Literal question
612) Where did you seek advice or treatment? Anywhere else? PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE(S).
(NAME OF PLACE(S)) ______
GOVERNMENT/PARASTATAL
ZON/REFERRAL/SPEC HOSPITAL A
REFERRAL REGIONAL HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
CLINIC G
CHW H
RELIGIOUS/VOLUNTARY
REFERRAL SPEC. HOSPITAL I
DISTRICT HOSPITAL J
HOSPITAL K
HEALTH CENTRE L
DISPENSARY M
CLINIC N
PRIVATE
SPECIALISED HOSPITAL O
HOSPITAL P
HEALTH CENTRE Q
DISPENSARY R
CLINIC S
OTHER
PHARMACY T
ADDO U
NGO V
OTHER (SPECIFY) X
*****
612) Where did you seek advice or treatment? Anywhere else? PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE(S).
(NAME OF PLACE(S)) ______
GOVERNMENT/PARASTATAL
ZON/REFERRAL/SPEC HOSPITAL A
REFERRAL REGIONAL HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
CLINIC G
CHW H
RELIGIOUS/VOLUNTARY
REFERRAL SPEC. HOSPITAL I
DISTRICT HOSPITAL J
HOSPITAL K
HEALTH CENTRE L
DISPENSARY M
CLINIC N
PRIVATE
SPECIALISED HOSPITAL O
HOSPITAL P
HEALTH CENTRE Q
DISPENSARY R
CLINIC S
OTHER
PHARMACY T
ADDO U
NGO V
OTHER (SPECIFY) X
*****
612) Where did you seek advice or treatment? Anywhere else? PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE(S).
(NAME OF PLACE(S)) ______
GOVERNMENT/PARASTATAL
ZON/REFERRAL/SPEC HOSPITAL A
REFERRAL REGIONAL HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
CLINIC G
CHW H
RELIGIOUS/VOLUNTARY
REFERRAL SPEC. HOSPITAL I
DISTRICT HOSPITAL J
HOSPITAL K
HEALTH CENTRE L
DISPENSARY M
CLINIC N
PRIVATE
SPECIALISED HOSPITAL O
HOSPITAL P
HEALTH CENTRE Q
DISPENSARY R
CLINIC S
OTHER
PHARMACY T
ADDO U
NGO V
OTHER (SPECIFY) X
*****
612) Where did you seek advice or treatment? Anywhere else? PROBE TO IDENTIFY THE TYPE OF SOURCE. IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE(S).
(NAME OF PLACE(S)) ______
GOVERNMENT/PARASTATAL
ZON/REFERRAL/SPEC HOSPITAL A
REFERRAL REGIONAL HOSPITAL B
REGIONAL HOSPITAL C
DISTRICT HOSPITAL D
HEALTH CENTRE E
DISPENSARY F
CLINIC G
CHW H
RELIGIOUS/VOLUNTARY
REFERRAL SPEC. HOSPITAL I
DISTRICT HOSPITAL J
HOSPITAL K
HEALTH CENTRE L
DISPENSARY M
CLINIC N
PRIVATE
SPECIALISED HOSPITAL O
HOSPITAL P
HEALTH CENTRE Q
DISPENSARY R
CLINIC S
OTHER
PHARMACY T
ADDO U
NGO V
OTHER (SPECIFY) X