME B
GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
PRIM. HEALTH CENTER E
FP. CLINIC F
MOBILE CLINIC G

PRIVATE SECTOR

HOSP./CLINIC/DISPENSARY/DOCT. OFFICE) H

NG ORGANIZATIONS

(HOSPITAL/CLINIC/DISPENSARY DOCT. OFFICE) I

OTHER (SPECIFY)____ X

Afghanistan 2015	Egypt 2008	Ethiopia 2016	Myanmar 2015
Bangladesh 2007	Egypt 2014	Ethiopia 2019	Nepal 2006
Bangladesh 2011	Eswatini (Swaziland) 2006	India 2005	Nepal 2011
Bangladesh 2014	Ethiopia 2005	India 2015	Nepal 2016
Egypt 2005	Ethiopia 2011	Jordan 2017	Yemen 2013

Survey Text