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Sex
MALE
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10
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13
14
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18
19
20
21
22
23
24
Above 24
Schooling
IS
OS
Education
NONE
PRIMARY
O LEVEL
A LEVEL
TERTIARY
Marital status
MARRIED
SINGLE
SEPARATED
WIDOWED
DIVORCED
NO RESPONSE
Employment status
YES
NO
District
KAMPALA
MUKONO
WAKISO
MPIGI
KAYUNGA
LUWERO
BUTAMBALA
NAKASEKE
GOMBA
OTHERS
Division
CENTRAL
LUBAGA
NAKAWA
MAKINDYE
KAWEMPE
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Village
Living with
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ALONE/SELF
AUNT
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SISTER
BOY FRIEND
GIRL FRIEND
FRIEND
WIFE
HUSBAND
Heard about us
PEERS
PARENTS
GUARDIAN
HEALTH WORKER
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EMPLOYER
NEWS PAPER
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TV
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IEC MATERIALS
OTHERS
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Heard about phone
PEERS
PARENTS/GUARDIAN
HEALTH WORKER
OUTREACH
EMPLOYER
NEWS PAPER
RADIO
TV
User initial
Problem description
*
Problem
Category
Action taken
COUNSEL
REFER
BOTH
If referred; Specify referral centre
AIC
NTIHC
BUTABIKA HOSPITAL
CHINA-UG FRIENDSHIP HOSP
KADIC CLINIC
KAMPALA DISPENSARY
KIBULI HOSPITAL
KISWA HEALTH CENTRE
KISWA TB CLINIC
LUBAGA HOSPITAL
MENGO HOSPITAL
MILDMAY
MULAGO ASSESSMENT CENTRE
MULAGO DENTAL CLINIC
MULAGO ENT CLINIC
MULAGO EYE CLINIC
MULAGO MAIN HOSPITAL
MULAGO SICKLE CELL CLINIC
MULAGO SKIN CLINIC
MULAGO STD CLINIC
MULAGO SURGICAL OPD
MULAGO TB MANAGEMENT
MULAGO ULTRA SCAN
NSAMBYA
REACHOUT MBUYA
TASO
POLICE
Specify service referred for
ABDOMINAL PAIN
ABNORMAL VAGINAL DISCHARGE
ANTE-NATAL CARE
ART SERVICES
C-C SCREENING-INITIAL
C-C VIA SUSPICIOUS FOR CANCER
CONSTIPATION
FAMILY PLANNING
GBV-EMERGENCY CONTRACEPTION
GBV-PEP
GBV-STI TREATMENT
GENITAL ITCHYING
GENITAL ULCER
HERPES SIMPLEX
HERPES ZOSTA
HIV/AIDS
INFERTILITY
ITCHING IN GENITAL
JOINT PAINS
LOWER ABDOMINAL PAIN
MALARIA
OTHERS
PAINFUL GENITALS
PEP
POST- ABORTION CARE
POST-NATAL CARE
PREGNANCY TESTING
SKIN PROBLEM
SORE THROAT
SWELLING IN GENITALS
SYPHILLIS
URETHRAL DISCHARGE
URINARY TRACT INFECTION
VAGINAL DISCHARGE
Reason for refer
Today's caller info
DATE
CALLER NAME
TELEPHONE
ACTION
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