PACKARD WESTERN KENYA BASELINE SURVEY 2010

Q414
Did you receive any information or counseling on
family planning/birth spacing/child spacing during
this visit
YES . . . . . . . . . . . . . . . . . . . . . .
NO . . . . . . . . . . . . . . . . . . . . . . .
1
2 Q416
Je ulipata habari zozote ama ushauri wowote
kuhusu upangaji wa uzazi/kuweka nafasi baina ya
mimba/kuweka nafasi kati ya mtoto hadi mwingine
ulipokwenda
Q415
Did you receive a method or a referral for family
planning/birth spacing/child spacing method at that
time
Je! Ulipata njia ya kupanga uzazi ama ulitumwa
kupata huduma ya mpango wa uzazi/ kuweka
nafasi baina ya mimba/kuweka nafasi kati ya mtoto
hadi mwingine wakati huo
YES, RECEIVED A METHOD. . . . . . . . . .
YES, RECEIVED A PRESCRIPTION……..
YES, RECEIVED A REFERRAL . . . . . . . .
NO, DID NOT RECEIVE ANY OF THESE..…
1
2
3
4
Q416
In the last year, have you gone to a health facility
for maternal health services, such as prenatal and
postpartum care
Katika mwaka mmoja uliopita, umewahi kwenda
katika kituo cha afya kupata huduma ya akina
mama wajawazito kama vile, huduma kabla ya
kuzaa na baada ya kuzaa
YES . . . . . . . . . . . . . . . . . . . . . . ………….
NO . . . . . . . . . . . . . . . . . . . . . . . …………
1
2 Q422
Q417
Where did you go most recently for maternal health
services
PROBE: What is the name of this place And
where is it located
Ni wapi ulikokwenda hivi karibuni kupata huduma
ya akina mama wajawazito
ULIZA: Mahali hapo paitwaje Na ni wapi
NAME OF FACILITY___________________________
PHYSICAL LOCATION____ ____________________
LAND MARK_________________________________
Q418
What type of facility is this
Kituo hiki ni cha aina gani
PUBLIC SECTOR
GOVERNMENT HOSPITAL . . . . .
GOVT. HEALTH CENTER . . . . . .
GOVERNMENT DISPENSARY . .
OTHER PUBLIC______________
(SPECIFY)
11
12
13
16
PRIVATE MEDICAL SECTOR
FAITH-BASED, CHURCH, MISSION
HOSPITAL/CLINIC………………......
PRIVATE HOSPITAL/CLINIC...........
NURSING/MATERNITY HOME……
CHW/TBA……………………………..
TRADITIONAL HEALER……………
PHARMACY…………………………
CHEMIST/DUKA LA DAWA………..
OTHER PRIVATE ______________
(SPECIFY)
21
22
23
24
25
26
27
29
OTHER SOURCE
WORKSITE CLINIC…………….……
MOBILE CLINIC . . . . . . . . . . . . . . . .
YOUTH CENTER……………………
VCT/CCC………………….………....
OTHER ______________________
(SPECIFY)
31
32
33
34
96
DON'T KNOW . . . . . . . . . . . . . . …… . .
98
Page 37