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NATIONAL BUREAU OF STATISTICS
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Survey
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Placecons - Place of first consultation
Where did the first consultation take place? Hospita .....1 Dispensary .....2 Pharmacy .....3 Clinic ......4 Maternity Home..5 MCH post ..6 Consultant’s Home...7 Patient’s Home….....8 Other ......9 (SPECIFY
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Placescons - Place of second consultation
Where did the second consultation take place? Hospita .....1 Dispensary .....2 Pharmacy .....3 Clinic ......4 Maternity Home..5 MCH post ..6 Consultant's Home...7 Patient's Home….....8 Other ......9 (SPECIFY
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Pubpriv - Is it a public or private establishment?
Is this a public or private establishment? Federal Government..1 State Government ...2 Local Gov’t ...3 Religious Body ....4 Industrial ...5 Private ......6 Other .......7 Specify
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Amtpd - Amount payed for the first consultation
How much does your household pay for refuse collection? Daily……….…....1 Weekly……….....2 Monthly………....3 Quarterly……...4 Half Yearly…….5 Yearly…………....6
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Amtpdtr - Amount payed for transportation to and fro, the first time of consultation?
How much did (NAME) pay for the first time to go to and from the consultation?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Lenghtcons - Length of time of the first consulation including travel time
How much time did the first consult ation take including travel time?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Admss - Admission into hospital or health centre in the past 4 weeks?
During the past four weeks, was (NAME) admitted to a hospital or health centre? [Include Traditional Healing Centres] YES ...1 NO ...2
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Night - How many nights spent in the hospital or health center?
How many nights did (NAME)stay in hospital / health centre during the past two weeks?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Pdhosp - How much was paid for staying in hospital or health centre during the past two weeks?
How much did (NAME) pay for staying in a hospital/health centre during the past two weeks?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Purmed - Purchase of medicines or medical supplies in the past 4 weeks?
During the past 4 weeks did (NAME) buy any medicine or medical supplies? YES ...1 NO ...2
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Costmed - Total cost of medicine or medical supplies
How much did (NAME) pay altogether for these medicines and medical supplies?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Healthexp - Who paid for most of these health expenses including consultations or hospita stays?
Who paid for most of these health expenses including consultations or hospital stay (if any)? Self .......1 Parent .......2 OtherRelative ..3 Employer .....4 Government or Stat....5 NGO .........6 OtherOrganizations....7 Other .......8
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Outpockexp - Apart from what was paid by others, out of pocket expense on medical services
Apart from what was paid by others, how much did (NAME) pay out of its own pocket for medical services?
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Hlpsi - How long ago in the past 1 year was person suffered illness or injury?
How long ago in the past 1 year has (NAME) suffered an illness or injury? In last 2 weeks ....1 2-4 weeks ago .. .2 1-6 months ago ....3 6-12 months ....4 More than a year Ago ...5
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
Typilln - Type of illness suffered most frequently in the last 1 year
What type of illness has (NAME)suffered most frequently in the past 1year? Cholera ...1 Malaria ...2 Typhoid ...3 Hypertension..4 Common Cold ..5 Flu ...6 Catarrh ...7 Cough ...8 T. B ...9 Headache ...10 Diabetes ...11 Diarrhoea ...12 None ... 13 Other .... 14 (Specify)
Nigeria Living Standard Survey 2003
Nigeria - NGA-NBS-NLSS-2003-v1.2
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