Survey Text

Burkina Faso 1993 Madagascar 1992 Nepal 1996 Senegal 1997
Ghana 1993 Malawi 1992 Niger 1992
India 1992 Morocco 1992 Nigeria 1990
Kenya 1993 Namibia 1992 Senegal 1992
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Burkina Faso 1993
Survey form view entire document:  text 
488. Where can you obtain the ORS packet? Anywhere else?
RECORD ALL RESPONSES.

PUBLIC SECTOR
HOSPITAL A
MEDICAL CENTER B
CSPS C
SMI D
DISPENSARY E
PSP F
COMMUNITY PHARMACEUTICAL DEPOT G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
PHARMACY I
NURSE'S OFFICE J
RELIGIOUS DISPENSARY K
OTHER PRIVATE SECTOR
TRADITIONAL HEALER L
RELATIVE/NEIGHBOR/FRIEND M
OTHER (SPECIFY) _____ N

Survey form view entire document:  text 
488. Where can you obtain the ORS packet? Anywhere else?
RECORD ALL RESPONSES.

PUBLIC SECTOR
HOSPITAL A
MEDICAL CENTER B
CSPS C
SMI D
DISPENSARY E
PSP F
COMMUNITY PHARMACEUTICAL DEPOT G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
PHARMACY I
NURSE'S OFFICE J
RELIGIOUS DISPENSARY K
OTHER PRIVATE SECTOR
TRADITIONAL HEALER L
RELATIVE/NEIGHBOR/FRIEND M
OTHER (SPECIFY) _____ N

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Ghana 1993
Survey form view entire document:  text 
486. Where can you get the ORS or PHERMEROL packet? PROBE: Anywhere else?
RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
MOBILE CLINIC D
COMMUNITY HEALTH CENTER E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PHARMACY/DRGST./CHEMIST G
PRIVATE DOCTOR/CLINIC H
MOBILE CLINIC I
COMMUNITY HEALTH WORKER J
OTHER PRIVATE SECTOR
SHOP K
TRADITIONAL PRACTITIONER L
OTHER (SPECIFY) _____ M

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India 1992
Survey form view entire document:  text 
486 Where can you get the (LOCAL NAME) packet?
PROBE: Anything else?
RECORD ALL PLACES MENTIONED. **

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
MOBILE CLINIC D
COMMUNITY HEALTH WORKER E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL OR CLINIC F
PHARMACY G
PRIVATE DOCTOR H
MOBILE CLINIC I
COMMUNITY HEALTH WORKER J
OTHER PRIVATE SECTION
SHOP K
TRADITIONAL PRACTITIONER L
OTHER (SPECIFY) __________ M

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Kenya 1993
Survey form view entire document:  text 
486. Where can you get Oralite/ORS sachets?
PROBE: Anywhere else?

RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTRE B
GOVERNMENT DISPENSARY C
MEDICAL PRIVATE SECTOR
MISSION, CHURCH HOSPITAL OR CLINIC D
OTHER NON-GOVERNMENTAL SERVICE E
PRIVATE HOSPITAL/CLINIC F
PHARMACY G
PRIVATE DOCTOR H
MOBILE CLINIC I
COMMUNITY HEALTH WORKER J
OTHER PRIVATE SECTOR
SHOP K
HERBALIST L
RELATIVE/FRIEND M
OTHER (SPECIFY) ______ N

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Madagascar 1992
Survey form view entire document:  text 
485. Where can you obtain an ORS/ODIVA packet?
INSIST: Nowhere else?
RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER 12
DISPENSARY 13
LOCAL HEALTH POST 14
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE HOSPITAL/CLINIC 22
PHARMACY 23
OTHER LOCATION
STORE 31
TRADITIONAL HEALER 32
FAMILY/FRIENDS 33
OTHER (SPECIFY) ____ 41
DOESN'T KNOW 98

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Malawi 1992
Survey form view entire document:  text 
484. Where can you get the ORS packet?
PROBE: Anywhere else?
RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CENTRE B
DISPENSARY C
OTHER FIXED FACILITY D
MOBILE CLINIC E
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL F
PRIMARY HEALTH CENTRE G
DISPENSARY H
PRIVATE DOCTOR I
CHEMIST J
MOBILE CLINIC K
OTHER PRIVATE SECTOR
SHOP L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) ____ N
DON'T KNOW O

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Morocco 1992
Survey form view entire document:  text 
596) Where can you get the (local name) packet?
PROBE: Anywhere else?

RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
PUBLIC HOSPITAL A
HEALTH CENTER B
FREE CLINIC C
MOBILE TEAM D
TRAVELING PERSONNEL E
PRIVATE SECTOR
CLINIC F
PHARMACY G
PRIVATE DOCTOR H
OTHER PRIVATE
MUSLIM SCHOLAR I
SHOP J
OTHER K

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Namibia 1992
Survey form view entire document:  text 
483) Where can you get the ORS packet?
PROBE: Anywhere else?
RECORD ALL PLACES MENTIONED

GVT. HOSPITAL A
GVT. HEALTH CENTER B
GVT. HEALTH POST C
PHC CLINIC (MOBILE) D
COMUNITY HEALTH WORKER E
PVT. DOCTOR F
PVT. HOSPITAL/CLINIC G
PHARMACY H
SHOP I
TRADITIONAL PRACTIONER J
OTHER (SPECIFY)____K
DK L

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Nepal 1996
Survey form view entire document:  text 
472A. Where can you buy or obtain a packet of ORS like Jeevan Jal?
PROBE: Where else?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSP./DISTRICT CLINIC A
PRY./HEALTH CENTRE B
HEALTH/SUB-HEALTH POST C
MOBILE CLINIC D
FIELD WORKER E
OTHER PUBLIC (SPECIFY)_________________________F
PRIVATE SECTOR
HOSPITAL G
CLINIC/NURSING HOME H
PHARMACY I
MOBILE CLINIC J
COMM. HEALTH WORKER K
OTHER PRIVATE (SPECIFY)________________________L
OTHER SOURCE
SHOP N
TRAD. PRACTITIONER O
OTHER (SPECIFY)_________________________________X

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Niger 1992
Survey form view entire document:  text 
488) Where can you get this packet?

PROBE: Anywhere else?

RECORD ALL PLACES MENTIONED.

PUBLIC SECTOR
HOSPITAL A
MEDICAL CENTER B
MOTHER AND CHILD CARE CENTER C
DISPENSARY D
PEOPLE'S PHARMACY E
MOBILE CLINIC F
FIRST AID WORKER G
PRIVATE MEDICAL SECTOR
CLINIC/HOSPITAL H
PRIVATE PHARMACY I
PRIVATE DOCTOR'S OFFICE J
PRIVATE DISPENSARY K
OTHER PRIVATE SECTOR
PHARMACEUTICAL WAREHOUSE L
NEIGHBOR/RELATIVE M
OTHER (SPECIFY): ___ N

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Nigeria 1990
Survey form view entire document:  text 
486. Where can you get the (LOCAL NAME) packet?
PROBE: Anywhere else?
(CIRCLE ALL PLACES MENTIONED)

VILLAGE HEALTH WORKER 1
HEALTH CLINIC/POST 1
HEALTH CENTER 1
HOSPITAL 1
PRIVATE DOCTOR 1
TRADITIONAL/SPIRITUAL HEALER 1
VILLAGE CHEMIST AT PATENT MEDICINE SHOP 1
PHARMACY 1
OTHER (SPECIFY) _______ 1
DON'T KNOW 1

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Senegal 1992
Survey form view entire document:  text 
486. Where can you get (LOCAL NAME) packet?
PROBE: Anywhere else?
CIRCLE THE CODE CORRESPONDING TO ALL RESPONSES GIVEN.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/PMI B
HEALTH POST/FREE CLINIC C
COMMUNITY HEALTH CARE WORKER D
PRIVATE MEDICAL SECTOR
CLINIC/PRIVATE HOSPITAL E
PHARMACY F
PRIVATE DOCTOR G
PRIVATE NURSE/CONFES H
OTHER PRIVATE SECTOR
SHOP/BOUTIQUE I
TRADITIONAL HEALER J
OTHER (SPECIFY) _____K

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Senegal 1997
Survey form view entire document:  text 
483B. What place do you know of?

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/PMI (Protection Maternelle et Infantile) 12
HEALTH POST/FREE CLINIC 13
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL 21
PHARMACY 22
PRIVATE DOCTOR 23
PRIVATE NURSE/CONFES 24
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) 31
TRADITIONAL HEALER 32
CHURCH 33
FRIEND/RELATIVE 34
AUXILIARY 41
OTHER (SPECIFY) _____51