1009A) Which health facilities did you visit last during the past 12 months for care for yourself of your children?
PROBE TO IDENTIFY 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(S)) ___________________
PUBLIC SECTOR
GOVT. HOSPITAL 11
PHC CENTER 12
HEALTH POST 13
SUB-HEALTH 14
PHC OUTREACH 15
MOBILE CLINIC 17
OTHER GOVT. (SPECIFY) __________ 16
NON-GOVT. SECTOR
FPAN 21
MARIE STOPES 22
ADRA 23
NEPAL RED CROSS 24
UMN 25
OTHER GOVT. (SPECIFY) _________ 26
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC/N. HOME. 31
OTHER PRIVATE MED. (SPECIFY) __________ 36
OTHER (SPECIFY) __________ 96