Survey Text

Afghanistan 2015 Ghana 2003 Mali 1995 Senegal 2010
Benin 1996 Ghana 2008 Mali 2001 Senegal 2012
Benin 2001 Ghana 2014 Mali 2006 Senegal 2014
Benin 2006 Guinea 1999 Mali 2018 Senegal 2015
Benin 2011 Guinea 2005 Mozambique 2003 Senegal 2016
Burkina Faso 1993 Guinea 2012 Mozambique 2011 South Africa 1998
Burkina Faso 1998 India 2005 Myanmar 2015 Tanzania 1996
Burkina Faso 2003 India 2015 Namibia 2000 Tanzania 1999
Burkina Faso 2010 Jordan 2002 Namibia 2006 Tanzania 2004
Burundi 2010 Jordan 2007 Namibia 2013 Tanzania 2010
Cameroon 1998 Jordan 2012 Nepal 1996 Togo 1998
Cameroon 2004 Jordan 2017 Nepal 2001 Togo 2013
Cameroon 2011 Kenya 1998 Nepal 2006 Uganda 1995
Central African Republic 1995 Kenya 2003 Nepal 2011 Uganda 2001
Chad 1996 Kenya 2008 Niger 1998 Uganda 2006
Chad 2004 Kenya 2014 Niger 2006 Uganda 2011
Chad 2014 Lesotho 2004 Niger 2012 Zambia 1996
Congo Brazzaville 2005 Lesotho 2009 Nigeria 1999 Zambia 2001
Congo Brazzaville 2011 Lesotho 2014 Nigeria 2003 Zambia 2007
Cote d'Ivoire 1994 Liberia 2007 Nigeria 2008 Zambia 2013
Cote d'Ivoire 1998 Liberia 2013 Nigeria 2013 Zimbabwe 1994
Cote d'Ivoire 2011 Madagascar 2003 Rwanda 2000 Zimbabwe 1999
Eswatini (Swaziland) 2006 Madagascar 2008 Rwanda 2005 Zimbabwe 2005
Ethiopia 2000 Malawi 2000 Rwanda 2010 Zimbabwe 2010
Ethiopia 2005 Malawi 2004 Rwanda 2014
Ethiopia 2011 Malawi 2010 Senegal 2005
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Afghanistan 2015
Survey form view entire document:  text 
630. Where is that? Any other place?

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
GOVT. HOSPITAL (NATIONAL, REGIONAL, PROVINCIAL OR DISTRICT) A
CHC/POLYCLINIC B
BASIC HEALTH CENTER C
HEALTH SUB-CENTER D
HEALTH POST/SUB-HEALTH POST E
COMMUNITY HEALTH WORKER F
MOBILE CLINIC G
OTHER PUBLIC SECTOR______H
NON-GOVERNMENT SECTOR
MARIE STOPES I
RED CROSS SOCIETY J
AFGA K
OTHER NGO SECTOR________L
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC M
PHARMACY N
PRIVATE DOCTOR O
FIELDWORKER P
OTHER PRIVATE MEDICAL SECTOR_______Q
OTHER SOURCE
CHARITY/FOUNDATIONS R
REFUGEE CAMP S
SHOP T
FRIENDS/RELATIVES U
OTHER___________X

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Benin 1996
Survey form view entire document:  text 
517) Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

518) Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE_________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
FIELDWORKER 14
COMMUNITY CENTER 15
OTHER PUBLIC (SPECIFY) ____________ 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
RELIGIOUS HOSPITAL 22
PHARMACY 23
ABPF (BENIN FAMILY ADVOCACY ASSOCIATION) 24
DOCTOR'S OFFICE 25
FIELDWORKER 26
OTHER PRIVATE MEDICAL (SPECIFY) _____________ 27
OTHER
SHOP/MARKET 31
CHURCH 32
FRIENDS/RELATIVES 33
GAS STATION 34
OTHER (SPECIFY) ___________ 96

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Benin 2001
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Benin 2006
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Benin 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Burkina Faso 1993
Survey form view entire document:  text 
816. Where did you obtain these condoms?

PUBLIC SECTOR
SMI 11
COMMUNITY PHARMACEUTICAL DEPOT 12
PRIVATE MEDICAL SECTOR
PHARMACY 21
OTHER PRIVATE SECTOR
STORE/STAND 31
RELATIVES/FRIENDS 32
PARTNER HAD THEM 33
OTHER (SPECIFY) _____ 41
DOESN'T KNOW 98

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Burkina Faso 1998
Survey form view entire document:  text 
517. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 518A)

518. Where is that?
Any other place?

RECORD ALL RESPONSES MENTIONED. EACH TIME A HOSPITAL, HEALTH CENTER, A CSPS OR A CLINIC IS MENTIONED, PROBE TO DETERMINE THE PROPER TYPE OF SECTOR AND CIRCLE THE APPROPRIATE CODE.

PUBLIC SECTOR
HOSPITAL A
MEDICAL CENTER B
CSPS C
SMI D
DISPENSARY/MATERNITY POST E
COMMUNITY PHARMACEUTICAL DEPOT F
OTHER PUBLIC (SPECIFY) ______ G
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR'S OFFICE H
FAMILY PLANNING CLINIC I
PHARMACY J
NURSE'S OFFICE K
OTHER PRIVATE (SPECIFY) _____ L
OTHER LOCATION
STORE/MARKET M
BAR/NIGHTCLUB N
KIOSK O
HOTEL/ROOM FOR RENT P
INFORMAL COMMERCIAL CIRCUIT Q
FRIENDS/RELATIVES R
OTHER (SPECIFY) ______ X
OTHER (SPECIFY) ______ Y

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Burkina Faso 2003
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Burkina Faso 2010
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Burundi 2010
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Cameroon 1998
Survey form view entire document:  text 
518) Where is that?

RECORD ALL MENTIONED.

IF SOURCE IS A HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PUBLIC/SEMIPUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
OTHER PUBLIC (SPECIFY): ___ C
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL D
SECULAR HOSPITAL/CLINIC E
HEALTH CENTER/RELIGIOUS CLINIC/MISSION F
DOCTOR'S OFFICE G
PHARMACY H
OTHER PRIVATE MEDICAL (SPECIFY): ___ I
OTHER PRIVATE SECTOR
SHOP/MARKET J
BAR/NIGHTCLUB K
KIOSK L
INFORMAL COMMERCIAL DISTRIBUTION M
RELATIVES/FRIENDS N
OTHER (SPECIFY): ___ X

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Cameroon 2004
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 601)

525) Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

Any other place?

RECORD ALL PLACES MENTIONED.

NAME OF PLACE: ___
PUBLIC/SEMIPUBLIC SECTOR
HOSPITAL A
HEALTH CENTER B
OTHER PUBLIC (SPECIFY): ___ C
PRIVATE MEDICAL SECTOR
PRIVATE RELIGIOUS HOSPITAL D
SECULAR HOSPITAL/CLINIC E
HEALTH CENTER/RELIGIOUS CLINIC/MISSION F
DOCTOR'S OFFICE G
PHARMACY H
OTHER PRIVATE MEDICAL (SPECIFY): ___ I
OTHER PRIVATE SECTOR
SHOP/MARKET J
BAR/NIGHTCLUB K
KIOSK L
INFORMAL COMMERCIAL DISTRIBUTION M
RELATIVES/FRIENDS N
PARTNER HAD CONDOM O
OTHER (SPECIFY): ___ X

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Cameroon 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Central African Republic 1995
Survey form view entire document:  text 
517) Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

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Chad 1996
Survey form view entire document:  text 
517. Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

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Chad 2004
Survey form view entire document:  text 
525) Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.
ANY OTHER PLACE?
RECORD ALL MENTIONED.

(NAME OF PLACE)_______________
PUBLIC SECTOR
HOSPITAL/MATERNITY A
MILITARY HOSPITAL/GARRISON B
HEALTH CENTER/FREE CLINIC/GARRISON C
POLYCLINIC D
HOSPITAL/HEALTH CENTER PHARMACY E
AMASOT/MASOCOT F [##TRANSLATOR NOTE: BOTH ARE ACRONYMS FOR AGENCIES THAT ADVOCATE CONDOMS]
OTHER PUBLIC G
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL H
CLINIC/OFFICE I
CHADIAN ASSOCIATION FOR FAMILY WELL-BEING J
PRIVATE HEALTH CENTER K
COMPANY HEALTH CENTER L
CARE OFFICE/NURSE M
PHARMACY/PHARMACY DEPOT N
OTHER PRIVATE MEDICAL O
PUBLIC/PRIVATE SECTOR
VILLAGE PHARMACY/HEALTH CENTER P
OTHER
SHOP/BAR/MARKET/HOTEL Q
FIRST AID WORKER R
MOBILE VENDOR S
FRIENDS/NEIGHBORS/RELATIVES T
OTHER PLACE_______________- X

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Chad 2014
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms

YES 1
NO 2-SKIP TO 632

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Congo Brazzaville 2005
Survey form view entire document:  text 
545) Where is that? Any other place?
RECORD ALL MENTIONED.

PUBLIC SECTOR
HOSPITAL A
HEALTH CENTER/MOTHER-INFANT CENTER B
HEALTH POST C
PRIVATE MEDICAL SECTOR
CLINIC D
PRIVATE DOCTOR'S OFFICE E
NURSE'S OFFICE F
MEDICAL-SOCIAL CENTER G
CONGOLESE ASSOCIATION FOR FAMILY WELL-BEING H
PHARMACY I
OTHER PRIVATE SECTOR
TRADITIONAL THERAPIST J
SPIRITUAL MEDICAL CENTER K
TRAVELLING SALESMAN/UNOFFICIAL PHARMACY L
SHOP/MARKET M
BAR/NIGHTCLUB/HOTEL N
RELATIVES/FRIENDS O
OTHER PLACE X

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Congo Brazzaville 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms

YES 1
NO 2 (GO TO 632)

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Cote d'Ivoire 1994
Survey form view entire document:  text 
919) Where did you or your husband/partner, get the condoms?

PUBLIC SECTOR
PUBLIC HOSPITAL 11
HEALTH CENTER/MOTHER-INFANT CENTER 12
PRIVATE MEDICAL SECTOR
CLINIC/PRIVATE NURSE 21
PHARMACY 22
OTHER PRIVATE SECTOR
SHOP/MINI-MART/SUPERMARKET 31
HOTEL/BAR/DANCE CLUB 32
FRIENDS/RELATIVES/PARTNERS 33
OTHER (SPECIFY)____ 41
DON'T KNOW 98

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Cote d'Ivoire 1998
Survey form view entire document:  text 
517) Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 518A)

518) Where is that?

RECORD ALL MENTIONED

IF SOURCE IS A HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/MOTHER-INFANT CENTER 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY): ___ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE HOSPITAL/CLINIC 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACY DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY): ___ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
ACQUAINTANCES/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY): ___ 96

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Cote d'Ivoire 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Eswatini (Swaziland) 2006
Survey form view entire document:  text 
642) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 645)

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Ethiopia 2000
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Ethiopia 2005
Survey form view entire document:  text 
637. Do you know a place where a person can get condoms?

YES 1
NO 2 (GO TO 701)

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Ethiopia 2011
Survey form view entire document:  text 
629. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)

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Ghana 2003
Survey form view entire document:  text 
524. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 527)

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Ghana 2008
Survey form view entire document:  text 
641. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 701)

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Ghana 2014
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Guinea 1999
Survey form view entire document:  text 
517. Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 518A)

518. Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE _____
PUBLIC SECTOR
HOSPITAL 11
FAMILY PLANNING CLINIC 12
FREE CLINIC 13
MEDICAL POST 14
OTHER PUBLIC (SPECIFY) _____ 16
PRIVATE MEDICAL SECTOR
PRIVATE DOCTOR 21
PRIVATE CLINIC/HOSPITAL 22
FAMILY PLANNING CENTER 23
PHARMACY/PHARMACEUTICAL DEPOT 24
OTHER PRIVATE MEDICAL (SPECIFY) _____ 26
OTHER PRIVATE SECTOR
SHOP/MARKET 31
BAR/NIGHTCLUB 32
KIOSK 33
INFORMAL COMMERCIAL DISTRIBUTION 34
CHURCH 35
FRIENDS/RELATIVES 36
TRADITIONAL PRACTITIONER 37
OTHER (SPECIFY) _____ 96

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Guinea 2005
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Guinea 2012
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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India 2005
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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India 2015
Survey form view entire document:  text 
820. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 901)

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Jordan 2002
Survey form view entire document:  text 
524. Do you know a place where a person can get condoms?

YES 1
NO 2 (GO TO 601)

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Jordan 2007
Survey form view entire document:  text 
615) Where is that?

Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).

IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF PLACE.

(NAME OF PLACE(S)) ____________________________
PUBLIC MEDICAL SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT MOTHER AND CHILD HEALTH CENTER C
UNIVERSITY HOSPITAL D
ROYAL MEDICAL SERVICES E
OTHER PUBLIC (SPECIFY)________ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PRIVATE DOCTOR H
PHARMACY I
JORDANIAN ASSOCIATION OF FAMILY PLANNING AND PROTECTION (JAFPP) J
UNITED NATIONS RELIEF AND WORKS AGENCY CLINIC K
OTHER NON-GOVERNMENT ORGANIZATION L
OTHER PRIVATE MEDICAL (SPECIFY)___________ M
OTHER SOURCE
FRIEND/ RELATIVE N
OTHER (SPECIFY)_____________ X

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Jordan 2012
Survey form view entire document:  text 
614. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 615A)

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Jordan 2017
Survey form view entire document:  text 
714C) Where is that? Any other place?

PUBLIC MEDICAL SECTOR
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
GOVT. MCH C
UNIVERSITY HOSPITAL D
ROYAL MEDICAL SERVICE E
OTHER PUBLIC (SPECIFY) _______________________ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PRIVATE DOCTOR H
PHARMACY I
JORDANIAN AS. OF FP AND PROTECTION (JAFPP) J
UNRWA HEALTH CENTER K
UNHCR/OTHER NON GOV. ORG. L
OTHER PRIVATE MEDICAL (SPECIFY) _____________ M
OTHER SOURCE
FRIEND/RELATIVE N
OTHER (SPECIFY) ___________________ X

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Kenya 1998
Survey form view entire document:  text 
517) Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

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Kenya 2003
Survey form view entire document:  text 
525. Do you know a place where one can get condoms?

YES 1
NO 2 (GO TO 531)

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Kenya 2008
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Kenya 2014
Survey form view entire document:  text 
630) Where is that? (3)

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
GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
FIELDWORKER E
OTHER PUBLIC SECTOR (SPECIFY)______ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
FIELDWORKER K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)______ L
OTHER SOURCE
SHOP M
CHURCH N
FRIENDS/RELATIVES O
OTHER (SPECIFY)______ X

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Lesotho 2004
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Lesotho 2009
Survey form view entire document:  text 
642 Where is that? Any other place?
PROBE TO IDENTIFY EACH TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER OR CLINIC IS PUBLIC OR PRIVATE MEDICAL SECTOR, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) ____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
OTHER PUBLIC SECTOR C
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC D
LPPA E
PHARMACY F
PRIVATE DOCTOR G
OTHER MEDICAL SECTOR H
CHAL
CHAL HOSPITAL I
CHAL HEALTH CENTER J
CHAL HEALTH POST K
CBD L
COMMUNITY HEALTH WORKER/
SUPPORT GROUPS M
OTHER SOURCE
SHOP N
CHURCH O
FRIENDS/RELATIVES P
PEER EDUCATORS Q
OTHER X

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Lesotho 2014
Survey form view entire document:  text 
629) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)

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Liberia 2007
Survey form view entire document:  text 
641) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 701)

642) Where is that? Any other place?

PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).

IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE(S)) __________________

PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
GOVERNMENT HEALTH CLINIC C
NACP D
OTHER PUBLIC (SPECIFY) _____________ E
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC F
PHARMACY G
PRIVATE DOCTOR H
FAMILY PLANNING ASSN. LIBERIA I
MOBILE CLINIC J
OTHER PRIVATE MEDICAL (SPECIFY) _______________ K
OTHER SOURCE
SHOP L
CHURCH M
FRIEND/RELATIVE N
OTHER (SPECIFY) ____________ X

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Liberia 2013
Survey form view entire document:  text 
629. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

630. Where is that? (3)
Any other place?
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
GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
FIELDWORKER E
OTHER PUBLIC SECTOR (SPECIFY)_____________F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
FIELDWORKER K
OTHER PRIVATE MEDICAL SECTOR (SPECIFY)__________L
OTHER SOURCE
SHOP M
CHURCH N
FRIENDS/RELATIVES O
OTHER (SPECIFY) ____________X

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Madagascar 2003
Survey form view entire document:  text 
524. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

525. Where is that?
Any other place?
RECORD ALL MENTIONED

IF IT IS A HOSPITAL, HEALTH CENTER, OR CLINIC IS A PUBLIC OR PRIVATE INSTITUTION, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).

NAME OF PLACE _______
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
GROUND AGENT E
OTHER PUBLIC (SPECIFY) _____ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
GROUND AGENT K
OTHER PRIVATE (SPECIFY) ____L
OTHER LOCATION
STORE M
CHURCH N
FRIENDS/RELATIVES O
OTHER (SPECIFY) _____ X

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Madagascar 2008
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Malawi 2000
Survey form view entire document:  text 
524. Do you know of a place where one can get condoms?

YES 1
NO 2 (GO TO 527)

top
Malawi 2004
Survey form view entire document:  text 
524. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

top
Malawi 2010
Survey form view entire document:  text 
641. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 644)

top
Mali 1995
Survey form view entire document:  text 
518. Where is this?

IF IT IS HOSPITAL, HEALTH CENTER OR A CLINIC, CIRCLE THE NAME OF THE PLACE. PROBE TO DETERMINE THE TYPE OF SERVICE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE__
PUBLIC SECTOR
HOSPITAL 11
HEALTH CENTER/FREE CLINIC/CLINIC/MATERNITY 12
HEALTH AGENT 13
PRIVATE SECTOR
CLINIC 21
PRIVATE DOCTOR 22
PHARMACY 23
FIELD WORKER 24
COMMUNITY
HEALTH CENTER 31
HEALTH CARE WORKER 32
FAMILY PLANNING FIELDWORKER/DOULA/BIRTHER/HEALTH AID 33
PARA-PUBLIC
INPS/CMIE (NATIONAL INSTITUTE OF SOCIAL FUNDS/INTER-ENTREPRISE MEDIAL CENTER) 41
MUTEC (EDUCATION AND CULTURE WORKERS MUTUAL) 42
NON GOVERNMENTAL
NGO/AMPPF (Malian Association of Family Protection and Promotion) 51
OTHER PRIVATE SECTOR
SHOP/MARKET 61
HEALER/TRADITIONAL PRACTITIONER/MARABOUT (a kind of spiritual healer/witch doctor) 62
FRIEND(S)/RELATIVE(S) 63
OTHER (SPECIFY)__96
DOESN'T KNOW 98

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Mali 2001
Survey form view entire document:  text 
524. Do you know a place where one could procure condoms?

YES 1
NO 2 (GO TO 601)

top
Mali 2006
Survey form view entire document:  text 
544. Do you know a place where one could procure condoms?

YES 1
NO 2 (GO TO 601)

top
Mali 2018
Survey form view entire document:  text 
730) From where did you obtain the condom the last time?

PROBE TO IDENTIFY THE TYPE OF SOURCE.
IF UNABLE TO DETERMINE IF PUBLIC OR PRIVATE SECTOR, WRITE THE NAME OF THE PLACE
(NAME OF PLACE)

PUBLIC SECTOR
NATIONAL HOSPITAL 11
REGIONAL HOSPITAL 12
REFERENCE HEALTH CENTER 13
COMMUNITY HEALTH CENTER 14
DISPENSARY/MATERNITY 15
OTHER PUBLIC SECTOR (SPECIFY) 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
DOCTOR'S OFFICE 22
PRIVATE HEALTH CLINIC 23
PHARMACY 24
HEALTH POSTS 25
FAMILY PLANNING CLINIC 26
OTHER PRIVATE MEDICAL (SPECIFY) 28
OTHER SOURCE
SHOP 31
BAR/NIGHTCLUB 32
BOOTH 36
TRAVELING PEDDLER 34
FRIENDS/RELATIVES 35
OTHER (SPECIFY) 96
DON'T KNOW 98

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Mozambique 2003
Survey form view entire document:  text 
524. Do you know of a place where you can get condoms (for purchase or for free)?

YES 1
NO 2 (GO TO 601)

top
Mozambique 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

top
Myanmar 2015
Survey form view entire document:  text 
629) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (SKIP TO 632)

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Namibia 2000
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Namibia 2006
Survey form view entire document:  text 
641. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Namibia 2013
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Nepal 1996
Survey form view entire document:  text 
714. Do you know of a place where you can get condoms?

YES 1
NO 2 (SKIP TO 716)

715. Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTRE, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) ______________________

PUBLIC SECTOR
HOSPITAL/DISTRICT CLINIC 11
PRIMARY HEALTH CENTRE 12
FAMILY PLANNING CLINIC 13
HEALTH POST 14
SUB-HEALTH POST 15
MOBILE CLINIC 17
OTHER PUBLIC (SPECIFY)___________________16
PRIVATE SECTOR
HOSPITAL 21
CLINIC/NURSING HOME 22
PHARMACY 23
CHW 24
FPAN 25
OTHER PRIVATE (SPECIFY)__________________26
OTHER SOURCE
FCHV 31
SHOP 32
FRIEND/RELATIVE 33
OTHER (SPECIFY)___________________________36

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Nepal 2001
Survey form view entire document:  text 
713. Do you know of a place where one can get condoms?

YES 1
NO 2 (GO TO 716)

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Nepal 2006
Survey form view entire document:  text 
617. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 701)

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Nepal 2011
Survey form view entire document:  text 
617) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 701)

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Niger 1998
Survey form view entire document:  text 
517) Do you know of a place where you could get condoms?

YES 1
NO 2 (GO TO 519)

518) Where is this?

IF THE PLACE IS A HOSPITAL, A HEALTH CENTER OR A CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO DETERMINE THE SECTOR AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE: ___
PUBLIC SECTOR
HOSPITAL 11
INTEGRATED HEALTH CENTER 12
MATERNITY WARD 13
HEALTH CHECK 14
CONSULTATION AT A FAIR 15
OTHER PUBLIC (SPECIFY): ___ 16
PRIVATE SECTOR
PRIVATE CLINIC 21
PHARMACY 22
PRIVATE DOCTOR'S OFFICE 23
HEALTHCARE WORKER 24
OTHER PRIVATE (SPECIFY): ___ 26
OTHER SOURCE
FIELD PHARMACY 31
TRADITIONAL HEALERS 32
FRIENDS/FAMILY 33
OTHER (SPECIFY): ___ 36

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Niger 2006
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Niger 2012
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Nigeria 1999
Survey form view entire document:  text 
518. Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) __________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
COMMUNITY HEALTH WORKER 15
OTHER PUBLIC (SPECIFY) ______ 16

PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PHARMACY/PMS 22
PRIVATE DOCTOR 23
MOBILE CLINIC 24
COMMUNITY HEALTH WORKER 25
OTHER PRIVATE MEDICAL (SPECIFY) ______ 26
OTHER SOURCE
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
NGO 34
OTHER (SPECIFY) _______________ 36

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Nigeria 2003
Survey form view entire document:  text 
524. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 527)

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Nigeria 2008
Survey form view entire document:  text 
641. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 644)

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Nigeria 2013
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Rwanda 2000
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Rwanda 2005
Survey form view entire document:  text 
642 Where is that? (5)
Any other place?
PROBE TO IDENTIFY EACH TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE(S).
IF UNABLE TO DETERMINE IF HOSPITAL, HEALTH CENTER, OR CLINIC IS PUBLIC OR PRIVATE MEDICAL, WRITE THE NAME OF THE PLACE.

(NAME OF PLACE) ____________
PUBLIC SECTOR
GOVT. HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
FIELDWORKER E
OTHER PUBLIC (SPECIFY) ____________ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
FIELDWORKER K
OTHER PRIVATE MEDICAL (SPECIFY) __________ L
OTHER SOURCE
SHOP M
CHURCH N
FRIEND/RELATIVE O
OTHER (SPECIFY) __________ X

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Rwanda 2010
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Rwanda 2014
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Senegal 2005
Survey form view entire document:  text 
525) Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

Any other place?

RECORD ALL SOURCES MENTIONED.

NAME OF PLACE: _____________
PUBLIC SECTOR
GOVERNMENT HOSPITAL A
GOVT. HEALTH CENTER B
FAMILY PLANNING CLINIC C
MOBILE CLINIC D
FIELDWORKER E
OTHER PUBLIC (SPECIFY): __________ F
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC G
PHARMACY H
PRIVATE DOCTOR I
MOBILE CLINIC J
FIELDWORKER K
OTHER PRIVATE MEDICAL (SPECIFY): ___________ L
OTHER SOURCE
SHOP M
CHURCH N
FRIENDS/RELATIVES O
OTHER (SPECIFY): ___________ X

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Senegal 2010
Survey form view entire document:  text 
629. Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

630. 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
GOVERNMENT HOSPITAL A
GOVERNMENT HEALTH CENTER B
HEALTH POST C
GOVERNMENT FAMILY PLANNING CLINIC D
RURAL MATERNITY CENTER E
BASIC HEALTH CARE CENTER F
COMMUNITY PHARMACY G
MOBILE CLINIC H
OTHER PUBLIC (SPECIFY) ____ I
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC/OFFICE J
PHARMACY K
PRIVATE DOCTOR L
RELIGIOUS DISPENSARY M
OTHER PRIVATE MEDICAL (SPECIFY) ____ N
OTHER SOURCE
SHOP O
CHURCH P
FRIENDS/RELATIVES Q
BAR R
OTHER (SPECIFY) ____ X

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Senegal 2012
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Senegal 2014
Survey form view entire document:  text 
629) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)

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Senegal 2015
Survey form view entire document:  text 
629) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)

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Senegal 2016

No questionnaire text is available for this sample.


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South Africa 1998
Survey form view entire document:  text 
517 Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

518 Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC,
WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY
THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) __________________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
DAY HOSP/CLINIC COMMUNITY HEALTH CENTER 12
FAMILY PLANNING CLINIC 13
MOBILE CLINIC 14
COMMUNITY HEALTH WORKER 15
OTHER PUBLIC (SPECIFY) ___________________ 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PHARMACY 22
PRIVATE DOCTOR 23
OTHER PRIVATE
MEDICAL (SPECIFY) ________________ 26
OTHER SOURCE
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
OTHER (SPECIFY) ______________ 36

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Tanzania 1996
Survey form view entire document:  text 
805. Where can you get condoms?
CIRCLE ALL MENTIONED.
PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

GOVERNMENT AND PARASTATAL
REGIONAL/CONSULTANT HOSPITAL A
DISTRICT HOSPITAL B
HEALTH CENTRE C
DISPENSARY/PARASTATAL FACILITY D
VILLAGE HEALTH POST/WORKER E
MEDICAL PRIVATE SECTOR
RELIGIOUS ORG. FACILITY F
PRIV. DOCTOR/CLINIC/HOSPITAL G
PHARMACY/MEDICAL STORE H
CBD WORKER I
OTHER PRIVATE SECTOR
SHOP J
CHURCH K
FRIENDS/RELATIVES/NEIGHBORS L
OTHER (SPECIFY) ___________ X
DOES NOT KNOW Z

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Tanzania 1999
Survey form view entire document:  text 
524. Do you know of a place where one can get condoms?

YES 1
NO 2 (GO TO 526)

525. Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE______
GOVERNMENT/PUBLIC SECTOR
REGIONAL/CONSULTANT HOSP 11
DISTRICT HOSPITAL 12
GOVT. HEALTH CENTER 13
DISPENSARY/PARASTATAL FACILITY 14
VILLAGE HEALTH POST/WORKER 15
PRIVATE MEDICAL SECTOR
RELIGIOUS ORGANIZATION FACILITY/MISSION HOSP 21
PRIVATE DOCTOR/CLINIC/HOSP 22
PHARMACY/MEDICAL STORE 23
CBD WORKER 24
OTHER PRIVATE SECTOR
SHOP/KIOSK 31
CHURCH 32
FRIEND/RELATIVE/NEIGHBOR 33
HEALTH EDUCATION/BAR GIRLS 34
OTHER (SPECIFY)_______________96
DON'T KNOW 98

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Tanzania 2004

No questionnaire text is available for this sample.


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Tanzania 2010
Survey form view entire document:  text 
642. Where is that? Any other place?
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)) ___________
GOVERNMENT/PARASTATAL
REFERAL/SPEC. HOSPITAL A
REGIONAL HOSPITAL B
DISTRICT HOSPITAL C
HEALTH CENTRE D
DISPENSARY E
VILLAGE HEALTH POST (WORKER) F
CBD WORKER G
RELIGIOUS/VOLUNTARY
REFERAL/SPEC. HOSPITAL H
DISTRICT HOSPITAL I
GOVT. HEALTH CENTRE J
DISPENSARY K
PRIVATE
DISTRICT HOSPITAL L
HEALTH CENTRE M
DISPENSARY N
OTHER
PHARMACY O
NGO P
VCT CENTRE Q
SHOP/KIOSK R
BAR S
GUEST HOUSE/HOTEL T
FRIEND/RELATIVE/NEIGHBOUR U
OTHER (SPECIFY) ___________ X
DON'T KNOW Z

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Togo 1998
Survey form view entire document:  text 
518) Where is that?

RECORD ALL MENTIONED

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE)_____________

PUBLIC SECTOR
HOSPITAL 11
MEDICAL-SOCIAL CENTER 12
DISPENSARY/INFIRMARY 13
M.C.H. 14
HEALTH POST 15
STATE PHARMACY 16
OTHER PUBLIC (SPECIFY) __________ 17
PRIVATE MEDICAL SECTOR
HOSPITAL/PRIVATE CLINIC 21
PHARMACY 22
TOGOLESE ASSOCIATION FOR FAMILIAL WELL-BEING 23
DOCTOR'S OFFICE 24
FIELDWORKER 25
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26
OTHER PRIVATE SECTOR
MARKET/SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
GAS STATION 34
OTHER (SPECIFY) __________ 96

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Togo 2013
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Uganda 1995
Survey form view entire document:  text 
529) Do you know where you can get condoms?

YES 1
NO 2 (GO TO 532)

530) Where is that?

IF SOURCE IS HOSPITAL, HEALH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) __________________

PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
DISPENSARY/HEALTH UNIT 13
MOBILE CLINIC 14
FIELD WORKER 15
OTHER PUBLIC (SPECIFY) ___________ 16
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PHARMACY/DRUG STORE 22
PRIVATE DOCTOR 23
MOBILE CLINIC 24
FIELD WORKER 25
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26
OTHER PRIVATE SECTOR
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
OTHER (SPECIFY) __________ 96

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Uganda 2001
Survey form view entire document:  text 
524) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 527)

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Uganda 2006
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Uganda 2011
Survey form view entire document:  text 
629) Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 632)

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Zambia 1996
Survey form view entire document:  text 
517. Do you know of a place where you can get condoms?

YES 1
NO 2 (GO TO 519)

517. Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

(NAME OF PLACE) ________________
PUBLIC SECTOR
GOVERNMENT HOSPITAL 11
GOVERNMENT HEALTH CENTER 12
COMMUNITY HEALTH WORKER 13
OTHER PUBLIC (SPECIFY) ___________ 14
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
MISSION HOSPITAL/CLINIC 22
PHARMACY 23
PRIVATE DOCTOR 24
MOBILE CLINIC 25
OTHER PRIVATE MEDICAL (SPECIFY) ____________ 26
OTHER SOURCE
SHOP 31
FRIENDS/RELATIVES 33
OTHER (SPECIFY) _________________ 36

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Zambia 2001
Survey form view entire document:  text 
524. Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 526B)

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Zambia 2007
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Zambia 2013
Survey form view entire document:  text 
629) Do you know of a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)

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Zimbabwe 1994
Survey form view entire document:  text 
518) Where is that?

IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE __________
PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC 10
RURAL/MUNICIPAL CLINIC 11
ZNFPC CLINIC 12
RURAL HEALTH CENTRE 13
ZNFPC MOBILE CLINIC 14
MOH MOBILE CLINIC 15
ZNFPC CBD 16
MOH CBD 17
OTHER PUBLIC (SPECIFY) __________ 18
MISSION FACILITY 19
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 21
PHARMACY 22
PRIVATE DOCTOR 23
CBD 25
OTHER PRIVATE MEDICAL (SPECIFY) __________ 26
OTHER PRIVATE SECTOR
SHOP 31
CHURCH 32
FRIENDS/RELATIVES 33
OTHER (SPECIFY) __________ 96

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Zimbabwe 1999
Survey form view entire document:  text 
526) Where is that?
IF SOURCE IS HOSPITAL, HEALTH CENTER, OR CLINIC, WRITE THE NAME OF THE PLACE. PROBE TO IDENTIFY THE TYPE OF SOURCE AND CIRCLE THE APPROPRIATE CODE.

NAME OF PLACE __________

PUBLIC SECTOR
GOVERNMENT HOSPITAL/CLINIC 11
RURAL/MUNICIPAL CLINIC 12
RURAL HEALTH CENTRE 13
ZNFPC (FIXED) CLINIC 14
ZNFPC MOBILE CLINIC 15
MOH MOBILE CLINIC 16
ZNFPC CBD 17
MOH CBD 18
OTHER PUBLIC (SPECIFY) __________ 19
MISSION FACILITY 21
PRIVATE MEDICAL SECTOR
PRIVATE HOSPITAL/CLINIC 31
PHARMACY 32
PRIVATE DOCTOR 33
CBD 34
OTHER PRIVATE MEDICAL (SPECIFY) __________ 36
OTHER SOURCE
SHOP 41
CHURCH 42
FRIENDS/RELATIVES 43
OTHER (SPECIFY) __________ 96

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Zimbabwe 2005
Survey form view entire document:  text 
641 Do you know of a place where a person can get condoms?

YES 1
NO 2 (GO TO 644)

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Zimbabwe 2010
Survey form view entire document:  text 
629) Do you know a place where a person can get male condoms?

YES 1
NO 2 (GO TO 632)