Survey Text

Mali 2006
Mali 2012
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Mali 2006
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830. Where is this?
Is there another place?

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.

RECORD ALL PLACES MENTIONED.

PLACE NAME___
PUBLIC SECTOR
NATIONAL REF LAB A
NATIONAL HOSPITAL B
REGIONAL HOSPITAL C
CSREF (heath referral center) D
CSCOM (Centre de Santé Communitaire) Community Health Center F
OTHER PUBLIC (SPECIFY) __G
PRIVATE MEDICAL SECTOR
CESAC (AIDS treatment center in Mali) H
VCT I
OTHER PRIVATE MEDICAL (SPECIFY) __J
OTHER (SPECIFY) __X

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Mali 2012
Survey form view entire document:  text 
931) Where is that?
Any other place?
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 A
REGIONAL HOSPITAL B
REFERRAL HEALTH CENTER (CSREF) C
FREE CLINIC/MATERNITY D
COMMUNITY HEALTH CENTER (CSCOM) E
PUBLIC VOLUNTEER TESTING CENTER F
SCHOOL BASED CLINIC G
OTHER PUBLIC_______ (SPECIFY) H
PRIVATE SECTOR
PRIVATE CLINIC/HOSPITAL I
PRIVATE HEALTH CARE PRACTICE J
TREATMENT ROOM K
INDEPENDENT VOLUNTEER TESTING CENTER L
PHARMACY M
COMMUNITY BASED AGENT N
SCHOOL BASED CLINIC O
OTHER PRIVATE______ (SPECIFY) P
OTHER SOURCE
HOME (RESPONDENT'S HOME) Q
MILITARY CAMP R
OTHER_________ (SPECIFY) X