Questionnaire Text

Burkina Faso 2017
Burkina Faso 2018
Ethiopia 2019
Kenya 2017
Kenya 2018
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Burkina Faso 2017
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IMP_304b. When you stopped using the implant in [MONTH/YEAR], where did you go to have your implant removed?

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[] National Hospital Center
[] Health and Social Services Center (public)
[] Family planning clinic
[] Mobile clinic (public)
[] 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
[] Store/market/supermarket/mobile vendors
[] Religious organizations
[] Friend / parent
[] Self
[] Other
[] Don't know
[] No Response

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Burkina Faso 2018
Questionnaire form view entire document:  text 
IMP_304b. When you stopped using the implant in [MONTH/YEAR], where did you go to have your implant removed?

Scroll to bottom to see all choices.

[] National Hospital Center
[] Health and Social Services Center (public)
[] Family planning clinic
[] Mobile clinic (public)
[] 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
[] Store/market/supermarket/mobile vendors
[] Religious organizations
[] Friend / parent
[] Self
[] Other
[] Don't know
[] No Response

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Ethiopia 2019
Questionnaire form view entire document:  text 
FFQ213. When you stopped using the implant, where did you go to have your implant removed?

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[] GOVT HOSPITAL
[] GOVT HEALTH CENTER
[] GOVT. HEALTH POST/HEW
[] Health development army
[] Public Pharmacy
[] OTHER PUBLIC
[] NGO HEALTH FACILITY
[] OTHER NGO
[] PRIVATE HOSPITAL
[] PRIVATE CLINIC
[] Private PHARMACY
[] OTHER PRIVATE MEDICAL
[] DRUG VENDORS/STORE
[] Shop
[] OTHER
[] DO not KNOW
[] NO RESPONSE

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Kenya 2017
Questionnaire form view entire document:  text 
IMP_304b. When you stopped using the implant in {stop_using_full_lab}, where did you go to have your implant removed?

Scroll to bottom to see all choices.

[] Govt. Hospital / polyclinic
[] Govt. Health Center
[] Govt. Dispensary
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy/Chemist
[] Nursing/Maternity Home
[] Faith-based, church, mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health volunteer/CHV
[] Friend/relative
[] Self
[] Other
[] Don't know
[] No Response

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Kenya 2018
Questionnaire form view entire document:  text 
IMP_304b. When you stopped using the implant in {stop_using_full_lab}, where did you go to have your implant removed?

Scroll to bottom to see all choices.

[] Govt. Hospital / polyclinic
[] Govt. Health Center
[] Govt. Dispensary
[] Other Public
[] Private Hospital/Clinic
[] Pharmacy/Chemist
[] Nursing/Maternity Home
[] Faith-based, church, mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health volunteer/CHV
[] Friend/relative
[] Self
[] Other
[] Don't know
[] No Response