Survey Text

Egypt 2005 Ghana 2008 Jordan 2007 Niger 2012
Egypt 2008 Ghana 2014 Malawi 2010 Rwanda 2008
Egypt 2014 Guinea 2018 Malawi 2016
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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
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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
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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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Ghana 2008
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408. Where did you receive antenatal care for this pregnancy? Anywhere else?
[Most recent birth within the last five years]

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE. IF UNABLE TO DETERMINE IF 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
GOVT. HOSPITAL POLYCLINIC C
GOVT. HEALTH CENTER D
GOVT. HEALTH POST/CHPS E
MOBILE CLINIC F
OTHER PUBLIC (SPECIFY) ____ G
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC H
FF/PPAG CLINIC I
MOBILE CLINIC J
MATERNITY HOME K
OTHER PRIVATE MED. (SPECIFY) _____ L
OTHER (SPECIFY) _____ X

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Ghana 2014
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410) Where did you receive antenatal care for this pregnancy?
Anywhere else?

[ASK 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)) ____________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
GOVT. HOSPITAL C
GOVT. HEALTH CENTER/CLINIC D
GOVT. HEALTH POST/CHPS E
MOBILE CLINIC F
OTHER PUBLIC SECTOR (SPECIFY) _____ G
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC H
FP/PPAG CLINIC I
MOBILE CLINIC J
MATERNITY HOME K
OTHER PRIVATE MED. SECTOR (SPECIFY) _____ L
OTHER (SPECIFY) _____ X

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Guinea 2018
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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

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Jordan 2007
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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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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

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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

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Niger 2012
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
DISTRICT HOSPITAL C
INTEGRATED HEALTH CENTER D
HEALTH HUT E
OTHER PUBLIC (SPECIFY) F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
NIGERIEN ASSOCIATION FOR FAMILIAL WELL-BEING H
RELIGIOUS INSTITUTION I
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) J
OTHER (SPECIFY) X

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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)) ____________________