935) Where is that?
RECORD ALL SOURCES MENTIONED
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(S) __________
Any other places?
PUBLIC SECTOR
CENTRAL HOSPITAL A
PROVINCIAL HOSPITAL B
DISTRICT/RURAL HOSPITAL C
RURAL HEALTH CENTER D
MUNICIPAL CLINIC E
OTHER PUBLIC (SPECIFY) __________ F
MISSION FACILITY G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC H
NEW START CENTER I
OTHER PRIVATE VCT CENTER (SPECIFY) __________ J
OTHER PRIVATE DOCTOR (SPECIFY) __________ K
OTHER (SPECIFY) __________ X