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Behavioural Surveillance Surveys - The Wisdom of Whores

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<strong>The</strong> second stage sampling procedure will<br />

involve taking a fixed number from each site.<br />

<strong>The</strong> following describes how this was done<br />

based on a design developed for use with<br />

brothel-based sex workers in an Asian setting.<br />

Some details and numbers have been modified<br />

for the sake <strong>of</strong> clarity.<br />

It was decided to use a self-weighted twostage<br />

cluster design, selecting PSUs by PPS at<br />

the first stage, and sampling an equal numbers<br />

<strong>of</strong> respondents from each brothel at the<br />

second stage. This was possible because<br />

women lived at the brothels, so they were<br />

associated with the sites in a fixed manner,<br />

and because measures <strong>of</strong> size were available<br />

for each brothel. <strong>The</strong> total sample size was<br />

300. <strong>The</strong> number <strong>of</strong> women at each brothel<br />

ranged from 10 to 30, so it was decided to<br />

select 20 clusters <strong>of</strong> 15 sex workers each,<br />

to reach the desired sample size.<br />

Sampling approach : PPS sampling with<br />

equal cluster sizes<br />

Sampling frame : List <strong>of</strong> brothels with<br />

MOS (# <strong>of</strong> women<br />

living at the brothel<br />

or connected to<br />

the brothel)<br />

Sample size : 300<br />

Cluster size : 15<br />

Number <strong>of</strong> clusters<br />

required : 20<br />

Second stage sampling procedure<br />

Once the clusters had been selected,<br />

the supervisor and interviewers visited the<br />

brothels and the supervisor randomly selected<br />

15 women to be interviewed from each one.<br />

<strong>The</strong>re are various ways <strong>of</strong> doing the random<br />

selection. In this situation it was important<br />

not to select volunteers, and not to let the<br />

brothel owner select which women should be<br />

interviewed. In order not to make the women<br />

feel that they were being singled out, the<br />

supervisor made the process into a game.<br />

(Note that this might not be appropriate in<br />

every setting). Each woman was given a piece<br />

<strong>of</strong> paper with a number. Pieces <strong>of</strong> paper<br />

with matching numbers were put into a hat.<br />

One <strong>of</strong> the women from the brothel was then<br />

asked to pick fifteen numbers from the hat,<br />

and the women holding the papers with<br />

the matching numbers were selected to be<br />

interviewed. For each one who refused,<br />

another number was drawn from the hat<br />

to randomly replace the women who had<br />

refused. Refusal rates were carefully recorded<br />

by keeping track <strong>of</strong> the total number <strong>of</strong><br />

women who were invited to be interviewed,<br />

and the total number who refused. For<br />

record-keeping, it is good practice to have<br />

well-designed forms to help field workers<br />

keep track <strong>of</strong> information. Sample forms are<br />

provided in Appendix 4 <strong>of</strong> this guide.<br />

First stage sampling procedure<br />

Following the procedures outlined in<br />

Figure 1 and Table 2 in chapter 4 on sampling,<br />

clusters were selected by PPS.<br />

This process is illustrated in Figure 2.<br />

312<br />

A PPEN DI X 3 B EHAV I OR A L SURV EI L L A NC E S U R V EY S

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