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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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Angola 2015

Survey form view entire document: text

410) Where did you received antenatal care for this pregnancy?
Anywhere else?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)____

PUBLIC SECTOR

CENTRAL HOSPITAL A
HOSPITAL IN PROVINCE B
HOSPITAL IN RURAL AREA C
HEALTH CENTER/POST D
MATERNITY WARD E
MOBILE CLINIC F
OTHER PUBLIC SECTOR: (SPECIFY)____ G

PRIVATE MEDICAL SECTOR

PRIVATE CLINIC/HOSPITAL H
HEALTH CENTER I
OTHER PRIVATE MEDICAL SECTOR: (SPECIFY)____J

OTHER: (SPECIFY) ______ 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

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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

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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

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Benin 2011

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Benin 2017

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

Her home A
Other home B

Public sector

Govt. Hospital C
Govt. Health Center D
Maternity E
Village unit F

Other public sector (specify) G

Private medical sector

Private hospital/clinic H
Religious hospital I
Other private medical (specify) J

Other (specify) X

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Burkina Faso 2010

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Burundi 2010

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Burundi 2016

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

NATIONAL GOVERNMENT HOSPITAL C
REGIONAL GOVERNMENT HOSPITAL D
DISTRICT HOSPITAL E
GOVERNMENT HEALTH CENTER F
OTHER__________ G

CERTIFIED MEDICAL SECTOR

CERTIFIED HOSPITAL H
CERTIFIED HEALTH CENTER I
OTHER PRIVATE MEDICAL____________ J

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC K
PRIVATE HEALTH CARE CENTER L
OTHER PRIVATE MEDICAL____________ M

OTHER___________ X

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Cameroon 2011

Survey form view entire document: text

408) Where did you receive prenatal care for this pregnancy?

Anywhere else?

PROBE FOR THE TYPE OF PLACE AND CIRCLE THE APPROPRIATE CODE(S).

IF YOU CAN NOT DETERMINE IF THE HOSPITAL, HEALTH CENTER OR CLINIC IS PUBLIC OR PRIVATE, WRITE THE NAME OF THE PLACE.

NAME OF PLACE: ___

HOME

YOUR HOME A
OTHER HOME B

PUBLIC/PARA PUBLIC SECTOR

HOSPITAL C
HEALTH CENTER D
OTHER PUBLIC (SPECIFY): ___ E

PRIVATE MEDICAL SECTOR

PRIVATE RELIGIOUS HOSPITAL F
PRIVATE SECULAR HOSPITAL/CLINIC G
HEALTH CENTER/RELIGIOUS DISPENSARY/MISSION H
MEDICAL OFFICE I
OTHER PRIVATE MEDICAL (SPECIFY): ___ J

OTHER: ___ X

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Cameroon 2018

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.

HOME

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
SUB-DIVISIONAL MEDICAL CENTER / INTERGRATED HEALTH CENTER / DISPENSARY D
OTHER PUBLIC SECTOR (SPECIFY)________E

PRIVATE MEDICAL SECTOR

CONFESSIONAL HOSPITAL / CLINIC F
PRIVATE LAY HOSPITAL / CLINIC G
CONFESSIONAL HEALTH CENTER / DISPENSARY H
DOCTOR'S OFFICE I
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)_________J
OTHER (SPECIFY)_________X

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Chad 2014

Survey form view entire document: text

445) Where did this first check of (NAME) take place?
PROBE TO IDENTITY 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(S))______________

HOME

YOUR HOME 11
OTHER HOME 12

PUBLIC SECTOR

GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
GOVERNMENT HEALTH POST 23
OTHER PUBLIC SECTOR (SPECIFY) 26

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL 36

OTHER (SPECIFY) 96

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Congo (Democratic Republic) 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Congo Brazzaville 2011

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.

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

HOSPITAL C
INTEGRATED HEALTH CENTER D
HEALTH POST E

PRIVATE MEDICAL SECTOR

CLINIC F
DOCTOR'S OFFICE G

OTHER PLACE (SPECIFY) _____ X

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Cote d'Ivoire 2011

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Egypt 2003

Survey form view entire document: text

508. Where did you receive the antenatal care? RECORD ALL PLACED.

PUBLIC SECTOR

GVT. HOSPITAL A
GVT. HEALTH UNIT B
MCH CENTER C

PRIVATE SECTOR

PVT. HOSPITAL/CLINIC D
PVT. DOCTOR E

OTHER___________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

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ 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

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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

top

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

top

Ethiopia 2019

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

top

Ghana 2003

Survey form view entire document: text

407A. Where did you receive antenatal care for this pregnancy? Anywhere else?
[Most recent birth within the last five years]

HOME

YOUR HOME A
TBA'S HOME B
OTHER HOME C

PUBLIC SECTOR

GOVT. HOSPITAL/CLINIC D
GOVT. HEALTH CENTER E
GOVT. HEALTH POST F
MOBILE CLINIC G
OTHER PUBLIC (SPECIFY) ____H

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/CLINIC I
MOBILE CLINIC J
MATERNITY HOME K
OTHER PVT. MEDICAL (SPECIFY)____ L

OTHER (SPECIFY)____ X

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Ghana 2008

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

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

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Ghana 2014

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Guinea 2012

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Guinea 2018

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

NATIONAL HOSPITAL C
REGIONAL HOSPITAL D
PREFECTURAL HOSPITAL/COMMUNAL MEDICAL CENTER E
HEALTH CENTER F
HEALTH POST G
OTHER PUBLIC SECTOR (SPECIFY) H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC I
FAMILY PLANNING CLINIC/GUINEAN ASSOCIATION FOR FAMILY WELL-BEING J
PRIVATE MIDWIFE'S OFFICE K
OTHER PRIVATE MEDICAL (SPECIFY) L

OTHER (SPECIFY) X

top

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

top

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

top

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

top

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

top

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

top

Kenya 2003

Survey form view entire document: text

407A. Where did you receive antenatal care for this pregnancy?

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.
[Most recent birth within the last five years]

(NAME OF PLACE) __________

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

HOME A

PUBLIC SECTOR

GOVT. HOSPITAL B
GOVT. HEALTH CENTRE C
GOVT. DISPENSARY D
OTHER PUBLIC (SPECIFY) _____ E

PRIVATE MEDICAL SECTOR

MISSION HOSPITAL/CLINIC F
PRIVATE HOSPITAL/CLINIC H
NURSING/MATERNITY HOME K
OTHER PVT. MEDICAL (SPECIFY) _______ L

OTHER (SPECIFY) ________ X

top

Kenya 2008

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

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

top

Kenya 2014

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Lesotho 2004

Survey form view entire document: text

407A Where did you receive antenatal care for this pregnancy? Anywhere else?

PUBLIC SECTOR

GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
GOVT. HEALTH POST C
OTHER PUBLIC _________(SPECIFY) D

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/CLINIC E
OTHER PVT. MEDICAL _______(SPECIFY) F

CHAL

CHAL HOSPITAL G
CHAL HEALTH CENTER H

OTHER _________(SPECIFY) X

top

Lesotho 2009

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

(NAME OF PLACE(S)) ___________

PUBLIC SECTOR

GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
GOVT. HEALTH POST C
OTHER PUBLIC SECTOR D

PRIVATE MEDICAL SECTOR

PVT. HOSPITAL/CLINIC E
PRIVATE MED. SECTOR F

CHAL

CHAL HOSPITAL G
CHAL HEALTH CENTER H
CHAL HEALTH POST I

OTHER X

top

Lesotho 2014

Survey form view entire document: text

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

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 SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
OTHER PUBLIC SECTOR (SPECIFY) ____ D

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC E
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ____ F

CHAL

CHAL HOSPITAL G
CHAL HEALTH CENTER H
CHAL HEALTH POST I

REDCROSS HEALTH CENTER J
FACILITY OUTSIDE LESOTHO K

OTHER (SPECIFY) ____ X

top

Liberia 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 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 SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

top

Liberia 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Madagascar 2008

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

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

top

Malawi 2004

Survey form view entire document: text

407A. Where did you receive antenatal care for this pregnancy? Anywhere else?
[FOR LAST BIRTH ONLY]

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
GOVERNMENT HEALTH POST E
MOBILE CLINIC F
OTHER PUBLIC (SPECIFY) _____ G

MISSION

HOSPITAL H
HEALTH CENTER I

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC J
MOBILE CLINIC K
OTHER PRIVATE MEDICAL (SPECIFY) __________ L

TRADITIONAL BIRTH ATTENDANT M
OTHER (SPECIFY) ________ X

top

Malawi 2010

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.
[FOR LAST BIRTH ONLY]

NAME OF PLACE(S)______________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
GOVERNMENT HEALTH POST E
MOBILE CLINIC F
OTHER PUBLIC G

CHAM/MISSION

HOSPITAL H
HEALTH CENTER I

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC J
MOBILE CLINIC K
OTHER PRIVATE MEDICAL L

BLM M
OTHER X

top

Malawi 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 D
GOVERNMENT HEALTH POST E
MOBILE CLINIC F
OTHER PUBLIC SECTOR (SPECIFY) G

CHAM/MISSION

HOSPITAL H
HEALTH CENTER I

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL OR CLINIC J
MOBILE CLINIC K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) L

BLM M
OTHER (SPECIFY) X

top

Mali 2012

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Mali 2018

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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

NATIONAL HOSPITAL C
REGIONAL HOSPITAL D
REFERENCE HEALTH CENTER E
COMMUNITY HEALTH CENTER F
DISPENSARY/MATERNITY G
OTHER PUBLIC SECTOR (SPECIFY) H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC I
DOCTOR'S OFFICE J
PRIVATE HEALTH CLINIC K
HEALTH POSTS L
OTHER PRIVATE MEDICAL (SPECIFY) M

OTHER (SPECIFY) X

top

Mozambique 2003

Survey form view entire document: text

407A. Where did you have your antenatal care appointment(s)? Anywhere else?
RECORD ALL PLACES MENTIONED.
[ASK ONLY FOR MOST RECENT BIRTH]

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

NAME OF PLACE______

PUBLIC SECTOR

CENTRAL HOSPITAL A
PROVINCIAL/GENERAL HOSPITAL B
RURAL HOSPITAL C
HEALTH CENTER D
MOBILE CLINIC E
OTHER (SPECIFY) ____ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL G
PRIVATE CLINIC H
PRIVATE DOCTOR'S OFFICE I
PRIVATE NURSE J
OTHER PRIVATE MEDICAL (SPECIFY) _____ L

OTHER (SPECIFY) ______ X

top

Mozambique 2011

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

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

top

Namibia 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

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

top

Namibia 2013

Survey form view entire document: text

410) Where did you recieve 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
GOVT HEALTH CENTER D
GOVT HEALTH CARE CLINIC E
OUTREACH POINT F
OTHER PUBLIC SECTOR (SPECIFY __________) G

PRIVATE MED. SECTOR

PVT HOSPITAL H
PVT CLINIC I
OTHER PRIVATE MED SECTOR (SPECIFY __________) J
OTHER (SPECIFY __________) X

top

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

top

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

top

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

top

Niger 2012

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Nigeria 2003

Survey form view entire document: text

407A. Where did you receive antenatal care for this pregnancy? Anywhere else?

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTRE D
GOVERNMENT HEALTH POST E
MOBILE CLINIC F
OTHER PUBLIC (SPECIFY) ____________ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL H
MOBILE CLINIC I
OTHER PRIVATE MEDICAL (SPECIFY) _____________ J

OTHER X

top

Nigeria 2008

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) ______________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
GOVERNMENT HEALTH POST/DISPENSARY E
OTHER PUBLIC (SPECIFY) ____________ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) _____________ H

OTHER (SPECIFY) _____________ X

top

Nigeria 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Nigeria 2018

Survey form view entire document: text

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

HOME

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
GOVERNMENT HEALTH POST E
OTHER PUBLIC SECTOR ________ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL G
OTHER PRIVATE MEDICAL SECTOR ______ H

OTHER _____ X

top

Pakistan 2006

Survey form view entire document: text

408) Where did you receive antenatal care for this pregnancy? Anywhere else?
FOR ANY HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE.
PROBE TO IDENTIFY TYPE(S) OF SOURCE(S) AND RECORD ALL MENTIONED.
[ONLY ASKED FOR MOST RECENT PREGNANCY]

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
RHC/MCH D
BHU/FWC E
OTHER PUBLIC (SPECIFY) ___ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC H
PVT. DOCTOR I
HOMEOPATH J
DISPENSER/COMPOUNDER K
OTHER PRIVATE MED. (SPECIFY) ___ L
HAKIM M

OTHER (SPECIFY) ___ X

top

Pakistan 2012

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Pakistan 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

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
RHC/MCH D
BHU E
CMW F
OTHER PUBLIC SECTOR (SPECIFY) ______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
PVT. DOCTOR I
HOMEOPATH J
DISPENSER/COMPOUNDER K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _______ L

HAKIM M
OTHER (SPECIFY) _______ X

top

Rwanda 2008

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 APPROPRITATE CODE(S).

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

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOV. HOSPITAL C
HEALTH CENTER D
OTHER PUBLIC E (SPECIFY) ___________

PRIV. MEDICAL SECTOR

PRIVATE HOSP./CLINIC F
PRIV. DOCTOR G
ARBEF CLINIC H
NURSE I
OTHER MEDICAL PRIVATE J (SPECIFY) _________

OTHER X (SPECIFY) _____________

(NAME OF PLACE(S)) ____________________

top

Rwanda 2010

Survey form view entire document: text

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

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

NAME OF PLACE(S)

HOME

YOUR HOME A
OTHER HOME B

PUBLIC/AGREE SECTOR

REFERAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTER E
HEALTH POST F
OTHER PUBLIC SECTOR (SPECIFY) G

PRIVATE MEDICAL SECTOR

POLYCLINIC H
CLINIC I
DISPENSARY J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) K

OTHER (SPECIFY) X

top

Rwanda 2014

Survey form view entire document: text

410. (2) 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

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)_____________H

OTHER (SPECIFY)____________X

top

Senegal 2010

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Senegal 2012

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

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Senegal 2014

Survey form view entire document: text

410. (2) 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

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)_____________H

OTHER (SPECIFY)____________X

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Senegal 2015

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)) _____

PUBLIC SECTOR

GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
GOVT. HEALTH POST C
HEALTH HUT D
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY) _____G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
PHARMACY I
PRIVATE DOCTOR'S OFFICE J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ M

OTHER SOURCE

SHOP N
TRADITIONAL PRACTITIONER O
MARKET P
COMMUNITY AGENT Q
OTHER (SPECIFY) ____ X

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Senegal 2016

Survey form view entire document: text

410) Where did you receive this 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(S)) _____

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
HEALTH HUT D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY) _____ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
PHARMACY I
PRIVATE DOCTOR'S OFFICE J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ M

OTHER SOURCE

SHOP N
TRADITIONAL PRACTITIONER O
MARKET P
COMMUNITY AGENT Q
OTHER (SPECIFY) ____ X

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Senegal 2017

Survey form view entire document: text

410) Where did you receive this 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(S)) _____

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
HEALTH HUT D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY) _____ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
PHARMACY I
PRIVATE DOCTOR'S OFFICE J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ M

OTHER SOURCE

SHOP N
TRADITIONAL PRACTITIONER O
MARKET P
COMMUNITY AGENT Q
OTHER (SPECIFY) ____ X

top

South Africa 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, RECORD 'X' AND WRITE THE NAME OF THE PLACE(S).

HOME

HER HOME A
OTHER HOME B

PUBLIC SECTOR

GOVERNMENT HOSPITAL C
GOVERNMENT CLINIC/COMMUNITY HEALTH CENTRE D
MOBILE CLINIC E
OTHER PUBLIC SECTOR (SPECIFY) _________ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/DOCTOR G
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ________ H

OTHER (SPECIFY) _________ X

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Tanzania 2004

Survey form view entire document: text

407A. Where did you receive antenatal care for this pregnancy? Anywhere else?

HOME A

GOV. PARASTATAL

REFERAL/SPEC. HOSPITAL B
REGIONAL HOSP. C
DISTRICT HOSP D
HEALTH CENT E
DISPENSARY F
VILLAGE HEALTH POST G
CBD WORKER H

RELIGIOUS/VOLUNTARY

REFERAL/SPEC. HOSPITAL I
DISTRICT HOSP J
HEALTH CENT K
DISPENSARY L

PRIVATE

SPECIALISED HOSPITAL M
HEALTH CENT N
DISPENSARY O

OTHER (SPECIFY) __________ X

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Tanzania 2010

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

(NAME OF PLACE(S)) ______

HOME A

GOV. PARASTATAL

REFERAL/SPEC. HOSPITAL B
REGIONAL HOSP. C
DISTRICT HOSP D
HEALTH CENT E
DISPENSARY F
VILLAGE HEALTH POST G
CBD WORKER H

RELIGIOUS/VOLUNTARY

REFERAL/SPEC. HOSPITAL I
DISTRICT HOSP J
HEALTH CENT K
DISPENSARY L

PRIVATE

SPECIALISED HOSPITAL M
HEALTH CENT N
DISPENSARY O

OTHER (SPECIFY) __________ X

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Tanzania 2015

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) _____

GOVERNMENT/PARASTATAL

NATIONAL/ZONAL/SPEC. HOSPITAL A
REGIONAL REFERRAL HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
CLINIC G
CHW H

RELIGIOUS/VOLUNTARY

REFERRAL SPECIALIZED HOSPITAL I
DISTRICT HOSPITAL J
HOSPITAL K
HEALTH CENTRE L
DISPENSARY M
CLINIC N

PRIVATE MEDICAL SECTOR

SPECIALIZED HOSPITAL O
HOSPITAL P
HEALTH CENTRE Q
DISPENSARY R
CLINIC S

OTHER (SPECIFY) X

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Togo 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Uganda 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.
[Last Birth Only]

NAME OF PLACE(S)____

HOME

YOUR HOME A
TBA'S HOME B
OTHER HOME C

PUBLIC SECTOR

GOVERNMENT HOSPITAL D
GOVERNMENT HEALTH CENTER E
GOVERNMENT HEALTH POST F
OTHER PUBLIC (SPECIFY) G

PRIVATE MEDICAL SECTOR

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

OTHER (SPECIFY) X

top

Uganda 2011

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Uganda 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 PIBLIC OR PRIVATE SECTIOR, 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
OTHER PUBLIC SECTOR (SPECIFY) ______E

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC F
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ______G

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

top

Zambia 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 UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.
[LAST BIRTH ONLY]

(NAME OF PLACE(S)) ______________

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) ____________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/SURGERY G
MISSION HOSPITAL/CLINIC H
WORK PLACE I
OTHER PRIVATE MED. (SPECIFY) _____________ J

OTHER (SPECIFY) _____________ X

top

Zambia 2013

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Zambia 2018

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
MOBILE HOSPITAL/CLINIC F
OTHER PUBLIC SECTOR (SPECIFY) ____________________ J

top

Zimbabwe 2005

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

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC (SPECIFY) __________ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. (SPECIFY) ______ H

OTHER (SPECIFY) _________ X

top

Zimbabwe 2010

Survey form view entire document: text

410) Where did you receive antenatal care for this pregnancy? (2)
Anywhere else?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
[Most recent birth within the last five years]

(NAME OF PLACE(S))_______

HOME

YOUR HOME A
OTHER HOME B

PUBLIC SECTOR

GOVT. HOSPITAL C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST E
OTHER PUBLIC SECTOR (SPECIFY)_____ F

PRIVATE MED. SECTOR

PVT. HOSPITAL/CLINIC G
OTHER PRIVATE MED. SECTOR (SPECIFY)______ H

OTHER (SPECIFY)______ X

top

Zimbabwe 2015

Survey form view entire document: text

408. Did you see anyone for antenatal care for this pregnancy?

YES 1
NO 2 (GO TO 414)

Afghanistan 2015	Ethiopia 2016	Malawi 2016	Senegal 2012
Angola 2015	Ethiopia 2019	Mali 2012	Senegal 2014
Bangladesh 2007	Ghana 2003	Mali 2018	Senegal 2015
Bangladesh 2011	Ghana 2008	Mozambique 2003	Senegal 2016
Bangladesh 2014	Ghana 2014	Mozambique 2011	Senegal 2017
Benin 2011	Guinea 2012	Myanmar 2015	South Africa 2016
Benin 2017	Guinea 2018	Namibia 2006	Tanzania 2004
Burkina Faso 2010	India 2005	Namibia 2013	Tanzania 2010
Burundi 2010	India 2015	Nepal 2006	Tanzania 2015
Burundi 2016	Jordan 2007	Nepal 2011	Togo 2013
Cameroon 2011	Jordan 2012	Nepal 2016	Uganda 2006
Cameroon 2018	Jordan 2017	Niger 2012	Uganda 2011
Chad 2014	Kenya 2003	Nigeria 2003	Uganda 2016
Congo (Democratic Republic) 2013	Kenya 2008	Nigeria 2008	Yemen 2013
Congo Brazzaville 2011	Kenya 2014	Nigeria 2013	Zambia 2007
Cote d'Ivoire 2011	Lesotho 2004	Nigeria 2018	Zambia 2013
Egypt 2003	Lesotho 2009	Pakistan 2006	Zambia 2018
Egypt 2005	Lesotho 2014	Pakistan 2012	Zimbabwe 2005
Egypt 2008	Liberia 2007	Pakistan 2017	Zimbabwe 2010
Egypt 2014	Liberia 2013	Rwanda 2008	Zimbabwe 2015
Eswatini (Swaziland) 2006	Madagascar 2008	Rwanda 2010
Ethiopia 2005	Malawi 2004	Rwanda 2014
Ethiopia 2011	Malawi 2010	Senegal 2010

Survey Text