Form: SMC_NG_SOKOTOLQAS_2018_C2 52 Questions

======1.LGA? Choose one response

-

- S. Birini

-

-

- Dange

- Gada

-

-

-

- Illela

- Isa

-

-

- Shagari

-

-

-

-

-

-

- Wamakko

-

- Yabo

2.Ward? Choose one response

- Binji

- Bunkari

- Gawazzai

- Inname

- Jamali

- Maikuiki

- Samama

- Soron Gabas

- Soron Yamma

- Tudun Kose

- Badau

- Bagarawa

- Bangi

- Bodinga

- Danchadi

- Dingyadi

- Kaura Miyo

- Kwacci Yalalle

- Sifawa

- Takatuku

- Tulluwa

- Bodai

- Dange

- Fajaldu

- Geere Gajara

- Rikina

- Rudu Amanawa

- Rugar Gidado

- Shuni

- Tsafanade

- Tuntube Tsefe

- Wababe

- Dukamaje

- Gada

- Gilbadi

- Kadadi

- Kadassaka

- Kaddi

- Kaffe

- Kwarma

- Kyadawa/Holai

- Tsitse

- Birjingo

- Boyekai

- Giyawa

- Goronyo

- Kagara

- Kojiyo

- Kwakwarzo

- Rimawa

- Shinka

- Sabon Garin Dole

- Takakume

- Awulkiti

- Bachaka

- Balle

- Chilas

- Gwazange

- Karfen Chana

- Karfen Sarki

- Kurdula

- Marake

- Tullun Doya

- Asara

- Attakwanyo

- Chimmola

- Gidan Kaya

- Gigane

- Gwadabawa

- Huchi

- Mammande

- Mammansuka

- Salame

- Tambagarka

- Araba

- Damba

- Darna S/Gari

- Darna Tsolawo

- Gidan Hamma

- Gidan Katta

- Illela

- Kalmalo

- R/Gatti

- Tozai

- Bargaja

- Gebe A

- Gebe B

- Isa North

- Isa South

- Tidibale

- Tsabre

- Turba

- Yanfako

- Fakku

- Girkau

- Kebbe East

- Kebbe West

- Kuchi

- Margai East

- Margai West

- Nasagudu

- Sangi

- Ungushi

- Bankanu

- Basansan

- Durbawa

- Gandu

- Gidan Rugga

- Hammaali

- Kabanga

- Kware

- Tsaki

- Gandi 1

- Gandi 2

- Gwaddodi

- Kurya

- Maikujera

- Rabah

- Rara

- Tofa

- Tsamiya

- Tursa

- Yarstakuwa

- Gangara

- Gatawa

- Kalgo

- Kurawa

- Lajinge

- Makuwana

-

- Takatsaba

- Tarah

- Tsamaye

- U/Lalle

- Dandin Mahe

- Gangan

- Horo

- Jaredi

- Kajiji

- Kambama

- Lambara

- Mandera

- Sanyinnawal

- Shagari

- Gande Ward

- Gaukai Ward

- Jekanadu Ward

- Katami North

- Katami South

- Kubodu Ward

- Labani Ward

- Maje Ward

- Marafa Ward

- Silame Ward

- Sarkin Adar Gidan Igwai

- Magajin Gari A

- Magajin Gari B

- Magajin Rafi A

- Magajin Rafi B

- Sarkin Adar Gandu

- Sarkin Musulmi A

- Sarkin Musulmi B

- Waziri A

- Waziri B

- Waziri C

- Gagi A

- Gagi B

- Gagi C

- Rijiya A

- Rijiya B

- S/Adar A

- S/Adar B

- S/Zamfara A

- S/Zamfara B

- T/Wada A

- T/Wada B

- Bagida Ward

- Bakaya Sabon Birni Ward

- Barkeji Ward

- Bashire Ward

- Dogon-Daji Ward

- Faga Alasan Ward

- Jabo Ward

- Romon Sarki Ward

- Saida Goshe Ward

- Sanyinna Ward

- Tambuwal Waard

-

- Kalanjeni Ward

- Kwache Huru

- Magonho

- Raka

- Ruwa Wuri

- Sakkwai

- Salewa

- Sutti

- Tangaza

- Bimasa G/Kare

- Dangulbi

- Duma

- Fura Girke

- Kuruwa

- Kwarare

- Lambar Tureta

- Lofa

- Tsamiya Tureta

- Tureta

- Arkilla

- Bado

- Dundaye

- Gidan Bubu

- Gidan Hamidu

- Gumbi

- Gwamatse

- Kalambaina

- Kammata

- Kaura

- Wamakko

- Achida

- Alkamu

- Chaho Marnona

- Dimbiso

- Dinawa

- Kwargarba

- Kwasare Sisawa

- Lahodu

- Magariya

- Marafa

- Tunga

- Bakale

- Bengaji

- Binji Muza

- Birnin Ruwa

- Dagawa

- Fakka

- Kilgori

- Torankawa

- Yabo A

- Yabo B

- Garu

- Kiri

- Tozai (Illela)

- Tozai (Issa)

3.Health Facilities Choose one response

- Achida Model Primary Healthcare Clinic

- Achida Primary Healthcare Clinic

- Mother And Child Clinic Achida

- Alkamu Dispensary

- Gyal Gyal

- Kandam Primary Healthcare Clinic

- Yantabau

- Araba Primary Healthcare Clinic

- Bakin Dutsi Dispensary

- Danboka Dispensary

- Dango Dispensary

- Arkilla Federal

- Arkilla Primary Healthcare Clinic

- Gwiwa Primary Healthcare Clinic

- Gwiwa Community

- Kaunta

- Uduth

- Asara Primary Healthcare Clinic

- Rumbuje Health Post

- Tungar Madugu Health Post

- Tungar Tudu Biga Health Post

- Attakwanyo Primary Healthcare Clinic

- Burdi Health Post

- Gidan Magaji Waziri Primary Healthcare Clinic

- Kangiye Health Post

- Katalla Health Post

- Bare Bari Dispensary

- Kukoki Dispensary

- Bachaka Primary Healthcare Clinic

- Salawa Primary Healthcare Clinic

- Shatoka

- Badau Clinic

- Darhela

- Kaura Dammale

- Badon Barade Dispensary

- Bini Primary Healthcare Clinic

- Coe Clinic

- Farfaru Primary Healthcare Clinic

- Kasarawa Primary Healthcare Clinic

- Maganawa Dispensary

- Bagarawa Primary Healthcare Clinic

- Saulawa Dispensary

- Bagida Health Post

- Danmadi Health Post

- Dogon Marke Health Clinic

- Ganuwa Health Post

- Maradun Health Post

- Bakale Primary Healthcare Clinic

- Shabra Health Post

- Bakaya Health Post

- Iloji Health Post

- Madacci Health Post

- Romon Liman Health Post

- Balle General Hospital.

- Balle Primary Healthcare Clinic

- Rafin Kubu Dispensary

- Bangi Health Clinic

- Dabaga

- Wumomo Dispensary

- Bankanu Comprehensive Health Center

- Kalalwa Health Post

- Kasgada Health Clinic

- Tutuba Health Clinic

- Bargaja Dispensary

- Danzauka Dispensary

- Gazau Dispensary

- Modachi Dispensary

- Barkeji Health Post

- Kalgo Heath Post

- Nabaguda Primary Health Centre

- Sabawa Health Post

- Basansan Health Clinic

- Lemi Health Post

- Bashire Upg Health Post

- Maikada Health Post

- Masu Health Clinic

- Bengaji Primary Healthcare Clinic

- Birdi Birdi Health Post

- Dono Health Post

- Bimasa Primary Healthcare Clinic

- Dorawa

- Gidan Kare Primary Healthcare Clinic

- Binji General Hospital.

- Binji Updraged Dispensary

- Binji Muza Primary Healthcare Clinic

- Kibiyare Primary Healthcare Clinic

- Birjingo Dispensary

- Ganza Dispensary

- Tullitu Dispensary

- Warankai Dispensary

- Bodai Kura Dispensary

- Bodai Sajo Primary Healthcare Clinic

- Bodinga General Hospital

- Bodinga Town Disp.

- Boyekai Dispensary

- Bunkari Primary Healthcare Clinic

- Danmali Dispensary

- Gidan Dilo

- Chcho Dispensar

- Gawo Dispensary

- Kadagiwa

- Lamba Dispensary

- Marnona Dispensary

- Sabon Garin Liman

- Tambagarka

- Chilas

- Makuya

- Chimmola Health Post

- Kagara Phc

- Kwankwanbilo Health Post

- Lukuwa Health Post

- Dagawa Primary Healthcare Clinic

- Gomara Health Post

- Ragar Kijjo Health Post

- Buwade Primary Healthcare Clinic

- Damba Primary Healthcare Clinic

- Gudungudun

- Tarke Dispensary

- Tsauna Dispensary

- Danchadi Primay Healthcare Clinic

- Danchadi Town Dispensary

- Dange Model Clinic

- Kinduru Dispensary

- Garbe Kanni Dispensary

- Phc Dangulbi

- Randa Primary Healthcare Clinic

- Darna Kiliya Dispensary

- Darna Sabon Gari Primary Healthcare Clinic

- Gidan Tudu Dispensary

- Harigawa Dispensary

- Mullela

- Dabagin Tankari Dispensary

- Dan Tulle Dispensary

- Dankadu Dispensary

- Darna Tsolawo Dispensary

- Dimbiso Dispensary

- Duhuwa Dispensary

- Dinawa Primary Healthcare Clinic

- Saketa Primary Healthcare Clinic

- Badawa Health Clinic

- Dingyadi Town Disp.

- Dingyadi Primay Healthcare Clinic

- Gidan Kijo

- Kaura Buba Health Clinic

- Bancho Heath Post

- Dogon-Daji Health Post

- Gambu Health Post

- Gozama Health Post

- Maikade Health Post

- Salah Upg Health Post

- Tungar Meri Com,Health Clinic

- Dukamaje Primary Healthcare Clinic

- G.Albakari

- Ilah Dispensary

- Tabamu

- Tsagal Gale

- Boka Ketare Health Facility

- Duma Primary Healthcare Clinic

- Danjuwa

- Dundaye- Dundaye Dispensary

- G/Sarkin Dunki Dispensary

- Kauraye Dispensary

- Tambaranga Disp

- Tangwale Dispensary

- Yarlabe Primary Healthcare Clinic

- Gidan Gero Health Post

- Phc Durbawa

- Alasan Model Primary Healthcare Clinic

- Faga Primary Healthcare Clinic

- Kaura Health Post

- Budude

- Fajaldu Primary Healthcare Clinic

- Fakka Primary Healthcare Clinic

- Gudurega Health Post

- Fakku Health Clinic

- Rara Health Post

- Shaalwashi Health Post

- Fura Girke Primary Healthcare Clinic

- Bilgal Dispensary

- G-Madulu

- Gada Gen Hospital

- Gada Township Disp

- Gagi Primary Healthcare Clinic

- Gidan Masau Dispensary

- Mujaya Dispensary

- G/Idan Ahala Clinic

- Mabera Clinic

- Gandu Health Post

- Mallamawa Health Post

- Ummaruma Primary Healthcare Clinic

- Gawazzai Dispensary

- Matabare

- Yardewu

- Gebe Dispensary

- Manawa

- New Kamarawa Dispensary

- Old Kamarawa Dispensary

- Kalage

- Phc-Bafarawa

- Surubudu

- D-Ardo Primary Healthcare Clinic

- Gajara Dispensary

- Giere Primary Healthcare Clinic

- Bakin Kulbi Dispensary

- Gidan Bubu Primary Healthcare Clinic

- Gidan Tudu

- Gidan Yaro Dispensary

- Gidan Habibu Dispensary

- Gidan Hamidu Primary Healthcare Clinic

- Gidan Jaoji

- Gidan Karo

- U/Clinic

- Ambarura

- Gidan Hamma Primary Healthcare Clinic

- Here Dispensary

- Jagai Dispensary

- Basanta Diispensary

- Gaidau Dispensary

- Gidan Katta

- Galadanchi Health Post

- Gidan Dogaza Health Post

- Gidan Kaya Health Post

- Gwara Health Post

- Kililawa Health Post Clinic

- Yar Gada Primary Healthcare Clinic

- Gidan Dadi Primary Healthcare Clinic

- Gidan Madi Primary Healthcare Clinic

- Federal Science Clinic

- More Health Post

- Ruggar Liman Health Post

- Gigane Health Post

- Meli Primary Healthcare Clinic

- Sakamaru Health Post

- Tunkura Dikko Health Post

- Gadabodu

- Gilbadi Dispensary

- Tsaro Dispensary

- Girkau Health Clinic

- Jabga Health Post

- Zugu Health Post

- Giyawa Dispensary

- Gumbi Primary Healthcare Clinic

- Wajake Dispensary

- Yar Abba Primary Healthcare Clinic

- Abdalo Health Post

- Chancha Primary Healthcare Clinic

- General Hospital Gwadabawa

- Marina Health Post

- Ranganda Health Clinic

- Tudun Doki Health Post

- Tudun Wada Primary Healthcare Clinic

- Dankel Dispensary

- Gwamatse Dispensary

- Gwamatse- Phc Gidan Kaduna

- Huchi Dispensary

- Legau Dispensary

- Samalu Primary Healthcare Clinic

- Boto Health Facility

- Yaka Primary Healthcare Clinic

- Hammaali Primary Healthcare Clinic

- Karande Health Post

- Marbawa Health Post

- Huchi Primary Healthcare Clinic

- Amarawa Dispensary

- Chimmola

- Ggss

- Sonani Dispensary

- Town Dispensary

- Tudun Gudale

- Ginjo

- Inname Primary Healthcare Clinic

- Tuduwada

- Kurar Mota Dispensary

- Kwanar Dispensary

- Mch Isa Dispensary

- Chakai Health Clinic

- Geselode Health Post

- Hiliya Health Post

- Jabo Primary Health Centre

- Modo Health Post

- Dalijam Disp

- Jamali Primary Healthcare Clinic

- Jamali Tsohuwa

- Geben Damu Health Post

- Kabanga Health Post

- K-Maidabo

- Kadadi Primary Healthcare Clinic

- Rafin Duma

- Sagero

- G-Yaraba

- Kadassaka Primary Healthcare Clinic

- Kiliya

- Tudun Bulus

- Kaddi Dispensary

- Kwarma Alk. Dispensary

- Tsururu

- Ali Bawa

- G-Gyado

- Kaffe Primary Healthcare Clinic

- Balla Dispensary

- Bungudawa Clinic

- Dabah Clinic

- Dan Kwato Dispensary

- Dankabale

- Dayau Clinic

- Fagoji Community Dispensary

- Falau Clinic

- General Hospital Kagara

- Janzakawa Clinic

- Kagara Dispensary

- Kungurki Clinic

- Madira Community Dispensary.

- Mailallen Nagona Clinic

- Mdg Sabon Gari Primary Health Care

- Primary Health Care Kagara

- Rututu Clinic

- Tashar Lawali Dispensary

- Tudun Wada Rahazawa

- Walo Clinic

- Bakin Kusu Clinic

- Kalambaina Primary Healthcare Clinic

- Mobile Clinic

- Sabon Garin Alu

- Gidima Dispensary

- Kalanjeni Dispensary

- Kaura Dispensary

- Jema Dispensary

- Kalmalo

- Runji Dispensary

- Tunbulunkum Dispensary

- Fanari Dispensary

- Gatare Dispensary

- Rugar Munde Dispensary

- Yarume Primary Healthcare Clinic

- Binjel Dispensary

- Karfen Chana Dispensary

- Filisko Dispensary

- Karfen Sarki Primary Healthcare Clinic

- Asari Dispensary

- Badano Primary Healthcare Clinic

- Daraye

- Gedawa Dispensary

- Illela Dispensary

- Lugere Dispensary

- Zabori Primary Healthcare Clinic

- Jabe Dispensary

- Jirga Dispensary

- Kaura Mangala

- Mazangari

- Dukura Health Clinic

- Gh Kebbe

- Umbutu Health Clinic

- Alkalije Primary Healthcare Clinic

- Kilgori Primary Healthcare Clinic

- Darbabiya H.Ealth Facility

- Magaji/Kojiyo Dispensary

- Arausaya Health Post

- Kuchi Old Health Facility

- Kuchi Primary Healthcare Clinic

- Darusa Musa Dispensary

- Katsura Dispensary

- Kurdula Primary Healthcare Clinic

- Galadimmai

- Kuruwa Primary Healthcare Clinic

- Kurya Dispansary

- Rakwamni Health Post

- Gidan Barade

- Zangalawa

- Araba Dispensary

- Kwache Huru Disp

- Kwannawa Dispensary

- Fadarawa Dispensary

- Kwakwarzo Dispensary

- Tantarkwai Dispensary

- Kwarare Primary Healthcare Clinic

- Asarara

- Atarawa

- Federal Neour Psy Kware

- Kukar Banda

- Kursasa

- Kware Primary Health Care

- Kware Primary Healthcare Clinic

- B Zaki Primary Healthcare Clinic

- Kargaba Dispensary

- Lugu Primary Healthcare Clinic

- Kwarma Dispensary

- Sabon Gida

- Safiyal

- Kwasare Sisawa Dispensary

- Sisawa Dispensary

- Kyadawa

- Phc Wauru

- G Bango Primary Healthcare Clinic

- Lahodu Primary Healthcare Clinic

- Gidan Garkuwu Primary Healthcare Clinic

- Kamfanin Diya

- Lambar Tureta Primary Healthcare Clinic

- Lofa Primary Healthcare Clinic

- General Hospital. Wurno

- Ginjo Dispensary

- Magonho Dispensary

- Sanyinna Dispensary

- Takkau Dispensary

- Ginjo Dispensary Magonho

- Bamana Health Post

- Mammande Health Post

- Zugana Health Post

- Fadankai Health Post

- Makina Primary Healthcare Clinic

- Mammansuka Health Post

- Wurno Town Dispensary

- Jimajimi

- Marake

- Tagimba

- Gaddacce Health Clinic

- Jigiri Health Post

- Margai Health Clinic

- Karma Health Post

- Kunduttu Health Post

- Nasagudu Health Clinic

- Gindaba

- Raka Dispensary

- Gidan Chiwake Primary Healthcare Clinic

- Lafani Disp

- Lakoda Health Post

- R/Gatti Primary Healthcare Clinic

- R/Jao Dispensary

- Specialist Hospital

- Sheik Gummi Cl

- Rikina Primary Healthcare Clinic

- Sabaru Dispensary

- Falaliya Dispensary

- Gidan Kirya Dispensary

- Kaikazaka Dispensary

- Keta Dispensary

- Rimawa Primary Healthcare Clinic

- Barga Health Clinic

- Kaya Healht Post

- Romon Sarki Primary Healthcare Clinic

- Unguwar Dankande Heth Post

- Basic Health Clinic Amanawa

- Rudu Primary Healthcare Clinic

- R-Dubu Dispensary

- Manja Dispensary

- Ruwa Wuri (A) Primary Healthcare Clinic

- Sarma A Dispensary

- Sarma B Dispensary

- Tunigara Primary Healthcare Clinic

- Aliyu Jodi Clinic

- Kwanni Clinic

- Maryam Abacha

- Fire Service Center

- Bangala Health Post

- Buwade Health Post

- Garam Health Post

- Goshe Health Post

- Gudun Health Post

- Saida Health Post

- Tandamare Health Post

- Tsiwa Health Post

- Alkasum Dispensary

- Kandam Dispensary

- Mano Dispensary

- Sakwai Primary Healthcare Clinic

- Wasannaya Dispensary

- Dan Abba Health Post

- Kiliya Sodangi Primary Healthcare Clinic

- Salame Health Post

- Bauni Dispensary

- Salewa Dispensary

- Zurmuku Dispensary

- Gidan Almu

- Samama Pprimary Healthcare Clinic

- Jigawa Health Post

- Sabonbirni Health Post

- Sangi Health Clinic

- Sanyiinna Primary Healthcare Clinic

- Mphc Shinaka

- Tuluske Dispensary

- Zamace Dispensary

- Rugar Kuba Primary Healthcare Clinic

- Shuni Dispensary

- Abdusalam Dispensary

- Lukuyawa Dispensary

- Mphc Sifawa

- Sifawa Health Clinic

- Fako Dispensary

- Gwahitto

- Kandeza

- Soro Dispensary

- Tumuni Dispensary

- Birni Wari Dispensary

- Kalgo Primary Healthcae Clinic

- Karani

- Kura Dispensary

- Danwaru Dispensary

- S,G Dole Dispensary

- Tasako Dispensary

- Tsohon Gari Dole Dispensary

- Alela Dispensary

- Bararahe Dispensary

- Chingora Dispensary

- Kwaranka Dispeansary

- Rini Dispensary

- Turaki Clinic

- Akija Clinic

- Hafsatu Primary Healthcare Clinic

- G.Alwali Dispensary

- Takakume Dispensary

- Madorawa

- Takatuku

- Kalaba Health Post

- Tambagarka Primary Healthcare Clinic

- Wadai Health Post

- General Hospital

- Shinfiri Health Post

- Tambuwal Primary Healthcare Clinic

- Badai Dispensary

- General Hospital Tangaza

- Gurdam Dispensary

- Labsani Dispensary

- Tangaza Town Dispensary

- Chohi Dispensary

- Gamaroji Dispensary

- Kalkairu Com. Health

- Tidibale Dispensary

- Gamawa Health Clinic

- Tofa Primary Health Centre

- Wazoji Dispensary

- Muza Health Post

- Torankaw Primary Healthcare Clinic

- Dan Adamu Clinic

- Gidan Bango

- Gidan Makera Dispesary

- Katanga Dispensary

- Satiru Dispensary

- Tozai Dispensary

- Tozai Primary Healthcare Clinic

- Adarawa Dispensary

- Gidan Abdulk Ch

- Girnashe Dispensary

- Tsabre Dispensary

- M-Tsakar Gida Primary Healthcare Clinicc

- Tsafanade Primary Healthcare Clinic

- Chida Health Post

- Lambo Health Post

- Tsaki Health Post

- Walakae Health Post

- Zamau Health Clinic

- Gidan Dangiwa Primary Healthcare Clinic

- Tsamiya Primary Healthcare Clinic

- Basana

- Didindi

- G-Hashimu Dispensary

- Tsitse

- G/Medebe Dispensary

- Taudi Dikko

- Taudi Zaidi

- Tudun Kose Primary Healthcare Clinic

- Tullun Doya Dispensary

- Danajiwa Dispensary

- Kaura Kwasu

- Kaura Tsara

- Kulafasa

- Tulluwa Health Clinic

- Gidan Basakkare

- Government Secondary School Clinic

- Mallamawa Yari Health Post

- Tunga Health Post

- Tunga Primary Healthcare Clinic

- Yar Barade Health

- Dambuwa Primary Healthcare Clinic

- Kwanawa Primary Healthcare Clinic

- Tsefe

- Tuntube Dispensary

- Gumal Dispensary

- Shalla Dispensary

- Turba Dispensary

- General Hospital Tureta

- Rahim Buda

- Tureta Town Dispensary

- Dallatu Clinic

- T/Wada Clinic

- Minannata Clinic

- Maikurfuna Health Post

- Ungushi Health Clinic

- Primary Healthcare Clinic Hausare

- Wababe Dispensary

- Makera

- Mankeri

- Wamakko Primary Healthcare Clinic

- Addam Primary Healthcare Clinic

- General Hospita Yabo

- Wpmen And Child Welfare Clinic Yabo

- Kaura Primary Healthcare Clinic

- Yabotown Health Post

- Garin Uban Dispensary

- Tafkin Hili Dispensary

- Yanfako Dispensary

- Garu Dispensary

- Tsangalandam

- Kiri Dispensary

- Alamado

- Kaire

- Runji Sambo

- Gangara Dispensary

- Dadin Kowa Dispensary

- Gatawa Model Primary Healthcare Clinic

- Zangon Malan Health Post

- Magira Health Clinic

- Dankura Health Post

- Burkusuma Health Clinic

- Adamawa Health Clinic

- Araga Health Clinic

- Gamji Health Post

- Kalg0 Health Post

- Teke Health Clinic

- Garin Maikasuwa Health Post

- Dukkuma Health Post

- Adamawa

- Zangon Salah H_Post

- Sardauna Health Post

- Kurawa Primary Healthcare Clinic

- Kwatsal Health Post

- Dabugi Health P0St

- Dakwaro Health P0St

- Lajinge Health Clinic

- Dantudu Health Clinic

- Jijjira Health Post

- Lanjegu Health Post

- Makuwana Health Post

- Yarbulutu Health Clinic

- S/Birni General Hospital

- Nasara Clinic Sabon Birni

- Woman And Child Welfae Clinic

- Takatsaba Health Post

- Garin Abara Health Post

- Kalage Health Post

- Gidan Buta Health Post

- Bachaka Health Post

- Kyara Health P0St

- Garin Umara Health Post

- Zurudu Health Post

- Dankware Health Post

- Son Allah Health Clinic

- Tarah Health Post

- Garin Idi Health Post

- Ramdawa Health Post

- Garin Zago Health Post

- Tashalawa Health Post

- Tsamaye Health Post

- Gidan Gado Health Post

- Labau Health Post

- Unguwar Lalle Health Post

- Magarau Health Post

- Kiratawa Health Clinic

- Sangerawa Health Post

- Tagirke Health Post

- Turtsawa Health Post

- Gayya Da Kwari Health Post

- Kunkurwa

- Maikulki Ungraded Disp

- Margai Primary Healthcare Clinic

- Baliyo

- Hizna

- Gandi Primary Healthcare Clinic

- Warwanna Dispensary

- Dankarmawa Primary Healthcare Clinic

- Allikiru Dispensary

- Sabaru Health Clinic

- Tursa Dispensary

- Yarstakuwa Primary Healthcare Clinic

- Danbanda Dispensary

- Badamma Health Clinic

- Isa South General Hospital

- Chofal Health Post

- Gaukai Health Post

- Yola Health Post

- Gande Primary Health Center

- Garin Magaji Health Post

- Kaya Health Post

- Male Health Post

- Zeringo Health Post

- Jekanadu Health Post

- Gabbuwa Health Post

- Tozo Health Post

- Gujiya Health Post

- Galadi Health Post

- Tungar Atto Health Post

- Tungar Isah Health Post

- Katami Model Primary Healthcare Clinic

- Algon Primary Health Center

- Gadambe Health Post

- Tanera Health Post

- Kubodu Health Post

- Kubodun Kasa Health Post

- Labani Health Post

- Kwaggel Health Post

- Rundi Health Post

- Betare Health Post

- Gidan Tudu Health Post

- Maje Health Post

- Tungar Abdu Health Post

- Danjawo Health Post

- Gunki Health Post

- Marafa Health Post

- Gungu Health Post

- Karangiya Health Post

- Dankala Health Post

- Gyattarana Health Post

- Laini Health Post

- General Hospital Silame

- Kofar Rinin

- Rumbukawa

- Assada MagajinGariB

- Assada MagajinRafiB

- Rini Tawaye

- Kofar Rini

- Alkammawa

- Centre Market Clinic

- Kofar Kade

- Sultan Palace Clinic

- Women And Child Welfare Clinic

- Helele

- Tahir Med Centre Achida

- Kawara Dispensary

- Dangadabro Dispensary

- Phc Dandin Mahe

- Ruggar Mallam Dispensory

- Mabera Dispensary

- Ginga Dispensary

- Dutsi Dispensary

- Kulafasa Dispensary

- Gh Dogondaji

- Tudun Madugu Com. Disp.

- Mana Baba

- Mana Tudu Dispensary

- Phc Gangam

- Tungar Barki Dispensory

- Sabon Garin Dan Gwandi

- Gidan Chikiyal Dispensary

- Taloka Dispensary

- Gadon Mata

- Huda Dispensary

- Angamba

- Gidan Buwai

- Gwaddodi

- Mphc Horo

- Horo Danbaro Dispensary

- Mch Heath Clinic

- Phc Jaredi

- Seri Dispensary

- Kadadin Buda Dispensary

- Ingaboro Dispensary

- Tuffal Dispensary

- Baredi Dispensary

- Chc Kajiji

- Phc Kesoje

- Rugga Dispensary

- Aggur Dispensary

- Phc Kambama

- Sullubawa Dispensary

- Phc Rinaye

- Yaurawa Dispensary

- Tabanni Dispensary

- Bare

- Kaime Dispensary

- Kurya Health Post

- Miyalyako Dispensary

- Gidan Amamata Dispensary

- Jandutsi Dispensary

- Phc Lambara

- Doruwa Dispensary

- Gidan Maskayau Dispensary

- Wanzamai Clinic

- Maikujera

- Riji

- Gidan Tudu Dispensary Mandera

- Gidan Danayya

- Phc Mandera

- Daringuru Dispensary

- Tabanni Health Post

- Kogogo Lamba Health Post

- Rabah Town Health Post

- Police Clinic

- Rima Basin Clinic

- Marina Dispensary

- General Hospital Amanawa

- Banganange

- Bijeje Dispensary

- Kubutta Dispensary

- Phc Sanyinnawal

- Runjin Kaka Dispensary

- Kalangu Dispensary

- Bulanyaki Dispensary

- Phc Gidan Dare

- Phc Rujin Sambo

- Phc Tudun Faila

- General Hospital Shagari

- Wanke Dispensary

- Phc Sage

- Gorau Dispensary

- Tofa Health Post

- Phc Gawakuke

- Gidan Almajir Health Post

- Gidan Doka Health Post

- Burmawa Masaka Health Post

- Mch Gidan Dikko

- Tsamiya Heath Clinic

- Ppfn Clinic

- Bmc Barrack

- Orthopedic Hospital

- Boyin Dutsi Dispensary

4.Settlement

5. Select Compound

6.Ask the head of compound: do you agree to participate to this survey? Choose one response

- Agree

- Don't Agree If this response, jump to 52

7.Does the compound have at least one child > 3 months to 10 years of age? (Y or N) Choose one response

- Yes

- No If this response, jump to 52

8.Was the compound visited by the Community Health Worker last week? (Y or N) Choose one response

- Yes If this response, jump to 11

- No

9.If No to previous question: are there children 3-59 months living in this compound? (Y or N) Choose one response

- Yes

- No If this response, jump to 52

10.If Yes to previous question: how many children 3-59 months live in this compound? The answer must be > 1 and < 70

11.How many households are there in this compound? The answer must be > and < 70

12.How many children 3-59 months live in this compound? The answer must be > and < 50

13.How many children between 5 and 10 years live in this compound? The answer must be > and < 50

14.How many of these children were 3-59 months AND treated with SMC when the CHWs visited the household? (recall) The answer must be > and < 50

15.How many of these children were >5 to 10 years of age AND treated with SMC when the CHWs visited the household? (recall) The answer must be > and < 50

16.Ask to see cards: how many children cards could be observed (children treated, by card) The answer must be > and < 70

17.How many cards are for children 3-59 months? The answer must be > and < 50

18.How many cards are for children > 5 to 10 years of age? The answer must be > and < 50

19.Was any of your children under 5 years of age sick with fever within the last month? (Y or N) Choose one response

- Yes

- No If this response, jump to 23

20.If Yes, how many? The answer must be > and < 50

21.Did you bring / send them to the health center? (Y or N) Choose one response

- Yes If this response, jump to 23

- No

22.If No, why not? (record all responses given by different people) Choose all that apply

- Health center too far

- Health services too expensive

- Child got better

- Went to local healer

- Any other reason

23.Do you children sleep under a mosquito net? (Y or N) Choose one response

- Yes If this response, jump to 25

- No

24.If No, why not? (record all responses given by different people) Choose all that apply

- Causes heat

- Disruption of sleeping arrangements

- Net is damaged

- Forgetfulness

- Net temporarily unavailable

- Too expensive

- Any other reason

25.At any time in the past 12 months has anyone sprayed the interior walls of your dwelling against mosquitoes ? (Y or N) Choose one response

- Yes

- No

26. Select one household that has at least a child 3-59 months at random within the compound, and ask the following questions for one child at a time

27.Was the child treated? (recall) Choose one response

- Yes If this response, jump to 32

- No

28.If N, why not? Choose one response

- Child/Absent during the visit If this response, jump to 30

- Caregiver and child not home during the visit If this response, jump to 30

- Refused to take the malaria drugs for the child

- Household not visited at all by the CHW If this response, jump to 30

- Child was sick If this response, jump to 30

- Child allergic to the medicine If this response, jump to 30

- Any other response If this response, jump to 30

29.If Refusal, why? Choose one response

- Husband not at home to give permission

- Any other response

- Husband refused

- Medicine dangerous

30.Have you ever heard of SMC before? Choose one response

- Yes

- No If this response, jump to 51

31.If Y, where / from whom / what channel? (select one or more options, and always click CHECK at the end. Choose all that apply

- Any other response

- Health worker

- Community health worker / distributor

- Local Leader / Village Chief

- Religious leaders (church/mosque)

- Town announcers

- Radio

- Television

- Printed materials

- CHECK If this response, jump to 51

32.Does child have card? (Y or N) Choose one response

- Yes If this response, jump to 34

- No

33.If N, why not? Choose one response

- Caregiver lost or misplaced card

- Caregiver claims card was not given

- Any other response

34.Can you confirm if the CHW/distributor did administer the first dose to the child? (Y or N) Choose one response

- Yes

- No

35.Have you (caregiver) given Day 2 medicine to your child/children? (Y or N) Choose one response

- Yes If this response, jump to 37

- No

36.If N, why not? Choose one response

- Didn't know had to give

- Blister lost

- Any other response

37.Have you (caregiver) given Day 3 medicine to your child/children? (Y or N) Choose one response

- Yes If this response, jump to 39

- No

38.If N, why not? Choose one response

- Didn't know had to give

- Blister lost

- Any other response

39.Ask to see blister: present? (Y or N) Choose one response

- Yes

- No If this response, jump to 42

40.Are there tablets remaining in the blister? Choose one response

- Click if 0 tablets If this response, jump to 42

- Click if 1 or more tablets

41.Why didn't you give this/these tablet(s)? Choose one response

- Didn't know had to give

- Forgot

- Any other response

42.Did you hear about SMC before being visited by CHWs? (Y or N) Choose one response

- Yes

- No If this response, jump to 44

43.If Y, where / from whom / what channel? Choose all that apply

- Any other response

- Health worker

- Community health worker / distributor

- Local Leader / Village Chief

- Religious leaders (church/mosque)

- Town announcers

- Radio

- Television

- Printed materials

44.Can you tell for what disease is this treatment? Choose one response

- Any other response

- Malaria

45.Did any of your children react to this medication after giving them? (Y or N) Choose one response

- Yes

- No If this response, jump to 51

46.If Yes, specify which reaction. Choose all that apply

- Vomiting

- Diarrhea

- Rashes

- Itching

- Yellow eyes

- Drowsiness / sleepiness

- Fever

- Loss of appetite

- Any other response

47.If Vomiting, did caregiver ask for replacement AQ tablet to CHW or health worker? (Y or N) Choose one response

- Yes If this response, jump to 49

- No

- N/A (if reaction other than vomiting) If this response, jump to 49

48.If N, why not? Choose one response

- Didn't know this was an option

- CHW/HW too far

- Any other reason

49.Did you report the reaction? (Y or N) Choose one response

- Yes If this response, jump to 51

- No

50.If N, why not? Choose one response

- Didn't know this was an option

- CHW/HW too far

- Any other reason

51.Is the house marked by the Community Health Worker? (Observed, Y or N) Choose one response

- Yes

- No

52. The End - Next Compound.