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Afghanistan 2015

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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

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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

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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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Ghana 2003

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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

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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

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 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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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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Mozambique 2011

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 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

CENTRAL HOSPITAL C
PROVINCIAL/GENERAL HOSPITAL D
RURAL HOSPITAL E
HEALTH CENTER/POST F
MOBILE CLINIC G
OTHER (SPECIFY)____ H

PRIVATE MEDICAL SECTOR

PRIVATE CLINIC I
PRIVATE DOCTOR'S OFFICE J
PRIVATE NURSE K
PHARMACY L

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

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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

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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

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South Africa 2016

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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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Togo 2013

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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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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

Afghanistan 2015	Ghana 2003	Malawi 2016	South Africa 2016
Angola 2015	Ghana 2008	Mozambique 2011	Togo 2013
Bangladesh 2007	Ghana 2014	Myanmar 2015	Zambia 2013
Bangladesh 2011	Malawi 2004	Namibia 2013	Zambia 2018
Bangladesh 2014	Malawi 2010	Nigeria 2003

Survey Text