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Afghanistan 2015

Survey form view entire document: text

945. Where did you go? Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S)_______________

PUBLIC SECTOR

GOVT. HOSPITAL (NATIONAL, REGIONAL, PROVINCIAL OR DISTRICT) A
CHC/POLYCLINIC B
BASIC HEALTH CENTER C
HEALTH SUB-CENTER D
HEALTH POST/SUB-HEALTH POST E
STAND-ALONE VCT CENTER F
FAMILY PLANNING CLINIC G
MOBILE CLINIC H
COMMUNITY HEALTH WORKER I
OTHER PUBLIC SECTOR______J

NON-GOVERNMENT SECTOR

MARIE STOPES K
RED CROSS SOCIETY L
AFGA M
OTHER NGO SECTOR________N

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR O
STAND-ALONE VCT CENTER P
PHARMACY Q
MOBILE CLINIC R
FIELDWORKER S
OTHER PRIVATE MEDICAL SECTOR_______T

OTHER SOURCE

CHARITY/FOUNDATIONS U
REFUGEE CAMP V
SHOP W

OTHER___________X

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Benin 1996

Survey form view entire document: text

801G) Where did you seek advice or treatment? Any other place/Anyone else?
CIRCLE ALL MENTIONED

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
FAMILY PLANNING CLINIC C
FIELDWORKER D
COMMUNITY CENTER E
OTHER PUBLIC (SPECIFY) ______________ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
RELIGIOUS HOSPITAL H
PHARMACY I
ABPF (BENIN FAMILY ADVOCACY ASSOCIATION) J
DOCTOR'S OFFICE K
FIELDWORKER L
OTHER PRIVATE MEDICAL (SPECIFY) _______________ M

OTHER SOURCE

SHOP/MARKET N
RELATIVES/FRIENDS O
TRADITIONAL PRACTITIONER P

OTHER (SPECIFY) _______________ X
DON'T KNOW Z

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Burkina Faso 2010

Survey form view entire document: text

945. Where did you go?
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
OTHER PUBLIC (SPECIFY) ______ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR G
STAND-ALONE VCT CENTER H
PHARMACY I
MOBILE CLINIC J
OTHER PRIVATE MEDICAL (SPECIFY) _______ K

OTHER SOURCE

FIELDWORKER L
SHOP M

OTHER (SPECIFY) _____ X

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Burundi 2010

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

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Cameroon 2011

Survey form view entire document: text

1249) Where did you go?

Anywhere else?

PROBE TO IDENTIFY THE TYPE OF EACH SOURCE AND CIRCLE THE APPROPRIATE CODE.

IF UNABLE TO DETERMINE IF THE HOSPITAL, HEALTH CENTER, CTV CENTER, OR CLINIC IS PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE: ___

PUBLIC SECTOR

HOSPITAL A
HEALTH CENTER/INTEGRATED HEALTH CENTER/DISPENSARY/
MOTHER AND CHILD CARE CENTER B
HEALTH WORKER C
HIV PREVENTION AND VOLUNTARY TESTING CENTER D
MOBILE CLINIC E
OTHER PUBLIC (SPECIFY): ___ F

PRIVATE MEDICAL SECTOR

PRIVATE RELIGIOUS HOSPITAL G
PRIVATE SECULAR HOSPITAL/CLINIC H
HEALTH CENTER/ RELIGIOUS DISPENSARY/MISSION I
MEDICAL OFFICE J
PHARMACY K
HEALTH WORKER L
HIV PREVENTION AND VOLUNTARY TESTING CENTER M
MOBILE CLINIC N
OTHER PRIVATE MEDICAL (SPECIFY): ___ O

OTHER (SPECIFY): ___ X

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Central African Republic 1995

Survey form view entire document: text

808) Where did you seek advice or treatment?
Any other place?

CIRCLE ALL MENTIONED

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
HEALTH SUB-CENTER C
HEALTH POST D
FIELDWORKER E
OTHER PUBLIC (SPECIFY)____ F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
HEALTH CENTER J
FIELDWORKER K
OTHER PRIVATE MEDICAL (SPECIFY)____ L

OTHER SOURCE

MARKET M
CHURCH/RELIGIOUS CENTER N
FRIEND/RELATIVE O

OTHER (SPECIFY)____ X

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Chad 2014

Survey form view entire document: text

945) Where did you go?

PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE(S))_______

ANY OTHER PLACE?
RECORD ALL MENTIONED

PUBLIC SECTOR

HOSPITAL/MATERNITY A
MILITARY HOSPITAL/GARRISON B
HEALTH CENTER/FREE CLINIC C
POLYCLINIC D
PHARMACY OF HOSPITAL/HEALTH CENTER E
OTHER PUBLIC SECTOR (SPECIFY) F

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL G
CLINIC/DOCTOR'S OFFICE H
PRIVATE HEALTH CENTER I
BUSINESS HEALTH CENTER J
CARE OFFICE/INFIRMARY K
PHARMACY/PHARMACY DEPOT L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) M

PUBLIC/PRIVATE SECTOR

PHARMACY/VILLAGE HEALTH CENTER N

OTHER

SHOP/BAR/MARKET O
TRADITIONAL PRACTITIONER P
FIRST AID WORKER Q
FRIENDS/NEIGHBORS/RELATIVES R

OTHER (SPECIFY) X

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Congo (Democratic Republic) 2007

Survey form view entire document: text

860) Where did you go?
Any other place?
CIRCLE ALL MENTIONED.

PUBLIC SECTOR

HOSPITAL A
HEALTH CENTER/OUTPOST B
ANONYMOUS VOLUNTEER SCREEN CENTER C
CENTER FOR SEXUALLY TRANSMITTED INFECTIONS D
FAMILY PLANNING CLINIC E
COMMUNITY AGENT F
MATERNITY CENTER G
OTHER PUBLIC (SPECIFY) _____ H

PRIVATE MEDICAL SECTOR

PRIVATE CLINIC/HOSPITAL/DOCTOR I
MATERNITY J
PHARMACY K
ANONYMOUS VOLUNTEER SCREENING CENTER L
HEALTH AGENT M
OTHER PRIVATE MEDICAL (SPECIFY) _____ N

OTHER SOURCE

TRADITIONAL PRACTITIONER Q
SHOP R

OTHER (SPECIFY) _____ X

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Cote d'Ivoire 2011

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

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Guinea 2005

Survey form view entire document: text

860. Where did you go?
Any other place?
RECORD ALL THAT IS MENTIONED.

PUBLIC SECTOR

HOSPITAL A
HEALTH CENTER B
MEDICAL POST C
STAND-ALONE VCT CENTER D
FAMILY PLANNING CLINIC E
COMMUNITY FIELDWORKER F
OTHER PUBLIC (SPECIFY) _____ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND-ALONE VCT CENTER I
PHARMACY J
FIELDWORKER L
OTHER PRIVATE MEDICAL (SPECIFY) _____ M

OTHER SOURCE

TRADITIONAL PRACTITIONER N
SHOP O
OTHER (SPECIFY) _____ X

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Guinea 2012

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

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India 2015

Survey form view entire document: text

1055. Where did you go?
Any other place?

RECORD ALL PLACES MENTIONED. IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF FACILITY/PLACE(S))_________________

PUBLIC HEALTH SECTOR

GOVERNMENT HOSPITAL A
VAIDYA/HAKIM/HOMEOPATH (AYUSH) B
GOVERNMENT HEALTH CENTRE C
STAND-ALONE ICTC D
FAMILY PLANNING CLINIC E
MOBILE CLINIC F
FIELDWORKER G
SCHOOL BASED CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) ________I

NGO OR TRUST HOSPITAL/CLINIC J

PRIVATE HEALTH SECTOR

PRIVATE HOSPITAL/CLINIC PRIVATE DOCTOR K
VAIDYA/HAKIM/HOMEOPATH (AYUSH) L
STAND-ALONE ICTC M
PHARMACY N
MOBILE CLINIC O
FIELDWORKER P
SCHOOL BASED CLINIC Q
OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______R

OTHER SOURCE

HOME S
CORRECTIONAL FACILITY T

OTHER (SPECIFY) ___________X

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Kenya 2014

Survey form view entire document: text

945) Where did you go?

Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

_________________ (NAME OF PLACE(S))

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER/CLINIC B
GOVERNMENT DISPENSARY C
OTHER PUBLIC SECTOR (SPECIFY) _________ D

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR E
MISSIONARY/CHURCH HOSPITAL/CLINIC F
FAMILY OPTIONS/FHOK CLINIC G
VCT CENTER H
NURSING/MATERNITY HOMES I
BLOOD TRANSFUSION SERVICES J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ________ K

OTHER SOURCE

SHOP/PHARMACY L
TRADITIONAL HEALER M
COMMUNITY HEALTH WORKER/CHW N
FRIENDS/RELATIVES O
OTHER (SPECIFY) _________ X

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Lesotho 2004

Survey form view entire document: text

847 Where did you go? Anywhere else?
RECORD ALL MENTIONED.

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
OTHER PUBLIC __________ (SPECIFY) D

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC E
PHARMACY F
PRIVATE DOCTOR G
OTHER PRIVATE MEDICAL ___________ (SPECIFY) H

CHAL

CHAL HOSPITAL I
CHAL HEALTH CENTER J

CBD K
COMMUNITY HEALTH WORKER L
SUPPORT GROUPS M
OTHER SOURCE

SHOP N
CHURCH O
FRIENDS/RELATIVES P
TRADITIONAL HEALER Q

OTHER ____________(SPECIFY) X

Survey form view entire document: text

847 Where did you go? Anywhere else?
RECORD ALL MENTIONED.

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
OTHER PUBLIC __________ (SPECIFY) D

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC E
PHARMACY F
PRIVATE DOCTOR G
OTHER PRIVATE MEDICAL ___________ (SPECIFY) H

CHAL

CHAL HOSPITAL I
CHAL HEALTH CENTER J

CBD K
COMMUNITY HEALTH WORKER L
SUPPORT GROUPS M
OTHER SOURCE

SHOP N
CHURCH O
FRIENDS/RELATIVES P
TRADITIONAL HEALER Q

OTHER ____________(SPECIFY) X

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Lesotho 2009

Survey form view entire document: text

541 Where did you seek advice or treatment? Anywhere else?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) ________________

PUBLIC SECTOR

GOVT HOSPITAL A
GOVT HEALTH CENTER B
GOVT HEALTH POST C
OTHER PUBLIC SECTOR D

PRIVATE MEDICAL SECTOR

PVT HOSPITAL/CLINIC E
PHARMACY F
PVT DOCTOR G
OTHER PRIVATE MEDICAL SECTOR H

CHAL

CHAL HOSPITAL I
CHAL HEALTH CENTER J
CHAL HEALTH POST K

COMMUNITY HLTH. WORKER/ SUPPORT GROUPS L

OTHER SOURCE

SHOP M
TRADITIONAL HEALER N

OTHER X

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Lesotho 2014

Survey form view entire document: text

944) The last time you had (PROBLEM FROM 940/941/942), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 946)

945) Where did you go? Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

NAME OF PLACE (S) ____
PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH POST C
FAMILY PLANNING CLINIC D
OTHER PUBLIC SECTOR (SPECIFY) ____ E

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC F
PHARMACY G
PRIVATE DOCTOR H
LESOTHO PLANNED PARENTHOOD I
PSI/NEW START CENTER J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ____ K

CHAL

CHAL HOSPITAL L
CHAL HEALTH CENTER M
CHAL HEALTH POST N

RED CROSS HEALTH CENTER O
VILLAGE HEALTH WORKER P
SUPPORT GROUPS Q
FACILITY OUTSIDE OF LESOTHO R
OTHER SOURCE

SHOP S
CHURCH T
FRIEND/RELATIVE U
TRADITIONAL HEALER V

OTHER (SPECIFY) ____ X

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Mali 1995

Survey form view entire document: text

801G. Where did you seek advice or treatment?

PUBLIC SECTOR

HOSPITAL A
HEALTH CENTER/MATERNITY/GOVERNMENT PMI B
HEALTH AGENT C

PRIVATE SECTOR

CLINIC D
PRIVATE DOCTOR E
PHARMACY F
FIELD WORKER G

COMMUNITY SECTOR

HEALTH CENTER H
HEALTH CARE WORKER I
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID J

PARA PUBLIC

INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) K
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) L

NON GOVENMENTAL

NGO/AMPPF (Malian Association of Family Protection and Promotion) M

OTHER PRIVATE SECTOR

SHOP/MARKET N
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) O
FRIEND(S)/RELATIVE(S) P

OTHER (SPECIFY)__X
DOESN'T KNOW Z

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Mali 2006

Survey form view entire document: text

860. Where did you go?
Was there another place?
RECORD ALL MENTIONED.

PUBLIC SECTOR

NATIONAL HOSPITAL A
REGIONAL HOSPITAL B
CSREF (heath referral center) C
PMI (protection maternelle et infantile - a program created in France to give free care to expecting/recent mothers) /MATERNITY D
CSCOM (Centre de Santé Communitaire) Community Health Center E
PHARMACY F
OTHER PUBLIC (SPECIFY) __G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/DOCTOR H
PHARMACY I
STI CENTER J
HEALTH WORKER L
OTHER PRIVATE MEDICAL (SPECIFY) __M

OTHER SOURCE

TRADITIONAL HEALER N
SHOP O
OTHER (SPECIFY) __X

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Mali 2012

Survey form view entire document: text

945) Where did you go?
Any other place?
PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE)__________

PUBLIC SECTOR

NATIONAL HOSPITAL A
REGIONAL HOSPITAL B
REFERRAL HEALTH CENTER (CSREF) C
FREE CLINIC/MATERNITY D
COMMUNITY HEALTH CENTER (CSCOM) E
PUBLIC VOLUNTEER TESTING CENTER F
SCHOOL BASED CLINIC G
OTHER PUBLIC H_______ (SPECIFY)

PRIVATE SECTOR

PRIVATE CLINIC/HOSPITAL I
PRIVATE HEALTH CARE PRACTICE J
TREATMENT ROOM K
INDEPENDENT VOLUNTEER TESTING CENTER L
PHARMACY M
COMMUNITY BASED AGENT N
SCHOOL BASED CLINIC O
OTHER PRIVATE_____ (SPECIFY) P

OTHER SOURCE

HOME (RESPONDENT'S HOME) Q
MILITARY CAMP R
SHOP S

OTHER_______ (SPECIFY) X

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Myanmar 2015

Survey form view entire document: text

945) Where did you go? Any other place? PROBE TO IDENTIFY EACH TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE. ____(NAME OF PLACE(S))

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER (RHC) B
GOVT. HEALTH POST (SUB-CENTER) C
STAND-ALONE VCT CENTER D
FAMILY PLANNING CLINIC E
MOBILE CLINIC F
FIELDWORKER G
OTHER PUBLIC SECTOR___(SPECIFY) H

NGO

MARIE STOPES I
MYANMAR RED CROSS SOCIETY J
PSI/M (SUN) K
MMA L
OTHER NGO SECTOR___(SPECIFY) M

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR N
STAND-ALONE VCT CENTER O
PHARMACY P
MOBILE CLINIC Q
FIELDWORKER R
OTHER PRIVATE MEDICAL SECTOR___(SPECIFY) S

OTHER SOURCE

SHOP T
OTHER____(SPECIFY) X

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Namibia 2013

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

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Niger 1998

Survey form view entire document: text

801G) Where seek advice or treatment?

Was there another place?

RECORD ALL MENTIONED.

PUBLIC SECTOR

HOSPITAL A
INTEGRATED HEALTH CENTER B
MATERNITY WARD C
HEALTH HUT D
CONSULTATION AT A FAIR E
OTHER PUBLIC (SPECIFY): ___ F

PRIVATE MEDICAL SECTOR

PRIVATE CLINIC G
PHARMACY H
PRIVATE DOCTOR'S OFFICE I
HEALTHCARE WORKER J
OTHER PRIVATE MEDICAL (SPECIFY): ___ K

OTHER SOURCE

FIELD PHARMACY L
TRADITIONAL PRACTITIONER M
FRIENDS/RELATIVES N
OTHER (SPECIFY): ___ X

DON'T KNOW Z

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Niger 2006

Survey form view entire document: text

860. Where did you go? Was there another place?
RECORD ALL MENTIONED.

PUBLIC SECTOR

HOSPITAL A
HEALTH CENTER B
HEALTH HUT C
CTV CENTER D
COMMUNITY HEALTH CARE WORKER E
OTHER PUBLIC (SPECIFY) __________ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H, I
CTV CENTER J
PHARMACY K
HEALTH WORKER L
OTHER PRIVATE MEDICAL (SPECIFY) __________ M

OTHER SOURCE

TRADITIONAL HEALER N
SHOP O
OTHER (SPECIFY) __________ X

top

Nigeria 2008

Survey form view entire document: text

950 Where did you go? (4)
Any other place?
PROBE TO IDENTIFY THE 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) __________

PUBLIC SECTOR

GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC (SPECIFY) _________ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND-ALONE VCT CENTER 2I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL (SPECIFY) __________ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY) ___________ X

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Nigeria 2013

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

top

Pakistan 2012

Survey form view entire document: text

945) Where did you go? (4)
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)_______

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY)______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND ALONE VCT CENTER I
PHARMACY J
MOBILE CLINIC K
FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ M

OTHER SOURCE

SHOP N
OTHER (SPECIFY)____ X

top

Tanzania 1996

Survey form view entire document: text

818. Where did you seek advice or treatment?
Any other place or person?
RECORD ALL MENTIONED.

GOVERNMENT AND PARASTATAL

REGIONAL/CONSULTANT HOSPITAL A
DISTRICT HOSPITAL B
HEALTH CENTRE C
DISPENSARY/PARASTATAL FACILITY D
VILLAGE HEALTH POST/WORKER E

MEDICAL PRIVATE SECTOR

RELIGIOUS ORG. FACILITY F
PRIV. DOCTOR/CLINIC/HOSPITAL G
PHARMACY/MEDICAL STORE H
CBD WORKER I

OTHER PRIVATE SECTOR

SHOP J
CHURCH K
FRIENDS/RELATIVES/NEIGHBORS L

OTHER (SPECIFY) ___________ X

top

Togo 1998

Survey form view entire document: text

801G) Where did you seek advice or treatment?
Any other place?

CIRCLE ALL MENTIONED

PUBLIC SECTOR

HOSPITAL A
MEDICAL-SOCIAL CENTER B
DISPENSARY/INFIRMARY C
M.C.H. D
HEALTH POST E
STATE PHARMACY F
OTHER PUBLIC (SPECIFY) __________ G

PRIVATE MEDICAL SECTOR

HOSPITAL/PRIVATE CLINIC H
PHARMACY I
TOGOLESE ASSOCIATION FOR FAMILIAL WELL-BEING J
DOCTOR'S OFFICE K
FIELDWORKER L
OTHER PRIVATE MEDICAL (SPECIFY) __________ M

OTHER PRIVATE SECTOR

SHOP/MARKET N
FRIEND(S)/RELATIVES O
TRADITIONAL PRACTITIONER P

OTHER (SPECIFY) __________ X
DON'T KNOW Z

top

Uganda 1995

Survey form view entire document: text

810) Where did you seek advice or treatment? Any other place or person?

RECORD ALL MENTIONED

PUBLIC SECTOR

GOVERNMENT HOSPITAL A (GO TO 810B)
GOVERNMENT HEALTH CENTER B (GO TO 810B)
DISPENSARY/HEALTH UNIT C (GO TO 810B)
GOVERNMENT MOBILE CLINIC D (GO TO 810B)
GOVERNMENT FIELD WORKER E (GO TO 810B)
OTHER PUBLIC (SPECIFY) _________ F (GO TO 810B)

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC G (GO TO 810B)
PHARMACY/DRUG STORE H (GO TO 810B)
PRIVATE DOCTOR I (GO TO 810B)
PRIVATE MOBILE CLINIC J (GO TO 810B)
PRIVATE FIELD WORKER K (GO TO 810B)
OTHER PRIVATE MEDICAL (SPECIFY) ________ L (GO TO 810B)

OTHER PRIVATE SECTOR

SHOP M (GO TO 810B)
CHURCH N (GO TO 810B)
FRIENDS/RELATIVES O (GO TO 810B)
TRADITIONAL HEALER P (GO TO 810B)

OTHER (SPECIFY) _________ X (GO TO 810B)
DOES NOT KNOW Z (GO TO 810B)

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Uganda 2011

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945) Where did you go?
Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE.

IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) __________________________

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
OUT REACH E
VILLAGE HEALTH TEAM F
OTHER PUBLIC (SPECIFY) ____________ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC H
STAND-ALONE VCT CENTER I
PHARMACY/DRUG SHOP J
PRIVATE DOCTOR/NURSE/ MIDWIFE K
OUT REACH L
TASO M
AIDS INFORMATION CENTRE N
OTHER PRIVATE/NGO MEDICAL (SPECIFY) ______________ O

OTHER SOURCE

SHOP P
OTHER (SPECIFY) _____________ X

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Uganda 2016

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1050) Where did you go? Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIBATE SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ___________

PUBLIC SETOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE VCT SERICES D
COMMUNITY HEALTH WORKER/VH E
OTHER PUBLIC SECTOR (SPECIFY)_______F

PRIVATE MEDICAL SECTOR

PRIVATE GISOURAK/CLINIC/PRIVATE DOCTOR G
PHARMACY/DRUG SHOP H
MEBILE VCT SERVICES I
COMMUNITY HEALTH WORKER J
OTHER PRIVAT MEDICAL SECTOR (SPECIFY) _____K

OTHER SOURCE

SHOP L

OTHER (SPECIFY) ______X

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Zambia 2007

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950. Where did you go? Any other place?
PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S). IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER VCT CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) ___________________

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
FIELDWORKER F
OTHER PUBLIC (SPECIFY) ______ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
MISSION HOSPITA/CLINIC I
STAND-ALONE VCT CENTER J
MOBILE CLINIC K
COMMUNITY/FIELDWORKER L
OTHER PRIVATE MEDICAL (SPECIFY) ______ M

OTHER SOURCE

SHOP N

OTHER (SPECIFY) ______ X

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Zambia 2013

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944) The last time you had (PROBLEM FROM 940/941/942), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 945A)

945) Where did you go? Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S). IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE

NAME OF PLACE(S) ______________

PUBLIC SECTOR

GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER/POST B
STAND-ALONE VCT CENTRE C
FAMILY PLANNING CLINIC D
MOBILE HOSPITAL/CLINIC E
COMMUNITY BASED AGENT/FIELDWORKER F
OTHER PUBLIC SECTOR (SPECIFY) ___________________ G

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
MISSION HOSPITAL/CLINIC I
STAND-ALONE VCT CENTRE J
MOBILE HOSPITAL/CLINIC K
COMMUNITY BASED AGENT/FIELDWORKER L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____________M

OTHER SOURCE SHOP N

OTHER (SPECIFY) _________________X

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Zimbabwe 1994

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809) Where did you seek advice or treatment?

PUBLIC SECTOR

CENTRAL HOSPITAL A
PROVINCIAL HOSPITAL B
DISTRICT/RURAL HOSPITAL C
RURAL HEALTH CENTRE D
RURAL/MUNICIPAL CLINIC E
VILLAGE COMMUNITY WORKER F
OTHER PUBLIC SECTOR (SPECIFY) __________ G

MISSION HOSPITAL/CLINIC H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC I
PHARMACY J
PRIVATE DOCTOR K
VILLAGE COMMUNITY WORKER L
OTHER MEDICAL PRIVATE SECTOR (SPECIFY) __________ M

OTHER PRIVATE SECTOR

SHOP N
RELATIVES/FRIENDS O
TRADITIONAL HEALER P

OTHER (SPECIFY) __________ X

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Zimbabwe 1999

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826) Where did you seek advice or treatment?
RECORD ALL MENTIONED.

PUBLIC SECTOR

CENTRAL HOSPTIAL A
PROVINCIAL HOSPITAL B
DISTRICT HOSPITAL C
RURAL HEALTH CENTRE D
RURAL/MUNICIPAL CLINIC E
VILLAGE COMMUNITY WORKER F
OTHER PUBLIC (SPECIFY) __________ G

MISSION FACILITY H

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC I
PHARMACY J
PRIVATE DOCTOR K
VILLAGE COMMUNITY WORKER L
OTHER PRIVATE MEDICAL (SPECIFY) __________ M

OTHER SOURCE

SHOP N
RELATIVE/FRIENDS O
TRADITIONAL HEALER P

OTHER (SPECIFY) __________ X

Afghanistan 2015	Guinea 2005	Mali 2012	Togo 1998
Benin 1996	Guinea 2012	Myanmar 2015	Uganda 1995
Burkina Faso 2010	India 2015	Namibia 2013	Uganda 2011
Burundi 2010	Kenya 2014	Niger 1998	Uganda 2016
Cameroon 2011	Lesotho 2004	Niger 2006	Zambia 2007
Central African Republic 1995	Lesotho 2009	Nigeria 2008	Zambia 2013
Chad 2014	Lesotho 2014	Nigeria 2013	Zimbabwe 1994
Congo (Democratic Republic) 2007	Mali 1995	Pakistan 2012	Zimbabwe 1999
Cote d'Ivoire 2011	Mali 2006	Tanzania 1996

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