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Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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LAST BIRTHNEXT-TO-LAST BIRTH480 What (else) was given to treat thediarrhea?Anything else?RECORD ALL TREATMENTSMENTIONED.481 Did you seek advice or treatment forthe diarrhea?482 Where did you seek advice ortreatment?IF SOURCE IS HOSPITAL, HEALTHCENTER, OR CLINIC, WRITE THE NAMEOF THE PLACE. PROBE TO IDENTIFYTHE TYPE OF SOURCE AND CIRCLETHE APPROPRIATE CODE.(NAME OF PLACE)(LAST BIRTH)_____________________________(NAME OF PLACE)(NEXT-TO-LAST BIRTH)Anywhere else?RECORD ALL PLACES MENTIONED.NAMEPILL OR SYRUP ..............AINJECTION ...................B(I.V.) INTRAVENOUS ..........CHOME REMEDIES/HERBAL MEDICINES .........DOTHER(SPECIFY)YES ........................ 1NO ......................... 2(SKIP TO 482A)=)))))))-PUBLIC SECTORGOVT. HOSPITAL ...........AGOVT. HEALTH CENTER .....BGOVT. HEALTH POST .......COTHER PUBLIC(SPECIFY)PRIVATE MEDICAL SECTORPVT. HOSPITAL/SURGERY .... EMISSION HOSPITAL/CLINIC .... FPHARMACY ...............GPRIVATE DOCTOR ..........HCOMMUNITY-BASED AGENT ...IOTHER PRIVATEMEDICALJ(SPECIFY)OTHER SOURCESHOP ....................KTRAD. PRACTITIONER ....... LOTHER(SPECIFY)XDXNAMEPILL OR SYRUP ..............AINJECTION ...................B(I.V.) INTRAVENOUS ..........CHOME REMEDIES/HERBAL MEDICINES .........DOTHER(SPECIFY)YES ........................ 1NO ......................... 2(SKIP TO 482A)=)))))))-PUBLIC SECTORGOVT. HOSPITAL ...........AGOVT. HEALTH CENTER .....BGOVT. HEALTH POST .......COTHER PUBLIC(SPECIFY)PRIVATE MEDICAL SECTORPVT. HOSPITAL/SURGERY .... EMISSION HOSPITAL/CLINIC .... FPHARMACY ...............GPRIVATE DOCTOR ..........HCOMMUNITY-BASED AGENT ...IOTHER PRIVATEMEDICALJ(SPECIFY)OTHER SOURCESHOP ....................KTRAD. PRACTITIONER ....... LOTHER(SPECIFY)XDX482AHas (NAME) received any injection inthe past 3 months?YES ........................ 1NO ......................... 2(SKIP TO 483)=)))))))1DON’T KNOW ................ 8YES ........................ 1NO ......................... 2(SKIP TO 483)=)))))))1DON’T KNOW ................ 8482BDid you bring your own syringe <strong>and</strong>needle for this injection or was itprovided at the facility?CLIENT PROVIDED ............ 1HLTH FACILITY PROVIDED ...... 2DON’T KNOW ................ 8CLIENT PROVIDED ............ 1HLTH FACILITY PROVIDED ...... 2DON’T KNOW ................ 8482CHad the syringe <strong>and</strong> needle been usedbefore or was it a new syringe <strong>and</strong>needle?USED SYRINGE/NEEDLE ........ 1NEW SYRINGE/NEEDLE ........ 2DON’T KNOW ................ 8USED SYRINGE/NEEDLE ........ 1NEW SYRINGE/NEEDLE ........ 2DON’T KNOW ................ 8482DDid you keep this needle <strong>and</strong> syringeafter it was used?YES ........................ 1NO ......................... 2YES ........................ 1NO ......................... 2483 GO BACK TO 456 IN NEXTCOLUMN; OR, IF NO MORE BIRTHS,GO TO 484.GO BACK TO 456 IN LAST COLUMNOF NEW QUESTIONNAIRE; OR, IFNO MORE BIRTHS, GO TO 484.29

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