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Disclosure of Hiv status to sexual partners among people who ...

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I have read the information about this research study on the Participant information<br />

sheet.<br />

I have been given an opportunity <strong>to</strong> ask any questions I may have, and all such questions<br />

or inquiries have been answered <strong>to</strong> my satisfaction.<br />

I hereby consent <strong>to</strong> participate in this research study.<br />

----------------------------------------------------------------<br />

Participant Name (Printed)<br />

------------------------------------------------------------------ ------------------<br />

Participant Signature<br />

-----------------------------------------------------------------<br />

Researcher Conducting Informed Consent (Printed)<br />

Consent Date<br />

-------------------------------------------------------------------- ------------------<br />

Signature <strong>of</strong> Researcher Date<br />

Appendix 3<br />

Question guide for TASO clients <strong>who</strong> disclosed <strong>status</strong> <strong>to</strong> partner(s)<br />

Study Title: <strong>Disclosure</strong> <strong>of</strong> HIV <strong>status</strong> <strong>sexual</strong> <strong>partners</strong> <strong>among</strong>st <strong>people</strong> <strong>who</strong> receive<br />

antiretroviral treatment <strong>to</strong> AIDS in Kampala, Uganda.<br />

Section A: General information<br />

A1. Site Name: _________________________________________________<br />

A2. Interviewee Identification Number: _____________________________<br />

85

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