Survey Text

Congo Brazzaville 2005
Congo Brazzaville 2011
Egypt 2014
Guinea 2005
Mali 2006
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Congo Brazzaville 2005

No questionnaire text is available for this sample.


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Congo Brazzaville 2011
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.

PUBLIC SECTOR
HOSPITAL A
INTEGRATED HEALTH CENTER B
NATIONAL LABORATORY C
VOLUNTARY ANONYMOUS TESTING CENTER D
PRIVATE MEDICAL SECTOR
CLINIC E
DOCTOR'S OFFICE F
LABORATORY G
OTHER PLACE (SPECIFY) _____ X

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Egypt 2014
Survey form view entire document:  text 
1011. Do you know of place where people can go to get tested for the virus that causes AIDS?

YES 1
NO 2
DON'T KNOW 8

1012. Where is that?

IF SOURCE IS HOSPITAL, HEALTH UNIT, OR CLINIC, WRITE THE NAME AND ADDRESS OF THE PLACE. PROBE

GOVERNMENT
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH UNIT B
VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
STANDALONE GOVERNMENT LABORATORY F
OTHER GOVERNMENT (SPECIFY)_____________G
NON GOVERNMENTAL (SPECIFY)______________H
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR I
PHARMACY J
STANDALONE PRIVATE LABORATORY K
OTHER PRIVATE MEDICAL (SPECIFY)______________L
OTHER NON-MEDICAL (SPECIFY)_________________X

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Guinea 2005
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830. Where is that?
Any other place?
RECORD ALL PLACES MENTIONED.

IF SOURCE IS HOSPITAL 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
NATIONAL REFERENCE LAB A
CHU B [note: some type of public health facility, meaning unclear]
REGIONAL HOSPITAL C
HOSPITAL D [note: the original shows "hospital pref.", the "pref." portion may mean preferential or preferred; again, this is some type of public hospital]
CMC F [note: some type of public health facility, meaning unclear]
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC H
PRIVATE LABORATORY I
OTHER PRIVATE MEDICAL (SPECIFY) _____ J
OTHER (SPECIFY) _____ X

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Mali 2006
Survey form view entire document:  text 
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