Literal question
519) Where did you seek advice or treatment?
Anywhere else?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S))______________
PUBLIC SECTOR
MEDICAL COLLEGE HOSPITAL A
SPECIALIZED GOVT. HOSPITAL (SPECIFY) __________B
DISTRICT HOSP. C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASSISTANT I
OTHER (SPECIFY) ____________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO FIELD WORKER M
OTHER (SPECIFY) ___________ N
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC O
QUALIFIED ED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY R
PRIVATE MED. COLLEGE HOSPITAL (SPECIFY) _______________ S
OTHER PRIVATE SECTOR (SPECIFY) ____________T
OTHER (SPECIFY)_________ X
*****
519) Where did you seek advice or treatment?
Anywhere else?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S))______________
PUBLIC SECTOR
MEDICAL COLLEGE HOSPITAL A
SPECIALIZED GOVT. HOSPITAL (SPECIFY) __________B
DISTRICT HOSP. C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASSISTANT I
OTHER (SPECIFY) ____________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO FIELD WORKER M
OTHER (SPECIFY) ___________ N
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC O
QUALIFIED ED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY R
PRIVATE MED. COLLEGE HOSPITAL (SPECIFY) _______________ S
OTHER PRIVATE SECTOR (SPECIFY) ____________T
OTHER (SPECIFY)_________ X
*****
519) Where did you seek advice or treatment?
Anywhere else?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S))______________
PUBLIC SECTOR
MEDICAL COLLEGE HOSPITAL A
SPECIALIZED GOVT. HOSPITAL (SPECIFY) __________B
DISTRICT HOSP. C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASSISTANT I
OTHER (SPECIFY) ____________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO FIELD WORKER M
OTHER (SPECIFY) ___________ N
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC O
QUALIFIED ED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY R
PRIVATE MED. COLLEGE HOSPITAL (SPECIFY) _______________ S
OTHER PRIVATE SECTOR (SPECIFY) ____________T
OTHER (SPECIFY)_________ X
*****
519) Where did you seek advice or treatment?
Anywhere else?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S))______________
PUBLIC SECTOR
MEDICAL COLLEGE HOSPITAL A
SPECIALIZED GOVT. HOSPITAL (SPECIFY) __________B
DISTRICT HOSP. C
MCWC D
UHC E
H and FWC F
SATELLITE CLINIC/EPI OUTREACH SITE G
COMMUNITY CLINIC H
FAMILY WELFARE ASSISTANT I
OTHER (SPECIFY) ____________ J
NGO SECTOR
NGO STATIC CLINIC K
NGO SATELLITE CLINIC L
NGO FIELD WORKER M
OTHER (SPECIFY) ___________ N
PRIVATE MED. SECTOR
PVT. HOSPITAL/CLINIC O
QUALIFIED ED DOCTOR P
UNQUALIFIED DOCTOR Q
PHARMACY R
PRIVATE MED. COLLEGE HOSPITAL (SPECIFY) _______________ S
OTHER PRIVATE SECTOR (SPECIFY) ____________T
OTHER (SPECIFY)_________ X
