Questionnaire Text

Burkina Faso 2017 India 2018 Kenya 2017 Nigeria 2018
Cote d'Ivoire 2018 Indonesia 2015 Niger 2018 Uganda 2018
Ethiopia 2018 Indonesia 2016 Nigeria 2017b
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Burkina Faso 2017
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308a. The last time you received your ${current_recent_label}, how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in CFA. Zero is a possible answer. Enter -88 if respondent does not know, -99 for no response.


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Cote d'Ivoire 2018
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308a. The last time you received your [CURREN METHOD /MOST RECENT METHOD], how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?
Enter all prices in FCFA. Zero is a possible answer.


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Ethiopia 2018
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308a. The last time you received your [CURREN METHOD /MOST RECENT METHOD], how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in Ethiopian Birr.


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India 2018
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308a. The last time you received your {current_recent_label}, how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in rupees. Enter -88 if respondent does not know, -99 for no response.


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Indonesia 2015
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34. How much did you pay? Enter all prices in [local currency]. Enter -88 if respondent does not know, -99 for no response.
Fee: _______

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Indonesia 2016
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ID_ INS4 How much did you pay?

Enter Amount: ____

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Kenya 2017
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308a. The last time you received your {current_recent_label}, how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in Kenyan Shillings. Enter -88 if respondent does not know, -99 for no response.


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Niger 2018
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308a. The last time you received your [CURREN METHOD /MOST RECENT METHOD], how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in FCFA.


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Nigeria 2017b
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308a. The last time you received your {current_recent_label}, how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in Naira. Zero is a possible answer. Enter -88 if respondent does not know, -99 for no response.


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Nigeria 2018
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308a. The last time you received your {current_recent_label}, how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?

Enter all prices in Naira. Zero is a possible answer. Enter -88 if respondent does not know, -99 for no response.


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Uganda 2018
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308. a. The last time you received your [CURREN METHOD /MOST RECENT METHOD], how much did you have to pay out of pocket, including any fees paid for the method, supplies or services, and transportation?
Enter all prices in Ugandan shillings. Zero is a possible answer. Enter -88 if respondent does not know, -99 for no response.