item #
question
Response/comments
11a
How does your facility offer SRH
services within HIV counselling
and testing services?
[read all options. tick all as appropriate]
1. located in the same service
site with the same provider
1a. offered on the same day?
2. located within the same service
site with a different provider
2a. offered on the same day?
3. referred to a different service
site within the facility
3a. offered on the same day?
4. referred to another facility
5. other (specify):
11b
How does your facility offer
SRH services within services
for prophylaxis and treatment
for PLHIV (OIs and HIV)?
[read all options. tick all as appropriate]
1. located in the same service
site with the same provider
1a. offered on the same day?
2. located within the same service
site with a different provider
2a. offered on the same day?
3. referred to a different service
site within the facility
3a. offered on the same day?
4. referred to another facility
5. other (specify):