325) Where is that?
Any other place?
PROBE TO IDENTITY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE.
(NAME OF PLACE(S))_____________
PUBLIC SECTOR
NATIONAL HOSPITAL 11
REGIONAL HOSPITAL 12
REFERRAL HEALTH CENTER (CSREF) 13
FREE CLINIC/MATERNITY 14
COMMUNITY HEALTH CENTER (CSCOM) 15
OTHER PUBLIC_______ (SPECIFY) 16
PRIVATE SECTOR
PRIVATE CLINIC/OFFICE 21
PRIVATE HEALTH CARE OFFICE 22
TREATMENT ROOM 23
PHARMACY 24
COMMUNITY BASED AGENT 25
OTHER PRIVATE______ (SPECIFY) 26
OTHER SOURCE
SHOP 31
BAR/NIGHTCLUB 32
KIOSK/APRON 33
TRAVELING VENDOR 34
FRIEND/ACQUAINTANCE/RELATIVES 35
OTHER___________ (SPECIFY) 96