Behavioural Surveillance Surveys - The Wisdom of Whores

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FHI 2000 HIV/AIDS/STD BEHAVIORAL SURVEILLANCE SURVEY (BSS) FOR FSWs Section 3: Sexual history: numbers and types of partners No. Questions and filters Coding categories Skip to Q301 Q302 Now I’d like to ask you some questions about your sexual partners... AGE IN YEARS [__|__] DON’T REMEMBER 88 At what age did you first have sex ? NO RESPONSE 99 Among all of your partners in the last seven days (one week), how many were: - PAYING CLIENTS: How many were PAYING CLIENTS partners who you had sex with [__|__] in exchange for money? DON’T KNOW 88 NO RESPONSE 99 - NON-PAYING PARTNERS: Partners NON-PAYING PARTNERS you have sex with who do not give [__|__] you money in exchange for sex (INCLUDE SPOUSE AND LIVE-IN DON’T KNOW 88 SEXUAL PARTNERS) NO RESPONSE 99 Q 303 With how many different sexual NUMBER IN LAST 7 DAYS partners in total have you had sex during the last seven days (one week)? [__|__] DON’T KNOW 88 INCLUDE SPOUSE(S) AND LIVE-IN NO RESPONSE 99 SEXUAL PARTNERS NOTE: CHECK TOTAL NUMBERS OF PARTNER IN Q302 AND Q303 TO MAKE SURE THE NUMBERS MATCH. 216 A PPEN DI X 1 B EHAV I OR A L SURV EI L L A NC E S U R V EY S
FHI 2000 HIV/AIDS/STD BEHAVIORAL SURVEILLANCE SURVEY (BSS) FOR FSWs Section 4: Sexual history: paying clients No. Questions and filters Coding categories Skip to Number of clients|__|__| Q401 On the last day you worked, DON’T KNOW 88 how many clients did you have? NO RESPONSE 99 List amount of money in local currency Q402 The last time you had sex with DON’T KNOW 88 a client, how much money did NO RESPONSE 99 you receive? Q403 The last time you had sex with this YES 1 client, did you and your client NO 2 → Q405 use a condom? DON’T KNOW 8 → Q406 NO RESPONSE 9 Q404 Who suggested condom Myself 1 → Q406 use that time? My partner 2 → Q406 Joint decision 3 → Q406 CIRCLE ONE DON’T KNOW 8 → Q406 NO RESPONSE 9 Y N Q405 Why didn’t you and your client Not available 1 2 use a condom that time? Too expensive 1 2 Partner objected 1 2 Don’t like them 1 2 ADD OTHER LOCALLY Used other contraceptive 1 2 APPROPRIATE CATEGORIES Didn’t think it was necessary 1 2 AFTER PRE-TESTING Didn’t think of it 1 2 Other_____________________ 1 2 CIRCLE ALL ANSWERS DON’T KNOW 1 2 MENTIONED NO RESPONSE 1 2 Q406 With what frequency did you and EVERY TIME 1 all of your clients use condoms ALMOST EVERY TIME 2 over the last 30 days? SOMETIMES 3 NEVER 4 DON’T KNOW 8 NO RESPONSE 9 B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 1 217
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BEHAVIORAL SURVEILLANCE SURVEYS GUI
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Family Health International (FHI) H
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Chapter 7 Analysis and interpretati
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3. Choosing populations for behavio
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G UIDELINES FOR REPEATED BEHAVIORAL
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Recognizing that HIV surveillance d
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Different approaches to collecting
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The principal rationale for focusin
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It is not possible to validate data
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GUIDELINES FOR REPEATED BEHAVIORAL
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The process of building partnership
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Funders of HIV prevention activitie
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What is to be measured ? Indicators
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Step 7 : Constructing a sampling fr
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Step 12 : Data collection and super
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choosing population groups GUIDELIN
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the spread of HIV. For this reason,
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In some circumstances, public healt
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The majority of sub-populations of
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In the end, the issue boils down to
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In looking at behaviors of hard-to-
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Maps derived from program planning
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Selecting primary sampling units (c
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...when measures of size are not av
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If there is no reason to believe th
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Figure 3 : Decision tree for first-
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Implications of alternative samplin
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Table 5 : Values of Z 1-α and Z 1-
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Table 6 : Sample size requirements
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equired. In this case, the pros and
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Should one- or two-tailed z-score v
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Other measurement issues for BSS Th
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A “low-tech” solution to the pr
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5 Weighting in multi-stage sampling
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Figure 6 : Procedures for calculati
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Calculating weights from sampling p
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Calculating standard errors with mu
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6 Adapting and using questionnaires
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Some attempts have in the past been
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Informed consent Confidentiality an
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Recommended Methods of Statistical
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where n is the sample size in the d
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Table 2 : Reported number of non-re
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False conclusions: the danger of co
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Analysis of trends in behavior over
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Changes in sampling methodology ove
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8 Using the data collected to impro
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Improving prevention programs As a
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Finally, information about HIV and
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Figure 9 : HIV and STD prevalence,
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9 Indicators This guide identifies
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The standard questionnaires are acc
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INDICATORS Page INDICATORS FOR YOUT
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INDICATORS Page INDICATORS FOR MEN
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KEY INDICATORS What follows is a fu
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The indicator uses promoted data. O
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To be counted the numerator for thi
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Strengths and limitations Some meas
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Adult Indicator 5 Consistent condom
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Adult Indicator 7 (men only) Number
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Adult Indicator 9 Consistent condom
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Adult Indicator 11 Population seeki
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Adult Indicator 12 Exposure to inte
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Youth Indicator 2 No incorrect beli
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Youth Indicator 4 Youth sexually ac
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Youth Indicator 6 Number of sexual
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Youth Indicator 8 Consistent condom
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Youth Indicator 10 Commercial sex a
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Youth Indicator 14 Exposure to inte
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Female Sex Worker Indicator 2 No in
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Female Sex Worker Indicator 5 Sex w
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Indicators for men who have sex wit
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Men Who Have Sex With Men Indicator
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Men who have sex with men Indicator
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Indicators for injecting drug users
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Injecting Drug User Indicator 3 Inj
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Injecting Drug User Indicator 8 Dru
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Injecting Drug User Indicator 10 Dr
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Suggested Reading Brown T, Sittitra
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QUESTIONNAIRE For Adult Target Grou
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Page 263 and 264: QUESTIONNAIRE For Injecting Drug Us
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FHI 2000 HIV/AIDS/STD BEHAVIORAL SU
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EXAMPLE OF SUPERVISORS’ AND INTER
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A “take-all” approach is to be
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• To probe for additional informa
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Part B: How to use the Long Distanc
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An example of a question for which
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Part C: Section-by-section review o
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Q109. If the respondent says he/she
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it is asking if the respondent has
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Section 5 : Non-regular partners Q5
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Q706 : This question determines the
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Q910 - Q912 : Knowledge of maternal
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in riskier behavior (i.e., not usin
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Section 5 : Non-paying partners Que
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3 APPENDIX WORKING EXAMPLES OF SAMP
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For the purposes of the BSS, the ke
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The second stage sampling procedure
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Notes: 1. It may not always be poss
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The information from the mapping ex
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In Figure 3, clusters were chosen b
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Fieldwork assignments when the “t
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Figure 4 : Example of targeted snow
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In some settings it may not be acce
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Figure 6 : Steps in using the segme
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Figure 9 : Map of hypothetical samp
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In-class sampling of school youth T
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Alternative to “in-class” sampl
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found at the various locations at d
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What should be done if, even after
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FIELDWORK FORMS The following set o
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Form I Cluster Selection Sheet (Pro
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Form 2 Cluster Selection Sheet (Equ
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Form 3 Assignment Information Sheet
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Form 4 Cluster Information Sheet Su
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TABLE OF CHI-SQUARE STATISTICS AND
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Step 2 : Calculate the expected num
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Behavioural Surveillance Surveys - The Wisdom of Whores

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