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Behavioural Surveillance Surveys - The Wisdom of Whores

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Q706 : This question determines the<br />

amount <strong>of</strong> time it would take to obtain a<br />

condom close to home or work. <strong>The</strong> categories<br />

may need to be adjusted for local conditions,<br />

or it may be that the question is not necessary<br />

at all for some geographic areas or target<br />

groups. If the categories are changed, verify<br />

that they are mutually exclusive (i.e., that an<br />

answer can’t fit in more than one category).<br />

Q707 : This question asks about any<br />

unprotected sexual intercourse with non-regular<br />

or commercial partners during the previous 12<br />

months. Although the data could theoretically<br />

be derived from other questions in the<br />

instrument, this question asks directly about<br />

unprotected sex and thus serves as an internal<br />

check on information obtained elsewhere in<br />

the instrument. It also provides data for<br />

indicator 13, which is the percentage <strong>of</strong> target<br />

group reporting unprotected sex with any<br />

non-regular or commercial sex partners during<br />

the previous 12 months.<br />

Section 8 : STDs<br />

Questions in this section are posed to men<br />

and women. <strong>The</strong> 5 questions contained in<br />

the section attempt to assess certain aspects<br />

<strong>of</strong> STD symptom awareness by gender and<br />

self-reported STD incidence. Self-reported<br />

incidence <strong>of</strong> STDs raises a number <strong>of</strong> problems<br />

concerning definition and measurement.<br />

Many respondents may not know the correct<br />

medical terms for different STDs, and therefore<br />

all questions are phrased in terms <strong>of</strong> symptoms,<br />

instead <strong>of</strong> asking “What STDs do you know?”<br />

or “Have you ever had an STD?” For females,<br />

many infections may be asymptomatic for long<br />

periods and difficult to diagnose. For males,<br />

symptoms are usually more easily recognizable,<br />

and gonorrhea (penile discharge) can be<br />

distinguished from syphilis (sores, ulcerations).<br />

<strong>The</strong> main objective <strong>of</strong> STD program interventions<br />

is to improve the point <strong>of</strong> first encounter<br />

for treatment, to increase the probability that<br />

a person experiencing symptoms will seek<br />

out and receive prompt effective treatment,<br />

as well as to provide prevention advice.<br />

Answers to these questions complement STD<br />

case management studies by providing<br />

a perspective from the person experiencing<br />

the symptoms. Read the questions slowly<br />

and carefully. Be careful not to imply any<br />

judgment <strong>of</strong> the respondent and his/her<br />

behavior or morals.<br />

Q801 : Respondents are first asked if they<br />

have heard <strong>of</strong> diseases that can be transmitted<br />

through sexual intercourse. If not, you skip<br />

to questions about symptoms beginning<br />

with 804. If they answer YES, DON’T KNOW,<br />

or they don’t answer, you then ask both males<br />

and females the following two questions<br />

about symptoms.<br />

Q802, Q803 : <strong>The</strong>se two questions are<br />

knowledge questions, asking about symptoms<br />

<strong>of</strong> STDs in women and in men. You should<br />

not read out the categories, but should probe<br />

by asking “Do you know any others?” because<br />

more than one answer is possible. For each<br />

symptom mentioned, you circle 1 (YES).<br />

If the respondent describes a symptom not<br />

listed, write the symptom on the line next<br />

to the OTHER category and circle 1. When<br />

the respondent can no longer think <strong>of</strong> other<br />

symptoms, then you must circle 2 (NO)<br />

for each category not mentioned by the<br />

respondent. Note that the categories are not<br />

completely identical for the two genders.<br />

B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 2<br />

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