Questionnaire Text
Burkina Faso 2014
Questionnaire form
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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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Burkina Faso 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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Burkina Faso 2018
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Burkina Faso 2020
Questionnaire form
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311a. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
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
[] Community event
[] Other
[] Don't know
[] No Response
Burkina Faso 2021
Questionnaire form
view entire document:
text
320. Where did you or your partner get {current_method_label} when you first started using it?
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
[] Community event
[] Other
[] Don't know
[] No Response
Burkina Faso 2022
Questionnaire form
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text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
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
[] Community event
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2013
Questionnaire form
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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
[] Govt. Health Center
[] Govt. Dispensary
[] Family planning clinic (public)
[] Mobile clinic
[] Fieldworker
[] Community Health Center
Private sector
[] Private hospital / clinic
[] Private doctor
[] Pharmacy
[] Drugstore
[] Family planning clinic (private)
[] Maternity
[] Market / supermarket
Other sources
[] Church / religious organizations
[] Community volunteer
[] Friend / parent
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2014
Questionnaire form
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text
FQ32. Where did you obtain [MOST RECENT / CURRENT METHOD] when you started using it?
[] Govt. Hospital
[] Govt. Health Center
[] Govt. Dispensary
[] Family planning clinic (public)
[] Mobile clinic
[] Fieldworker
[] Community Health Center
[] Private hospital / clinic
[] Private doctor
[] Pharmacy
[] Drugstore
[] Family planning clinic (private)
[] Maternity
[] Market / supermarket
[] Church / religious organizations
[] Community volunteer
[] Friend / parent
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2015a
Questionnaire form
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VST1. Where did you obtain [MOST RECENT / CURRENT METHOD] the last time?
Scroll to bottom to see all choices.[] National hospital
[] Family planning clinic
[] Health center/ health post
[] Maternity
[] Community health volunteer
[] Regional hospital
[] Private hospital/clinic
[] pharmacy
[] NGO
[] Private health center
[] Private practice
[] Private doctor
[] Mobile nurse
[] Fieldworker
[] Boutique
[] Religious institution
[] Friend / Relative
[] Bar / Night club
[] Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2015b
Questionnaire form
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FQ30. You first started using [MOST RECENT / CURRENT METHOD] on [DATE]. Where did you get it at that time?
Scroll to bottom to see all choices.[] National hospital
[] Family planning clinic
[] Health center/ Health post
[] Maternity
[] Community health volunteer
[] Regional hospital
[] Private hospital/clinic
[] Pharmacy
[] NGO
[] Private health center
[] Private practice
[] Private doctor
[] Mobile nurse
[] Fieldworker
[] Boutique
[] Religious institution
[] Friend / Relative
[] Bar / Night club
[] Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2015c
Questionnaire form
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FQ30. You first started using [MOST RECENT / CURRENT METHOD] on [DATE]. Where did you get it at that time?
Scroll to bottom to see all choices.[] National hospital
[] Family planning clinic
[] Health center/ Health post
[] Maternity
[] Community health volunteer
[] Regional hospital
[] Private hospital/clinic
[] Pharmacy
[] NGO
[] Private health center
[] Private practice
[] Private doctor
[] Mobile nurse
[] Fieldworker
[] Boutique
[] Religious institution
[] Friend / Relative
[] Bar / Night club
[] Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2016a
Questionnaire form
view entire document:
text
VST1. Where did you obtain [MOST RECENT / CURRENT METHOD] the last time?
Scroll to bottom to see all choices.[] National hospital
[] Family planning clinic
[] Health center/ Health post
[] 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
[] Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
Congo (Democratic Republic) 2017a
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2017b
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2018a
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2018b
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2019a
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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 instituteion
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2019b
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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 instituteion
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2020
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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 instituteion
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2020
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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 instituteion
[] Friend / Relative
[] Bar / Night club
[] Ligablo / Kiosk
[] Chayeur
[] Other
[] Don't know
[] No Response
Congo (Democratic Republic) 2021
Questionnaire form
view entire document:
text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
Congo (Democratic Republic) 2021
Questionnaire form
view entire document:
text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
Cote d'Ivoire 2017
Questionnaire form
view entire document:
text
311a. You first started using [Most recent or current method] on [Date of starting method].
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.Public sector
[] Government hospital
[] Government health center
[] Family planning clinic
[] Mobile clinic (public)
[] Other public
Private sector
[] Private hospital / clinic
[] Pharmacy
[] Private doctor
[] Mobile clinic (private)
[] Health agent
[] Other private
Other Sources
[] Store
[] Religious organizations
[] Friend / parent
[] Community health agent
[] Other
[] Don't know
[] No response
Cote d'Ivoire 2018
Questionnaire form
view entire document:
text
311a. Where did you or your partner get using {current_recent_label} when you first started using it?
Scroll to bottom to see all choices. [] 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
Cote d'Ivoire 2020
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
Cote d'Ivoire 2021
Questionnaire form
view entire document:
text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
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
[] Govt. Health center
[] Govt. Health post
[] Mobile clinic (public)
NGO
[] NGO health facility
[] Community volunteer
[] Family planning clinic
Private medical sector
[] Private hospital/clinic
[] Pharmacy
Other source
[] Shop/market
[] Friend / relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Ethiopia 2018
Questionnaire form
view entire document:
text
311a. Where did you or your partner get {current_recent_label} when you first started using it?
Scroll to bottom to see all choices.
Ethiopia 2019
Questionnaire form
view entire document:
text
FFQ187. You first started using ${current_recent_method_lab} in ${start_mtd_date_et_lab}. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
Cannot select 'no response' or 'Do not know' with other options.
[] 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
[] FRIEND/RELATIVE
[] Self
[] OTHER
[] DO not KNOW
[] NO RESPONSE
Ethiopia 2020
Questionnaire form
view entire document:
text
310a. You first started using {methods_rpt_lab} in ${methods_rpt_start_date}. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Govt. Hospital
[] Govt. Health station/center
[] Govt. Health post
[] Other public sector
[] Health Extension Worker
[] Private hospital/clinic
[] Family planning clinic
[] Mobile clinic
[] NGO
[] Pharmacy
[] Shop/market
[] Community health volunteer
[] Health Development Army (HDA)
[] Friend / relative
[] other
[] Do not know
[] No response
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
[] Govt. Hospital/polyclinic
[] Govt. Health center
[] Govt. Health post
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] NGO
[] Other
[] Don?t know
[] No response
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 CHOICESPublic Sector
[] Govt. Hospital/polyclinic
[] Govt. Health center
[] Govt. Health post
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
[] CHPS
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] NGO
[] Other
[] Don?t know
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 CHOICESPublic sector
[] Govt. Hospital/polyclinic
[] Govt. Health center
[] Govt. Health post
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
[] CHPS
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] NGO
[] Other
[] Don?t know
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] NGO
[] Other
[] Don?t know
[] No response
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
[] Govt. Hospital/polyclinic
[] Govt. Health center
[] Govt. Health post
[] Public Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] Private FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] NGO
[] Herbal Clinic
[] Other
[] Don?t know
[] No response
Ghana 2017
Questionnaire form
view entire document:
text
311a. You first started using {current_recent_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Govt. Hospital/polyclinic
[] Govt. Health center
[] Govt. Health post
[] Public family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
[] CHPS
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] Private FP or PPAG clinic
[] Maternity home
[] NGO
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Herbal clinic
[] Other
[] Don't know
[] No response
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
[] Govt. Dispensary
[] UFWC/UHC/UHP
[] CHC/Rural Hospital/Block PHC
[] Sub-Centre/ANM
[] Govt. Mobile Clinic
[] Camp
[] Anganwadi/ICDS Centre
[] ASHA
[] Other Community-Based Worker
[] NGO or Trust Hospital/Clinic
Private Health Sector
[] Pvt. Hospital
[] Pvt. Doctor/Clinic
[] Pvt. Mobile Clinic
[] Vaidya/Hakim/Homeopath (Ayush)
[] Traditional Healer
[] Pharmacy/Drugstore
[] Dai (TBA)
Other Source
[] Shop
[] Friend/Parent/Relative
[] Other
[] Don?t know
[] No response
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
[] Govt. Dispensary
[] UFWC/ UHC/UHP
[] CHC/Rural Hospital/Block PHC
[] Sub-Centre/ANM
[] Govt. Mobile Clinic
[] Camp
[] Anganwadi/ICDS Centre
[] ASHA
[] Other Community-Based Worker
[] NGO or Trust Hospital/Clinic
Private Health Sector
[] Pvt. Hospital
[] Pvt. Doctor/Clinic
[] Pvt. Mobile Clinic
[] Vaidya/Hakim/Homeopath (Ayush)
[] Traditional Healer
[] Pharmacy/Drugstore
[] Dai (TBA)
Other Source
[] Shop
[] Friend/Parent/Relative
[] Other
[] Don?t know
[] No response
India 2017b
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
India 2018
Questionnaire form
view entire document:
text
311a. You first started using {current_recent_label} on {start_date_lab}. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
India 2020
Questionnaire form
view entire document:
text
311a. You first started using {current_recent_label} on {start_date_lab}. Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
India 2021
Questionnaire form
view entire document:
text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
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
[] Government Health Center
[] Government Sub Health Center
[] FP Fieldworker
[] FP Mobile Unit
[] Village Health Post
[] Delivery Post
[] FP Cadre
[] Integrated health post
Private Medical Sector:
[] Private Hospital
[] Maternity Hospital
[] Maternity Home
[] Private Clinic
[] General Practitioner
[] Obstetrician
[] Midwife
[] Nurse
[] Village Midwife
[] Pharmacy/Drug Store
Other Source:
[] Friends/Relative
[] Shop
[] Other
[] Don?t Know
[] No response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
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 CHOICESPublic sector:
[] Government hospital
[] Government health center
[] Government dispensary
[] Other public
Private medical sector:
[] Faith-based, church, mission hospital/clinic
[] FHOK/FPAK health center/clinic
[] Private hospital/clinic
[] Pharmacy/chemist
[] Nursing/maternity home
Other source:
[] Mobile clinic
[] Community-Â?based distributor
[] Shop
[] Friend/relative
[] Other
[] Don?t know
[] No response
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
[] GOVT HEALTH CENTER
[] GOVERNMENT DISPENSARY
[] OTHER PUBLIC
PRIVATE MEDICAL SECTOR:
[] FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC
[] FHOK/FPAK HEALTH CENTER/CLINIC
[] PRIVATE HOSPITAL/CLINIC
[] PHARMACY/CHEMIST
[] NURSING/MATERNITY HOME
OTHER SOURCE:
[] MOBILE CLINIC
[] COMMUNITY-BASED DISTRIBUTOR
[] SHOP
[] FRIEND/RELATIVE
[] OTHER
[] DON?T KNOW
[] NO RESPONSE
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
[] GOVT HEALTH CENTER
[] GOVERNMENT DISPENSARY
[] OTHER PUBLIC
PRIVATE MEDICAL SECTOR:
[] FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC
[] FHOK/FPAK HEALTH CENTER/CLINIC
[] PRIVATE HOSPITAL/CLINIC
[] PHARMACY/CHEMIST
[] NURSING/MATERNITY HOME
OTHER SOURCE:
[] MOBILE CLINIC
[] COMMUNITY-BASED DISTRIBUTOR
[] SHOP
[] FRIEND/RELATIVE
[] OTHER
[] DON?T KNOW
[] NO RESPONSE
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
[] GOVT HEALTH CENTER
[] GOVERNMENT DISPENSARY
[] OTHER PUBLIC
PRIVATE MEDICAL SECTOR:
[] FAITH-BASED, CHURCH, MISSION HOSPITAL/CLINIC
[] FHOK/FPAK HEALTH CENTER/CLINIC
[] PRIVATE HOSPITAL/CLINIC
[] PHARMACY/CHEMIST
[] NURSING/MATERNITY HOME
OTHER SOURCE:
[] MOBILE CLINIC
[] COMMUNITY-BASED DISTRIBUTOR
[] SHOP
[] FRIEND/RELATIVE
[] OTHER
[] DON?T KNOW
[] NO RESPONSE
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
[] Govt. Health center
[] Govt. Dispensary
[] Other public
Private medical sector
[] Private hospital/clinic
[] Pharmacy/Chemist
[] Nursing/Maternity home
[] Faith-based, Church, Mission hospital/clinic
[] Family options/FHOK clinic
[] Other private medical sector
Other source
[] Shop
[] Mobile clinic
[] Community-based distributor
[] Community health worker/CHW
[] Friend / relative
[] Other
[] Don?t know
[] No response
Kenya 2017
Questionnaire form
view entire document:
text
311a. You first started using [MOST RECENT / CURRENT METHOD] on [DATE].
Where did you or your partner get it at that time?
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
[] Other
[] Don't know
[] No Response
Kenya 2018
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Kenya 2019
Questionnaire form
view entire document:
text
311a. You first started using [CURRENT/RECENT METHOD] on [DATE].
Where did you or your partner get it at that time?
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
[] Other
[] Don't know
[] No Response
Kenya 2020
Questionnaire form
view entire document:
text
311a. You first started using [CURRENT/RECENT METHOD] on [DATE].
Where did you or your partner get it at that time?
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
[] Other
[] Don't know
[] No Response
Kenya 2021
Questionnaire form
view entire document:
text
320. You first started using{current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
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
[] Community event
[] Friend/relative
[] Other
[] Don't know
[] No Response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
Niger 2016b
Questionnaire form
view entire document:
text
311a. You first started using [CURRENT METHOD] on [DATE FROM Q309a or Q309c].
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.Public sector
[] Pharmacy - public
[] Maternity Central (Issaka Gazobi Maternity)
[] Center of Madonna and Child
[] Maternity CHR
[] Maternity HD
[] Health Center
[] Community-based distribution site
[] Health hut
[] Mobile clinic
Private sector
[] Private hospital or clinic
[] Pharmacy - private
[] Mobile clinic (private)
[] Center ANBEF
[] Roadside kiosk
[] Polyclinic or Private clinic
Other
[] Boutique
[] Religious organizations
[] Friend / parent
[] Walking pharmacy
[] Other
[] Don't know
[] No Response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
Niger 2020
Questionnaire form
view entire document:
text
317. You first started using {current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Pharmacy - public
[] Maternity Central
[] Center of Madonna and Child
[] Maternity CHR
[] Maternity HD
[] Health Center
[] Community-based distribution site
[] Case de sante
[] 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
Niger 2022
Questionnaire form
view entire document:
text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Nigeria 2017a
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Nigeria 2017b
Questionnaire form
view entire document:
text
311a. You first started using {current_recent_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] Government Hospital
[] Government Health Center
[] Family planning clinic
[] Mobile clinic (public)
[] TBA/Fieldworker (public)
[] Private hospital/clinic
[] Pharmacy
[] Chemist/PMS Store
[] Private doctor
[] Mobile clinic (private)
[] TBA/Fieldworker (private)
[] Shop
[] FBO/Church
[] Friend / relative
[] NGO
[] Other
[] Don't know
[] No Response
Nigeria 2018
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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Nigeria 2019a
Questionnaire form
view entire document:
text
311a. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Nigeria 2019b
Questionnaire form
view entire document:
text
311a. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Nigeria 2020a
Questionnaire form
view entire document:
text
311a. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Nigeria 2020b
Questionnaire form
view entire document:
text
311a. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Nigeria 2021a
Questionnaire form
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text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Nigeria 2021b
Questionnaire form
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text
320. You first started using {current_method_label} on {start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Community event
[] Other
[] Do not know
[] No response
Uganda 2014
Questionnaire form
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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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
Uganda 2015a
Questionnaire form
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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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
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
[] Govt health center
[] Family planning clinic
[] Outreach (public sector)
[] Fieldworker/VHT
PRIVATE MEDICAL SECTOR:
[] Private hospital/clinic
[] Pharmacy
[] Private doctor
[] Outreach (private sector)
[] Fieldworker/VHT
[] Maternity home
OTHER SOURCE:
[] Shop
[] Church
[] Friend/Relative
[] Other
[] Don't know
[] No response
Uganda 2017
Questionnaire form
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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
[] Govt. Health center
[] Govt. Health post
[] CHPS
[] Family planning clinic
[] Mobile clinic
[] Fieldworker/outreach/peer educator
Private medical sector
[] Private hospital/clinic
[] Private doctor
[] Pharmacy
[] Chemical/drug store
[] FP/PPAG clinic
[] Maternity home
Other source
[] Shop/market
[] Church
[] Community volunteer
[] Friend / relative
[] Other
[] Don't know
[] No Response
Uganda 2018
Questionnaire form
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text
311. a. You first started using [CURRENT METHOD / MOST RECENT METHOD] on [DATE FROM FQ309a OR 309c].
Where did you or your partner get it at that time?
Scroll to bottom to see all choices. [] 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
[] Other
[] Do not know
[] No Response
Uganda 2020
Questionnaire form
view entire document:
text
317. You first started using ${current_method_label} on ${start_date_lab}.
Where did you or your partner get it at that time?
Scroll to bottom to see all choices.
[] 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
[] Other
[] Do not know
[] No Response
Uganda 2021
Questionnaire form
view entire document:
text
320. Where did you or your partner get {current_method_label} when you first started using it?
Scroll to bottom to see all choices.
[] 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
[] Other
[] Do not know
[] No Response