Survey Text

Afghanistan 2015 Ethiopia 2011 Mali 2012 Senegal 2015
Angola 2015 Ethiopia 2016 Mali 2018 Senegal 2016
Benin 2006 Ghana 2008 Mozambique 2011 Senegal 2017
Benin 2011 Ghana 2014 Myanmar 2015 South Africa 2016
Benin 2017 Guinea 2012 Namibia 2006 Tanzania 2010
Burkina Faso 2010 Guinea 2018 Namibia 2013 Togo 2013
Burundi 2010 India 2005 Nepal 2011 Uganda 2006
Burundi 2016 India 2015 Nepal 2016 Uganda 2011
Cameroon 2011 Kenya 2008 Niger 2006 Uganda 2016
Cameroon 2018 Kenya 2014 Niger 2012 Zambia 2007
Chad 2004 Lesotho 2009 Nigeria 2008 Zambia 2013
Chad 2014 Lesotho 2014 Nigeria 2013 Zambia 2018
Congo (Democratic Republic) 2007 Liberia 2007 Pakistan 2017 Zimbabwe 2005
Congo (Democratic Republic) 2013 Liberia 2013 Rwanda 2010 Zimbabwe 2010
Congo Brazzaville 2005 Madagascar 2008 Rwanda 2014 Zimbabwe 2015
Congo Brazzaville 2011 Malawi 2010 Senegal 2005
Cote d'Ivoire 2011 Malawi 2016 Senegal 2010
Eswatini (Swaziland) 2006 Mali 2006 Senegal 2014
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Afghanistan 2015
Survey form view entire document:  text 
929. Where was the test done?

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______________
PUBLIC SECTOR
GOVT. HOSPITAL (NATIONAL, REGIONAL, PROVINCIAL OR DISTRICT) 11
CHC/POLYCLINIC 12
BASIC HEALTH CENTER 13
HEALTH SUB-CENTER 14
HEALTH POST/SUB-HEALTH POST 15
STAND-ALONE VCT CENTER 16
FAMILY PLANNING CLINIC 17
MOBILE CLINIC 18
COMMUNITY HEALTH WORKER 19
OTHER PUBLIC SECTOR_________20
NGO
MARIE STOPES 21
RED CROSS SOCIETY 22
AFGA 23
OTHER NGO SECTOR______26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
STAND-ALONE VCT CENTER 32
PHARMACY 33
MOBILE CLINIC 34
FIELDWORKER 35
OTHER PRIVATE MEDICAL SECTOR_________37
OTHER SOURCE
HOME 41
CHARITY/FOUNDATIONS 42
REFUGEE CAMP 43
OTHER___________96

(GO TO 932)


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Angola 2015
Survey form view entire document:  text 
1022) Where was the test done?
PROBE TO IDENTIFY THE PLACE.
IF IT IS NOT POSSIBLE TO DETERMINE IF THE PLACE IS PUBLIC OR PRIVATE, RECORD THE NAME OF THE PLACE.

(NAME OF PLACE)____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
REGIONAL HOSPITAL 12
MUNICIPAL HOSPITAL 13
CATV (Office for Advice and Voluntary Testing of HIV/AIDS) 14
HEALTH CENTER 15
PTV 16
OTHER PUBLIC: (SPECIFY)____ 17
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
CATV 22
PHARMACY 23
OTHER PRIVATE: (SPECIFY)____ 26
OTHER: (SPECIFY)____ 96

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Benin 2006
Survey form view entire document:  text 
828) Where was the test done?
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 _________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 831)
GOVERNMENT HEALTH CENTER 12 (GO TO 831)
FAMILY PLANNING CLINIC 13 (GO TO 831)
SCREENING CENTER 14 (GO TO 831)
STRAT AV HEALTH WORKER/MOBILE CLINIC 15 (GO TO 831)
HEALTH WORKER 16 (GO TO 831)
OTHER PUBLIC (SPECIFY) ________ 17 (GO TO 831)
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/OFFICE 21 (GO TO 831)
PHARMACY 22 (GO TO 831)
PRIVATE DOCTOR 23 (GO TO 831)
HEALTH AGENT 24 (GO TO 831)
OTHER PRIVATE MEDICAL (SPECIFY) ________ 26 (GO TO 831)
OTHER (SPECIFY) ________ 96 (GO TO 831)

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Benin 2011
Survey form view entire document:  text 
929) Where was the test done?
PROBE TO IDENTIFY 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)________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 932)
GOVERNMENT HEALTH CENTER 12 (GO TO 932)
STAND-ALONE VCT CENTER 13 (GO TO 932)
FAMILY PLANNING CLINIC 14 (GO TO 932)
FIELDWORKER 15 (GO TO 932)
STRAT AV HEALTH WORKER 16 (GO TO 932)
HEALTH WORKER/COMMUNITY LIAISON 17 (GO TO 932)
SCHOOL CLINIC 18 (GO TO 932)
OTHER PUBLIC SECTOR_______ (SPECIFY) 19 (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 932)
RELIGIOUS HOSPITAL 22 (GO TO 932)
INDEPENDENT VCT CENTER 23 (GO TO 932)
PRIVATE DOCTOR'S OFFICE 24 (GO TO 932)
PHARMACY 25 (GO TO 932)
BENINESE FAMILY PLANNING ASSOCIATION (ABPF) 26 (GO TO 932)
FIELDWORKER (NOG) 27 (GO TO 932)
SCHOOL CLINIC 28 (GO TO 932)
OTHER PRIVATE MEDICAL_______ (SPECIFY) 29 (GO TO 932)
OTHER SOURCE
HOME 31 (GO TO 932)
CORRECTIONAL FACILITY 32 (GO TO 932)
OTHER______ (SPECIFY) 96 (GO TO 932)

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Benin 2017
Survey form view entire document:  text 
1030. Where was the test done?

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)___________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE HTC CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE HTC SERVICES 15
OTHER PUBLIC SECTOR (SPECIFY)________________________16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE HTC CENTER 22 (GO TO 1033)
PHARMACY 23
MOBILE HTC SERVICES 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)___________________26
OTHER SOURCE
HOME 31
WORKPLACE 32
CORRECTIONAL FACILITY 33
OTHER (SPECIFY)_____________96

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Burkina Faso 2010
Survey form view entire document:  text 
929. Where was the test done?

PROBE TO IDENTIFY 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_______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 932)
GOVERNMENT HEALTH CENTER 12 (GO TO 932)
STAND-ALONE VCT CENTER 13 (GO TO 932)
FAMILY PLANNING CLINIC 14 (GO TO 932)
MOBILE CLINIC 15 (GO TO 932)
SCHOOL BASED CLINIC 16 (GO TO 932)
OTHER (SPECIFY) ______ 17 (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21 (GO TO 932)
STAND-ALONE VCT CENTER 22 (GO TO 932)
PHARMACY 23 (GO TO 932)
MOBILE CLINIC 24 (GO TO 932)
SCHOOL BASED CLINIC 25 (GO TO 932)
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26 (GO TO 932)
OTHER SOURCE
FIELDWORKER 31 (GO TO 932)
HOME 32 (GO TO 932)
CORRECTIONAL FACILITY 33 (GO TO 932)
OTHER (SPECIFY) ______ 96 (GO TO 932)

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Burundi 2010
Survey form view entire document:  text 
929) Where was the test done? (4)

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)_______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)______ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)____ 96

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Burundi 2016
Survey form view entire document:  text 
1030) Where was the test done?

PROBE TO IDENTIFY 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)______________
PUBLIC SECTOR
NATIONAL GOVERNMENT HOSPITAL 11
REGIONAL GOVERNMENT HOSPITAL 12
DISTRICT HOSPITAL 13
GOVERNMENT HEALTH CENTER 14
INDEPENDENT TESTING CENTER 15
MOBILE TESTING SERVICE 16
SCHOOL CLINIC 17
OTHER___________18
CERTIFIED MEDICAL SECTOR
CERTIFIED HOSPITAL 21
CERTIFIED HEALTH CENTER 22
OTHER PRIVATE MEDICAL____________26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/DOCTOR 31
PRIVATE HEALTH CARE CENTER 32
SCHOOL CLINIC 33
INDEPENDENT TESTING CENTER 34
PHARMACY 35
MOBILE TESTING SERVICE 36
OTHER PRIVATE MEDICAL___________37
OTHER SOURCE
HOME 41
WORKPLACE 42
CORRECTIONAL FACILITY 43
OTHER____________96

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Cameroon 2011
Survey form view entire document:  text 
1233) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

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

NAME OF PLACE: ___
PUBLIC SECTOR
HOSPITAL 11 (GO TO 1236)
HEALTH CENTER/INTEGRATED HEALTH CENTER/DISPENSARY/
MOTHER AND CHILD CARE CENTER 12 (GO TO 1236)
HEALTH WORKER 13 (GO TO 1236)
HIV PREVENTION AND VOLUNTARY TESTING CENTER 14 (GO TO 1236)
MOBILE CLINIC 15 (GO TO 1236)
OTHER PUBLIC (SPECIFY): ___ 16 (GO TO 1236)
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL 21 (GO TO 1236)
PRIVATE SECULAR HOSPITAL/CLINIC 22 (GO TO 1236)
HEALTH CENTER/RELIGIOUS DISPENSARY/MISSION 23 (GO TO 1236)
MEDICAL OFFICE 24 (GO TO 1236)
PHARMACY 25 (GO TO 1236)
HEALTH WORKER 26 (GO TO 1236)
HIV PREVENTION AND VOLUNTARY TESTING CENTER 27 (GO TO 1236)
MOBILE CLINIC 28 (GO TO 1236)
OTHER PRIVATE MEDICAL (SPECIFY): ___ 29 (GO TO 1236)
OTHER SOURCE (SPECIFY): ___ 96 (GO TO 1236)

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Cameroon 2018
Survey form view entire document:  text 
1030. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (SKIP TO 1033)
SUB-DIVISIONAL MEDICAL CENTER / INTEGRATED HEALTH CENTER / DISPENSARY 12 (SKIP TO 1033)
HEALTH / COMMUNITY WORKER 13 (SKIP TO 1033)
STAND-ALONE HTC CENTER 14 (SKIP TO 1033)
MOBILE HTC SERVICES / CNLS 15 (SKIP TO 1033)
OTHER PUBLIC SECTOR (SPECIFY)_________16 (SKIP TO 1033)
PRIVATE MEDICAL SECTOR
CONFESSIONAL HOSPITAL / CLINIC 21 (SKIP TO 1033)
PRIVATE LAY HOSPITAL / CLINIC 22 (SKIP TO 1033)
CONFESSIONAL HEALTH CENTER / DISPENSARY 23 (SKIP TO 1033)
DOCTOR'S OFFICE 24 (SKIP TO 1033)
PHARMACY 25 (SKIP TO 1033)
STAND-ALONE HTC CENTER 26 (SKIP TO 1033)
MOBILE HTC SERVICES 27 (SKIP TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)________28 (SKIP TO 1033)
OTHER SOURCE
HOME 31 (SKIP TO 1033)
WORKPLACE 32 (SKIP TO 1033)
CORRECTIONAL FACILITY 33 (SKIP TO 1033)
SCHOOL / CULTURAL CENTER 34 (SKIP TO 1033)
OTHER (SPECIFY)_________96 (SKIP TO 1033)

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Chad 2004
Survey form view entire document:  text 
816k) Where was the test done?
YOU ONLY HAVE TO CIRCLE ONE CODE

PUBLIC SECTOR
TESTING CENTER 11 [##TRANSLATOR NOTE: THIS IS AN OFFICIAL LOCATION NAME]
HOSPITAL/MATERNITY 12
MILITARY HOSPITAL/GARRISON 13
HEALTH CENTER/FREE CLINIC/GARRISON 14
NATIONAL PROGRAM FIGHTING AIDS (PNLS) 15 [##TRANSLATOR NOTE: THIS IS AN OFFICIAL LOCATION NAME]
POLYCLINIC 16
HOSPITAL/HEALTH CENTER PHARMACY 17
OTHER PUBLIC 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 21
CLINIC/OFFICE 22
CHADIAN ASSOCIATION FOR FAMILY WELL-BEING 23
PRIVATE HEALTH CENTER 24
COMPANY HEALTH CENTER 25
CARE OFFICE/NURSE 26
PHARMACY/PHARMACY DEPOT 27
OTHER PRIVATE MEDICAL 28
PUBLIC/PRIVATE SECTOR
VILLAGE PHARMACY/HEALTH CENTER 31
OTHER PLACE 96
ALL SKIP TO 816N

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Chad 2014
Survey form view entire document:  text 
929) Where was the test done?

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)___________
PUBLIC SECTOR
VOLUNTARY TESTING CENTER 11
HOSPITAL/MATERNITY 12
MILITARY HOSPITAL/GARRISON 13
HEALTH CENTER/FREE CLINIC 14
SECTOR-SPECIFIC PROGRAM FOR THE FIGHT AGAINST AIDS 15
POLYCLINIC 16
PHARMACY OF HOSPITAL/HEALTH CENTER 17
AL NADJMA CENTER [##TRANSLATOR NOTE: HIV/AIDS TESTING CENTER] 18
OTHER PUBLIC SECTOR (SPECIFY)_______ 19
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 21
CLINIC/DOCTOR'S OFFICE 22
CHADIAN ASSOCIATION FOR FAMILY WELL-BEING 23
PRIVATE HEALTH CENTER 24
BUSINESS HEALTH CENTER 25
CARE OFFICE/INFIRMARY 26
PHARMACY/PHARMACY DEPOT 27
CHADIAN SOCIAL MARKETING ASSOCIATION 28
DIOCESAN CENTER FOR MEDICAL ACTION (CEDIAM) 29
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 30
PUBLIC/PRIVATE SECTOR
PHARMACY/VILLAGE HEALTH CENTER 31
COMMUNITY VOLUNTEER TESTING CENTER 40
OTHER (SPECIFY) 96

ALL SKIP TO 932


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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
828) Where was the test done?

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) ___________
PUBLIC SECTOR
HOSPITAL 11 (GO TO 831)
HEALTH CENTER/OUTPOST 12 (GO TO 831)
ANONYMOUS VOLUNTEER SCREENING CENTER 13 (GO TO 831)
FAMILY PLANNING CLINIC 14 (GO TO 831)
MOBILE VOLUNTEER SCREENING CENTER 15 (GO TO 831)
TRAVELING TREATMENT CENTER 16 (GO TO 831)
OTHER PUBLIC (SPECIFY) _____ 17 (GO TO 831)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/POLYCLINIC 21 (GO TO 831)
MOBILE VOLUNTEER SCREENING CENTER 22 (GO TO 831)
TRAVELING TREATMENT CENTER 23 (GO TO 831)
YOUTH SUPERVISING CENTER 24 (GO TO 831)
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26 (GO TO 831)
OTHER (SPECIFY) _____ 96 (GO TO 831)

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Congo (Democratic Republic) 2013
Survey form view entire document:  text 
929) Where was the test done?
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) ____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONG VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE VCT CLINIC 15
FIELDWORKER 16
TRAVELING TREATMENT CENTER 17
OTHER PUBLIC SECTOR (SPECIFY) 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/MEDICAL POLYCLINIC 21
MOBILE VCT CLINIC 22
TRAVELING TREATMENT CENTER 23
YOUTH CENTER 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 26
OTHER (SPECIFY) 96
ALL GO TO 932

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Congo Brazzaville 2005
Survey form view entire document:  text 
828) Where was the test done?

PUBLIC SECTOR
HOSPITAL 11 (GO TO 831)
HEALTH CENTER/MOTHER-INFANT CENTER 12 (GO TO 831)
NATIONAL LABORATORY 13 (GO TO 831)
ANONYMOUS VOLUNTEER SCREENING CENTER 14 (GO TO 831)
PRIVATE MEDICAL SECTOR
CLINIC 21 (GO TO 831)
PRIVATE DOCTOR'S OFFICE 22 (GO TO 831)
LABORATORY 23 (GO TO 831)
MEDICAL-SOCIAL CENTER 24 (GO TO 831)
CONGOLESE ASSOCIATION FOR FAMILY WELL-BEING 25 (GO TO 831)
OTHER PLACE 96 (GO TO 831)

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Congo Brazzaville 2011
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PUBLIC SECTOR
HOSPITAL 11
INTEGRATED HEALTH CENTER 12
NATIONAL LABORATORY 13
VOLUNTARY ANONYMOUS TESTING CENTER 14
PRIVATE MEDICAL SECTOR
CLINIC 21
DOCTOR'S OFFICE 22
LABORATORY 23
OTHER PLACE (SPECIFY) ____96

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Cote d'Ivoire 2011
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY 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)___________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11-- (GO TO 932)
GOVERNMENT HEALTH CENTER 12-- (GO TO 932)
INDEPENDENT VCT CENTER 13-- (GO TO 932)
FAMILY PLANNING CLINIC 14-- (GO TO 932)
MOBILE CLINIC 15-- (GO TO 932)
SCHOOL BASED CLINIC 16-- (GO TO 932)
OTHER PUBLIC SECTOR________ (SPECIFY) 17-- (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21-- (GO TO 932)
STAND-ALONE VCT CENTER 22-- (GO TO 932)
PHARMACY 23-- (GO TO 932)
MOBILE CLINIC 24-- (GO TO 932)
HEALTH AGENT 26-- (GO TO 932)
SCHOOL BASED CLINIC 26-- (GO TO 932)
OTHER PRIVATE MEDICAL________ (SPECIFY) 27-- (GO TO 932)
OTHER SOURCE
HOME 31-- (GO TO 932)
CORRECTIONAL FACILITY 32-- (GO TO 932)
OTHER_________ (SPECIFY) 96-- (GO TO 932)

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Eswatini (Swaziland) 2006
Survey form view entire document:  text 
928) Where did you go to take the test?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
PHU/CLINIC 14
MOBILE CLINIC 15
OTHER PUBLIC (SPECIFY) __________16
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
MOBILE CLINIC 23
OTHER PRIVATE (SPECIFY) __________26
MISSION
HOSPITAL 31
CLINIC 32
OTHER (SPECIFY) _________36
NGO
FLAS 41
TASC 42
OTHER NGO (SPECIFY) __________46
OTHER (SPECIFY) __________96

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Ethiopia 2011
Survey form view entire document:  text 
929. Where was the test done?

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

NAME OF THE PLACE(S) _______
PUBLIC SECTOR
GOVT. HOSPITAL 11
GOVT. HEALTH CENTER 12
GOVT. HEALTH STATION/CLINIC 13
STAND-ALONE VCT CENTER 14
OTHER PUBLIC (SPECIFY) _______16
NGO
NGO HEALTH FACILITY 21
STAND-ALONE VCT CENTER 22
MOBILE 23
OTHER NGO (SPECIFY) ______ 24
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 31
PRIVATE CLINIC 32
OTHER PRIVATE MEDICAL (SPECIFY) ______ 36
OTHER (SPECIFY) ______ 96

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Ethiopia 2016
Survey form view entire document:  text 
1030. Where was the test done?

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 ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1035)
GOVERNMENT HEALTH CENTER 12 (GO TO 1035)
GOVERNMENT HEALTH POST 13 (GO TO 1035)
OTHER PUBLIC SECTOR (SPECIFY) 16 (GO TO 1035)
NGO
HEALTH FACILITY 21 (GO TO 1035)
OTHER NGO MEDICAL SECTOR (SPECIFY) 26 (GO TO 1035)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 31 (GO TO 1035)
PRIVATE CLINIC 32 (GO TO 1035)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 36 (GO TO 1035)
OTHER SOURCE
HOME 41 (GO TO 1035)
WORKPLACE 42 (GO TO 1035)
CORRECTIONAL FACILITY 43 (GO TO 1035)
OTHER (SPECIFY) 96

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Ghana 2008
Survey form view entire document:  text 
926. Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

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

(NAME OF PLACE) ________________
PUBLIC SECTOR
GOVT. HOSPITAL/POLYCLINIC 11 (GO TO 929)
GOVT. HEALTH CENTER 12 (GO TO 929)
GOVT. HEALTH POST/CHPS 13 (GO TO 929)
STAND-ALONE VCT CENTER 14 (GO TO 929)
FAMILY PLANNING CLINIC 15 (GO TO 929)
MOBILE CLINIC 16 (GO TO 929)
FIELDWORKER/OUTREACH/PEER EDUCATOR 17 (GO TO 929)
OTHER PUBLIC (SPECIFY) _____ 18 (GO TO 929)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21 (GO TO 929)
STAND-ALONE VCT CENTER 22 (GO TO 929)
PHARMACY 23 (GO TO 929)
CHEMICAL/DRUG STORE 24 (GO TO 929)
FP/PPAG CLINIC 25 (GO TO 929)
MATERNITY HOME 26 (GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) ____ 27 (GO TO 929)
OTHER (SPECIFY) ______ 96 (GO TO 929)

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Ghana 2014
Survey form view entire document:  text 
929) Where was the test done? (4)

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)_______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)______ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)____ 96

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Guinea 2012
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY 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)

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
FIELDWORKER 15
SCHOOL BASED CLINIC 16
OTHER PUBLIC (SPECIFY) 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
FIELDWORKER 24
SCHOOL BASED CLINIC 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 26
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) 96

(ALL SKIP 932)


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Guinea 2018
Survey form view entire document:  text 
1030) Where was the test done?

PROBE TO IDENTIFY 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)

PUBLIC SECTOR
NATIONAL HOSPITAL 11 (GO TO 1033)
REGIONAL HOSPITAL 12 (GO TO 1033)
PREFECTURAL HOSPITAL/COMMUNAL MEDICAL CENTER 13
HEALTH CENTER 14 (GO TO 1033)
HEALTH POST/CENTER 15 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) 16 (GO TO 1033)


PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 1033)
PHARMACY 22 (GO TO 1033)
PRIVATE DOCTOR 23 (GO TO 1033)
PRIVATE HEALTH CLINIC 24 (GO TO 1033)
FAMILY PLANNING CLINIC/GUINEAN ASSOCIATION FOR FAMILY WELL-BEING 25 (GO TO 1033)


OTHER PRIVATE MEDICAL (SPECIFY) 26 (GO TO 1033)

OTHER SOURCE
HOME 31 (GO TO 1033)
WORKPLACE 32 (GO TO 1033)
CORRECTIONAL FACILITY 33 (GO TO 1033)


OTHER (SPECIFY) 96 (GO TO 1033)

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India 2005
Survey form view entire document:  text 
926 (2) Where was the test done? (4)
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) __________
PUBLIC SECTOR
GOVT. HOSPITAL 11 (GO TO 929)
GOVT. HEALTH CENTER 12(GO TO 929)
STAND-ALONE VCT CENTER 13(GO TO 929)
FAMILY PLANNING CLINIC 14(GO TO 929)
MOBILE CLINIC 15(GO TO 929)
FIELDWORKER 16 (GO TO 929)
OTHER PUBLIC (SPECIFY) _________ 17(GO TO 929)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DICTOR 21(GO TO 929)
STAND-ALONE VCT CENTER 22 (GO TO 929)
PHARMACY 23(GO TO 929)
MOBILE CLINIC 24(GO TO 929)
FIELDWORKER 25(GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26(GO TO 929)
OTHER (SPECIFY) ___________ 96(GO TO 929)

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India 2015
Survey form view entire document:  text 
1036. Where was the test done?

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

(NAME OF FACILITY/PLACE)_______________
PUBLIC HEALTH SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTRE 12
STAND-ALONE ICTC 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)________18
NGO OR TRUST HOSPITAL/CLINIC 20
PRIVATE HEALTH SECTOR
PRIVATE HOSPITAL/CLINIC PRIVATE DOCTOR 21
STAND-ALONE ICTC 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE HEALTH SECTOR (SPECIFY)_______27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) __________96

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Kenya 2008
Survey form view entire document:  text 
916C4. Where was the test done?

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.

NAME OF PLACE ___________

IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '21'.

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 917)
GOVT. HEALTH CENTER/CLINIC 12 (GO TO 917)
GOVERNMENT DISPENSARY 13 (GO TO 917)
OTHER PUBLIC (SPECIFY) _______ 16 (GO TO 917)
PRIVATE MEDICAL SECTOR
MISSIONARY/CHURCH HOSP./CLINIC 21 (GO TO 917)
FPAK HEALTH CENTER/CLINIC 22 (GO TO 917)
PRIVATE HOSPITAL/CLINIC 23 (GO TO 917)
VCT CENTRE 24 (GO TO 917)
NURSING/MATERNITY HOMES 25 (GO TO 917)
BLOOD TRANSFUSION SERVICES 26 (GO TO 917)
OTHER PRIVATE MEDICAL (SPECIFY) ___________ 27 (GO TO 917)
OTHER (SPECIFY) _______________________ 96 (GO TO 917)

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Kenya 2014
Survey form view entire document:  text 
929) Where was the test done?

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)
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 931A)
GOVERNMENT HEALTH CENTER/CLINIC 12 (GO TO 931A)
GOVERNMENT DISPENSARY 13 (GO TO 931A)
OTHER PUBLIC SECTOR (SPECIFY) __________ 18 (GO TO 931A)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 931A)
MISSIONARY/CHURCH HOSPITAL/CLINIC 22 (GO TO 931A)
FAMILY OPTIONS/FHOK CLINIC 23 (GO TO 931A)
VCT CENTRE 24 (GO TO 931A)
NURSING/MATERNITY HOMES 25 (GO TO 931A)
BLOOD TRANSFUSION SERVICES 26 (GO TO 931A)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________ 27 (GO TO 931A)
OTHER SOURCE
HOME 31 (GO TO 931A)
CORRECTIONAL FACILITY 34 (GO TO 931A)
OTHER (SPECIFY) ________ 96 (GO TO 931A)

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Lesotho 2009
Survey form view entire document:  text 
926 Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE MEDICAL SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 929)
GOVT. HEALTH CENTER 12 (GO TO 929)
OTHER PUBLIC SECTOR 13 (GO TO 929)
PRIVATE MEDICAL SECTOR
PVT HOSPITAL/CLINIC 21 (GO TO 929)
LPPA 22 (GO TO 929)
PHARMACY 23 (GO TO 929)
PVT DOCTOR 24 (GO TO 929)
OTHER PRIVATE MEDICAL SECTOR 26 (GO TO 929)
CHAL
CHAL HOSPITAL 31 (GO TO 929)
CHAL HEALTH CENTER 32 (GO TO 929)
COMMUNITY HEALTH WORKER/SUPPORT GROUPS 41 (GO TO 929)
OTHER 96 (GO TO 929)

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Lesotho 2014
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY TYPE OF SOURCE.

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

NAME OF PLACE ____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 931A)
GOVERNMENT HEALTH CENTER 12 (GO TO 931A)
GOVERNMENT HEALTH POST 13 (GO TO 931A)
FAMILY PLANNING CLINIC 14 (GO TO 931A)
OTHER PUBLIC SECTOR (SPECIFY) ____ 15 (GO TO 931A)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 931A)
PHARMACY 22 (GO TO 931A)
PRIVATE DOCTOR 23 (GO TO 931A)
LESOTHO PLANNED PARENTHOOD 24 (GO TO 931A)
PSI/NEW START CENTER 25 (GO TO 931A)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ____ 26 (GO TO 931A)
CHAL
CHAL HOSPITAL 31 (GO TO 931A)
CHAL HEALTH CENTER 32 (GO TO 931A)
CHAL HEALTH POST 33 (GO TO 931A)
RED CROSS HEALTH CENTER 41 (GO TO 931A)
VILLAGE HEALTH WORKER 51 (GO TO 931A)
SUPPORT GROUPS 52 (GO TO 931A)
FACILITY OUTSIDE LESOTHO 61 (GO TO 931A)
OTHER (SPECIFY) ____ 86 (GO TO 931A)

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Liberia 2007
Survey form view entire document:  text 
926) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

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

(NAME OF PLACE) _____________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 929)
GOVERNMENT HEALTH CENTER 12 (GO TO 929)
GOVERNMENT HEALTH CLINIC 13 (GO TO 929)
STAND-ALONE VCT CENTER 14 (GO TO 929)
NACP 15 (GO TO 929)
OTHER PUBLIC (SPECIFY) ____________ 16 (GO TO 929)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 929)
PRIVATE DOCTOR 22 (GO TO 929)
STAND-ALONE VCT CENTER 23 (GO TO 929)
PHARMACY 24 (GO TO 929)
FAMILY PLANNING ASSN. LIBERIA 25 (GO TO 929)
MOBILE CLINIC 26 (GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) _____________ 27 (GO TO 929)
OTHER SOURCE
SHOP 31 (GO TO 929)
OTHER (SPECIFY) ________ 96 (GO TO 929)

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Liberia 2013
Survey form view entire document:  text 
929. Where was the test done? (4)

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)___________________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)____________18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)_____________27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)______________96

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Madagascar 2008
Survey form view entire document:  text 
926. Where was the test done?

PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S). IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTER, OR CLINIC IS A PUBLIC OR PRIVATE INSTITUTION, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S) ________
PUBLIC SECTOR
DISTRICT HOSPITAL II (facility equipped for surgeries) 11 (GO TO 929)
DISTRICT HOSPITAL I (non-surgical medical capabilities) 12 (GO TO 929)
BASIC HEALTH CENTER II (basic health care, physician-run) 13 (GO TO 929)
BASIC HEALTH CENTER I (basic health care, run by para-medical officer) 14 (GO TO 929)
OTHER PUBLIC PLACE (SPECIFY) _____ 15 (GO TO 929)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 929)
PRIVATE HEALTH CENTER 22 (GO TO 929)
PHARMACY/MEDICINE DISPERSAL CENTER 23 (GO TO 929)
PRIVATE DOCTOR 24 (GO TO 929)
PF/FISA CENTER 25 (GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26 (GO TO 929)
OTHER (SPECIFY) ______ 96 (GO TO 929)

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Malawi 2010
Survey form view entire document:  text 
1314. Where was the test done? Anywhere else?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

NAME OF PLACE_________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
GOVERNMENT HEALTH POST/OUTREACH 13
HSA 14
DOOR TO DOOR 15
OTHER PUBLIC 16
CHAM/MISSION
HOSPITAL 21
HEALTH CENTER 22
MOBILE CLINIC 23
DOOR TO DOOR 24
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
PRIVATE COMPANY HOSPITAL/CLINIC 32
OTHER PRIVATE MEDICAL 36
BLM 41
MACRO 51
OTHER 96

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Malawi 2016
Survey form view entire document:  text 
1030. Where was the test done?

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 ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1033)
GOVERNMENT HEALTH CENTER 12 (GO TO 1033)
GOVERNMENT HEALTH POST/OUTREACH 13 (GO TO 1033)
HSA 14 (GO TO 1033)
CBDA/DOOR TO DOOR 15 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) 16 (GO TO 1033)
CHAM/MISSION
HOSPITAL 21 (GO TO 1033)
HEALTH CENTER 22 (GO TO 1033)
MOBILE CLINIC 23 (GO TO 1033)
CBDA/DOOR TO DOOR 24 (GO TO 1033)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31 (GO TO 1033)
PHARMACY 32 (GO TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 36 (GO TO 1033)
BLM 41 (GO TO 1033)
MACRO 51 (GO TO 1033)
OTHER SOURCE
HOME 61 (GO TO 1033)
WORKPLACE 62 (GO TO 1033)
CORRECTIONAL FACILITY 63 (GO TO 1033)
OTHER (SPECIFY) 96 (GO TO 1033)

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Mali 2006
Survey form view entire document:  text 
828. Where was the test done?

IF THE PLACE IS A HOSPITAL OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PLACE NAME___
PUBLIC SECTOR
NATIONAL REF LAB 11 (GO TO 831)
NATIONAL HOSPITAL 12 (GO TO 831)
REGIONAL HOSPITAL 13 (GO TO 831)
CSREF (heath referral center) 14 (GO TO 831)
CSCOM (Centre de Santé Communitaire) Community Health Center 15 (GO TO 831)
OTHER PUBLIC (SPECIFY) __16 (GO TO 831)
PRIVATE MEDICAL SECTOR
CESAC (AIDS treatment center in Mali) 21 (GO TO 831)
VCT 22 (GO TO 831)
OTHER PRIVATE MEDICAL (SPECIFY) __26 (GO TO 831)
OTHER (SPECIFY) __96 (GO TO 831)

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Mali 2012
Survey form view entire document:  text 
929) Where was the test done?
PROBE TO IDENTIFY 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)___________
PUBLIC SECTOR
National hospital 11 (GO TO 932)
REGIONAL HOSPITAL 12 (GO TO 932)
REFERRAL HEALTH CENTER (CSREF) 13 (GO TO 932)
FREE CLINIC/MATERNITY 14 (GO TO 932)
COMMUNITY HEALTH CENTER (CSCOM) 15 (GO TO 932)
PUBLIC VOLUNTEER TESTING CENTER 16 (GO TO 932)
SCHOOL BASED CLINIC 17 (GO TO 932)
OTHER PUBLIC _________(SPECIFY)18 (GO TO 932)
PRIVATE SECTOR
PRIVATE CLINIC/HOSPITAL 21 (GO TO 932)
PRIVATE HEALTH CARE PRACTICE 22 (GO TO 932)
TREATMENT ROOM 23 (GO TO 932)
INDEPENDENT VOLUNTEER TESTING CENTER 24 (GO TO 932)
PHARMACY 25 (GO TO 932)
COMMUNITY BASED AGENT 26 (GO TO 932)
SCHOOL BASED CLINIC 27 (GO TO 932)
OTHER PRIVATE______ (SPECIFY) 28 (GO TO 932)
OTHER SOURCE
HOME (RESPONDENT'S HOME) 31 (GO TO 932)
CORRECTIONAL FACILITY 32 (GO TO 932)
MILITARY CAMP 33 (GO TO 932)
OTHER _________(SPECIFY) 96 (GO TO 932)

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Mali 2018
Survey form view entire document:  text 
1030) Where was the test done?

PROBE TO IDENTIFY 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)

PUBLIC SECTOR
GOVT. HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE HTC CENTER 13
MOBILE HTC SERVICES 14
OTHER PUBLIC SECTOR (SPECIFY) 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/DOCTOR 21
STAND-ALONE HTC CENTER 22
MOBILE HTC SERVICES 23
OTHER PRIVATE MEDICAL (SPECIFY) 26
OTHER (SPECIFY) 96

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Mozambique 2011
Survey form view entire document:  text 
929. Where was the test done?

GATV (Office for Advice and Voluntary Testing of HIV/AIDS)/ATS 11 (GO TO 932)
HOSPITAL/HEALTH CENTER 12 (GO TO 932)
BLOOD DONATION BOOTH 13 (GO TO 932)
PRIVATE CLINIC/LABORATORY 14 (GO TO 932)
SAAJ 15 (GO TO 932)
GATV/ATS STANDS 16 (GO TO 932)
PTV 17 (GO TO 932)
COMMUNITY ATS 18 (GO TO 932)
OTHER (SPECIFY)____ 96 (GO TO 932)

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Myanmar 2015
Survey form view entire document:  text 
929) Where was the test done? 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)

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER (RHC) 12
GOVT. HEALTH POST (SUB-CENTER) 13
STAND-ALONE VCT CENTER 14
FAMILY PLANNING CLINIC 15
MOBILE CLINIC 16
FIELDWORKER 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR____(SPECIFY) 19
NGO
MARIE STOPES 21
MYANMAR RED CROSS SOCIETY 22
PSI/M (SUN) 23
MMA 24
OTHER NGO SECTOR___(SPECIFY) 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
STAND-ALONE VCT CENTER 32
PHARMACY 33
MOBILE CLINIC 34
DIAGNOSTIC LABORATORY 35
OTHER PRIVATE MEDICAL SECTOR____(SPECIFY) 36
OTHER SOURCE
HOME 41
CORRECTIONAL FACILITY 42
OTHER___(SPECIFY) 96

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Namibia 2006
Survey form view entire document:  text 
926. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER/CLINIC 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
PHC CLINIC (MOBILE) 15
COMM. HEALTH WORKER 16
OTHER PUBLIC (SPECIFY) _____ 17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
OTHER PRIVATE MEDICAL (SPECIFY) ____ 26
OTHER (SPECIFY) ____ 96

(ALL GO TO 929)


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Namibia 2013
Survey form view entire document:  text 
927A) Where was the test done?
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) __________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
GVT. PRIMARY HEALTH CARE CLINIC 14
OUTREACH POINT 15
MOBILE CLINIC 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY __________) 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLNIC/PRIVATE DOCTOR 21
STAND-ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLNIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY __________) 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY __________) 96

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Nepal 2011
Survey form view entire document:  text 
914) Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF THE PLACE) _______________
GOVT. SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 917)
VCT CENTER 12 (GO TO 917)
OTHER GOVT. (SPECIFY) ___________ 16 (GO TO 917)
NON-GOVT. SECTOR
FPAN 21 (GO TO 917)
AMDA 22 (GO TO 917)
INF 23 (GO TO 917)
NEPAL RED CROSS 24 (GO TO 917)
OTHER GOVT. (SPECIFY) _________ 26 (GO TO 917)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/NURSING HOME 31 (GO TO 917)
OTHER PRIVATE MEDICAL (SPECIFY) _____________ 36 (GO TO 917)
OTHER (SPECIFY) ___________ 96 (GO TO 917)

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Nepal 2016
Survey form view entire document:  text 
1030. Where was the test done? 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 ___
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1032A)
PRIMARY HEALTH CARE CENTER 12 (GO TO 1032A)
OTHER PUBLIC FACILITIES (SPECIFY) ___ 16 (GO TO 1032A)
NON-GOVT. (NGO) SECTOR
FPAN 21 (GO TO 1032A)
MARIE STOPES 22 (GO TO 1032A)
OTHER NGO FACILITIES (SPECIFY) ___ 26 (GO TO 1032A)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/NURSING HOME 31 (GO TO 1032A)
PRIVATE CLINIC 32 (GO TO 1032A)
STAND-ALONE HTC/VCT CENTER 33 (GO TO 1032A)
PHARAMACY 34 (GO TO 1032A)
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) ___ 36 (GO TO 1032A)
OTHER SOURCE
HOME 41
WORKPLACE 42
CORRECTIONAL FACILITY 43
OTHER (SPECIFY) ___ 96

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Niger 2006
Survey form view entire document:  text 
828. Where was the test done?

IF THE PLACE IS A HOSPITAL OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PLACE NAME __________
PUBLIC SECTOR
HOSPITAL 11 (GO TO 831)
CEDAV (ANONYMOUS AND VOLUNTARY TESTING CENTER) 12 (GO TO 831)
OTHER PUBLIC (SPECIFY) __________ 16 (GO TO 831)
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC 21 (GO TO 831)
PRIVATE LAB 22 (GO TO 831)
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26 (GO TO 831)
OTHER (SPECIFY) __________ 96 (GO TO 831)

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Niger 2012
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY 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) _____________

PUBLIC SECTOR
NATIONAL HOSPITAL 11
REGIONAL HOSPITAL 12
HD 13
MATERNITY 14
INTEGRATED HEALTH CENTER 15
CARITAS DÉVELOPPEMENT 16]
AMBULATORY TREATMENT CENTER 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR (SPECIFY) 19
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PRIVATE LABORATORY 22
SCHOOL BASED CLINIC 23
CLINIC/ NIGERIEN ASSOCIATION FOR FAMILIAL WELL-BEING 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY) 96

ALL SKIP TO 932


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Nigeria 2008
Survey form view entire document:  text 
926. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 929)
GOVERNMENT HEALTH CENTER 12 (GO TO 929)
STAND-ALONE VCT CENTER 13 (GO TO 929)
FAMILY PLANNING CLINIC 14 (GO TO 929)
MOBILE CLINIC 15 (GO TO 929)
FIELDWORKER 16 (GO TO 929)
OTHER PUBLIC (SPECIFY) ______ 17 (GO TO 929)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21 (GO TO 929)
STAND-ALONE VCT CENTER 22 (GO TO 929)
PHARMACY 23 (GO TO 929)
CHEMIST/PMS 24 (GO TO 929)
MOBILE CLINIC 25 (GO TO 929)
FIELDWORKER 26 (GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) ______ 27 (GO TO 929)
OTHER (SPECIFY) _______________ 96 (GO TO 929)

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Nigeria 2013
Survey form view entire document:  text 
929) Where was the test done? (4)

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)_______
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVT. HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
MOBILE CLINIC 15
FIELDWORKER 16
SCHOOL BASED CLINIC 17
OTHER PUBLIC SECTOR (SPECIFY)______ 18
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
STAND ALONE VCT CENTER 22
PHARMACY 23
MOBILE CLINIC 24
FIELDWORKER 25
SCHOOL BASED CLINIC 26
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ 27
OTHER SOURCE
HOME 31
CORRECTIONAL FACILITY 32
OTHER (SPECIFY)____ 96

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Pakistan 2017
Survey form view entire document:  text 
1030) Where was the test done?
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 ___________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1035)
GOVERNMENT HEALTH CENTER 12 (GO TO 1035)
STAND-ALONE HTC CENTER 13 (GO TO 1035)
OTHER PUBLIC SECTOR (SPECIFY) ______ 16 (GO TO 1035)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21 (GO TO 1035)
STAND-ALONE HTC CENTER 22 (GO TO 1035)
PHARMACY 23 (GO TO 1035)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ________ 26 (GO TO 1035)
OTHER SOURCE
HOME 31 (GO TO 1035)
WORKPLACE 32 (GO TO 1035)
OTHER (SPECIFY) _____________ 96 (GO TO 1035)

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Rwanda 2010
Survey form view entire document:  text 
929) Where was this test done?

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
PUBLIC/AGREE SECTOR
REFERAL HOSPITAL 11
DISTRICT HOSPITAL 12
HEALTH CENTER 13
HEALTH POST 14
OUTREACH 15
COMMUNITY HEALTH WORKER 16
OTHER PUBLIC HEALTH FACILITY (SPECIFY) 17
PRIVATE MEDICAL SECTOR
POLYCLINIC 21
CLINIC 22
DISPENSARY 23
PHARMACY 24
FAMILY PLANNING CLINIC 25
OTHER PRIVATE MEDICAL FACILITY (SPECIFY) 26
OTHER SOURCE
KIOSK 31
TRADITIONAL BIRTH ATTENDANT 32
FRIEND/RELATIVE 33
CORRECTIONAL FACILITY 34
OTHER (SPECIFY) 96
DON'T KNOW 98

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Rwanda 2014
Survey form view entire document:  text 
929) Where was the test done?

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)
PUBLIC/AGREE SECTOR
REFERRAL HOSPITAL 11 (GO TO 932)
PROVINCIAL/DISTRICT HOSPITAL 12 (GO TO 932)
HEALTH CENTER 13 (GO TO 932)
HEALTH POST 14 (GO TO 932)
OUTREACH 15 (GO TO 932)
COMMUNITY HEALTH WORKER 16 (GO TO 932)
OTHER PUBLIC HEALTH FACILITY (SPECIFY) ____ 17 (GO TO 932)
PRIVATE MEDICAL SECTOR
POLYCLINIC 21 (GO TO 932)
CLINIC 22 (GO TO 932)
DISPENSARY 23 (GO TO 932)
PHARMACY 24 (GO TO 932)
FAMILY PLANNING CLINIC 25 (GO TO 932)
OTHER PRIVATE HEALTH FACILITY (SPECIFY) ____ 26 (GO TO 932)
OTHER SOURCES
KIOSK/SHOP/BAR 31 (GO TO 932)
TRADITIONAL HEALER 32 (GO TO 932)
FRIEND/RELATIVE 33 (GO TO 932)
YOUTH CENTER 34 (GO TO 932)
OTHER (SPECIFY) ____ 96 (GO TO 932)
DON'T KNOW 98 (GO TO 932)

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Senegal 2005
Survey form view entire document:  text 
828. Where was the test done?
IF THE PLACE IS A HOSPITAL, HEALTH CENTER, OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 831)
GOVERNMENT HEALTH CENTER 12 (GO TO 831)
PLANNING FAMILY CENTER 13 (GO TO 831)
TESTING CENTER 14 (GO TO 831)
STRAT. AVANCÉE/EQU. MOBILE 15 (GO TO 831)
HEALTH CARE WORKER 16 (GO TO 831)
OTHER PUBLIC (SPECIFY) _____17 (GO TO 831)
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/OFFICE 21 (GO TO 831)
PHARMACY 22 (GO TO 831)
PRIVATE DOCTOR 23 (GO TO 831)
HEALTH CARE WORKER 24 (GO TO 831)
OTHER PRIVATE MEDICAL (SPECIFY) _____26 (GO TO 831)
OTHER (SPECIFY) _____96 (GO TO 831)

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Senegal 2010
Survey form view entire document:  text 
929. Where was the test done?

PROBE TO IDENTIFY 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 ______
PUBLIC SECTOR
GOVERNMENT HOSPITAL A (GO TO 932)
GOVERNMENT HEALTH CENTER B (GO TO 932)
HEALTH POST C (GO TO 932)
GOVERNMENT FAMILY PLANNING CLINIC D (GO TO 932)
HEALTH HUT/RURAL MATERNITY E (GO TO 932)
BASIC HEALTH CARE CENTER F (GO TO 932)
COMMUNITY PHARMACY G (GO TO 932)
MOBILE CLINIC H (GO TO 932)
OTHER PUBLIC (SPECIFY) _____ I (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE J (GO TO 932)
PHARMACY K (GO TO 932)
PRIVATE DOCTOR L (GO TO 932)
RELIGIOUS DISPENSARY M (GO TO 932)
OTHER PRIVATE MEDICAL (SPECIFY) _____ N (GO TO 932)
OTHER SOURCE
SHOP O (GO TO 932)
CHURCH P (GO TO 932)
RELATIVES/FRIENDS Q (GO TO 932)
BAR R (GO TO 932)
OTHER (SPECIFY) _____ X (GO TO 932)

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Senegal 2014
Survey form view entire document:  text 
929) Where was the test done?

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)_________
PUBLIC SECTOR
GOVT. HOSPITAL 11 (GO TO 932)
GOVT. HEALTH CENTER 12 (GO TO 932)
HEALTH POST 13 (GO TO 932)
GOVT. FAMILY PLANNING CENTER 14 (GO TO 932)
RURAL MATERNITY 15 (GO TO 932)
HEALTH HUT 16 (GO TO 932)
COMMUNITY PHARMACY 17 (GO TO 932)
MOBILE CLINIC 18 (GO TO 932)
OTHER PUBLIC SECTOR (SPECIFY) 19 (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21
PHARMACY 22
PRIVATE DOCTOR 23
RELIGIOUS FREE CLINIC 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 25
OTHER SOURCE
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
BAR 34
OTHER (SPECIFY) 96

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Senegal 2015
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY 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) ______
PUBLIC SECTOR
GOVT. HOSPITAL 11 (GO TO 932)
GOVT. HEALTH CENTER 12 (GO TO 932)
HEALTH POST 13 (GO TO 932)
GOVT. FAMILY PLANNING CENTER 14 (GO TO 932)
RURAL MATERNITY 15 (GO TO 932)
HEALTH HUT 16 (GO TO 932)
COMMUNITY PHARMACY 17 (GO TO 932)
VOLUNTARY TESTING CENTER 18 (GO TO 932)
MOBILE CLINIC 19 (GO TO 932)
OTHER PUBLIC SECTOR (SPECIFY) _____20 (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21 (GO TO 932)
PHARMACY 22 (GO TO 932)
PRIVATE DOCTOR 23 (GO TO 932)
RELIGIOUS FREE CLINIC 24 (GO TO 932)
PRIVATE LABORATORY 25 (GO TO 932)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ____26 (GO TO 932)
OTHER SOURCE
SHOP 31 (GO TO 932)
CHURCH 32 (GO TO 932)
FRIENDS/RELATIVES 33 (GO TO 932)
BAR 34 (GO TO 932)
OTHER (SPECIFY) _____ 96 (GO TO 932)

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Senegal 2016
Survey form view entire document:  text 
1030) Where was the test done?

PROBE TO IDENTIFY 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) _____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1033)
GOVERNMENT HEALTH CENTER 12 (GO TO 1033)
HEALTH POST 13 (GO TO 1033)
GOVERNMENT FAMILY PLANNING CENTER 14 (GO TO 1033)
RURAL MATERNITY 15 (GO TO 1033)
HEALTH HUT 16 (GO TO 1033)
COMMUNITY PHARMACY 17 (GO TO 1033)
VOLUNTARY TESTING CENTER 18 (GO TO 1033)
MOBILE CLINIC 19 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) _____ 20 (GO TO 1033)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21 (GO TO 1033)
PHARMACY 22 (GO TO 1033)
PRIVATE DOCTOR 23 (GO TO 1033)
RELIGIOUS FREE CLINIC 24 (GO TO 1033)
PRIVATE LABORATORY 25 (GO TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ 26 (GO TO 1033)
OTHER SOURCE
SHOP 31 (GO TO 1033)
CHURCH 32 (GO TO 1033)
FRIENDS/RELATIVES 33 (GO TO 1033)
BAR 34 (GO TO 1033)
OTHER (SPECIFY) _____ 96 (GO TO 1033)

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Senegal 2017
Survey form view entire document:  text 
1030) Where was the test done?

PROBE TO IDENTIFY 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) _____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1033)
GOVERNMENT HEALTH CENTER 12 (GO TO 1033)
HEALTH POST 13 (GO TO 1033)
GOVERNMENT FAMILY PLANNING CENTER 14 (GO TO 1033)
RURAL MATERNITY 15 (GO TO 1033)
HEALTH HUT 16 (GO TO 1033)
COMMUNITY PHARMACY 17 (GO TO 1033)
VOLUNTARY TESTING CENTER 18 (GO TO 1033)
MOBILE CLINIC 19 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) _____ 20 (GO TO 1033)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE 21 (GO TO 1033)
PHARMACY 22 (GO TO 1033)
PRIVATE DOCTOR 23 (GO TO 1033)
RELIGIOUS FREE CLINIC 24 (GO TO 1033)
PRIVATE LABORATORY 25 (GO TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ 26 (GO TO 1033)
OTHER SOURCE
SHOP 31 (GO TO 1033)
CHURCH 32 (GO TO 1033)
FRIENDS/RELATIVES 33 (GO TO 1033)
BAR 34 (GO TO 1033)
OTHER (SPECIFY) _____ 96 (GO TO 1033)

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South Africa 2016
Survey form view entire document:  text 
1030) Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, RECORD 96 AND WRITE THE NAME OF THE PLACE.

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 1033)
GOVERNMENT CLINIC/COMMUNITY HEALTH CENTRE 12 (GO TO 1033)
MOBILE/TEMPORARY HCT SERVICES 13 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) _________ 16 (GO TO 1033)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21 (GO TO 1033)
NEW START CENTRE 22 (GO TO 1033)
CHEMIST/PHARMACY 23 (GO TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _______ 26 (GO TO 1033)
OTHER SOURCE
HOME 31 (GO TO 1033)
WORKPLACE 32 (GO TO 1033)
CORRECTIONAL FACILITY 33 (GO TO 1033)
OTHER (SPECIFY) _________ 96 (GO TO 1033)

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Tanzania 2010
Survey form view entire document:  text 
926. Where was the test done?
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
REFERAL/SPEC. HOSPITAL 11 (GO TO 929)
REGIONAL HOSPITAL 12(GO TO 929)
DISTRICT HOSPITAL 13(GO TO 929)
HEALTH CENTRE 14(GO TO 929)
DISPENSARY 15(GO TO 929)
VILLAGE HEALTH POST (WORKER) 16(GO TO 929)
CBD WORKER 17(GO TO 929)
RELIGIOUS/VOLUNTARY
REFERAL/SPEC. HOSPITAL 21(GO TO 929)
DISTRICT HOSPITAL 22(GO TO 929)
GOVT. HEALTH CENTRE 23(GO TO 929)
DISPENSARY 24(GO TO 929)
PRIVATE
HOSPITAL 31(GO TO 929)
HEALTH CENTRE 32(GO TO 929)
DISPENSARY 33(GO TO 929)
OTHER
PRIVATE PHARMACY 41(GO TO 929)
NGO 42(GO TO 929)
VCT CENTRE 43(GO TO 929)
OTHER (SPECIFY) ________________________ 96(GO TO 929)

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Togo 2013
Survey form view entire document:  text 
927) How many months ago was your most recent HIV test?

MONTHS AGO________
TWO OR MORE YEARS AGO 96

929) Where was the test done?

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)________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11- (SKIP TO 932)
STAND-ALONE VCT CENTER 12- (SKIP TO 932)
HEALTH CENTER 13- (SKIP TO 932)
DISPENSARY 14- (SKIP TO 932)
MOTHER-INFANT PROTECTION 15- (SKIP TO 932)
MOBILE CLINIC 16- (SKIP TO 932)
SCHOOL BASED CLINIC 17- (SKIP TO 932)
OTHER PUBLIC SECTOR_______ (SPECIFY) 17- (SKIP TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21- (SKIP TO 932)
PRIVATE DOCTOR'S OFFICE 22- (SKIP TO 932)
PHARMACY 23- (SKIP TO 932)
SCHOOL BASED CLINIC 24- (SKIP TO 932)
NGO/ASSOCIATION 25- (SKIP TO 932)
OTHER PRIVATE MEDICAL SECTOR_________ (SPECIFY) 26- (SKIP TO 932)
OTHER SOURCE
HOME 31- (SKIP TO 932)
CORRECTIONAL FACILITY 32- (SKIP TO 932)
OTHER________ (SPECIFY) 96- (SKIP TO 932)
DON'T KNOW 98- (SKIP TO 932)

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Uganda 2006
Survey form view entire document:  text 
926) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

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

NAME OF PLACE____
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
STAND-ALONE VCT CENTER 13
FAMILY PLANNING CLINIC 14
OUTREACH 15
GOVERNMENT COMMUNITY BASED WORKER 16
OTHER PUBLIC (SPECIFY) 17
PRIVATE/NGO MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
STAND-ALONE VCT CENTER 22
PHARMACY/DRUG SHOP 23
PRIVATE DOCTOR/NURSE/MIDWIFE 24
OUTREACH 25
TASO 26
AIDS INFORMATION CENTER 27
OTHER PRIVATE/NGO MEDICAL (SPECIFY) 28
OTHER (SPECIFY) 96

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Uganda 2011
Survey form view entire document:  text 
929) Where was the test done?

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) ___________________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (GO TO 932)
GOVT. HEALTH CENTER 12 (GO TO 932)
STAND-ALONE VCT CENTER 13 (GO TO 932)
FAMILY PLANNING CLINIC 14 (GO TO 932)
OUT REACH 15 (GO TO 932)
VILLAGE HEALTH TEAM 16 (GO TO 932)
OTHER PUBLIC (SPECIFY) ___________ 17 (GO TO 932)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 932)
STAND-ALONE VCT CENTER 22 (GO TO 932)
PHARMACY/DRUG SHOP 23 (GO TO 932)
PRIVATE DOCTOR/NURSE/MIDWIFE 24 (GO TO 932)
OUT REACH 25 (GO TO 932)
TASO 26 (GO TO 932)
AIDS INFORMATION CENTRE 27 (GO TO 932)
OTHER PRIVATE/NGO MEDICAL (SPECIFY) _____________ 28 (GO TO 932)
OTHER (SPECIFY) ____________ 96 (GO TO 932)

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Uganda 2016
Survey form view entire document:  text 
1030) Where was the test done?

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

PUBLIC SECTOR
GOVERNMENT HOSPITAL11 (GO TO 1033)
GOVERNMENT HEALTH CENTER12 (GO TO 1033)
FAMILY PLANNING CLINIC 13 (GO TO 1033)
OUTREACH/MOBILE CLINIC 14 (GO TO 1033)
FIELDWORKER/VHT 15 (GO TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) ______16 (GO TO 1033)
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21 (GO TO 1033)
PHARMACY/DRUG SHOP 22 (GO TO 1033)
PRIVATE DOCTOR 23 (GO TO 1033)
MOBILE CLINIC 24 (GO TO 1033)
COMMUNITY HEALTH WORKER 25 (GO TO 1033)
OTHER PRIVATE MEDICAL SECOR (SPECIFY) ____26(GO TO 1033)
OTHER SOURCE
HOME 31(GO TO 1033)
WORKPLACE 32 (GO TO 1033)
SHOP 33 (GO TO 1033)
OTHER (SPECIFY) _____96 (GO TO 1033)

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Zambia 2007
Survey form view entire document:  text 
926. Where was the test done?
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) _______________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 10 (GO TO 929)
GOVT. HEALTH CENTER 11 (GO TO 929)
STAND-ALONE VCT CENTER 12 (GO TO 929)
FAMILY PLANNING CLINIC 13 (GO TO 929)
MOBILE CLINIC 14 (GO TO 929)
FIELDWORKER 15 (GO TO 929)
OTHER PUBLIC (SPECIFY) ______ 16 (GO TO 929)

PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 20 (GO TO 929)
MISSION HOSPITAL/CLINIC 21 (GO TO 929)
STAND-ALONE VCT CENTER 22 (GO TO 929)
MOBILE CLINIC 23 (GO TO 929)
COMMUNITY/FIELDWORKER 24 (GO TO 929)
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26 (GO TO 929)
OTHER (SPECIFY) _______________ 96 (GO TO 929)

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Zambia 2013
Survey form view entire document:  text 
929) Where was the test done?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMIN3E IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF THE PLACE _________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT CENTER/POST 12
STAND-ALONE VCT CENTRE 13
FAMILY PLANNING CLINIC 14
MOBILE HOSPITAL/CLINIC 15
COMMUNITY BASED AGENT/FIELDWORKER 16
OTHER PUBLIC SECTOR (SPECIFY) __________________17
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 21
MISSION HOSPITAL/CLINIC 22
STAND-ALONE VCT CENTRE 23
MOBILE HOSPITAL/CLINIC 24
COMMUNITY BASED AGENT/FIELDWORKER 25
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____________________ 26
OTHER SOURCE
PRISON 31

OTHER (SPECIFY) _________________________96

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Zambia 2018
Survey form view entire document:  text 
(1030) Where was the test done?
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) ____________________


PUBLIC SECTOR
GOVERNMENT HOSPITAL 11 (SKIP TO 1033)
GOVERNMENT HEALTH CENTER 12 (SKIP TO 1033)
GOVERNMENT HEALTH POST 13 (SKIP TO 1033)
STAND-ALONE HTC CENTER 14 (SKIP TO 1033)
MOBILE HTC SERVICES 15 (SKIP TO 1033)
OTHER PUBLIC SECTOR (SPECIFY) __________________________ 16 (SKIP TO 1033)

PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/ PRIVATE DOCTOR 21 (SKIP TO 1033)
MISSION HOSPITAL/CLINIC 22 (SKIP TO 1033)
STAND-ALONE HTC CENTER 23 (SKIP TO 1033)
PHARMACY 24 (SKIP TO 1033)
MOBILE HTC SERVICES 25 (SKIP TO 1033)
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________________________ 26 (SKIP TO 1033)

OTHER SOURCE
HOME 31 (SKIP TO 1033)
WORKPLACE 32 (SKIP TO 1033)
CORRECTIONAL FACILITY 33 (SKIP TO 1033)
OTHER (SPECIFY) __________________________ 96 (SKIP TO 1033)

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Zimbabwe 2005
Survey form view entire document:  text 
930) Where was the test done?

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 __________
PUBLIC SECTOR
CENTRAL HOSPITAL 11
PROVINCIAL HOSPITAL 12
DISTRICT/RURAL HOSPITAL 13
RURAL HEALTH CENTER 14
MUNICIPAL CLINIC 15
OTHER PUBLIC (SPECIFY) __________ 16
MISSION FACILITY 21
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
NEW START CENTER 32
OTHER PRIVATE VCT CENTER (SPECIFY) __________ 33
OTHER PRIVATE DOCTOR (SPECIFY) __________ 36
OTHER (SPECIFY) __________ 96

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Zimbabwe 2010
Survey form view entire document:  text 
929) Where was this test done?

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___
PUBLIC SECTOR
CENTRAL HOSPITAL 11
PROVINCIAL HOSPITAL 12
DISTRICT HOSPITAL 13
RURAL HOSPITAL 14
RURAL HEALTH CENTER/COUNCIL CLINIC 15
URBAN MUNICIPAL CLINIC 16
FAMILY PLANNING CLINIC 17
SCHOOL BASED CLINIC 18
OTHER PUBLIC SECTOR (SPECIFY) 19
MISSION HOSPITAL/CLINIC 21
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR 31
NEW START CENTRE 32
SCHOOL BASED CLINIC 33
OTHER PRIVATE VCT CENTRE (SPECIFY) 36
OTHER SOURCE
MOBILE VCT 41
HOME 42
CORRECTIONAL FACILITY 43
OTHER (SPECIFY) 96

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Zimbabwe 2015
Survey form view entire document:  text 
1029. I don't want to know the results, but did you get the results of the test?

YES 1
NO 2