Questionnaire Text

Burkina Faso 2021
Congo (Democratic Republic) 2021
Congo (Democratic Republic) 2021
Cote d'Ivoire 2018
India 2018
Niger 2022
Nigeria 2018
top
Burkina Faso 2021
Questionnaire form view entire document:  text 
749. Where did you get the {abt_last_method_lab}?

[] National Hospital Center
[] Health and Social Services Center (public)
[] Family planning clinic
[] Mobile clinic (public)
[] Private provider
[] Other private medical sector
[] Regional Hospital Center
[] Medical Center with Surgery Unit (public)
[] Medical Center (public)
[] Fieldworker and community health volunteers (public)
[] Private hospital or clinic
[] Pharmacy
[] Private practice
[] Mobile clinic (private)
[] Maternity
[] Health Agent
[] Healer
[] Store/market/supermarket/mobile vendors
[] Religious organizations
[] Community event
[] Friend/Parent
[] House
[] Street vendor
[] Other
[] Don't know
[] No Response

top
Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
ABT_49. Where did you get the {abt_last_method_lab}?

[] National hospital
[] Family planning clinic
[] Health center/Poste de sante
[] Maternity
[] Community health volunteer
[] Regional hospital
[] Private hospital/clinic
[] pharmacy
[] NGO
[] Private health center
[] Private practice
[] Private doctor
[] Mobile nurse
[] Community health worker (ASC)
[] Community-based medical student
[] Boutique
[] Religious institution
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response

top
Congo (Democratic Republic) 2021
Questionnaire form view entire document:  text 
ABT_49. Where did you get the {abt_last_method_lab}?

[] National hospital
[] Family planning clinic
[] Health center/Poste de sante
[] Maternity
[] Community health volunteer
[] Regional hospital
[] Private hospital/clinic
[] pharmacy
[] NGO
[] Private health center
[] Private practice
[] Private doctor
[] Mobile nurse
[] Community health worker (ASC)
[] Community-based medical student
[] Boutique
[] Religious institution
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response

top
Cote d'Ivoire 2018
Questionnaire form view entire document:  text 
729a. Where did you go for the procedure?

[] Government hospital
[] Government health center
[] Family planning clinic
[] Mobile clinic public
[] Other public
[] Private hospital / clinic
[] Pharmacy
[] Private doctor
[] Mobile clinic private
[] Health agent
[] Other private
[] Store
[] Religious organizations
[] Community event
[] Friend / parent
[] Community health agent
[] Street vendor
[] Other
[] Do not know
[] No response

top
India 2018
Questionnaire form view entire document:  text 
729a. Where did you go for the procedure?

[] Govt./Municipal Hospital
[] Govt. Dispensary
[] UFWC/UHC/UHP
[] CHC/Rural Hospital/PHC
[] Sub-Centre/ANM
[] Govt. Mobile clinic
[] Camp
[] Anganwadi/ICDS Centre
[] ASHA
[] Other Community-Based Worker
[] NGO or Trust Hospital/Clinic
[] Pvt hospital
[] Pvt. Doctor/Clinic
[] Pvt. Mobile Clinic
[] Vaidya/Hakim/Homeopath (Ayush)
[] Traditional Healer
[] Pharmacy/Drugstore
[] Dai (TBA)
[] Shop
[] Friend / parent / relative
[] Other
[] Do not know
[] No response

top
Niger 2022
Questionnaire form view entire document:  text 
ABT_49. Where did you get the [last pregnancy removal method]?

[] Pharmacy - public
[] Maternity Central
[] Center of Madonna and Child
[] Maternity CHR
[] Maternity HD
[] Health Center
[] Community-based distribution site
[] Case de santé
[] Mobile clinic
[] Private hospital or clinic
[] Pharmacy - private
[] Mobile clinic (private)
[] Center ANBEF
[] Kiosk Routier
[] Polyclinic or Private clinic
[] Boutique
[] Religious organizations
[] Community event
[] Friend / parent
[] Walking pharmacy
[] Other
[] Do not know
[] No Response

top
Nigeria 2018
Questionnaire form view entire document:  text 
729a. Where did you go for the procedure?

[] Government Hospital
[] Government Health Center
[] Family planning clinic
[] Mobile clinic (public)
[] TBA/Fieldworker (public)
[] Private hospital/clinic
[] Pharmacy
[] Chemist/PMS Store
[] Private doctor or nurse
[] Mobile clinic (private)
[] TBA/Fieldworker (private)
[] Shop
[] FBO/Church
[] Friend / relative
[] NGO
[] Market / hawking
[] Other
[] Do not know
[] No response