Questionnaire Text

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Form B household questionnaire part 3

Particulars of birth in the last 12 months to women aged 15-49
[Questions 7-9 of this section are to be completed by women aged 15-49 only]

8. Who assisted her during delivery

[] 1. Doctor
[] 2. Nurse
[] 3. Midwife
[] 4. Traditional birth assistant
[] 5. Other (specify): ____
[] 6. None