821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

821. Where is that? Any other place? RECORD ALL SOURCES MENTIONED. IF UNABLE TO DETERMINE IF A HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE(S). (NAME OF FACILITY/PLACE(S)) ______ PUBLIC HEALTH SECTOR GOVERNMENT/MUNICIPAL HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B UHC/UHP/UFWC D CHC/RURAL HOSPITAL/BLOCK PHC E PHC/ADDITIONAL PHC F SUB-CENTRE/ANM G GOVERNMENT MOBILE CLINIC H CAMP I ANGANWADI/ICDS CENTRE J ASHA K OTHER COMMUNITY BASED WORKER L OTHER PUBLIC HEALTH SECTOR (SPECIFY) ______M NGO OR TRUST HOSPITAL/CLINIC N PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC/DOCTOR O PRIVATE PARAMEDIC P PRIVATE MOBILE CLINIC Q VAIDYA/HAKIM/HOMEOPATH (AYUSH) R TRADITIONAL HEALER S PHARMACY/DRUGSTORE T DAI (TBA) U OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______V OTHER SOURCE RATION SHOP W OTHER SHOP X VENDING MACHINE Y OTHER (SPECIFY) ________Z

1047. CHECK 1001 AND 1002: HEARD ABOUT HIV/AIDS: Apart from HIV/AIDS, have you heard about other infections that can be transmitted through sexual contact? NOT HEARD ABOUT HIV/AIDS: Have you heard about infections that can be transmitted through sexual contact? YES 1 NO 2

1047. CHECK 1001 AND 1002: HEARD ABOUT HIV/AIDS: Apart from HIV/AIDS, have you heard about other infections that can be transmitted through sexual contact? NOT HEARD ABOUT HIV/AIDS: Have you heard about infections that can be transmitted through sexual contact? YES 1 NO 2

1050. Now I would like to ask you some questions about your health in the last 12 months. During the last 12 months, have you had a disease which you got through sexual contact? YES 1 NO 2 DON'T KNOW 8

1051. Sometimes women experience a bad smelling abnormal genital discharge. During the last 12 months, have you had a bad smelling abnormal genital discharge? YES 1 NO 2 DON'T KNOW 8

1052. Sometimes women have a genital sore or ulcer. During the last 12 months, have you had a genital sore or ulcer? YES 1 NO 2 DON'T KNOW 8

1054. The last time you had (PROBLEM FROM 1050/1051/1052), did you seek any kind of advice or treatment? YES 1 NO 2 (GO TO 1101)

1055. Where did you go? Any other place? RECORD ALL PLACES MENTIONED. IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE. (NAME OF FACILITY/PLACE(S))_________________ PUBLIC HEALTH SECTOR GOVERNMENT HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B GOVERNMENT HEALTH CENTRE C STAND-ALONE ICTC D FAMILY PLANNING CLINIC E MOBILE CLINIC F FIELDWORKER G SCHOOL BASED CLINIC H OTHER PUBLIC SECTOR (SPECIFY) ________I NGO OR TRUST HOSPITAL/CLINIC J PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC PRIVATE DOCTOR K VAIDYA/HAKIM/HOMEOPATH (AYUSH) L STAND-ALONE ICTC M PHARMACY N MOBILE CLINIC O FIELDWORKER P SCHOOL BASED CLINIC Q OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______R OTHER SOURCE HOME S CORRECTIONAL FACILITY T OTHER (SPECIFY) ___________X

1055. Where did you go? Any other place? RECORD ALL PLACES MENTIONED. IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTRE, OR CLINIC IS PUBLIC OR PRIVATE HEALTH SECTOR, WRITE THE NAME OF THE PLACE. (NAME OF FACILITY/PLACE(S))_________________ PUBLIC HEALTH SECTOR GOVERNMENT HOSPITAL A VAIDYA/HAKIM/HOMEOPATH (AYUSH) B GOVERNMENT HEALTH CENTRE C STAND-ALONE ICTC D FAMILY PLANNING CLINIC E MOBILE CLINIC F FIELDWORKER G SCHOOL BASED CLINIC H OTHER PUBLIC SECTOR (SPECIFY) ________I NGO OR TRUST HOSPITAL/CLINIC J PRIVATE HEALTH SECTOR PRIVATE HOSPITAL/CLINIC PRIVATE DOCTOR K VAIDYA/HAKIM/HOMEOPATH (AYUSH) L STAND-ALONE ICTC M PHARMACY N MOBILE CLINIC O FIELDWORKER P SCHOOL BASED CLINIC Q OTHER PRIVATE HEALTH SECTOR (SPECIFY) _______R OTHER SOURCE HOME S CORRECTIONAL FACILITY T OTHER (SPECIFY) ___________X