Survey Text

Bangladesh 2000 Egypt 2003 Madagascar 2003 Nigeria 2003
Bangladesh 2004 Egypt 2005 Malawi 2000 Rwanda 2000
Bangladesh 2011 Ethiopia 2000 Malawi 2004 Rwanda 2005
Bangladesh 2014 Ethiopia 2005 Mali 2001 Tanzania 2004
Benin 2001 Ghana 2003 Mali 2006 Uganda 2001
Burkina Faso 2003 Guinea 2005 Morocco 2003 Zambia 2001
Cameroon 2004 Jordan 1990 Mozambique 2003 Zimbabwe 1999
Chad 2004 Jordan 2002 Namibia 2000
Congo (Democratic Republic) 2007 Kenya 2003 Nepal 2001
Egypt 2000 Lesotho 2004 Niger 2006
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Bangladesh 2000
Survey form view entire document:  text 
431. Where did this first check take place?

HOME
OWN HOME 01
OTHER HOME 02
PUBLIC SECTOR
HOSPITAL OR MEDICAL COLLEGE 11
FAMILY WELFARE CENTRE 12
THANA HEALTH COMPLEX 13
SATELLITE CLINIC OR EPI OUTREACH SITE 14
MATERNAL AND CHILD WELFARE CENTER (MCWC) 15
NGO SECTOR
NGO STATIC CLINIC 21
NGO SATELLITE CLINIC 22
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL OR CLINIC 31
QUALIFIED DOCTOR 32
TRADITIONAL DOCTOR 33
PHARMACY 34
OTHER (SPECIFY) 96

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Bangladesh 2004
Survey form view entire document:  text 
431. Where did this first check take place?

HOME
OWN HOME 01
OTHER HOME 02
PUBLIC SECTOR
HOSPITAL OR MEDICAL COLLEGE 11
FAMILY WELFARE CENTRE 12
THANA HEALTH COMPLEX 13
SATELLITE CLINIC OR EPI OUTREACH SITE 14
MATERNAL AND CHILD WELFARE CENTER (MCWC) 15
COMMUNITY CLINIC 16
NGO SECTOR
NGO STATIC CLINIC 21
NGO SATELLITE CLINIC 22
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL OR CLINIC 31
QUALIFIED DOCTOR 32
TRADITIONAL DOCTOR 33
PHARMACY 34
OTHER (SPECIFY) 96

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Bangladesh 2011
Survey form view entire document:  text 
439A) Where did this first check take place? (ONLY FOR MOST RECENT BIRTH)

HOME
HOME 11 (GO TO 442)
PUBLIC SECTOR
HOSP./MEDICAL COLLEGE 21
SPE. MEDICAL COL. (SPECIFY) __________ 22
DIST. HOSP. 23
MCWC 24
UPAZILLA HEALTH COMPLEX 25
H and FAMILY WELFARE CENTRE 27
SAT. CLINIC/EPI OUTREACH 28
COMM. CLINIC 29
OTHER (SPECIFY) __________ 26
NGO SECTOR
NGO STATIC CLINIC 31
NGO SAT CLINIC (SPECIFY) 32
OTHER (SPECIFY) _____________ 36
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC 41
QUALIFIED. DOC. CHAMBER 42
UNQUALIFIED DOC. CHAMBER 43
PHARMACY 44
PVT. MED COLL. HOSP. (SPECIFY) ____________ 45
OTHER (SPECIFY)____________96 (SKIP TO 442)

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Bangladesh 2014
Survey form view entire document:  text 
439A. Where did this first check take place?

HOME
HOME 11
PUBLIC SECTOR
HOSP./MEDICAL COLLEGE/SPE. MED. COL 21
DIST. HOSP. 22
MCWC 23
UPAZILLA HEALTH COMPLEX 24
UH AND FAMILY WELFARE CENTRE 25
SAT. CLINIC/EPI OUTREACH 27
COMM. CLINIC 28
OTHER (SPECIFY) _____ 26
NGO SECTOR
NGO STATIC CLINIC 31
NGO SAT CLINIC 32
OTHER (SPECIFY) _____ 36
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC 41
QUALIFIED DOC. CHAMBER 42
UNQUALIFIED DOC. CHAMBER 43
PHARMACY 44
OTHER (SPECIFY) _____ 96

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Benin 2001
Survey form view entire document:  text 
432) Where did this first check take place?
[LAST BIRTH ONLY]

NAME OF PLACE_______
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
HEALTH CENTER (CSSP-DISTRICT HEALTH CENTER) 22
COMMUNITY HEALTH COMPLEX (CCS-PARISH HEALTH CENTER) 23
VILLAGE UNIT (UVS-VILLAGE HEALTH CENTER) 24
OTHER PUBLIC (SPECIFY)___ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
RELIGIOUS HOSPITAL 32
OTHER PRIVATE MEDICAL (SPECIFY)____ 36
OTHER (SPECIFY)_____96

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Burkina Faso 2003
Survey form view entire document:  text 
432. Where did this first check take place?
[ASK ONLY FOR MOST RECENT BIRTH]

HOME
RESPONDENT'S HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
DISPENSARY 23
OTHER PUBLIC (SPECIFY) ______ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) ______ 36
OTHER (SPECIFY) _______ 96

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Cameroon 2004
Survey form view entire document:  text 
432) Where did this first check take place?

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: ___
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC/SEMIPUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
OTHER PUBLIC (SPECIFY): ___ 26
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL 31
SECULAR HOSPITAL/CLINIC 32
HEALTH CENTER/RELIGIOUS CLINIC/MISSION 33
OTHER PRIVATE MEDICAL (SPECIFY): ___ 36
OTHER (SPECIFY): ___ 96

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Chad 2004
Survey form view entire document:  text 
431) Where did this first check take place?

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL/MATERNITY/HEALTH CENTER/FREE CLINIC 21
OTHER PUBLIC ESTABLISHMENT 22
PRIVATE MEDICAL SECTOR
HOSPITAL/CLINIC/HEALTH CENTER/DOCTOR'S OFFICE 31
PRIVATE 32
PUBLIC/PRIVATE SECTOR
VILLAGE HEALTH CENTER 41
OTHER 96

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Congo (Democratic Republic) 2007
Survey form view entire document:  text 
447 Where did this first check take place? (2)
PROBE TO IDENTIFY TYPE(S) OF SOURCE(S) AND CIRCLE THE APPROPRIATE CODE(S).
IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) ___________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
GOVT. HEALTH POST 23
OTHER PUBLIC (SPECIFY) __________ 26
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER PRIVATE MED. (SPECIFY) ______ 36
OTHER (SPECIFY) _________ 96

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Egypt 2000
Survey form view entire document:  text 
541) Where did this first check take place?

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GVT. HOSPITAL 21
GVT. HEALTH UNIT 22
MCH CENTER 23
PRIVATE SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER (SPCECIFY)_____96

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Egypt 2003
Survey form view entire document:  text 
537. Where did this first check take place?

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GVT. HOSPITAL 21
GVT. HEALTH UNIT 22
MCH CENTER 23
PRIVATE SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER________96

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Egypt 2005
Survey form view entire document:  text 
545) Where did this first check take place?
[FOR LAST BIRTH ONLY]

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

(NAME OF PLACE) ______________________

HOME
YOUR HOME 11
OTHER HOME 12
GOVERNMENT
URBAN HOSPITAL 21
URBAN HEALITH UNIT 22
HEALTH OFFICE 23
RURAL HOSPITAL 24
RURAL HEALITH UNIT 25
MCH CENTER 26
OTHER GOV'T (SPECIFY) ____________ 27
NONGOVERNMENTAL
EGYPTIAN FP ASSOC 31
CSI PROJECT 32
OTHER NGO (SPECIFY) ___________ 36
PRIVATE MEDICAL
PVT. HOSPITAL/CLINIC 41
PVT. DOCTOR 42
OTHER PVT. MED. (SPECIFY) ___________ 46
OTHER NON-MEDICAL (SPECIFY) _________96

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Ethiopia 2000
Survey form view entire document:  text 
431. Where did this first check take place?
[FOR LAST BIRTH ONLY]

HOME
YOUR HOME 11
OTHER HOME 12
GOVERNMENT
HOSPITAL 21
HEALTH CENTER 22
HEALTH STATION/CLINIC 23
HEALTH POST 24
OTHER GOVERNMENT (SPECIFY)_____________ 25
NONGOVERNMENTAL (NGO)
NGO HEALTH FACILITY 31
PRIVATE MEDICAL
PRIVATE HOSPITAL 41
PRIVATE DOCTOR/CLINIC 42
OTHER PRIVATE (SPECIFY)_______________46
OTHER (SPECIFY)____________________96

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Ethiopia 2005
Survey form view entire document:  text 
444. Where did this first check take place?
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.
[FOR LAST BIRTH ONLY]

NAME OF PLACE______________________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC 21
GOVERNMENT HEALTH CENTER 22
GOVERNMENT HEALTH POST 23
OTHER PUBLIC (SPECIFY) ________26
NON-GOVERNMENT (NGO)
NGO HEALTH FACILITY 31
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 41
OTHER PRIVATE MEDICAL (SPECIFY) ___________________ 46
OTHER (SPECIFY)__________ 96

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Ghana 2003
Survey form view entire document:  text 
432) Where did this first check take place?

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.
[LAST BIRTH ONLY]

NAME OF PLACE: _____________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
GOVT. HEALTH POST 23
OTHER PUBLIC (SPECIFY): _____________ 26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER PVT. MEDICAL (SPECIFY): _____________ 36
OTHER (SPECIFY): ____________ 96

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Guinea 2005
Survey form view entire document:  text 
432. Where did this first check take place?
[ASK ONLY FOR MOST RECENT BIRTH]

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 ______
HOME
RESPONDENT'S HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEATH CENTER 22
GOVERNMENT MEDICAL POST 23
OTHER PUBLIC (SPECIFY) _____ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) _____ 36
OTHER (SPECIFY) _____ 96

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Jordan 1990
Survey form view entire document:  text 
520) Where did you see this person the first time?

PUBLIC HEALTH CENTER 1
MCH 2
GOVERNMENT HOSPITAL 3
PRIVATE HOSPITAL 4
GENERAL PRACTITIONER CLINIC 5
SPECIALIST CLINIC 6
OTHER (SPECIFY)_______ 7

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Jordan 2002
Survey form view entire document:  text 
432. Where did this first check take place?

IF SOURCE IS A 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____________
HOME
YOUR HOME 11 (GO TO 432B)
OTHER HOME 12 (GO TO 432B)
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
GOVT. MCH 23
UNIVERSITY HOSPITAL 24
ROYAL MEDICAL SERVICES (ARMED FORCES) 25
OTHER PUBLC_______26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
UNRWA HEALTH CENTER 32
OTHER PVT. MEDICAL________ 36
OTHER_______ 96 (GO TO 432B)

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Kenya 2003
Survey form view entire document:  text 
432. Where did this first check take place?

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.
[Most recent birth within the last five years]

(NAME OF PLACE) _________

IF NURSING/MATERNITY HOME, ASK IF IT IS RUN BY A CHURCH OR MISSION. IF SO, CIRCLE CODE '31'.

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT.HOSPITAL 21
GOVT.HEALTH CENTRE 22
GOVT.DISPENSARY 23
OTHER PUBLIC (SPECIFY) ________ 26
PRIVATE MEDICAL SECTOR
MISSION HOSPITAL/CLINIC 31
PRIVATE HOSPITAL/CLINIC 33
NURSING/MATERNITY HOME 35
OTHER PVT. MEDICAL (SPECIFY) _________ 36
OTHER (SPECIFY) _______ 96

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Lesotho 2004
Survey form view entire document:  text 
432 Where did this first check take place?
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)_____________________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
GOVT. HEALTH POST 23
OTHER PUBLIC ___________(SPECIFY) 26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER PVT. MEDICAL ________(SPECIFY) 36
CHAL
CHAL HOSPITAL 41
CHAL HEALTH CENTER 42
OTHER _________(SPECIFY) 96

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Madagascar 2003
Survey form view entire document:  text 
432. Where did this first check take place?
[ONLY ASK FOR MOST RECENT BIRTH.]

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
BASIC HEALTH CENTER II [BASIC HEALTH CARE, PHYSICIAN-RUN] 22
BASIC HEALTH CENTER I [BASIC HEALTH CARE, RUN BY PARA-MEDICAL OFFICER] 23
OTHER PUBLIC (SPECIFY) ____26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) _____ 36
OTHER (SPECIFY) ____ 96

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Malawi 2000
Survey form view entire document:  text 
431. Where did this first check take place?
[FOR LAST BIRTH ONLY]

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
GOVERNMENT HEALTH POST 23
OTHER PUBLIC (SPECIFY) _____ 26
MISSION
HOSPITAL 31
HEALTH CENTER 32
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 41
OTHER PRIVATE MEDICAL (SPECIFY) ____ 46
OTHER (SPECIFY) ____ 96

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Malawi 2004
Survey form view entire document:  text 
432. Where did this first check take place?

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.
[FOR LAST BIRTH ONLY]

NAME OF PLACE_________________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
GOVERNMENT HEALTH POST 23
OTHER PUBLIC (SPECIFY) _____ 26
MISSION
HOSPITAL 31
HEALTH CENTER 32
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 41
OTHER PRIVATE MEDICAL (SPECIFY) __________ 46
TRADITIONAL BIRTH ATTENDANT 51
OTHER (SPECIFY) ________ 96

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Mali 2001
Survey form view entire document:  text 
432. Where did this first health exam take place?
[ASK ONLY FOR MOST RECENT BIRTH]

IF IT IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE TYPE OF SECTOR AND CIRCLE THE APPROPRIATE CODE,

NAME OF THE ESTABLISHMENT______
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
MATERNITY/PMI (Protection maternelle et infantile, a program created in France to give free care to expecting/recent mothers) 23
OTHER PUBLIC (SPECIFY) _____ 26
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) ____ 36
COMMUNITY SECTOR
HEALTH CENTER 41
PARA-PUBLIC SECTOR
MATERNITY/PMI 51
OTHER MEDICAL (SPECIFY) _____ 66
OTHER (SPECIFY) _____ 96

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Mali 2006
Survey form view entire document:  text 
432. Where did this first health exam take place?
[ONLY FOR MOST RECENT BIRTH]

IF IT IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE TYOE AND SECTOR AND CIRCLE THE APPROPRIATE CODE.

NAME OF THE ESTABLISHMENT__
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
CSREF (heath referral center) 22
CSCOM (Centre de Santé Communitaire) Community Health Center 23
OTHER PUBLIC (SPECIFY)__26
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY)__36
OTHER (SPECIFY)__96

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Morocco 2003
Survey form view entire document:  text 
432) Where did the check take place?

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
OTHER PUBLIC (SPECIFY) 26
PRIVATE MEDICAL SECTOR
CLINIC 31
OTHER PRIVATE MEDICAL 36
OTHER 96

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Mozambique 2003
Survey form view entire document:  text 
432. Where did the first check take place?
RECORD ALL PLACES MENTIONED.
[ASK FOR MOST RECENT BIRTH ONLY]

IF SOURCE IS HOSPITAL, 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
RURAL HOSPITAL 13
HEALTH CENTER 14
MOBILE CLINIC 15
OTHER (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL 21
PRIVATE CLINIC 22
PRIVATE DOCTOR 23
PRIVATE NURSE 24
PRIVATE PHARMACY 25
OTHER PRIVATE MEDICAL (SPECIFY) _____26
HOME
RESPONDENT'S HOME 41
TRADITIONAL MIDWIFE'S HOME 42
MIDWIFE/NURSE'S HOME 43
OTHER (SPECIFY) _____96

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Namibia 2000
Survey form view entire document:  text 
423) Where did this first check take place?
[Last Birth Only]

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CNTR/CLINIC 22
PHC CLINIC (MOBILE) 23
OTHER PUBLIC (SPECIFY) ____ 26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER PVT. MEDICAL (SPECIFY) ____ 36)
OTHER (SPECIFY) ____ 96

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Nepal 2001
Survey form view entire document:  text 
430. Where did this first check take place?

HOME
YOUR HOME 11
OTHER HOME 12
GOVERNMENT SECTOR
GOVT. HOSPITAL 21
PRIMARY HEALTH CARE CENTER 22
HEALTH OR SUB-HLTH POST 23
OTHER GOVT. (SPECIFY) ______ 26
NON-GOVT. (NGO) SECTOR
UMN/RED CROSS HOSPITAL 31
OTHER NGO (SPECIFY) _______ 36
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/NURSING HOME 41
OTHER PRIVATE (SPECIFY) ________ 46

OTHER (SPECIFY) ________ 96

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Niger 2006
Survey form view entire document:  text 
432. Where did this first health exam take place?

IF IT WAS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE ESTABLISHMENT. PROBE TO DETERMINE THE TYPE AND SECTOR, AND CIRCLE THE APPROPRIATE CODE.

NAME OF THE ESTABLISHMENT __________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
HOSPITAL 21
HEALTH CENTER 22
HEALTH HUT 23
OTHER PUBLIC (SPECIFY) __________ 26
PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC 31
PRIVATE MATERNITY 32
OTHER PRIVATE MEDICAL (SPECIFY) __________ 36
OTHER (SPECIFY) __________ 96

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Nigeria 2003
Survey form view entire document:  text 
432. Where did this first check take place?
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) ____________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTRE 22
GOVERNMENT HEALTH POST 23
OTHER PUBLIC (SPECIFY) ____________ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) _____________ 36
OTHER (SPECIFY) _____________ 96

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Rwanda 2000
Survey form view entire document:  text 
431. Where did this first visit take place?
[FOR LAST BIRTH ONLY]

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
DISPENSARY 23
OTHER PUBLIC (SPECIFY)______ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY)_____ 36
OTHER (SPECIFY)_____ 96

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Rwanda 2005
Survey form view entire document:  text 
432. Where did this first visit take place?
[LAST BIRTH ONLY]

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) ______________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
DISPENSARY 23
OTHER PUBLIC (SPECIFY) ____ 26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
OTHER PVT. MEDICAL (SPECIFY) ____ 36
OTHER (SPECIFY) ____ 96

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Tanzania 2004
Survey form view entire document:  text 
432. Where did this first check take place?
IF SOURCE IS HOSPITAL, GOV. PARASTATAL HEALTH CENTRE, OR CLINIC, REFERAL/SPEC. WRITE THE NAME OF THE HOSPITAL PLACE. PROBE TO IDENTIFY REGIONAL HOSP. THE TYPE OF SOURCE AND DISTRICT HOSP.
CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) __________
HOME
YOUR HOME 01
OTHER HOME 02
GOV.PARASTATAL
REFERAL/SPEC. HOSPITAL 11
REGIONAL HOSP. 12
HOSP. 13
HEALTH CENT 14
DISPENSARY 15
VILLAGE HEALTH POST 16
CBD WORKER 17
RELIGIOUS/VOLUNTARY
REFERRAL/SPEC. HOSPITAL 21
DISTRICT HOSP 22
HEALTH CENT 23
DISPENSARY 24
PRIVATE
SPECIALISED HOSPITAL 31
HEALTH CENT 32
DISPENSARY 33
OTHER (SPECIFY) _________ 96 (GO TO 429)

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Uganda 2001
Survey form view entire document:  text 
432 Where did this first check take place?
[LAST BIRTH ONLY]

HOME
YOUR HOME 11
OTHER HOME 12
TBA'S HOME 13
PUBLIC SECTOR
GOVERNMENT HOSPITAL 21
GOVERNMENT HEALTH CENTER 22
GOVERNMENT HEALTH/AIDE POST 23
OTHER PUBLIC (SPECIFY) __________ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
OTHER PRIVATE MEDICAL (SPECIFY) __________ 36
OTHER (SPECIFY) __________ 96

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Zambia 2001
Survey form view entire document:  text 
432. Where did this first check take place?
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.
[Last Birth Only]

(NAME OF PLACE) ____________
HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
GOVT. HOSPITAL 21
GOVT. HEALTH CENTER 22
GOVT. HEALTH POST 23
OTHER PUBLIC (SPECIFY) ____________ 26
PRIVATE MEDICAL SECTOR
PVT. HOSPITAL/CLINIC 31
MISSION HOSPITAL/CLINIC 32
OTHER PVT. MEDICAL (SPECIFY) _____________ 36
OTHER (SPECIFY) _____________ 96

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Zimbabwe 1999
Survey form view entire document:  text 
418D) Where did this first check take place?
[ANSWER FOR LAST BIRTH]

HOME
YOUR HOME 11
OTHER HOME 12
PUBLIC SECTOR
CENTRAL HOSPITAL 21
PROVINCIAL HOSPITAL 22
DISTRICT/RURAL HOSPITAL 23
RURAL HEALTH CENTRE 24
RURAL/MUNICIPAL CLC. 25
OTHER PUBLIC (SPECIFY) __________ 26
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
PRIVATE DOCTOR 32
OTHER PRIVATE MEDICAL (SPECIFY) __________ 36
MISSION FACILITY 41
OTHER (SPECIFY) __________ 96