Baseline Women's questionnaire - Yoruba/English

Q412What type of facility is this?Iru ile iwosan wo ni?PUBLIC SECTORGOVERNMENT HOSPITAL……..……......WOMEN AND CHILDREN’S HOSPITAL...GOVT. HEALTH CENTER…………………CHILD WELFARE CLINIC…………………GOVERNMENT POST/DISPENSARY…..OTHER PUBLIC____________________(SPECIFY)111213141516PRIVATE SECTORPRIVATE HOSPITAL………………………PRIVATE CLINIC…………………….........NURSING/MATERNITY HOME………….CHW/TBA……………………………………TRADITIONAL HEALER…………………..PHARMACY…………………………………PMS/CHEMIST…………………..…………OTHER PRIVATE___________________(SPECIFY)2122232425262728FAITH-BASED SECTORMISSION HOSPITAL…………….……......FAITH-BASED, CHURCH CLINIC……….3132OTHER SOURCEOTHER NGO HOSPITAL………………….OTHER NGO CLINIC………......................WORKSITE CLINIC…………….………….MOBILE CLINIC . . . . . . . . . . . . . . . ……...YOUTH CENTER…………………………...OTHER ___________________________(SPECIFY)DON'T KNOW . . . . . . . . . . . . . . …… . .41424344459698Q413Why did you choose this facility?CIRCLE ALL MENTIONED.Kinni idi ti e fi yan ile iwosan yi?PROBE: ANY OTHER REASON? Idi miran?SERVICES ARE FREE/ AFFORDABLE……FACILITY OPEN/CONVENIENT HOURS OFOPERATION…..……………………..………STAFF ARE POLITE AND RESPECTFUL…CONVENIENT TO MY HOME………………CONVENIENT TO MY WORK………………CONVENIENT TO WHERE I SHOP…………CONVENIENT USING AVAILABLETRANSPORT…………………………………..GOOD QUALITY SERVICES…………………OFFER SERVICES REQUIRED……………PROVIDERS AVAILABLE……………………ACCEPT INSURANCE………………………OFFER CREDIT FACILITIES…………………FACILITY HAS A GOOD REPUTATION…….IT PROVIDES MULTIPLE SERVICES………REFERRED THERE……………………………ABCDEFGHIJKLMNOQ414Did you receive any information or counseling onfamily planning/birth spacing/child spacing duringthis visit?OTHER_____________________________(SPECIFY)YES . . . . . . . . . . . . . . . . . . . . . .NO . . . . . . . . . . . . . . . . . . . . . . .X12 Q416Nje e gba ifitonileti / amoran lori ifetosomobibilakoko abewo yi?Q415Did you receive a method or a referral for familyplanning/birth spacing/child spacing method atthat time?Nje e gba ona kan tabi itokasi fun onaifetosomobibi / fifi aye sarin ibimo/fifi aye si arinomolakoko yi?YES, RECEIVED A METHOD. . . . . . . . . .YES, RECEIVED A PRESCRIPTION……..YES, RECEIVED A REFERRAL . . . . . . . .NO, DID NOT RECEIVE ANY OF THESE……1234Page 34