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PDF, 1536K - Measure DHS

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NO. QUESTIONS AND FILTERS CODING CATEGORIES SKIP<br />

319A<br />

319B<br />

319C<br />

Where did you obtain (CURRENT METHOD) when you started using it<br />

the last time?<br />

Where did you learn to use (CURRENT METHOD)?<br />

Where did the sterilization take place?<br />

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE<br />

THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF<br />

SOURCE AND CIRCLE THE APPROPRIATE CODE.<br />

______________________________________________________<br />

(NAME AND/LOCATION OF PLACE)<br />

GOVERNMENT<br />

HOSPITAL ..........................................11<br />

HEALTH CENTER ..............................12<br />

HEALTH STATION/CLINIC ................13<br />

HEALTH POST ...................................14<br />

COMMUNITY-BASED OUTLET .........15<br />

OTHER GOVERNMENT __________16<br />

(SPECIFY)<br />

NONGOVERNMENTAL (NGO)<br />

HEALTH FACILITY .............................21<br />

COMMUNITY-BASED OUTLETS.......22<br />

OTHER NGO ___________________26<br />

(SPECIFY)<br />

PRIVATE MEDICAL<br />

PRIVATE HOSPITAL..........................31<br />

PRIVATE DOCTOR/CLINIC ...............32<br />

PHARMACY........................................33<br />

OTHER PRIVATE<br />

MEDICAL __________________ 36<br />

(SPECIFY)<br />

OTHER SOURCE<br />

DRUG VENDOR .................................41<br />

SHOP..................................................42<br />

FRIEND/RELATIVE ............................43<br />

OTHER ______________________ 46<br />

(SPECIFY)<br />

DID NOT CONSULT SOURCE ..............95<br />

DON’T KNOW .........................................98 330<br />

319D How long does it take to go to this place? MINUTES ...................................................<br />

DON’T KNOW 98 330<br />

328 Do you know of a place where you can obtain a method of family<br />

planning?<br />

YES ..........................................................1<br />

NO........................................................... 2 330<br />

329 Where is that?<br />

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE<br />

THE NAME AND/OR LOCATION OF THE PLACE. PROBE TO<br />

IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE<br />

APPROPRIATE CODE.<br />

______________________________________________________<br />

(NAME AND/OR LOCATION OF PLACE)<br />

GOVERNMENT<br />

HOSPITAL ..........................................11<br />

HEALTH CENTER ..............................12<br />

HEALTH STATION/CLINIC ................13<br />

HEALTH POST ...................................14<br />

COMMUNITY-BASED OUTLET .........15<br />

OTHER GOVERNMENT __________16<br />

(SPECIFY)<br />

NONGOVERNMENTAL (NGO)<br />

HEALTH FACILITY .............................21<br />

COMMUNITY-BASED OUTLETS.......22<br />

OTHER NGO ___________________26<br />

(SPECIFY)<br />

PRIVATE MEDICAL<br />

PRIVATE HOSPITAL..........................31<br />

PRIVATE DOCTOR/CLINIC ...............32<br />

PHARMACY........................................33<br />

OTHER PRIVATE<br />

MEDICAL 36<br />

(SPECIFY)<br />

OTHER SOURCE<br />

DRUG VENDOR .................................41<br />

SHOP..................................................42<br />

FRIEND/RELATIVE ............................43<br />

OTHER 46<br />

(SPECIFY)

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