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