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1 FOR USE IN PPAs. ONE QUESTIONNAIRE SHOULD BE USED PER PPA. Please fill the information below before beginning. Please write clearly, in ink: 001. Date (dd/mm/yyyy): / / 002. Interviewer name (last, first): 003. Respondent name (last, first): 004. Respondent telephone, and fax numbers (including local telephone codes): Telephone: Cell phone (staff member, private): Fax:_ Work address: Respondent job title: 1

2 Questionnaire overview: Section 1: Background Section 2: Prevention and treatment services Section 3: Human resources Section 4: PPA GPS coordinates and validation 2

3 Section 1. Background.This section of the questionnaire aims to collect background information about the PPA. Note to interviewers: Please indicate respondent's answers in the grey, rightmost column. No. Question Answer Read to the respondent: We are interested in knowing about the PPA. Please answer the questions below to the best of your knowledge. We understand that you may not have all of this information, we only 101. District where PPA is located: 102. Ward where PPA is located: 103. Town/Village where PPA is located: 104. PPA name: 105. On an average day or night, how many people can be found in the PPA? 3

4 106. How big is the PPA? Note: Please get an estimated size for the PPA; is it a few city blocks, a village, the size of a large bar or disco? 107. Directions to PPA: Note: when working with the district key informants you may want to use district or city maps to mark the PPA. Otherwise, please provide enough information here for someone who is not familiar with the district to arrive at the PPA Indicate whether the PPA has any of the following characteristics: Close to a major transportation route or border with another country Suspected or known high HIV, STI, and/or TB prevalence Large transient/migrant population High male to female ratio High level of poverty 4

5 Known center for sex work Area or site where you can find many people who do not have formal sector work Area or site where you find many out of school youth 109. Ask only if the PPA is a geographical area (i.e., a section of a city or town), not a specific site (i.e., a bar or hotel). Read to respondent(s): We are interested in knowing about places in the PPA where people go to meet new sexual partners. These could be places such as bars, hotels, certain sections of some streets, or open fields near a school or workplace. I am going to read you a list of the types of places found in other PPAs where people go to meet new sexual partners. For each type of place, please tell us if people go to this type of place within the PPA to meet a new sexual partner. More than one answer is possible. If they any of the places listed below can be found in the PPA, ask how many exist. Note to interviewer: Read each and indicate the estimated number of each found within the PPA. Bars, Home Brews, Taverns Hotels, Guest Houses Nightclubs/discos Overnight Truck Stops 5

6 X-Rated Adults-Only Go-Go Clubs, Massage Parlors, Porno shops Restaurants, street cafes where people socialize and meet new sexual partners Brothels Bus and train stations Worker hostels such as at a mine or construction site Taxi and minibus stands Places where men go to meet other male sexual partners Streets or Street Corners such as a street where sex workers solicit clients Abandoned yards, fields, bush Ports, Harbors, Docks, Fishing Villages Parks where people socialize Beaches Open markets Stores (including convenience and liquor store) where people socialize Shopping Centers Sports venues 6

7 Tourist attractions Places where people go to use drugs Others (please specify): 7

8 Section 2. Prevention services.this section of the questionnaire focuses on the HIV prevention services available in the PPA. Section 1 should be filled out with the district key informants. Note to interviewers: Please indicate respondent's answers in the grey, rightmost column. No. Question Answer Read to the respondent: We are interested in knowing about the HIV prevention services available in the PPA. Please indicate whether or not each of the following is available. These are all "yes/no" questions. 201 Does the PPA have, or benefit from, community based HIV/AIDS prevention sessions? SKIP TO Has a community based HIV/AIDS prevention session been held within the last 3 months? 203 Ask only if the PPA is a geographical area: Within the PPA, is there an AIDS committee? SKIP TO Has this committee met within the last 3 months? 8

9 205 Are there condom outlets in or nearby* the PPA? * within walking distance 206 Are condoms easily accessible during the day time from the site or kiosks, shops or guest houses? 207 Are condoms easily accessible during the night time from the site or kiosks, shops or guest houses? 208 Are there VCT sites in or near* the PPA? * within walking distance 209 Are there STI services available for youth in or near* the PPA? * within walking distance 9

10 Read to respondent(s): Think about the area we have been discussing and the HIV prevention efforts that are present. We want to know about the presence of prevention posters and other media aimed at reducing risk. 210 Are HIV prevention posters/bill boards common within the PPA? SKIP TO Are these posters/billboards appropriate*? * By appropriate we mean that they use little or widely understood wording; images give a clear message that cannot be misunderstood. 212 Are there other posters visible that address VCT? 213 Are there other posters visible that address STIs or family planning? 214 Has there been a condom social marketing program in the PPA anytime during the last 3 months? 10

11 215 Has there been a "know your HIV status campaign*" in the PPA anytime during the last 3 months? * Social marketing programmes aimed at encouraging people to know their HIV sero-status 216 Have there been any HIV/AIDS television or radio shows (i.e., soap operas), videos, or movies shown in the PPA anytime during the last 3 months? 217 Have there been any special events* anytime in the last 3 months that focus or address issues related to HIV prevention and care? * These can be concerts, plays, or other activity that either focuses on HIV prevention or that allowed HIV prevention messages to be widely displayed. 218 Have there been any other HIV-related activities in the PPA that you can recall anytime during the last 3 months? If yes, please specify: 11

12 Section 3. Human resources. This section of the questionnaire asks about the availability of specific human resources. No. Question Answer Read to the respondent: We are interested in knowing about the availability of specific human resources that contribute to the PPA's HIV prevention efforts. For each category of human resource we will ask you if they are available, and how many exist. 301 Are there peer educators in the PPA? IF YES, ENTER THE TOTAL NUMBER: End questionnaire. 302 Of the number indicated above, how many are: a. Female b. Male Check: 302a and 302b should add up to the total number indicated in 301. a. b. This is the end of the questionnaire. We thank you very much for the time you have taken to answer these questions. 12

13 Section 4. PPA GPS coordinates and validation. This part of the questionnaire is completed by the field team. It will be used to collect the GPS coordinates of the PPA as well as to verify some of the information collected from the district key informant. No. Question Answer 401. Date of visit (dd/mm/yyyy): / / 402. Field worker name (last, first): 403. PPA name: Note to interviewer: this should be the same name identified in Section 1: Background PPA geographic co-ordinates*: * For PPAs that are one location or venue, take the GPS coordinates of the place. For PPAs that are a larger geographical area (i.e., a few city blocks, a neighborhood in a city or town) walk to the center of the PPA and take the GPS coordinates. Latitude S: Longitude E: Note to field team: As you walk through the PPA to get the GPS coordinates, look around and try to validate some of the information that was given to you by the district key informants. You do not have to interview anyone, nor go out of your way. No. Question Answer 304. Are any HIV prevention posters/billboards visible? 305. Are these posters/billboards appropriate*? * By appropriate we mean that they use little or widely understood wording; images give a clear message that cannot be misunderstood. Skip to

14 306 Are there other posters visible that address VCT? 307 Are there other posters visible that address STIs or family planning? 308. Do you see any places where you could buy condoms? You may need to enter a market, shop, or bar to see if condoms are for sale. 309 Do you see any places where you could get free condoms? You may need to enter a guest house to see if condoms are being given away. 14

/ / 002. District name:

FOR USE WITH KEY INFORMANTS. Please fill the information below before beginning the interview. Please write clearly, in ink: 001. Date (dd/mm/yyyy): / / 002. District name: 003. District population, in