Survey Text

Benin 1996	Cote d'Ivoire 1998	Niger 1998	Uganda 1995
Burkina Faso 1998	Guinea 1999	Nigeria 1999	Zambia 1996
Cameroon 1998	Kenya 1998	Senegal 1997	Zimbabwe 1994
Central African Republic 1995	Madagascar 1997	Tanzania 1996
Chad 1996	Mali 1995	Togo 1998

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Benin 1996

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801E) Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
VAGINAL TRICHOMONIASIS D
GENITAL ULCERS E
OTHER (SPECIFY) __________________ X
DON'T KNOW Z

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Burkina Faso 1998

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801E. Which infections did you have?
RECORD ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA (GENITAL WARTS) D
DISCHARGE E
ULCERS F
LOWER ABDOMINAL PAIN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Cameroon 1998

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801E) Which illnesses did you have?

RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE/ULCERATION E
OTHER (SPECIFY): ___ W
OTHER (SPECIFY): ___ X
DK Z

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Central African Republic 1995

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805) Which illnesses did you have?
RECORD ALL RESPONSES

SYPHILIS A
GONORRHEA B
AIDS C
TRICHOMONAS VAGINALIS D
CHANCROID E
OTHER (SPECIFY)____ X
DON'T KNOW Y

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Chad 1996

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801E) What illnesses have you had?

RECORD ALL MENTIONED.

SYPHILIS/POX A
GONORRHEA/BLENNORRAGY B
AIDS C
GENITAL WART /GENITAL TUMOR D
OTHER (SPECIFY): ___ W
DK Z

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Cote d'Ivoire 1998

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801E) Which illnesses did you have?

RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
ABDOMINAL PAIN G
OTHER (SPECIFY): ___ W
OTHER (SPECIFY): ___ X
DK Z

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Guinea 1999

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801E. Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Kenya 1998

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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
HIV/AIDS C
GENITAL WARTS D
UGONGWA ZINAA E
OTHER (SPECIFY) _______________ W
OTHER (SPECIFY) _______________ X
DOES NOT KNOW Z

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Madagascar 1997

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801E. Which infections did you have?
RECORD ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA (GENITAL WARTS) D
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Mali 1995

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801E. Which illness did you have?
RECORD ALL MENTIONED

SYPHILIS/POX A
GONORRHEA B
AIDS C
CONDYLOMA/TUMOR D
OTHER (SPECIFY)__X
DOESN'T KNOW Z

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Niger 1998

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801E) Which illnesses have you had?

RECORD EVERYTHING MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMOR D
OTHER (SPECIFY): ___ X
DON'T KNOW Z

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Nigeria 1999

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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
DOES NOT KNOW Z

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Senegal 1997

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705. Among these illnesses, which have you had?
CIRCLE THE CODES CORRESPONDING TO ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA/HOT URINE D
OTHER (SPECIFY) _____E
DOESN'T KNOW F

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Tanzania 1996

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813. Which of the diseases did you have?
CIRCLE ALL MENTIONED.

SYPHILIS A
GONORRHOEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _____________ X
DON'T KNOW Z

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Togo 1998

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801E) Which illnesses did you have?
RECORD ALL RESPONSES

SYPHILIS A
GONORRHEA B
AIDS C
TRICHOMONAS VAGINALIS D
CHANCROID E
OTHER (SPECIFY) __________ X
DON'T KNOW Z

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Uganda 1995

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805) Which?

RECORD ALL RESPONSES

SYPHILIS/KABOTONGO A
GONORRHEA/NZIKO B
AIDS/SLIM DISEASE C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _________ W
OTHER (SPECIFY) _________ X
DOES NOT KNOW Z

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Zambia 1996

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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _______________ W
OTHER (SPECIFY) _______________ X
DOES NOT KNOW Z

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Zimbabwe 1994

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805) Which? RECORD ALL RESPONSES

SYPHILIS A
GONORRHEA B
AIDS/HIV INFECTION C
GENITAL WARTS / CONDYLONATA D
CHANCROID E
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
DON'T KNOW Z