[] 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

[] 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

[] 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

[] 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

[] Govt Hospital/polyclinic
[] Govt Health center
[] Govt Health post
[] Family planning clinic
[] Mobile clinic
[] Private hospital/clinic
[] Pharmacy
[] Shop/market
[] Community volunteer
[] Friend / relative
[] NGO
[] Self
[] other
[] Do not know
[] No response

[] Govt./Municipal Hospital
[] Govt. Dispensary
[] UFWC/ UHC/UHP/UFWC
[] CHC/Rural Hospital/Block PHC
[] Sub-Centre/ANM
[] Govt. Mobile Clinic
[] Camp
[] NGO or Trust Hospital/Clinic

[] Pvt. Hospital
[] Pvt. Doctor/Clinic
[] Pvt. Mobile Clinic
[] Home of dai (TBA)
[] Home
[] Other
[] Don?t know
[] No response

[] 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

[] 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

[] 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

[] Govt. Hospital
[] Govt. Health Center
[] Public Family Planning Clinic
[] Public Outreach
[] Public Fieldwork/VHT
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy
[] Private Doctor
[] Private Outreach
[] Private Fieldwork/VHT
[] Other Private
[] Shop
[] Church
[] Friend/relative
[] Market
[] Traditional healer
[] Self
[] Other
[] Don't know
[] No Response

[] Govt. Hospital
[] Govt. Health Center
[] Public Family Planning Clinic
[] Public Outreach
[] Public Fieldwork/VHT
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy
[] Private Doctor
[] Private Outreach
[] Private Fieldwork/VHT
[] Other Private
[] Shop
[] Church
[] Friend/relative
[] Market
[] Traditional healer
[] Self
[] Other
[] Don't know
[] No Response