Survey Text

Afghanistan 2015 Egypt 2008 Mali 1995 Senegal 2015
Angola 2015 Egypt 2014 Mali 2006 Senegal 2016
Bangladesh 2011 Eswatini (Swaziland) 2006 Mali 2012 Senegal 2017
Bangladesh 2014 Ethiopia 2005 Mali 2018 South Africa 2016
Benin 1996 Ethiopia 2011 Myanmar 2015 Tanzania 1996
Benin 2006 Ethiopia 2016 Namibia 2006 Tanzania 2004
Benin 2011 Ghana 2008 Namibia 2013 Tanzania 2010
Benin 2017 Ghana 2014 Nepal 2006 Togo 1998
Burkina Faso 1998 Guinea 1999 Nepal 2011 Togo 2013
Burkina Faso 2010 Guinea 2005 Nepal 2016 Uganda 1995
Burundi 2010 Guinea 2012 Niger 1998 Uganda 2006
Burundi 2016 Guinea 2018 Niger 2006 Uganda 2011
Cameroon 1998 India 2015 Niger 2012 Uganda 2016
Cameroon 2004 Kenya 1998 Nigeria 1999 Yemen 2013
Cameroon 2011 Kenya 2008 Nigeria 2008 Zambia 1996
Central African Republic 1995 Kenya 2014 Nigeria 2013 Zambia 2007
Chad 1996 Lesotho 2004 Nigeria 2018 Zambia 2013
Chad 2014 Lesotho 2009 Pakistan 2012 Zambia 2018
Congo (Democratic Republic) 2007 Lesotho 2014 Pakistan 2017 Zimbabwe 1994
Congo (Democratic Republic) 2013 Liberia 2007 Rwanda 2005 Zimbabwe 1999
Congo Brazzaville 2005 Liberia 2013 Rwanda 2010 Zimbabwe 2005
Congo Brazzaville 2011 Madagascar 1997 Rwanda 2014 Zimbabwe 2010
Cote d'Ivoire 1998 Madagascar 2008 Senegal 1997 Zimbabwe 2015
Cote d'Ivoire 2011 Malawi 2010 Senegal 2010
Egypt 2005 Malawi 2016 Senegal 2014
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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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Angola 2015
Survey form view entire document:  text 
1045) Where did you seek advice or treatment?
Anywhere else?
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
CENTRAL HOSPITAL A
HOSPITAL IN PROVINCE B
HOSPITAL IN RURAL AREA C
MATERNITY WARD D
GATV E
HEALTH CENTER/POST F
MOBILE CLINIC G
OTHER: (SPECIFY)____ H
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL/DOCTOR I
GATV J
PHARMACY K
OTHER PRIVATE SECTOR: (SPECIFY) ______ L
OTHER SOURCE
TRADITIONAL HEALER M
FRIEND/RELATIVE N
OTHER: (SPECIFY)____X

Survey form view entire document:  text 
1045) Where did you seek advice or treatment?
Anywhere else?
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
CENTRAL HOSPITAL A
HOSPITAL IN PROVINCE B
HOSPITAL IN RURAL AREA C
MATERNITY WARD D
GATV E
HEALTH CENTER/POST F
MOBILE CLINIC G
OTHER: (SPECIFY)____ H
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL/DOCTOR I
GATV J
PHARMACY K
OTHER PRIVATE SECTOR: (SPECIFY) ______ L
OTHER SOURCE
TRADITIONAL HEALER M
FRIEND/RELATIVE N
OTHER: (SPECIFY)____X

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Bangladesh 2011
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 945A)

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
MEDICAL COLLEGE HOSPITAL A
SPECIALISED GOVT. HOSPITAL
HOSPITAL (SPECIFY) ________________ B
DISTRICT HOSPITAL C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASST. I
OTHER (SPECIFY) ______________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO DEPO HOLDER M
NGO FIELD WORKER N
OTHER (SPECIFY) _____________ O
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC P
QUALIFIED DOCTOR Q
UNQUALIFIED DOCTOR R
PHARMACY/DRUG STORE S
PRIVATE MEDICAL COLLEGE HOSPITAL (SPECIFY) ______________ T
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____________ U
OTHER SOURCE (SPECIFY) _______________ X

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 945A)

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
MEDICAL COLLEGE HOSPITAL A
SPECIALISED GOVT. HOSPITAL
HOSPITAL (SPECIFY) ________________ B
DISTRICT HOSPITAL C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASST. I
OTHER (SPECIFY) ______________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO DEPO HOLDER M
NGO FIELD WORKER N
OTHER (SPECIFY) _____________ O
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC P
QUALIFIED DOCTOR Q
UNQUALIFIED DOCTOR R
PHARMACY/DRUG STORE S
PRIVATE MEDICAL COLLEGE HOSPITAL (SPECIFY) ______________ T
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____________ U
OTHER SOURCE (SPECIFY) _______________ X

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Bangladesh 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
HOSP./MEDICAL COLLEGE/SPE. MED. COL A
DISTRICT HOSPITAL B
MCWC C
UHC D
UH AND FWC E
SATELLITE CLINIC/EPI OUTREACH SITE F
COMMUNITY CLINIC G
FAMILY WELFARE ASST. H
OTHER (SPECIFY) _____ I
NGO SECTOR
NGO STATIC CLINIC J
NGO SATELLITE CLINIC K
NGO DEPO HOLDER L
NGO FIELD WORKER M
OTHER (SPECIFY) _____ N
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC O
QUALIFIED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY/DRUG STORE R
PRIVATE MEDICAL COLLEGE HOSPITAL (SPECIFY) _____ S
OTHER SOURCE
OTHER (SPECIFY) _____ X

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
HOSP./MEDICAL COLLEGE/SPE. MED. COL A
DISTRICT HOSPITAL B
MCWC C
UHC D
UH AND FWC E
SATELLITE CLINIC/EPI OUTREACH SITE F
COMMUNITY CLINIC G
FAMILY WELFARE ASST. H
OTHER (SPECIFY) _____ I
NGO SECTOR
NGO STATIC CLINIC J
NGO SATELLITE CLINIC K
NGO DEPO HOLDER L
NGO FIELD WORKER M
OTHER (SPECIFY) _____ N
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC O
QUALIFIED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY/DRUG STORE R
PRIVATE MEDICAL COLLEGE HOSPITAL (SPECIFY) _____ S
OTHER SOURCE
OTHER (SPECIFY) _____ 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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Benin 2006
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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Benin 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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Benin 2017
Survey form view entire document:  text 
1050. 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 HTC CENTER C
FAMILY PLANNING CLINIC D
MOBILE HTC SERVICES E
OTHER PUBLIC SECTOR (SPECIFY)____________F
PRIVATE MEDICAL SECTOR
PRIVATE/HOSPITAL/CLINIC PRIVATE DOCTOR G
STAND-ALONE HTC CENTER H
PHARMACY I
MOBILE HTC SERVICES J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)_____________K
OTHER SOURCE
SHOP L
OTHER (SPECIFY)________________X

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Burkina Faso 1998
Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
RECORD ALL MENTIONED.

PUBLIC/PARA-PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
CSPS C
SMI D
DISPENSARY/MATERNITY POST E
COMMUNITY PHARMACEUTICAL DEPOT F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
FAMILY PLANNING CLINIC I
PHARMACY J
NURSE'S OFFICE K
OTHER PRIVATE (SPECIFY) _____ L
OTHER SOURCE
STORE/MARKET M
BAR/NIGHTCLUB N
KIOSK O
HOTEL/ROOM FOR RENT P
INFORMAL RETAIL CIRCUIT Q
FRIENDS/RELATIVES R
OTHER (SPECIFY) _____ X
OTHER (SPECIFY) _____ Y

Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
RECORD ALL MENTIONED.

PUBLIC/PARA-PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
CSPS C
SMI D
DISPENSARY/MATERNITY POST E
COMMUNITY PHARMACEUTICAL DEPOT F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
FAMILY PLANNING CLINIC I
PHARMACY J
NURSE'S OFFICE K
OTHER PRIVATE (SPECIFY) _____ L
OTHER SOURCE
STORE/MARKET M
BAR/NIGHTCLUB N
KIOSK O
HOTEL/ROOM FOR RENT P
INFORMAL RETAIL CIRCUIT Q
FRIENDS/RELATIVES R
OTHER (SPECIFY) _____ X
OTHER (SPECIFY) _____ Y

Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
RECORD ALL MENTIONED.

PUBLIC/PARA-PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
CSPS C
SMI D
DISPENSARY/MATERNITY POST E
COMMUNITY PHARMACEUTICAL DEPOT F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
FAMILY PLANNING CLINIC I
PHARMACY J
NURSE'S OFFICE K
OTHER PRIVATE (SPECIFY) _____ L
OTHER SOURCE
STORE/MARKET M
BAR/NIGHTCLUB N
KIOSK O
HOTEL/ROOM FOR RENT P
INFORMAL RETAIL CIRCUIT Q
FRIENDS/RELATIVES R
OTHER (SPECIFY) _____ X
OTHER (SPECIFY) _____ Y

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Burkina Faso 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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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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Burundi 2016
Survey form view entire document:  text 
1050) 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 GOVERNMENT HOSPITAL A
REGIONAL GOVERNMENT HOSPITAL B
DISTRICT HOSPITAL C
GOVERNMENT HEALTH CENTER D
INDEPENDENT TESTING CENTER E
MOBILE TESTING SERVICE F
OTHER____________G
CERTIFIED MEDICAL SECTOR
CERTIFIED HOSPITAL H
CERTIFIED HEALTH CENTER I
OTHER PRIVATE MEDICAL__________J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/DOCTOR K
PRIVATE HEALTH CARE CENTER L
INDEPENDENT TESTING CENTER M
PHARMACY N
MOBILE TESTING SERVICE O
OTHER PRIVATE MEDICAL__________P
OTHER SOURCE
SHOP Q
OTHER_____________X

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Cameroon 1998
Survey form view entire document:  text 
801G) Where did you seek advice or treatment?
Any other place?

CIRCLE ALL MENTIONED.

PUBLIC/SEMIPUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
OTHER PUBLIC (SPECIFY): ___ C
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL D
SECULAR HOSPITAL/CLINIC E
HEALTH CENTER/RELIGIOUS CLINIC/MISSION F
DOCTOR'S OFFICE G
PHARMACY H
OTHER PRIVATE MEDICAL (SPECIFY): ___ I
OTHER PRIVATE SECTOR
SHOP/MARKET J
TRADITIONAL PRACTITIONER K
FRIENDS/RELATIVES L
OTHER (SPECIFY): ___ X
DK Z

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Cameroon 2004
Survey form view entire document:  text 
819H) Where did you go for treatment?

Any other place?

CIRCLE ALL 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.

PUBLIC/SEMIPUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
OTHER PUBLIC (SPECIFY): ___ C
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL D
SECULAR HOSPITAL/CLINIC E
HEALTH CENTER/RELIGIOUS CLINIC/MISSION F
DOCTOR'S OFFICE G
PHARMACY H
OTHER PRIVATE MEDICAL (SPECIFY): ___ I

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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

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 1996
Survey form view entire document:  text 
801G) Where did you seek advice or treatment?

Anywhere else? From anyone else?

RECORD ALL MENTIONED.

IF HOSPITAL, HEALTH CENTER, OR CLINIC, RECORD THE NAME OF THE PLACE. PROBE TO DETERMINE THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PLEASE NOTE:
IF RESPONSE IS 'MILITARY HOSPITAL/GARRISON,' CIRCLE 'B' FOR N'DJAMENA AND THE CODE 'C' FOR OTHER CITIES.

PLEASE NOTE:
IF THE RESPONSE IS 'NURSE,' PROBE TO DETERMINE IF A REAL NURSE (CODE 'K' "WORKPLACE HEALTH CENTER") OF IF A HOSPITAL OR A PUBLIC HEALTH CENTER.

PUBLIC SECTOR
PUBLIC HOSPITAL/MATERNITY CLINIC A
MILITARY HOSPITAL/GARRISON B
HEALTH CENTER/DISPENSARY/GARRISON C
WALK-IN CLINIC D
HOSPITAL OR HEALTH CENTER PHARMACY E
OTHER PUBLIC (SPECIFY): ___ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL G
CLINIC/PRIVATE DOCTOR'S OFFICE H
CHADIAN FAMILY WELFARE ASSOCIATION I
PRIVATE HEALTH CENTER J
WORKPLACE HEALTH CENTER K
PHARMACY/PHARMACEUTICAL DEPOT L
OTHER PRIVATE MEDICAL (SPECIFY): ___ M
PUBLIC/PRIVATE SECTOR
VILLAGE PHARMACY/HEALTH CENTER N
OTHER
SHOP/BAR/MARKET O
FIRST AID WORKER P
TRAVELING SALESMAN Q
FRIENDS/NEIGHBORS/RELATIVES R
HEALER S
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 
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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Congo (Democratic Republic) 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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Congo Brazzaville 2005
Survey form view entire document:  text 
860) Where did you go? Any other place?
CIRCLE ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/MOTHER-INFANT CENTER B
HEALTH POST C
PRIVATE MEDICAL SECTOR
CLINIC D
PRIVATE DOCTOR'S OFFICE E
NURSE'S OFFICE F
MEDICAL-SOCIAL CENTER G
CONGOLESE ASSOCIATION FOR FAMILY WELL-BEING H
PHARMACY I
OTHER PRIVATE SECTOR
TRADITIONAL THERAPIST J
SPIRITUAL MEDICAL CENTER K
TRAVELLING SALESMAN/UNOFFICIAL PHARMACY L
SHOP/MARKET M
OTHER PLACE X

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Congo Brazzaville 2011
Survey form view entire document:  text 
945) Where did you go?
Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

PUBLIC SECTOR
HOSPITAL A
INTEGRATED HEALTH CENTER B
HEALTH POST C
PRIVATE MEDICAL SECTOR
CLINIC D
DOCTOR'S OFFICE E
PHARMACY F
OTHER PRIVATE SECTOR
TRADITIONAL THERAPIST G
PEDDLER/TRAVELING PHARMACY H
SHOP/MARKET I
OTHER PLACE (SPECIFY) _____ X

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Cote d'Ivoire 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
HEALTH CENTER/MOTHER-INFANT CENTER B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY): ___ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE HOSPITAL/CLINIC G
FAMILY PLANNING CENTER H
PHARMACY/PHARMACY DEPOT I
OTHER PRIVATE MEDICAL (SPECIFY): ___ J
OTHER PRIVATE SECTOR
SHOP/MARKET K
INFORMAL COMMERCIAL DISTRIBUTION L
CHURCH M
ACQUAINTANCES/RELATIVES N
TRADITIONAL PRACTITIONER O
OTHER (SPECIFY): ___ X
DON'T KNOW Z

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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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Egypt 2005
Survey form view entire document:  text 
1133) Where did you go?

Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH
URBAN HOSPITAL A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY HOSPITAL H
TEACHING HOSPITAL I
HEALTH INSURANCE ORG J
CURATIVE CARE ORGANIZATION K
OTHER GOVERNMENTAL L
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOC. M
CSI PROJECT N
OTHER NON-GOVERNMENTAL O
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC P
PRIVATE DOCTOR Q
PHARMACY R
MOSQUE HEALTH UNIT S
CHURCH HEALTH UNIT T
OTHER NON-MEDICAL
OTHER VENDOR (SHOP, KIOSK, ETC.,) U
FRIEND/RELATIVE V
OTHER (SPECIFY) _______________ X

Survey form view entire document:  text 
1133) Where did you go?

Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH
URBAN HOSPITAL A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY HOSPITAL H
TEACHING HOSPITAL I
HEALTH INSURANCE ORG J
CURATIVE CARE ORGANIZATION K
OTHER GOVERNMENTAL L
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOC. M
CSI PROJECT N
OTHER NON-GOVERNMENTAL O
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC P
PRIVATE DOCTOR Q
PHARMACY R
MOSQUE HEALTH UNIT S
CHURCH HEALTH UNIT T
OTHER NON-MEDICAL
OTHER VENDOR (SHOP, KIOSK, ETC.,) U
FRIEND/RELATIVE V
OTHER (SPECIFY) _______________ X

Survey form view entire document:  text 
1133) Where did you go?

Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH
URBAN HOSPITAL A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY HOSPITAL H
TEACHING HOSPITAL I
HEALTH INSURANCE ORG J
CURATIVE CARE ORGANIZATION K
OTHER GOVERNMENTAL L
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOC. M
CSI PROJECT N
OTHER NON-GOVERNMENTAL O
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC P
PRIVATE DOCTOR Q
PHARMACY R
MOSQUE HEALTH UNIT S
CHURCH HEALTH UNIT T
OTHER NON-MEDICAL
OTHER VENDOR (SHOP, KIOSK, ETC.,) U
FRIEND/RELATIVE V
OTHER (SPECIFY) _______________ X

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Egypt 2008
Survey form view entire document:  text 
1008. Where did you go? Any other place? RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH AND POPULATION
URBAN HOSPITAL (GNRL/DSTRCT) A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL (COMPl'TARY) D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY HOSPITAL H
TEACHING HOSPITAL I
HEALTH INSURANCE ORG J
CURATIVE CARE ORGANIZATION K
OTHER GOVERNMENTAL L
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOC M
CSI PROJECT N
OTHER NON-GOVERNMENTAL O
PRIVATE MEDICAL
PRIVATE HOSPITAL/ CLINIC P
PRIVATE DOCTOR Q
PHARMACY R
MOSQUE HEALTH UNIT S
CHURCH HEALTH UNIT T
OTHER NON-MEDICAL
OTHER VENDOR (SHOP, KIOSK, ETC.,) U
FRIEND/RELATIVE V
OTHER (SPECIFY) ________________ X

Survey form view entire document:  text 
1008. Where did you go? Any other place? RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH AND POPULATION
URBAN HOSPITAL (GNRL/DSTRCT) A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL (COMPl'TARY) D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY HOSPITAL H
TEACHING HOSPITAL I
HEALTH INSURANCE ORG J
CURATIVE CARE ORGANIZATION K
OTHER GOVERNMENTAL L
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOC M
CSI PROJECT N
OTHER NON-GOVERNMENTAL O
PRIVATE MEDICAL
PRIVATE HOSPITAL/ CLINIC P
PRIVATE DOCTOR Q
PHARMACY R
MOSQUE HEALTH UNIT S
CHURCH HEALTH UNIT T
OTHER NON-MEDICAL
OTHER VENDOR (SHOP, KIOSK, ETC.,) U
FRIEND/RELATIVE V
OTHER (SPECIFY) ________________ X

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Egypt 2014
Survey form view entire document:  text 
1025. The last time you had (PROBLEM FROM 1021/1022/1023), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 1100)

1026. Where did you go? Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH AND POPULATION
URBAN HOSPITAL (GENERAL/DISTRICT) A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL (CENTRAL) D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY/TEACHING HOSPITAL H
HEALTH INSURANCE ORGANIZATION I
CURATIVE CARE ORGANIZATION J
OTHER GOVERNMENTAL K
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOCIATION L
CSI PROJECT M
OTHER NON-GOVERNMENTAL N
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC O
PRIVATE DOCTOR P
PHARMACY Q
MOSQUE HEALTH UNIT R
CHURCH HEALTH UNIT S
OTHER NON-MEDICAL
VENDOR (SHOP, KIOSK, ETC.) T
FRIEND/RELATIVE U
OTHER (SPECIFY)____________X

Survey form view entire document:  text 
1025. The last time you had (PROBLEM FROM 1021/1022/1023), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 1100)

1026. Where did you go? Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH AND POPULATION
URBAN HOSPITAL (GENERAL/DISTRICT) A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL (CENTRAL) D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY/TEACHING HOSPITAL H
HEALTH INSURANCE ORGANIZATION I
CURATIVE CARE ORGANIZATION J
OTHER GOVERNMENTAL K
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOCIATION L
CSI PROJECT M
OTHER NON-GOVERNMENTAL N
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC O
PRIVATE DOCTOR P
PHARMACY Q
MOSQUE HEALTH UNIT R
CHURCH HEALTH UNIT S
OTHER NON-MEDICAL
VENDOR (SHOP, KIOSK, ETC.) T
FRIEND/RELATIVE U
OTHER (SPECIFY)____________X

Survey form view entire document:  text 
1025. The last time you had (PROBLEM FROM 1021/1022/1023), did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 1100)

1026. Where did you go? Any other place?
RECORD ALL SOURCES MENTIONED.

MINISTRY OF HEALTH AND POPULATION
URBAN HOSPITAL (GENERAL/DISTRICT) A
URBAN HEALTH UNIT B
HEALTH OFFICE C
RURAL HOSPITAL (CENTRAL) D
RURAL HEALTH UNIT E
MCH CENTER F
MOBILE UNIT G
OTHER GOVERNMENTAL
UNIVERSITY/TEACHING HOSPITAL H
HEALTH INSURANCE ORGANIZATION I
CURATIVE CARE ORGANIZATION J
OTHER GOVERNMENTAL K
NON-GOVERNMENTAL
EGYPT FAMILY PLANNING ASSOCIATION L
CSI PROJECT M
OTHER NON-GOVERNMENTAL N
PRIVATE MEDICAL
PRIVATE HOSPITAL/CLINIC O
PRIVATE DOCTOR P
PHARMACY Q
MOSQUE HEALTH UNIT R
CHURCH HEALTH UNIT S
OTHER NON-MEDICAL
VENDOR (SHOP, KIOSK, ETC.) T
FRIEND/RELATIVE U
OTHER (SPECIFY)____________X

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Eswatini (Swaziland) 2006
Survey form view entire document:  text 
1011) Where did you go?
Any other place?
RECORD ALL SOURCES MENTIONED.
PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).
WRITE THE NAME OF THE PLACE.

(NAME OF PLACE)__________
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
PHU/CLINIC C
MOBILE CLINIC D
RHM E
OTHER PUBLIC (SPECIFY) _______F
PRIVATE SECTOR
PRIVATE. HOSPITAL/CLINIC G
PHARMACY H
PRIVATE. DOCTOR I
MOBILE CLINIC J
OTHER PRIVATE (SPECIFY) ________
MISSION
HOSPITAL L
CLINIC M
OTHER MISSION (SPECIFY) _________N
NGO O
TASC P
OTHER SOURCE
SHOP Q
TRADITIONAL HEALER R
OTHER (SPECIFY) _______X
(ALL GO TO 1013)

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Ethiopia 2005
Survey form view entire document:  text 
925. Where did you go? Any other place?
RECORD ALL SOURCES MENTIONED

PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC A
GOVERNMENT HEALTH CENTER B
VCT CENTER C
GOVERNMENT HEALTH POST D
FAMILY PLANNING CLINIC E
STAND ALONE VCT CENTER F
OTHER PUBLIC (SPECIFY) ________G

NON-GOVERNMENT (NGO) HEALTH FACILITY H
STANDALONE VCT CENTER I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/ CLINIC/DOCTOR J
STAND ALONE VCT CENTER K
PHARMACY L
OTHER PRIVATE MEDICAL (SPECIFY) ___________________ M
OTHER SOURCE
DRUG VENDOR N
SHOP O
TRADITIONAL HEALER P
OTHER (SPECIFY) _____________ X

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Ethiopia 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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Ethiopia 2016
Survey form view entire document:  text 
1050. 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
GOVERNMENT HEALTH POST C
PUBLIC PHARMACY D
OTHER PUBLIC SECTOR (SPECIFY) E
NGO
HEALTH FACILITY F
OTHER NGO MEDICAL SECTOR (SPECIFY) G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL H
PRIVATE CLINIC I
PRIVATE PHARMACY J
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) K
OTHER SOURCE
SHOP/MARKET L
TRADITIONAL PRACTITIONER M
OTHER (SPECIFY) X

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Ghana 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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Ghana 2014
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 1999
Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
Any other place?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
FAMILY PLANNING CLINIC B
FREE CLINIC C
MEDICAL POST D
OTHER PUBLIC (SPECIFY) _____ E
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR F
PRIVATE CLINIC/HOSPITAL G
FAMILY PLANNING CLINIC H
PHARMACY/PHARMACEUTICAL DEPOT I
OTHER PRIVATE MEDICAL (SPECIFY) _____ J
OTHER PRIVATE SECTOR
SHOP/MARKET K
INFORMAL COMMERCIAL DISTRIBUTION L
CHURCH M
FRIENDS/RELATIVES N
TRADITIONAL PRACTITIONER O
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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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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Guinea 2018
Survey form view entire document:  text 
1050) 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
PREFECTURAL HOSPITAL/COMMUNAL MEDICAL CENTER C
HEALTH CENTER D
HEALTH POST/CENTER E
OTHER PUBLIC SECTOR (SPECIFY) F


PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
PRIVATE HEALTH CLINIC J
FAMILY PLANNING CLINIC/GUINEAN ASSOCIATION FOR FAMILY WELL-BEING K

OTHER PRIVATE MEDICAL (SPECIFY) L


OTHER SOURCE
SHOP M

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 1998
Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
Any other place or person?
RECORD ALL MENTIONED.

PUBLIC SECTOR
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
GOVT. DISPENSARY C
PRIVATE MEDICAL SECTOR
MISSION HOSP/CLINIC D
OTHER PVT. HOSP/CLINIC E
PHARMACY F
PRIVATE DOCTOR G
MOBILE CLINIC H
COMMUNITY BASED DISTRIBUTOR I
COMM. HEALTH WORKER J
OTHER SOURCE
SHOP K
HERBALIST/TRAD. PRACT. L
RELATIVE/FRIEND M
OTHER (SPECIFY) ______ X
DOES NOT KNOW Z

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Kenya 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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Kenya 2014
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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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

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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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Liberia 2007
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

Survey form view entire document:  text 
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
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH CLINIC C
STAND-ALONE VCT CENTER D
OTHER PUBLIC (SPECIFY) ____________ E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
PRIVATE DOCTOR G
STAND-ALONE VCT CENTER H
PHARMACY I
FAMILY PLANNING ASSN. LIBERIA J
MOBILE CLINIC K
OTHER PRIVATE MEDICAL (SPECIFY) _____________ L
OTHER SOURCE
SHOP M
OTHER (SPECIFY) ________ X

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Liberia 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

Survey form view entire document:  text 
945. Where did you go? (4)
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
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 (SPECIFY)__________________X

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Madagascar 1997
Survey form view entire document:  text 
801H. Where did you seek advice or treatment?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
DISPENSARY C
LOCAL HEALTH POST D
OTHER PUBLIC (SPECIFY) __________ X
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC E
PHARMACY F
DOCTOR G
OTHER PRIVATE (SPECIFY) ______ Y
OTHER SOURCE
STORE I
RELIGIOUS CENTER J
RELATIVES K
FRIENDS L
HEALER M
OTHER (SPECIFY) ____________ Z

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Madagascar 2008
Survey form view entire document:  text 
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 A HOSPITAL, HEALTH CENTER, OR CLINIC IS A PUBLIC OR PRIVATE INSTITUTION, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S) ______
PUBLIC SECTOR
DISTRICT HOSPITAL II (facility equipped for surgeries) A
DISTRICT HOSPITAL I (non-surgical medical capabilities) B
BASIC HEALTH CENTER II (basic health care, physician-run) C
BASIC HEALTH CENTER I (basic health care, run by para-medical officer) D
OTHER PUBLIC PLACE (SPECIFY) ______ E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
PRIVATE HEALTH CENTER G
PHARMACY/MEDICINE DISPERSAL CENTER H
PRIVATE DOCTOR I
PF/FISA CENTER J
TOP NETWORK K
OTHER PRIVATE MEDICAL (SPECIFY) _____ L
OTHER SOURCE
VBC AGENT M
STORE N
KIOSK O
CHURCH P
TRADITIONAL HEALER Q
RELATIVES/FRIENDS R
OTHER (SPECIFY) ______ X

Survey form view entire document:  text 
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 A HOSPITAL, HEALTH CENTER, OR CLINIC IS A PUBLIC OR PRIVATE INSTITUTION, WRITE THE NAME OF THE PLACE.

NAME OF PLACE(S) ______
PUBLIC SECTOR
DISTRICT HOSPITAL II (facility equipped for surgeries) A
DISTRICT HOSPITAL I (non-surgical medical capabilities) B
BASIC HEALTH CENTER II (basic health care, physician-run) C
BASIC HEALTH CENTER I (basic health care, run by para-medical officer) D
OTHER PUBLIC PLACE (SPECIFY) ______ E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
PRIVATE HEALTH CENTER G
PHARMACY/MEDICINE DISPERSAL CENTER H
PRIVATE DOCTOR I
PF/FISA CENTER J
TOP NETWORK K
OTHER PRIVATE MEDICAL (SPECIFY) _____ L
OTHER SOURCE
VBC AGENT M
STORE N
KIOSK O
CHURCH P
TRADITIONAL HEALER Q
RELATIVES/FRIENDS R
OTHER (SPECIFY) ______ X

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Malawi 2010
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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Malawi 2016
Survey form view entire document:  text 
1050. 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
GOVERNMENT HEALTH POST/OUTREACH C
HSA D
DOOR TO DOOR E
OTHER PUBLIC SECTOR (SPECIFY) F
CHAM/MISSION
HOSPITAL G
HEALTH CENTER H
MOBILE CLINIC I
DOOR TO DOOR J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR K
PHARMACY L
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) M
BLM N
MACRO O
OTHER SOURCE
HOME P
WORKPLACE Q
CORRECTIONAL FACILITY R
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

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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Mali 2018
Survey form view entire document:  text 
1050) 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
REFERENCE HEALTH CENTER C
COMMUNITY HEALTH CENTER D
DISPENSARY/MATERNITY E
STAND-ALONE HTC CENTER F
MOBILE HTC SERVICES G
OTHER PUBLIC SECTOR (SPECIFY) H
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR I
STAND-ALONE HTC CENTER J
PHARMACY K
MOBILE HTC SERVICES L
OTHER PRIVATE MEDICAL (SPECIFY) M
OTHER SOURCE
SHOP N
OTHER (SPECIFY) X

Survey form view entire document:  text 
1050) 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
REFERENCE HEALTH CENTER C
COMMUNITY HEALTH CENTER D
DISPENSARY/MATERNITY E
STAND-ALONE HTC CENTER F
MOBILE HTC SERVICES G
OTHER PUBLIC SECTOR (SPECIFY) H
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR I
STAND-ALONE HTC CENTER J
PHARMACY K
MOBILE HTC SERVICES L
OTHER PRIVATE MEDICAL (SPECIFY) M
OTHER SOURCE
SHOP N
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 2006
Survey form view entire document:  text 
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/CLINIC B
STAND-ALONE VCT CENTER C
FAMILY PLANNING CLINIC D
PHC CLINIC (MOBILE) E
COMM. HEALTH WORKER F
OTHER PUBLIC (SPECIFY) _____ G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR H
STAND-ALONE VCT CENTER I
PHARMACY J
OTHER PRIVATE MEDICAL (SPECIFY) ____ K
OTHER (SPECIFY) ____ L
OTHER SOURCE
SHOP M
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

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 B
STAND-ALONE VCT CENTER C
GVT. PRIMARY HEALTH CARE CLINIC D
OUTREACH POINT E
MOBILE CLINIC F
SCHOOL BASED CLINIC G
OTHER PUBLIC SECTOR (SPECIFY __________) H
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLNIC/PRIVATE DOCTOR I
STAND-ALONE VCT CENTER J
PHARMACY K
MOBILE CLNIC L
FIELDWORKER M
SCHOOL BASED CLINIC N
OTHER PRIVATE MEDICAL SECTOR (SPECIFY __________) O
OTHER SOURCE
SHOP P
OTHER (SPECIFY __________) X

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Nepal 2006
Survey form view entire document:  text 
922. The last time you had (PROBLEM FROM 918/919/920). Did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 924)

923. 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) ___
GOVT. SECTOR
GOVERNMENT HOSPITAL A
PRIMARY HEALTH CARE B
HEALTH POST C
SUB-HEALTH POST D
PHC OUTREACH E
FAMILY PLANNING CLINIC F
MOBILE CLINIC G
FIELD WORKER H
OTHER GOVT. (SPECIFY) ___ I
NON-GOVT. SECTOR
FPAN J
AMDA K
INF L
NEPAL RED CROSS M
UMN N
OTHER NON-GOVT. (SPECIFY) ___ O
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR P
OTHER PRIVATE MEDICAL (SPECIFY) ___ Q
OTHER SOURCE
OTHER (SPECIFY) ___ X

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Nepal 2011
Survey form view entire document:  text 
929) 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)) _____________________
GOVT. SECTOR
GOVT. HOSPITAL/CLINIC A
PHC CENTER B
HEALTH POST C
SUB-HEALTH POST D
PHC OUTREACH CLINIC E
FAMILY PLANNING CLINIC F
MOBILE CLINIC G
FIELDWORKER H
OTHER GOVT. (SPECIFY) __________ I
NON-GOVT. (NGO)
FPAN J
AMDA K
ADRA L
INF M
NEPAL RED CROSS N
UMN O
OTHER NGO. (SPECIFY) __________ P
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC NURSING HOME Q
OTHER PRIVATE MED. (SPECIFY) ________ R
OTHER SOURCE OTHER (SPECIFY) _____________ X

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Nepal 2016
Survey form view entire document:  text 
1050. 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
PRIMARY HEALTH CARE CENTER B
HEALTH POST/SUB-HEALTH POST C
PHC OUTREACH CLINIC D
MOBILE CAMP E
SATELLITE CLINIC F
OTHER PUBLIC FACILITIES (SPECIFY) ___ G
NON-GOVT. (NGO) SECTOR
FPAN H
MARIE STOPES I
OTHER NGO FACILITIES (SPECIFY) __ J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/NURISNG HOME K
PRIVATE CLINIC L
PHARMACY M
OTHER PRIVATE MEDICAL FACILITIES (SPECIFY) ___ N
OTHER SOURCE
SHOP O
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 
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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Niger 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(S))______________

PUBLIC SECTOR
A NATIONAL HOSPITAL
B MATERNITY REFERENCE CENTER
C REGIONAL HOSPITAL
D HD
E INTEGRATED HEALTH CENTER
F HEALTH HUT
G PHARMACY
H OTHER PUBLIC SECTOR (SPECIFY)
PRIVATE MEDICAL SECTOR
I PRIVATE HOSPITAL/CLINIC
J PHARMACY
K CLINIC/ NIGERIEN ASSOCIATION FOR FAMILIAL WELL-BEING
L RELIGIOUS INSTITUTION
M OTHER PRIVATE MEDICAL SECTOR (SPECIFY)
OTHER SOURCE
N SHOP
O TRAVELLING PHARMACY/PEDDLER
P TRADITIONAL PRACTITIONER
X OTHER (SPECIFY)

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Nigeria 1999
Survey form view entire document:  text 
801I. Where did you seek advice or treatment?
ANY OTHER PLACE OR PERSON.
RECORD ALL MENTIONED.

PUBLIC SECTOR
GOVT. HOSPITAL A
HEALTH CENTER B
FP CLINIC C
MOBILE CLINIC D
DISPENSARY E
OTHER PUBLIC SECTOR F
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY/PMS H
PRIVATE DOCTOR I
MOBILE CLINIC J
OTHER MED. PRIVATE SECTOR K
OTHER SHOP L
RELATIVES/FRIENDS M
TRADITIONAL HEALER N
OTHER (SPECIFY) _______________ X
DOES NOT KNOW Z

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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

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Nigeria 2018
Survey form view entire document:  text 
1050. Where did you go?

Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE.

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

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
STAND-ALONE HTS CENTER C
FAMILY PLANNINGCLINIC D
MOBILE HTS CENTER E
OTHER PUBLIC SECTOR _____ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR G
STAND-ALONE HTS CENTER H
PHARMACY I
CHEMIST/PMS STORE J
MOBILE HTS SERVICES K
OTHER PRIVATE MEDICAL SECTOR ______ L
OTHER SOURCE
SHOP M
OTHER ______ X

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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

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Pakistan 2017
Survey form view entire document:  text 
1050) 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 HTC CENTER C
FAMILY PLANNING CLINIC D
MOBILE HTC SERVICES E
OTHER PUBLIC SECTOR (SPECIFY) _________ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR G
STAND-ALONE HTC CENTER H
PHARMACY I
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) ________ J
OTHER SOURCE
SHOP K
OTHER (SPECIFY) _________ X

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Rwanda 2005
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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Rwanda 2010
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/AGREE SECTOR
REFERAL HOSPITAL A
DISTRICT HOSPITAL B
HEALTH CENTER C
HEALTH POST D
OUTREACH E
COMMUNITY HEALTH WORKER F
OTHER PUBLIC HEALTH FACILITY (SPECIFY) G
PRIVATE MEDICAL SECTOR
POLYCLINIC H
CLINIC I
DISPENSARY J
PHARMACY K
FAMILY PLANNING CLINIC L
OTHER PRIVATE MEDICAL FACILITY (SPECIFY) M
OTHER SOURCE
KIOSK N
TRADITIONAL BIRTH ATTENDANT O
FRIEND/RELATIVE P
OTHER (SPECIFY) X

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Rwanda 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/AGREE SECTOR
REFERRAL HOSPITAL A
PROVINCIAL/DISTRICT HOSPITAL B
HEALTH CENTER C
HEALTH POST D
OUTREACH E
COMMUNITY HEALTH WORKER F
OTHER PUBLIC HEALTH FACILITY (SPECIFY) ____ G
PRIVATE MEDICAL SECTOR
POLYCLINIC H
CLINIC I
DISPENSARY J
PHARMACY K
FAMILY PLANNING CLINIC L
OTHER PRIVATE HEALTH FACILITY (SPECIFY) ____ M
OTHER SOURCES
KIOSK/SHOP/BAR N
TRADITIONAL HEALER O
FRIEND/RELATIVE P
YOUTH CENTER Q
OTHER (SPECIFY) ____ X

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Senegal 1997
Survey form view entire document:  text 
707. Where did you seek advice or treatment?
CIRCLE THE CODES CORRESPONDING TO RESPONSES GIVEN.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
HEALTH POST/ PMI (Protection Maternelle et Infantile) C
PRIVATE MEDICAL SECTOR
PRIVATE CLINIC/HOSPITAL D
PHARMACY E
PRIVATE DOCTOR F
PRIVATE NURSE/CONFES G
OTHER SECTOR
ASBEF (Senegalese Association for Family Well-Being) H
CHURCH I
FRIEND/RELATIVE J
OTHER (SPECIFY) _____L
DOESN'T KNOW M

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Senegal 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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Senegal 2014
Survey form view entire document:  text 
944) The last time you had (INFECTION 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 THE 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
HEALTH POST C
GOVT. FAMILY PLANNING CENTER D
RURAL MATERNITY E
HEALTH HUT F
COMMUNITY PHARMACY G
MOBILE CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE J
PHARMACY K
PRIVATE DOCTOR L
RELIGIOUS FREE CLINIC M
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) N
OTHER SOURCE
SHOP O
CHURCH P
FRIENDS/RELATIVES Q
BAR R
OTHER (SPECIFY) X

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Senegal 2015
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
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
HEALTH POST C
GOVT. FAMILY PLANNING CENTER D
RURAL MATERNITY E
HEALTH HUT F
COMMUNITY PHARMACY G
MOBILE CLINIC H
OTHER PUBLIC SECTOR (SPECIFY) _____ I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE J
PHARMACY K
PRIVATE DOCTOR L
RELIGIOUS FREE CLINIC M
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ N
OTHER SOURCE
SHOP O
CHURCH P
FRIENDS/RELATIVES Q
BAR R
OTHER (SPECIFY) ____X

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Senegal 2016
Survey form view entire document:  text 
1050) Where did you go?

Any other place?

PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
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
HEALTH POST C
GOVERNMENT FAMILY PLANNING CENTER D
RURAL MATERNITY E
HEALTH HUT F
COMMUNITY PHARMACY G
VOLUNTARY TESTING CENTER H
MOBILE HTC SEVICES I
OTHER PUBLIC SECTOR (SPECIFY) _____ J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE K
PHARMACY L
PRIVATE DOCTOR M
RELIGIOUS FREE CLINIC N
PRIVATE LABORATORY O
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ P
OTHER SOURCE
SHOP Q
CHURCH R
FRIENDS/RELATIVES S
BAR T
OTHER (SPECIFY) _____ X

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Senegal 2017
Survey form view entire document:  text 
1050) 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
HEALTH POST C
GOVERNMENT FAMILY PLANNING CENTER D
RURAL MATERNITY E
HEALTH HUT F
COMMUNITY PHARMACY G
VOLUNTARY TESTING CENTER H
MOBILE HTC SEVICES I
OTHER PUBLIC SECTOR (SPECIFY) _____ J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE K
PHARMACY L
PRIVATE DOCTOR M
PRIVATE LABORATORY N
RELIGIOUS FREE CLINIC O
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ P
OTHER SOURCE
SHOP Q
CHURCH R
FRIENDS/RELATIVES S
BAR T
OTHER (SPECIFY) _____ X

Survey form view entire document:  text 
1050) 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
HEALTH POST C
GOVERNMENT FAMILY PLANNING CENTER D
RURAL MATERNITY E
HEALTH HUT F
COMMUNITY PHARMACY G
VOLUNTARY TESTING CENTER H
MOBILE HTC SEVICES I
OTHER PUBLIC SECTOR (SPECIFY) _____ J
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE K
PHARMACY L
PRIVATE DOCTOR M
PRIVATE LABORATORY N
RELIGIOUS FREE CLINIC O
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _____ P
OTHER SOURCE
SHOP Q
CHURCH R
FRIENDS/RELATIVES S
BAR T
OTHER (SPECIFY) _____ X

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South Africa 2016
Survey form view entire document:  text 
1050) Where did you go? Any other place?
PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, RECORD 'X' AND WRITE THE NAME OF THE PLACE.

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT CLINIC/COMMUNITY HEALTH CENTRE B
MOBILE/TEMPORARY HCT SERVICES C
OTHER PUBLIC SECTOR (SPECIFY) _________ D
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR E
NEW START CENTRE F
CHEMIST/PHARMACY G
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________ H
OTHER SOURCE
SHOP I
TRADITIONAL HERBALIST J
TRADITIONAL HEALER K
OTHER (SPECIFY) _________ X

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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

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Tanzania 2004
Survey form view entire document:  text 
860. Where did you go? Any other place?
RECORD ALL SOURCES MENTIONED.

GOVERNMENT/PARASTATAL
REFERAL/SPEC. HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
VILLAGE HEALTH POST (W G
CBD WORKER H
RELIGIOUS/VOLUNTARY
REFERAL/SPEC. HOSPITAL I
DISTRICT HOSPITAL J
GOVT. HEALTH CENTRE K
DISPENSARY L
PRIVATE
DISTRICT HOSPITAL M
HEALTH CENTRE N
DISPENSARY O
OTHER
NGO P
VCT CENTRE Q
OTHER (SPECIFY) _______ X

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Tanzania 2010
Survey form view entire document:  text 
950. 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) __________
GOVERNMENT/PARASTATAL
REFERAL/SPEC. HOSPITAL A
REGIONAL HOSPITAL B
DISTRICT HOSPITAL C
HEALTH CENTRE D
DISPENSARY E
VILLAGE HEALTH POST F
CBD WORKER G
RELIGIOUS/VOLUNTARY
REFERAL/SPEC. HOSPITAL H
DISTRICT HOSPITAL I
GOVT. HEALTH CENTRE J
DISPENSARY K
PRIVATE
HOSPITAL L
HEALTH CENTRE M
DISPENSARY N
OTHER
PRIVATE PHARMACY O
NGO P
VCT CENTRE Q
OTHER (SPECIFY) ________________________ X

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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

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Togo 2013
Survey form view entire document:  text 
944) The last time you had (INFECTION FROM 940/941/942), did you seek any kind of advice or treatment?

YES 1
NO 2- (SKIP TO 946)

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(S))_________

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
STAND-ALONE VCT CENTER B
HEALTH CENTER C
DISPENSARY D
MOTHER-INFANT PROTECTION E
MOBILE CLINIC F
SCHOOL BASED CLINIC G
OTHER PUBLIC SECTOR________ (SPECIFY) H
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC I
PRIVATE DOCTOR'S OFFICE J
PHARMACY K
SCHOOL BASED CLINIC L
NGO/ASSOCIATION M
OTHER PRIVATE MEDICAL SECTOR______ (SPECIFY) N
OTHER_____ (SPECIFY) X

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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 2006
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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Uganda 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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Uganda 2016
Survey form view entire document:  text 
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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Yemen 2013
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 THE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE(S))____
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
PRIMARY HEALTH CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
PRIVATE SECTOR
(PRIVATE HOSPITAL/CLINIC/DISPENSARY/DOCTOR'S OFFICE) F
NON GOVERNMENT ORGANIZATIONS
(HOSPITAL/CLINIC/DISPENSARY/PRIVATE DOCTOR'S OFFICE/MOBILE CLINIC) G
OTHER (SPECIFY) ____ X

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 THE SECTOR, WRITE THE NAME OF THE PLACE

(NAME OF PLACE(S))____
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
PRIMARY HEALTH CENTER C
FAMILY PLANNING CLINIC D
MOBILE CLINIC E
PRIVATE SECTOR
(PRIVATE HOSPITAL/CLINIC/DISPENSARY/DOCTOR'S OFFICE) F
NON GOVERNMENT ORGANIZATIONS
(HOSPITAL/CLINIC/DISPENSARY/PRIVATE DOCTOR'S OFFICE/MOBILE CLINIC) G
OTHER (SPECIFY) ____ X

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Zambia 1996
Survey form view entire document:  text 
801G. Where did you seek advice or treatment?
Any other place or person?
RECORD ALL MENTIONED.

PUBLIC SECTOR
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
OTHER PUBLIC SECTOR C
MEDICAL PRIVATE SECTOR
PRIVATE HOSPITAL/CLINIC D
MISSION HOSPITAL/CLINIC E
PHARMACY F
PRIVATE DOCTOR G
MOBILE CLINIC H
OTHER MED. PRIVATE SECTOR I
OTHER
SHOP J
RELATIVES/FRIENDS K
TRADITIONAL HEALER L
OTHER (SPECIFY) ______ X
DOES NOT KNOW Z

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Zambia 2007
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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Zambia 2013
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 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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Zambia 2018
Survey form view entire document:  text 
(1050) Where did you go?
Any other places?
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
GOVERNMENT HEALTH POST C
STAND-ALONE HTC CENTER D
MOBILE HTC SERVICES E
OTHER PUBLIC SECTOR (SPECIFY) __________________________ F

PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/ PRIVATE DOCTOR G
MISSION HOSPITAL/CLINIC H
STAND-ALONE HTC CENTER I
PHARMACY J
MOBILE HTC SERVICES K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) _________________________ L

OTHER SOURCE
SHOP M
OTHER (SPECIFY) _______________

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Zimbabwe 1994
Survey form view entire document:  text 
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
Survey form view entire document:  text 
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

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Zimbabwe 2005
Survey form view entire document:  text 
1009) Where did you go? Any other places?

RECORD ALL SOURCES MENTIONED.

PUBLIC SECTOR
CENTRAL HOSPITAL A
PROVINCIAL HOSPITAL B
DISTRICT/RURAL HOSPITAL C
RURAL HEALTH CENTER D
RURAL/MUNICIPAL CLINIC E
VILLAGE/FARM HEALTH WORKER F
OTHER PUBLIC (SPECIFY) __________ G
MISSION FACILITY H
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC I
PHARMACY J
OTHER PRIVATE MEDICAL (SPECIFY) __________ K
OTHER SOURCE
SHOP L
RELATIVE/FRIEND M
TRADITIONAL HEALER N
OTHER (SPECIFY) __________ X

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Zimbabwe 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(S)___
PUBLIC SECTOR
CENTRAL HOSPITAL A
PROVINCIAL HOSPITAL B
DISTRICT HOSPITAL C
RURAL HOSPITAL D
RURAL HEALTH CENTER/COUNCIL CLINIC E
URBAN MUNICIPAL CLINIC F
FAMILY PLANNING CLINIC G
OTHER PUBLIC SECTOR (SPECIFY) H
MISSION HOSPITAL/CLINIC I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/PRIVATE DOCTOR J
PHARMACY K
OTHER PRIVATE MEDICAL CENTRE (SPECIFY) L
OTHER SOURCE
MOBILE VCT M
SHOP N
TRADITIONAL HERBALIST O
OTHER (SPECIFY) X

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Zimbabwe 2015
Survey form view entire document:  text 
1049. The last time you had (PROBLEM FROM 1045/1046/1047) did you seek any kind of advice or treatment?

YES 1
NO 2 (GO TO 1051)