Survey Text

Benin 1996 Chad 1996 Madagascar 1997 Tanzania 1996
Burkina Faso 1998 Cote d'Ivoire 1998 Mali 1995 Uganda 1995
Cameroon 1998 Guinea 1999 Niger 1998 Zambia 1996
Central African Republic 1995 Kenya 1998 Nigeria 1999 Zimbabwe 1994
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Benin 1996
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801E) Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
VAGINAL TRICHOMONIASIS D
GENITAL ULCERS E
OTHER (SPECIFY) __________________ X
DON'T KNOW Z

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Burkina Faso 1998
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801E. Which infections did you have?
RECORD ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA (GENITAL WARTS) D
DISCHARGE E
ULCERS F
LOWER ABDOMINAL PAIN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Cameroon 1998
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801E) Which illnesses did you have?

RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE/ULCERATION E
OTHER (SPECIFY): ___ W
OTHER (SPECIFY): ___ X
DK Z

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Central African Republic 1995
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805) Which illnesses did you have?
RECORD ALL RESPONSES

SYPHILIS A
GONORRHEA B
AIDS C
TRICHOMONAS VAGINALIS D
CHANCROID E
OTHER (SPECIFY)____ X
DON'T KNOW Y

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Chad 1996
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801E) What illnesses have you had?

RECORD ALL MENTIONED.

SYPHILIS/POX A
GONORRHEA/BLENNORRAGY B
AIDS C
GENITAL WART /GENITAL TUMOR D
OTHER (SPECIFY): ___ W
DK Z

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Cote d'Ivoire 1998
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801E) Which illnesses did you have?

RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
ABDOMINAL PAIN G
OTHER (SPECIFY): ___ W
OTHER (SPECIFY): ___ X
DK Z

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Guinea 1999
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801E. Which illnesses did you have?
RECORD ALL RESPONSES.

SYPHILIS/POX A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMORS D
DISCHARGE E
ULCERATION F
PAIN IN LOWER ABDOMEN G
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Kenya 1998
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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
HIV/AIDS C
GENITAL WARTS D
UGONGWA ZINAA E
OTHER (SPECIFY) _______________ W
OTHER (SPECIFY) _______________ X
DOES NOT KNOW Z

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Madagascar 1997
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801E. Which infections did you have?
RECORD ALL MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
CONDYLOMA (GENITAL WARTS) D
OTHER (SPECIFY) _____ W
OTHER (SPECIFY) _____ X
DOESN'T KNOW Z

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Mali 1995
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801E. Which illness did you have?
RECORD ALL MENTIONED

SYPHILIS/POX A
GONORRHEA B
AIDS C
CONDYLOMA/TUMOR D
OTHER (SPECIFY)__X
DOESN'T KNOW Z

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Niger 1998
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801E) Which illnesses have you had?

RECORD EVERYTHING MENTIONED.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/GENITAL TUMOR D
OTHER (SPECIFY): ___ X
DON'T KNOW Z

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Nigeria 1999
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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
DOES NOT KNOW Z

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Tanzania 1996
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813. Which of the diseases did you have?
CIRCLE ALL MENTIONED.

SYPHILIS A
GONORRHOEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _____________ X
DON'T KNOW Z

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Uganda 1995
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805) Which?

RECORD ALL RESPONSES

SYPHILIS/KABOTONGO A
GONORRHEA/NZIKO B
AIDS/SLIM DISEASE C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _________ W
OTHER (SPECIFY) _________ X
DOES NOT KNOW Z

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Zambia 1996
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801E. Which of the diseases did you have?
RECORD ALL RESPONSES.

SYPHILIS A
GONORRHEA B
AIDS C
GENITAL WARTS/CONDYLOMATA D
OTHER (SPECIFY) _______________ W
OTHER (SPECIFY) _______________ X
DOES NOT KNOW Z

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Zimbabwe 1994
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805) Which? RECORD ALL RESPONSES

SYPHILIS A
GONORRHEA B
AIDS/HIV INFECTION C
GENITAL WARTS / CONDYLONATA D
CHANCROID E
OTHER (SPECIFY) __________ W
OTHER (SPECIFY) __________ X
DON'T KNOW Z