Behavioural Surveillance Surveys - The Wisdom of Whores
Behavioural Surveillance Surveys - The Wisdom of Whores Behavioural Surveillance Surveys - The Wisdom of Whores
QUESTIONNAIRE For Female Sex Workers (FSWs) B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 1 209
FAMILY HEALTH INTERNATIONAL (FHI) HIV/AIDS/STD BEHAVIORAL SURVEILLANCE SURVEYS (BSS) FOR USE WITH FEMALE SEX WORKER (FSWs) TITLE OF SURVEY - COUNTRY - YEAR CONDUCTED 001 QUESTIONNAIRE IDENTIFICATION NUMBER |___|___|___| 002 CITY______________________ (provide locally appropriate categories) 003 REGION___________________ (provide locally appropriate categories) 004 SITE______________________ (provide locally appropriate categories) Introduction : “My name is... I’m working for... We’re interviewing people here in [name of city, region or site] in order to find out about... [describe purpose of study]. Have you been interviewed in the past few weeks [or other appropriate time period] for this study? IF THE RESPONDENT HAS BEEN INTERVIEWED BEFORE DURING THIS ROUND OF BSS, DO NOT INTERVIEW THIS PERSON AGAIN. Tell them you cannot interview them a second time, thank them, and end the interview. If they have not been interviewed before, continue: Confidentiality and consent : “I’m going to ask you some very personal questions that some people find difficult to answer. Your answers are completely confidential. Your name will not be written on this form, and will never be used in connection with any of the information you tell me. You do not have to answer any questions that you do not want to answer, and you may end this interview at any time you want to. However, your honest answers to these questions will help us better understand what people think, say and do about certain kinds of behaviors. We would greatly appreciate your help in responding to this survey. The survey will take about XX minutes to ask the questions. Would you be willing to participate?” Interviewer visit Date Interviewer Result (Signature of interviewer certifying that informed consent has been given verbally by respondent) Visit 1 Visit 2 Visit 3 Result codes : Completed 1; Respondent not available 2; Refused 3; Partially completed 4; Other 5. 005 INTERVIEWER : Code [____|____] Name__________________________ 006 DATE INTERVIEW : __\ ____ \ _____ CHECKED BY SUPERVISOR : Signature ____________________ Date ___________ B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 1 211
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QUESTIONNAIRE<br />
For Female Sex Workers (FSWs)<br />
B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 1<br />
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