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Burkina Faso 2022

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

[] 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
[] Friend / parent
[] Infertilty clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

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Congo (Democratic Republic) 2021

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

[] 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
[] Infertilty clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

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Congo (Democratic Republic) 2021

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

[] 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
[] Infertilty clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

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Cote d'Ivoire 2022

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select ?no response? or ?do not know? with other options.

[] 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
[] Infertilty clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

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Niger 2023

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select ?no response? or ?do not know? with other options.

[] 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
[] Friend / parent
[] Infertility clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

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Nigeria 2021a

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

[] Government Hospital
[] Government Health Center
[] Government Health Post
[] Family planning clinic (public)
[] Mobile clinic (public)
[] Fieldworker/Outreach/peer educator (public)
[] Community event (Public)
[] Private hospital/clinic
[] Private doctor or nurse
[] Pharmacy
[] Chemist/PMS Store
[] Family planning clinic (private)
[] Maternity home
[] Community event
[] Shop/ market
[] FBO/Church
[] Community Volunteer
[] Friend / relative
[] Infertility clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Self
[] Other
[] Do not know
[] No response

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Nigeria 2021b

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select 'no response' or 'do not know' with other options.

[] Government Hospital
[] Government Health Center
[] Government Health Post
[] Family planning clinic (public)
[] Mobile clinic (public)
[] Fieldworker/Outreach/peer educator (public)
[] Community event (Public)
[] Private hospital/clinic
[] Private doctor or nurse
[] Pharmacy
[] Chemist/PMS Store
[] Family planning clinic (private)
[] Maternity home
[] Community event
[] Shop/ market
[] FBO/Church
[] Community Volunteer
[] Friend / relative
[] Infertility clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Self
[] Other
[] Do not know
[] No response

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Uganda 2022

Questionnaire form view entire document: text

INF_10. Who have you sought help from?

Select all that apply

Cannot select ?no response? or ?do not know? with other options.

[] 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
[] Infertility clinic (public)
[] Infertility clinic (private)
[] Traditional healer/Herbalists
[] Religious leaders
[] Other
[] Do not know
[] No response

Questionnaire Text