World Health Survey Template Page 41
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57Q7007 Could not afford the cost of transport
1. Yes
5. No
Q7008 The health care provider’s drugs or equipment are inadequate
1. Yes
5. No
Q7009 The health care provider’s skills are inadequate
1. Yes
5. No
Q7010 You were previously badly treated
1. Yes
5. No
Q7011 Could not take time off work or had other commitments
1. Yes
5. No
Q7012 You did not know where to go
1. Yes
5. No
Q7013 You thought you were not sick enough
1. Yes
5. No
Q7014 You tried but were denied health care
1. Yes
5. No
Q7015 Other
1. Yes
5. No
Go to Q7020
.
Q7016 When you last needed health care, where did you get care?
1. At a health care provider, excluding an overnight stay in hospital
2. At a hospital where you stayed overnight
3. At home
.
Q7017 The last time you [your child] sought care for [refer to the CONDITIONS
1. Yes
5. No
8. DK
If No or DK: Go
listed in Q 7003] did the health care provider prescribe any medicine for
to Q7020
you [your child]?
Q7018 Of the medicines that were prescribed for you [your child], how many of
1. All of them
If All of them,
them were you able to get?
Go to Q7020
2. Most
3. Some
4. Very few
5. None of them
Q7019 Which reason best explains why you [your child] did not get all the
1. Could not afford
medicines you were prescribed?
2. Could not find all medicines
3. Did not believe all the medications were needed
4. Started to feel better
5. Already had some of the medicines at home
6. Other
Q7020 How would you rate the way health care in your country involves you in
1. Very good
2. Good
3. Moderate
4. Bad
5. Very bad
deciding what services it provides and where it provides them?
Q7021 In general would you say you are very satisfied, fairly satisfied, neither
1. Very satisfied 2. Fairly
3. Neither
4. Fairly
5. Very
satisfied nor dissatisfied, fairly dissatisfied or very dissatisfied with the
satisfied
satisfied or
dissatisfied
dissatisfied
way health care runs in your country.
dissatisfied
.
WORLD HEALTH SURVEY - HEALTH SYSTEM RESPONSIVENESS
7.2
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Parent category: Life