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Behavioural Surveillance Surveys - The Wisdom of Whores

Behavioural Surveillance Surveys - The Wisdom of Whores

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Sections 4, 5, 6 : Sexual history by partner type<br />

<strong>The</strong>se sections correspond to sections 4, 5<br />

and 6 in the adult questionnaire, asking a set<br />

<strong>of</strong> questions about each type <strong>of</strong> sexual partner.<br />

Q401 : This question attempt to specify in<br />

a more detailed fashion, the number <strong>of</strong> partners<br />

a sex worker has on the last day they worked.<br />

<strong>The</strong>se questions are very helpful in describing<br />

a typical sex worker among the target group.<br />

In the analysis, you would say that the average<br />

sex worker in this target group saw XX clients<br />

in a day. This establishes a range <strong>of</strong> risk for<br />

the particular target group, and over time, also<br />

helps to clarify changes in sex work, possibly<br />

as a result <strong>of</strong> the influence <strong>of</strong> risk <strong>of</strong> HIV.<br />

In some settings, research over time has shown<br />

that the number <strong>of</strong> clients <strong>of</strong> sex workers is<br />

decreasing and thus that sex work is becoming<br />

less lucrative than it used to be.<br />

Q402 : <strong>The</strong> purpose <strong>of</strong> this question is to<br />

determine the amount <strong>of</strong> money a respondent<br />

receives for sex with a casual (one-time)<br />

client, yielding an average for the target group.<br />

List the amount the respondent tells you in the<br />

space provided on the questionnaire, and list<br />

it in the local currency. In the report, the<br />

analyst will list the average amount for the<br />

target group and translate that into a universal<br />

currency such as dollars or some other currency<br />

appropriate for the majority <strong>of</strong> readers.<br />

suggested condom use at that time (403). If the<br />

respondent’s partner did not use a condom,<br />

then you skip 405, and ask why a condom<br />

was not used (405). Other appropriate local<br />

categories may need to be added, or categories<br />

currently listed may need to be deleted.<br />

Usual reasons for lack <strong>of</strong> condom use may<br />

already be known for the specific target group<br />

in question, or may need to be developed<br />

through individual or group interviewing.<br />

In 405, multiple answers are possible. You first<br />

ask the question without mentioning the<br />

possible categories. As the respondent tells<br />

you the reasons, you circle 1 for YES for each<br />

reason she mentions. <strong>The</strong>n you ask, “Are there<br />

any other reasons you and your partner did<br />

not use a condom that time, that you haven’t<br />

already mentioned?” Circle 1 for YES for<br />

additional reasons mentioned. <strong>The</strong>n ask,<br />

“Are there any other additional reasons?”<br />

Once the respondent has finished telling you<br />

all the reasons, then you mark 2 for NO for<br />

each category not mentioned, including<br />

DON’T KNOW and NO RESPONSE.<br />

Q406 : This question is about frequency<br />

<strong>of</strong> condom use with the last one-time paying<br />

client, and is similar to other frequency <strong>of</strong><br />

condom use questions in the adult questionnaire.<br />

Possible answers include every time,<br />

most times, occasionally, and never. DON’T<br />

KNOW and NO RESPONSE are also possible.<br />

Q403, Q404, Q405 : This is one <strong>of</strong> the key<br />

behavioral questions __ last - time condom use<br />

with the most recent paying one - time client.<br />

If the respondent’s most recent partner did<br />

use a condom (402), then you ask who<br />

306<br />

A PPEN DI X 2 B EHAV I OR A L SURV EI L L A NC E S U R V EY S

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