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Behavioural Surveillance Surveys - The Wisdom of Whores

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ADDITIONAL INFORMATION AND EXAMPLES<br />

OF RECOMMENDED SAMPLING DESIGNS<br />

This appendix provides examples <strong>of</strong> sampling schemes that are<br />

proposed for some <strong>of</strong> the key populations based upon the prototype<br />

designs described in Chapter 4. <strong>The</strong> recommended sampling schemes<br />

for the various sub-populations are summarized in Figure 1.<br />

Figure 1 : Summary <strong>of</strong> recommended sampling approaches, by sub-population<br />

Sub-population<br />

Recommended sampling approach<br />

Sex workers<br />

Fixed Preferred: Conventional 2-stage cluster sampling<br />

Floating Preferred: Time-location cluster sampling<br />

Alternative: Targeted snowball sampling<br />

Injecting drug users Preferred: Time-location cluster sampling<br />

Alternative: Targeted snowball sampling<br />

Men who have sex with men Preferred: Time-location cluster sampling<br />

Alternative: Targeted snowball sampling<br />

Mobile populations Preferred: Time-location cluster sampling<br />

Youth Preferred: Cluster survey <strong>of</strong> households<br />

Alternative: Cluster survey <strong>of</strong> schools, worksites,<br />

youth organizations, and/or other<br />

relevant sites<br />

Sex workers (SW)<br />

One <strong>of</strong> the initial issues that will have to be<br />

addressed in undertaking BSS is the different<br />

types <strong>of</strong> sex workers found in many settings.<br />

Many distinctions have been used in different<br />

settings, including brothel-based and floating,<br />

registered and clandestine; high-paid and<br />

low-paid, and “direct” and “indirect” (i.e., sex<br />

workers working in brothels or massage<br />

parlors as opposed to those working as<br />

bartenders or waitresses in bars or restaurants<br />

who also engage in commercial sex). <strong>The</strong>se<br />

are just a few <strong>of</strong> the distinctions that exist.<br />

Every country has it’s own distinct patterns<br />

for sex work, and these must be understood<br />

before a BSS can be undertaken.<br />

B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 3<br />

309

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