Survey Text

Benin 2011 Kenya 2008 Malawi 2016 Zambia 2018
Benin 2017 Kenya 2014 Niger 2012 Zimbabwe 2005
Burundi 2016 Lesotho 2004 Tanzania 2004 Zimbabwe 2010
Cameroon 2011 Lesotho 2009 Tanzania 2010 Zimbabwe 2015
Cameroon 2018 Lesotho 2014 Tanzania 2015
Eswatini (Swaziland) 2006 Malawi 2004 Zambia 2007
Kenya 2003 Malawi 2010 Zambia 2013
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Benin 2011
Survey form view entire document:  text 
410) Where did you receive antenatal care for this pregnancy? Anywhere else?
PROBE TO IDENTITY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S))_________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
STAND-ALONE 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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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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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

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

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

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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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

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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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

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Kenya 2008
Survey form view entire document:  text 
408. Where did you receive antenatal care for this pregnancy? Anywhere else?

PROBE TO IDENTIFY THE 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.
[Most recent birth within the last five years]

(NAME OF PLACE) ___________
HOME A
PUBLIC SECTOR
GOV. HOSPITAL B
GOV. HEALTH CTR C
GOV. DISPENSARY D
OTHER PUBLIC (SPECIFY) ____________ E
PRIVATE MEDICAL SECTOR
FAITH-BASED, CHURCH HOSP./CLINIC F
PRIVATE HOSPITAL/CLINIC H
NURSING/MATERNITY HOME J
OTHER PRIV. MED. (SPECIFY) ________ K
OTHER (SPECIFY) __________________ X

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Kenya 2014
Survey form view entire document:  text 
410) Where did you receive antenatal care for this pregnancy?

Anywhere else?

[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) _____
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
GOVERNMENT HOSPITAL C
GOVERNMENT HEALTH CENTER D
DISPENSARY E
OTHER PUBLIC SECTOR (SPECIFY) ______ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
FAITH-BASED, CHURCH, HOSP./CLINIC H
NURSING/MATERNITY HOME I
OTHER PRIVATE MED. SECTOR (SPECIFY) _________ J
OTHER (SPECIFY) ___________ X

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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

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

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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

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

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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

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

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

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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

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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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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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Zambia 2007
Survey form view entire document:  text 
413 Were you told where to go if you had any of these complications?

YES 1
NO 2
DON'T KNOW 8

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Zambia 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) ____________________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
GOVT. HOSPITAL C
GOVT. HEALTH CENTER/POST D
MOBILE HOSPITAL/CLINIC E
OTHER PUBLIC SECTOR F (SPECIFY) __________________
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC G
MISSION HOSPITAL/CLINIC H
OTHER PRIVATE MED. SECTOR I (SPECIFY) ___________________
OTHER X (SPECIFY)______________________

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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

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Zimbabwe 2005
Survey form view entire document:  text 
408) Where did you receive antenatal care for this pregnancy? Anywhere else?

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.

RECORD ALL MENTIONED.

NAME OF PLACE(S) __________
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
CENTRAL HOSPITAL C
PROVINCIAL HOSPITAL D
DISTRICT/RURAL HOSPITAL E
RURAL/MUNICIPAL CLINIC F
RURAL HEALTH CENTER G
OTHER PUBLIC (SPECIFY) __________ H
MISSION FACILITY I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC J
OTHER PRIVATE MEDICAL K
OTHER (SPECIFY) __________ X

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Zimbabwe 2010
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 SECTOR OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

NAME OF PLACE(S)
HOME
YOUR HOME A
OTHER HOME B
PUBLIC SECTOR
CENTRAL HOSPITAL C
PROVINCIAL HOSPITAL D
DISTRICT HOSPITAL E
RURAL HOSPITAL F
URBAN MUNICIPAL CLINIC G
RURAL HEALTH CENTRE H
OTHER PUBLIC SECTOR (SPECIFY) I
MISSION HOSPITAL/CLINIC J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) L
OTHER (SPECIFY) X

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Zimbabwe 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 ___
HOME
HER HOME A
OTHER HOME B
PUBLIC SECTOR
CENTRAL HOSPITAL C
PROVINCIAL HOSPITAL D
DISTRICT HOSPITAL E
RURAL HOSPITAL F
URBAN MUNICIPAL CLINIC G
RURAL HEALTH CENTRE H
OTHER PUBLIC SECTOR (SPECIFY) I
MISSION HOSPITAL/CLINIC J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) H
OTHER (SPECIFY) X