Questionnaire Text

Burkina Faso 2014 Ethiopia 2014a Indonesia 2015 Nigeria 2014b
Burkina Faso 2015 Ethiopia 2014b Indonesia 2016 Nigeria 2015a
Burkina Faso 2016a Ethiopia 2015 Kenya 2014a Nigeria 2015b
Burkina Faso 2016b Ethiopia 2016 Kenya 2014b Nigeria 2016
Congo (Democratic Republic) 2013 Ethiopia 2017 Kenya 2015a Nigeria 2017
Congo (Democratic Republic) 2014 Ghana 2013 Kenya 2015b Uganda 2014
Congo (Democratic Republic) 2015a Ghana 2014a Kenya 2016 Uganda 2015a
Congo (Democratic Republic) 2015b Ghana 2014b Niger 2015 Uganda 2015b
Congo (Democratic Republic) 2015c Ghana 2015 Niger 2016a Uganda 2016
Congo (Democratic Republic) 2016a Ghana 2016 Niger 2016b Uganda 2017
Congo (Democratic Republic) 2016b India 2016 Niger 2017
Cote d'Ivoire 2017 India 2017a Nigeria 2014a
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Burkina Faso 2014
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Burkina Faso 2015
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Burkina Faso 2016a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Burkina Faso 2016b
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Congo (Democratic Republic) 2013
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2014
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2015a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2015b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2015c
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2016a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Congo (Democratic Republic) 2016b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Cote d'Ivoire 2017
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Ethiopia 2014a
Questionnaire form view entire document:  text 

32. Where did you obtain (MOST RECENT /CURRENT METHOD) when you started using it? SCROLL TO BOTTOM TO SEE ALL CHOICES.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 14
[] Mobile clinic (public) 15
NGO
[] NGO health facility 21
[] Community volunteer 22
[] Family planning clinic 25
Private medical sector
[] Private hospital/clinic 31
[] Pharmacy 33
Other source
[] Shop/market 42
[] Friend / relative 43
[] Other 96
[] Don't know -88
[] No response. -99

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Ethiopia 2014b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Ethiopia 2015
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Ethiopia 2016
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Ethiopia 2017
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Ghana 2013
Questionnaire form view entire document:  text 

32. Where did you obtain your (MOST RECENT /CURRENT METHOD) when you started using it?
SCROLL TO BOTTOM TO SEE ALL CHOICES

Public Sector
[] CHPS 10
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] NGO 35
[] Other 96
[] Don't know -88
[] No response -99

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Ghana 2014a
Questionnaire form view entire document:  text 

32. Where did you obtain your (MOST RECENT / CURRENT METHOD) when you started using it?
SCROLL TO BOTTOM TO SEE ALL CHOICES
Public Sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
[] CHPS 10
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] NGO 35
[] Other 96
[] Don't know -88

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Ghana 2014b
Questionnaire form view entire document:  text 

32. Where did you obtain your (MOST RECENT / CURRENT METHOD) when you started using it?
SCROLL TO BOTTOM TO SEE ALL CHOICES
Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
[] CHPS 10
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] NGO 35
[] Other 96
[] Don't know -88

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Ghana 2015
Questionnaire form view entire document:  text 

30. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM FQ27]. Where did you get it at that time?
Scroll to bottom to see all choices.
Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 10
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16

Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26

Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] NGO 30
[] Other 96

[] Don't know -88
[] No Response -99

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Ghana 2016
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
Public sector
[] CHPS 10
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] Public Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] Private FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] NGO 35
[] Herbal Clinic 36
[] Other 96
[] Don't know -88
[] No Response -99

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India 2016
Questionnaire form view entire document:  text 

30. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM FQ27]. Where did you get it at that time?
Scroll to bottom to see all choices.

Public Health Sector
[] Govt./Municipal Hospital 11
[] Govt. Dispensary 12
[] UFWC/UHC/UHP 13
[] CHC/Rural Hospital/Block PHC 14
[] Sub-Centre/ANM 15
[] Govt. Mobile Clinic 16
[] Camp 17
[] Anganwadi/ICDS Centre 18
[] ASHA 19
[] Other Community-Based Worker 10
[] NGO or Trust Hospital/Clinic 21
Private Health Sector
[] Pvt. Hospital 31
[] Pvt. Doctor/Clinic 32
[] Pvt. Mobile Clinic 33
[] Vaidya/Hakim/Homeopath (Ayush) 34
[] Traditional Healer 35
[] Pharmacy/Drugstore 36
[] Dai (TBA) 37
Other Source
[] Shop 41
[] Friend/Parent/Relative 42
[] Other 96
[] Don't know -88
[] No Response -99

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India 2017a
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310. c]. Where did you or your partner get it at that time? Scroll to bottom to see all choices. Public Health Sector

[] Govt./Municipal Hospital 11
[] Govt. Dispensary 12
[] UFWC/ UHC/UHP 13
[] CHC/Rural Hospital/Block PHC 14
[] Sub-Centre/ANM 15
[] Govt. Mobile Clinic 16
[] Camp 17
[] Anganwadi/ICDS Centre 18
[] ASHA 19
[] Other Community-Based Worker 10
[] NGO or Trust Hospital/Clinic 21

Private Health Sector

[] Pvt. Hospital 31
[] Pvt. Doctor/Clinic 32
[] Pvt. Mobile Clinic 33
[] Vaidya/Hakim/Homeopath (Ayush) . 34
[] Traditional Healer 35
[] Pharmacy/Drugstore 36
[] Dai (TBA) 37

Other Source

[] Shop 41
[] Friend/Parent/Relative 42
[] Other 96
[] Don't know -88
[] No Response -99

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Indonesia 2015
Questionnaire form view entire document:  text 

32. You first started using (CURRENT/MOST RECENT METHOD) in (DATE FROM FQ29). Where did you get it at that time?
Scroll to bottom to see all choices.
Public Sector:
[] Government Hospital 11
[] Government Health Center 12
[] Government Sub Health Center 13
[] FP Fieldworker 14
[] FP Mobile Unit 15
[] Village Health Post 16
[] Delivery Post 17
[] FP Cadre 18
[] Integrated health post 19

Private Medical Sector:
[] Private Hospital 21
[] Maternity Hospital 22
[] Maternity Home 23
[] Private Clinic 24
[] General Practitioner 25
[] Obstetrician 26
[] Midwife 27
[] Nurse 28
[] Village Midwife 29
[] Pharmacy/Drug Store 30

Other Source:
[] Friends/Relative 41
[] Shop 42
[] Other 96

[] Don't Know -88
[] No Response -99

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Indonesia 2016
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Kenya 2014a
Questionnaire form view entire document:  text 

32. Where did you obtain your (MOST RECENT / CURRENT METHOD) when you started using it?
SCROLL TO BOTTOM TO SEE ALL CHOICES
Public sector:
[] Government hospital 11
[] Government health center 12
[] Government dispensary 13
[] Other public 16
Private medical sector:
[] Faith-based, church, mission hospital/clinic 21
[] FHOK/FPAK health center/clinic 22
[] Private hospital/clinic 23
[] Pharmacy/chemist 24
[] Nursing/maternity home 25
Other source:
[] Mobile clinic 31
[] Community-?????based distributor 32
[] Shop 51
[] Friend/relative 61
[] Other 96
[] Don't know -??88
[] No response -??99

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Kenya 2014b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it?
Scroll to bottom to see all choices.

PUBLIC SECTOR:
GOVT HOSPITAL 11
GOVT HEALTH CENTER 12
GOVERNMENT DISPENSARY 13
OTHER PUBLIC 16
PRIVATE MEDICAL SECTOR:
FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC 21
FHOK/FPAK HEALTH CENTER/CLINIC 22
PRIVATE HOSPITAL/CLINIC 23
PHARMACY/CHEMIST 24
NURSING/MATERNITY HOME 25
OTHER SOURCE:
MOBILE CLINIC 31
COMMUNITY-BASED DISTRIBUTOR 32
SHOP 51
FRIEND/RELATIVE 61
OTHER 96
DON'T KNOW -88
NO RESPONSE -99

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Kenya 2015a
Questionnaire form view entire document:  text 

30. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM FQ27]. Where did you get it at that time?
Scroll to bottom to see all choices.

PUBLIC SECTOR:
[] GOVT HOSPITAL 11
[] GOVT HEALTH CENTER 12
[] GOVERNMENT DISPENSARY 13
[] OTHER PUBLIC 16

PRIVATE MEDICAL SECTOR:
[] FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC 21
[] FHOK/FPAK HEALTH CENTER/CLINIC 22
[] PRIVATE HOSPITAL/CLINIC 23
[] PHARMACY/CHEMIST 24
[] NURSING/MATERNITY HOME 25

OTHER SOURCE:
[] MOBILE CLINIC 31
[] COMMUNITY-BASED DISTRIBUTOR 41
[] SHOP 51
[] FRIEND/RELATIVE 61
[] OTHER 96

[] DON'T KNOW -88
[] NO RESPONSE -99

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Kenya 2015b
Questionnaire form view entire document:  text 

30. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM FQ27]. Where did you get it at that time?
Scroll to bottom to see all choices.
PUBLIC SECTOR:
[] GOVT HOSPITAL 11
[] GOVT HEALTH CENTER 12
[] GOVERNMENT DISPENSARY 13
[] OTHER PUBLIC 16

PRIVATE MEDICAL SECTOR:
[] FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC 21
[] FHOK/FPAK HEALTH CENTER/CLINIC22
[] PRIVATE HOSPITAL/CLINIC 23
[] PHARMACY/CHEMIST 24
[] NURSING/MATERNITY HOME 25

OTHER SOURCE:
[] MOBILE CLINIC 31
[] COMMUNITY-BASED DISTRIBUTOR 41
[] SHOP 51
[] FRIEND/RELATIVE 61
[] OTHER 96

[] DON'T KNOW -88
[] NO RESPONSE -99

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Kenya 2016
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Dispensary 13
[] Other public 16
Private medical sector
[] Private hospital/clinic 23
[] Pharmacy/Chemist 24
[] Nursing/Maternity home 25
[] Faith-based, Church, Mission hospital/clinic 21
[] Family options/FHOK clinic 22
[] Other private medical sector 29
Other source
[] Shop 51
[] Mobile clinic 31
[] Community-based distributor 41
[] Community health worker/CHW 42
[] Friend / relative 61
[] Other 96
[] Don't know -88
[] No Response -99

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Niger 2015
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Niger 2016a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Niger 2016b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Niger 2017
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Nigeria 2014a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Nigeria 2014b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Nigeria 2015a
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Nigeria 2015b
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Nigeria 2016
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Nigeria 2017
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99

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Uganda 2014
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Uganda 2015a
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

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Uganda 2015b
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Uganda 2016
Questionnaire form view entire document:  text 

32. Where did you obtain your [MOST RECENT / CURRENT METHOD] when you started using it? Scroll to bottom to see all choices.
PUBLIC SECTOR:

[] Govt hospital . 1
[] Gove health center. 2
[] Family planning clinic 3
[] Outreach (public sector) 4
[] Fieldworker/VHT 5

PRIVATE MEDICAL SECTOR:

[] Private hospital/clinic 6
[] Pharmacy 7
[] Private doctor 8
[] Outreach (private sector) 9
[] Fieldworker/VHT 10
[] Maternity home 11

OTHER SOURCE:

[] Shop . 12
[] Church 13
[] Friend/Relative . 14
[] Other 15
[] Don't know -88
[] No response -99

top
Uganda 2017
Questionnaire form view entire document:  text 

311a. You first started using [CURRENT/MOST RECENT METHOD] in [DATE FROM 310a or 310c]. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.

Public sector
[] Govt. Hospital/polyclinic 11
[] Govt. Health center 12
[] Govt. Health post 13
[] CHPS 13
[] Family planning clinic 14
[] Mobile clinic 15
[] Fieldworker/outreach/peer educator 16
Private medical sector
[] Private hospital/clinic 21
[] Private doctor 22
[] Pharmacy 23
[] Chemical/drug store 24
[] FP/PPAG clinic 25
[] Maternity home 26
Other source
[] Shop/market 31
[] Church 32
[] Community volunteer 33
[] Friend / relative 34
[] Other 96
[] Don't know -88
[] No Response -99