HIV/AIDS Tool Kit. A. Introduction

Transcription

1 HIV/AIDS Tool Kit A. Introduction

2 International Planned Parenthood Federation (IPPF) believes that HIV is the pre-eminent health, social and human rights issue of our time, which threatens the survival of individuals, communities and nations. IPPF is committed to ensuring that HIV is clearly part of a comprehensive response to the sexual and reproductive health and rights challenges of the day. IPPF believes that vulnerability to HIV results from a range of individual and structural factors that reduce the ability of individuals and communities to avoid HIV risk. IPPF/WHR s institutional vision is based on ensuring that all people have access to the information and services they need, recognizing sexuality both as a natural and precious aspect of life and as a fundamental human right, and creating a world in which choices are fully respected and where stigma and discrimination have no place. Achieving this vision includes reducing stigma around HIV/AIDS and ensuring access to high quality health services related to HIV/AIDS. IPPF/WHR, in collaboration with its affiliated organizations, developed the HIV/AIDS KAP Questionnaire for Health Care Providers and Staff: Tool Kit with Supporting Documents to assist organizations and clinics in developing and improving HIV/AIDS related health services. The tool kit was developed in the IPPF/WHR regional office and tested in collaboration with IPPF Member Associations in Honduras, Peru, Haiti, Jamaica, and Suriname. The tool kit includes a questionnaire to measure staff attitudes and knowledge around HIV/AIDS and an accompanying implementation guide, answer key, and code book. A database for the questionnaire is available at These tools have been tested with small samples, and have been useful in collecting data to inform new programs and improve existing services. The HIV/AIDS KAP Questionnaire for Health Care Providers and Staff: Tool Kit with Supporting Documents is available for download at These tools are meant to be adapted to the local context; they are available in Word format, which allows for any necessary modifications to be made to create an instrument that suits the needs of the implementing organization. The contents of the tool kit are described below: The HIV/AIDS KAP Questionnaire for Health Care Providers and Staff is designed to assess the knowledge, beliefs, and attitudes of health care providers and other staff regarding HIV/AIDS. The findings from the questionnaire can be used to guide future HIV programming and to develop capacity-building materials, trainings, and programs for staff in order to improve health services related to HIV/AIDS. Additionally, key questions can be used as baseline and endline measures to assess efforts to build staff capacity around HIV/AIDS. Introduction 2

3 The Implementation Guide provides step by step instructions to help organizations effectively use the HIV/AIDS KAP Questionnaire for Health Care Providers and Staff. These steps cover the general approach to carrying out the questionnaire from start to finish. The Answer Key provides a color coded questionnaire indicating the correct answers for knowledge questions and the answers that most indicate positive attitudes towards people living with HIV on attitudinal questions. The Codebook is designed to facilitate data entry and analysis, and contains the variable name, values, and labels for each question. Though not included in the tool kit, a Database (available in SPSS and excel) for the HIV/AIDS KAP Questionnaire for Health Care Providers and Staff is available for download at to facilitate data entry and analysis. The HIV/AIDS KAP Questionnaire for Health Care Providers and Staff: Tool Kit with Supporting Documents represents an evolving set of instruments. Upon reviewing and implementing them, we hope that you share any feedback you may have with Shelly Makleff at smakleff@ippfwhr.org. Acknowledgements We would like to express our appreciation for the individuals and organizations that have contributed their time, expertise and materials to this project, including IPPF Member Associations, our partner agencies, and the HIV/AIDS and Development and Publications teams at the IPPF/WHR regional office. Introduction 3

4 8 HIV/AIDS Tool Kit B. HIV/AIDS Questionnaire for Health Care Providers and Staff 4

5 FOR STAFF USE ONLY: SURVEY ID # HIV/AIDS KAP Questionnaire for Health Care Providers and Staff Introduction The goal of this questionnaire is to understand knowledge, attitudes and practices related to HIV/AIDS among staff members in your organization. Your answers and participation will be anonymous - no one will ask you to write your name on any part of the questionnaire. Data analysis will group all staff to protect anonymity, and the findings will be used to improve HIV/AIDS related health services at your organization. Instructions Please complete the attached questionnaire and return it according to the instructions provided. We appreciate your valuable time and commitment to improving services. Consent: Please check one of the two options below: I have read the information above and I choose to participate by completing this questionnaire. -or- I have read the information above and I choose NOT to participate. I will not be completing this questionnaire. (If you check this box, please submit the empty questionnaire.) Please turn the page to proceed with the questionnaire. HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 5

6 I. General Information We will start with some basic questions about you and your work. 1 What is today s date? / / day month year 2 What is the name of your primary workplace? o Clinic A o Clinic B o Clinic C 3 How long have you worked at this organization? o Less than 1 year o 1 to 4 years o More than 4 years but less than 10 years o 10 years or more 4 What is your primary role within this organization? (Please mark only one answer) o I am a staff member and provide clinical services to clients (doctor, nurse, psychologist, bio-analyst, etc.) o I am a staff member and provide non-clinical services to clients (educator, counselor, etc.) o I am a staff member and have an administrative role (receptionist, cashier, secretary, management, etc.) o I am a non-staff youth participant (peer educator, etc.) o Other HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 6

7 I. General Information (continued) 5 Do you have direct contact with clients through your position? o Yes o No 6 What gender do you identify as? (Please mark only one answer) o Female o Male o Trans person o (write your term of choice) 7 How old are you? (Please mark only one answer) o Under 18 o 18 to 24 o 25 to 39 o 40 or over II. Questions for All Staff Members The following questions focus on your training and past experience with people living with HIV. 8 To your knowledge, have you ever met someone who is HIV-positive? o Yes o No 9 In the past six months, did you attend any trainings or sensitization sessions about HIV/AIDS? o Yes à If yes, who provided the training? (Please mark all that apply) o This organization o Other o No à If no, have you ever attended a training or sensitization session about HIV/AIDS? o Yes o No HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 7

8 II. Questions for All Staff Members (continued) 10 How prepared do you feel to interact with HIV-positive clients at your workplace? o Very prepared o Somewhat prepared o Unprepared o Not applicable (I do not interact with clients) 11 If this organization offered trainings or sensitization sessions about HIV/AIDS, would you want to attend? o Yes o No o Maybe 12 Have you ever heard of antiretroviral therapy? o Yes o No / I m not sure The following questions focus on HIV/AIDS risks and transmission. For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Please mark only one answer for each statement. Statement True False I m not sure 13 A person can become infected with HIV by: A having unprotected oral sex. B bathing in the same water as an HIV-positive person. C sharing needles. D receiving a blood transfusion that has not been screened for HIV. E getting a mosquito bite. F sharing silverware with an HIV-positive person. G sharing razor blades that have not been disinfected. HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 8

9 II. Questions for All Staff Members (continued) For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Statement True False I m not sure 14 A person can reduce his or her risk of becoming infected with HIV if he/she: A abstains from sexual intercourse. B maintains a healthy diet. C uses a new, unused needle for each injection. D always uses a condom during sex. For each statement below, please check the appropriate box to indicate whether you agree, disagree, or are not sure. Statement Agree Disagree I m not sure Having more sexual partners increases the risk of becoming infected with HIV. I can tell by looking at someone if he/she is infected with HIV. Despite receiving a negative HIV test result, a person could still be infected with HIV. For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Statement True False I m not sure 18 A woman can transmit HIV to her child A during pregnancy B during childbirth C through breast-feeding HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 9

10 II. Questions for All Staff Members (continued) Regardless of the laws in your country or protocols in the clinic where you work, we want to know what you think about notification of HIV status. Based on your personal opinions, please share your feelings about the situations below. Please mark only one answer for each question. 19 Do you feel that if a client tests positive for HIV, the clinic should inform the client s family of the results? o Yes, the clinic should inform the client s family o No, the clinic should NOT inform the client s family 20 Do you feel that if a client tests positive for HIV, the clinic should inform the client s sexual partner(s) of the results? o Yes, the clinic should inform the client s sexual partner(s) o No, the clinic should NOT inform the client s sexual partner(s) For each of the following statements, please choose the answer that best reflects your personal feelings. Please mark only one answer for each statement. Statement Strongly agree Somewhat agree Somewhat disagree Strongly disagree An HIV-positive woman has the right to become pregnant. An HIV-positive teacher should be allowed to teach. Most people living with HIV were infected because of irresponsible behavior. I would be willing to care for a family member who had AIDS in my home. If I were infected with HIV and told my partner, he/she would leave me. I would feel comfortable sharing a bathroom with a person I knew had HIV/AIDS. If I found out that a food or vegetable vendor was HIV-positive, I would feel comfortable buying from him/her. o o o o o o o 28 AIDS is God s punishment for immorality. o HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 10

11 II. Questions for All Staff Members (continued) The next series of questions are about providing health care services for people living with HIV. Please note that the following question is not about your personal opinion, but about the protocols of your organization. Statement Should be notified Should NOT be notified I m not sure 29 According to the protocols adopted by your organization, when a client receives a positive HIV-test result, which of the following people / places should be notified of the results? If you are not sure whether someone should be notified, please mark "I'm not sure." A The client B The client s current sexual partner(s) C The client s past sexual partner(s) D The client s parents, if he/she is a youth E The Ministry of Health (notification of client name and status) F The client s employers G The client s insurance company Please indicate whether you would be very worried, somewhat worried, a little worried, or not worried about the following. Statement Very worried Somewhat worried A little worried Not worried 30 If you were helping clients who were HIV positive as part of your work, how worried would you be about: A becoming infected with HIV? o B C D the possibility that other clients would no longer come to you for care? other people thinking that you are also infected? whether or not you have received enough training on HIV/AIDS? o o o HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 11

12 II. Questions for All Staff Members (continued) 31 Which of the preceding issues (30 a-e) worry you the most? Please mark only ONE of the following options: o becoming infected with HIV o the possibility that other clients would no longer come to you for care o other people thinking that you are also infected o whether or not you have received enough training on HIV/AIDS o none of the preceding issues worry you at all Please read the following question and instructions carefully 32 Do you provide services to clients (i.e. healthcare, education, counseling)? This includes doctors, nurses, counselors, educators, and anyone providing services directly to clients. o Yes à If YES, please continue the questionnaire on the next page. o No à If NO, please DO NOT continue. Thank you for your collaboration! Please verify that you have answered questions 1-31 and return the questionnaire according to the instructions provided. If you any questions or comments related to this survey or HIV/AIDS in general, please write them in the box below. As this survey is anonymous, please do not write your name or other identifying information. HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 12

13 III. Workplace-related Questions for Service Providers Only (those providing healthcare, education, counseling services directly to clients) The following questions refer to your work responsibilities and previous training on HIV Voluntary Counseling and Testing. 33 Which one of the following services do you most frequently provide? (Please mark only one) o Medical/nursing (healthcare) o Counseling o Education o Other (please specify): o None à Attention: If you do not work directly with clients, you may stop answering questions now and turn in your survey. Thank you. 34 In the past six months, did you attend any training on HIV Voluntary Counseling and Testing (VCT)? o Yes à If yes, who provided the training? (Please mark all that apply) o This organization o Other o No à If no, have you ever attended a training on HIV VCT? o Yes o No Based on your personal opinion, indicate if you completely agree, somewhat agree, somewhat disagree, or completely disagree with each of the following statements. Please mark only one answer for each statement. Statement Completely agree Somewhat agree Somewhat disagree Com di As a health care provider, I need to know the sexual orientation of my client. As a health care provider, I need to know about the sexual behavior of my client. HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 13

14 III. Workplace-related Questions for Service Providers Only (continued) The following questions are about how prepared you feel to work with clients who are HIV positive. 37 If you realized that your next appointment was with a client who had AIDS, how nervous would you feel? o Very nervous o Somewhat nervous o Not nervous o Not applicable (I do not have appointments with clients) Please indicate whether you feel very prepared, somewhat prepared, or not at all prepared for the following. Statement Very prepared Somewhat prepared Not at all prepared 38 If a client s HIV test results are positive, how prepared do you feel to A provide him/her with appropriate health services? B counsel him/her appropriately? C refer him/her elsewhere for services you cannot provide? 39 How comfortable would you feel taking laboratory samples from a person living with HIV? o Very comfortable o Somewhat comfortable o Somewhat uncomfortable o Very uncomfortable o Not applicable (I do not take lab samples) HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 14

15 III. Workplace-related Questions for Service Providers Only (continued) The following questions relate to providing medical services for people living with HIV. Please mark only one of the following options. 40 If you were counseling an HIV-positive woman about her contraceptive options, which of the following best represents what you would do? o I would recommend condoms over all other contraceptive options. o I would recommend abstinence over all other contraceptive options. o I would recommend sterilization over all other contraceptive options. o I would recommend use of condoms and an additional method at the same time. o I would be unsure which option to recommend. For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Statement True False I m not sure 41 The possibility of mother-to-child transmission of HIV can be reduced if: A the mother receives antiretroviral medication treatment during the pregnancy. B the baby is delivered via caesarean section. C the mother is tested for HIV during prenatal care. 42 How likely is it that a health care provider will become infected with HIV by providing care to an HIV positive client? o Very likely o Somewhat likely o Not very likely o Not likely at all o I m not sure HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 15

16 III. Workplace-related Questions for Service Providers Only (continued) For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Statement True False I m not sure 43 Antiretroviral therapy A helps people living with HIV live longer. B can cure an HIV positive client. C can decrease the risk of HIV transmission. D frequently has side effects that make clients feel physically ill. For each statement below, please check the appropriate box to indicate if it is true, false, or if you re not sure. Statement True False I m not sure HIV-positive clients should be separated from clients of unknown HIV status to protect uninfected clients. A provider should take the same bio-safety (protective) measures with all clients, regardless of the client s HIV status. A client with HIV can get his/her CD4 count to know how advanced his/her HIV infection is. If someone is infected with HIV, he/she has a higher risk of becoming infected with other STIs. If someone is infected with certain STIs, he/she has a higher risk of becoming infected with HIV. Sexual behaviors that make someone susceptible to HIV also make him/her susceptible to other STIs. HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 16

17 III. Workplace-related Questions for Service Providers Only (continued) 50 Do you think that STI testing for clients should be a part of the HIV prevention program at your organization? o Yes o No o I m not sure Thank you for your collaboration! Please verify that you have answered every question and return the questionnaire according to the instructions provided. If you have any questions or comments related to this survey or HIV/AIDS in general, please write them in the box below. As this survey is anonymous, please do not write your name or other identifying information. SURVEY ID #: HIV/AIDS KAP Questionnaire for Health Care Providers and Staff 17

18 HIV/AIDS Tool Kit C. Checklist for Implementing the HIV/AIDS Questionnaire for Health Care Providers C and Staff 18

19 Checklist for Implementing the HIV/AIDS KAP Questionnaire for Health Care Providers and Staff The following instructions should help your organization effectively use the HIV/AIDS KAP Questionnaire for Health Care Providers and Staff. These steps cover the general approach to carrying out the questionnaire, from start to finish, and are intended for the person overseeing implementation of this questionnaire among staff. Overview Purpose of this Questionnaire: As you know, your organization is participating in an initiative to improve its services related to HIV/AIDS. The HIV/AIDS KAP Questionnaire for Health Care Providers and Staff will collect information about the knowledge and beliefs of staff, especially health care providers, regarding HIV/AIDS. The findings from this questionnaire can be used to guide future HIV programming and develop capacity-building materials, trainings, and programs for staff in order to improve health services related to HIV/AIDS. The comparison of baseline and endline results can also be used to approximate the effects of efforts taken to build staff capacity around HIV/AIDS. Pre-implementation instructions STEP 1: Familiarize Yourself with the Questionnaire The KAP survey is designed to be self-administered and completed confidentially by health care providers and other staff who agree to participate. You will likely need to field questions from participants about the KAP survey. Therefore, it is important to have completed the KAP survey yourself and be familiar with the questions before implementing it among staff. Note: only the core people responsible for implementing the questionnaire should review the questionnaire at this phase - all staff who will be participating in the questionnaire should not be involved in this phase. Your role is central to implementing the questionnaire, which is designed to be selfadministered (i.e. completed individually by each participant, with no assistance) and completed confidentially by staff members who agree to participate. Additionally, your role will include fielding any questions that participants have about the questionnaire. Therefore, it is important that you are familiar with the questionnaire and have completed it yourself before implementing it among staff (this will be part of the pre-test before implementation). Implementation Guide for the HIV/AIDS KAP Questionnaire 19

20 STEP 2: Adapting the Questionnaire to Fit the Local Context Make any necessary changes to the wording of the questionnaire so that it best reflects the local context. Verify that the questions are understandable and that the vocabulary and phrases in the questionnaire reflect the vocabulary and style of speech of staff members. On page one of the questionnaire, be sure to add specific information under Instructions to inform respondents about how to return the questionnaire once they have completed it. On page two of the questionnaire, be sure to replace the answer choices for question 2 to reflect the sites that will participate in the survey (add as many sites as necessary for your organization). If your clinic staff or the survey sample size is small, you may consider changing or removing question 2 ( What is the name of your primary workplace? ) and/or question 4 ( What is your primary role within this organization?') to ensure confidentiality and anonymity for all respondents. STEP 3: Selecting the Questionnaire Sites and Timeline You should decide which clinics will be surveyed and when. If there are only a few clinics, it is recommended that you survey all of them. You should choose an acceptable time period (usually 1-2 weeks) during which all questionnaires will be completed. STEP 4: Sampling You should decide how many providers you will be asking to complete the questionnaire. If your clinic has a relatively small staff, it is recommended that you distribute the questionnaire to all staff, particularly to all providers (doctors, nurses, health promoters, etc.). It is likely that some staff members will refuse to participate. Because this will lower the number of completed questionnaires you receive, it is especially important that you distribute the questionnaire to as many staff members as possible. STEP 5: Administering the Pre-test You should complete the questionnaire yourself, and give the questionnaire to one or two people who are NOT a part of your sample (after the pre-test, they must not participate in the actual implementation; their data would be biased by their prior experience with the questionnaire) to make sure the questionnaire is understandable and easy to complete, and that the wording is culturally relevant. Please record how long each pre-tester takes to complete the questionnaire so that you know approximately how long each participant can expect to spend on the questionnaire. Implementation Guide for the HIV/AIDS KAP Questionnaire 20

21 Implementation STEP 6: Orienting Staff Orient Staff about the Purpose of the Questionnaire The next step is to orient staff about the objectives of the questionnaire in order to secure their support, which will make completing the questionnaire much easier. Staff should be made aware that the questionnaire will allow your organization to develop capacity-building materials, trainings, and programs to improve health services related to HIV/AIDS/STIs and VCT. This should be done before the questionnaire is handed out, and can be done in a variety of ways, such as making an announcement at a staff meeting, sending an to staff, or placing a letter in staff mailboxes. Confidentiality Staff should be reminded that confidentiality is absolutely necessary to get honest and complete answers from participants. It is important to assure participants that the purpose of this questionnaire is not to evaluate performance, and will not affect anyone s work or position in any way. To the contrary, the purpose is to gather accurate information on the perspectives of staff on the subject of HIV/AIDS. Information in all the questionnaires will be analyzed as a whole (not individually). Knowing that participation is confidential and anonymous will help staff feel comfortable answering the questions honestly. It is very important that all staff members, whether they are participating in the questionnaire or not, recognize the importance of confidentiality. No one on staff should read the responses of the participants, either while they are taking the questionnaire or after the questionnaire has been submitted. (Ideally, you should hire a person outside the organization to do data entry and analysis.) The following steps will help to guarantee confidentiality: First, provide participants with a semi-private space to complete the questionnaire, where no one is able to see their answers Second, make sure that the participant s name and identifying information is not written anywhere on the questionnaire. Finally, establish a secure location where participants will submit their questionnaire. This location could be a sealed box, or an envelope which the participant could seal before s/he submits their questionnaire. Once the questionnaire has been submitted, no one at organization should review the results. If you are unable to have external person do data entry, carefully consider who at the organization will be responsible for this, and ensure that only this person looks at the questionnaires. Implementation Guide for the HIV/AIDS KAP Questionnaire 21

22 STEP 7: Planning Logistics Once you have decided which clinics to survey and how many participants you hope to have, you must make logistical preparations: Create a timeline for distribution, implementation and collection of questionnaires. Especially for organizations with few sites, it is recommended that implementation take place in 1 to 2 weeks. Make enough copies of the questionnaire for the number of participants you plan to survey. Make sure there is a fairly private place for participants to fill out the questionnaire (they can complete the questionnaire at home if it is more convenient). Make sure there is a secure box or envelope where the completed questionnaire will be submitted. Preferably, the box/envelope should be located away from the front desk and other workspaces of staff members, as participants may not answer honestly or completely if they feel that others will read their completed questionnaire. STEP 8: Recruiting Participants The next step is to distribute the questionnaires. This can be done in several ways. If staff members are well informed about the questionnaire, the questionnaire can be placed in staff mailboxes or on people s desks. You can also give the questionnaire directly to staff, either individually or at a meeting. If you give the questionnaire directly to staff, first explain the purpose of the questionnaire to the potential participant. For example, you could approach the health provider and say, As you may know, our organization is participating in an initiative to improve our VCT and other HIV/AIDS-related services to at risk populations. We are conducting a survey of all staff regarding HIV/AIDS. The findings will be used to develop capacity-building materials, trainings, and programs to improve health services related to HIV/AIDS and VCT. If you decide to participate, all of your responses will be completely confidential and anonymous. You will not have to write your name anywhere, and analysis will be conducted by someone not employed at our organization. Completing this questionnaire should take less than 15 minutes. Would you be willing to fill out a questionnaire? If the health provider agrees to complete a questionnaire, proceed to Step 10 (Implementing the Questionnaire). However, in some cases, the health provider will hesitate or refuse. In this case, you could encourage the person by saying, Your responses would be extremely helpful to improve the HIV/AIDS and VCT services at this clinic. As I mentioned earlier, participation and responses are completely confidential and anonymous, and will not be used to evaluate your performance, and will not affect your job in any way. We are trying hard to get 100% of staff to participate. Are you sure you don t have time? Implementation Guide for the HIV/AIDS KAP Questionnaire 22

23 STEP 9: Tracking Participant Refusal It is very important to track the total number of staff members who are asked to participate, and the number who refuse. This way, an overall response rate can be calculated at the end of the process. (The response rate is calculated by dividing the number of completed questionnaires turned in by the number of staff overall who were asked to complete the questionnaire.) STEP 10: Implementing the Questionnaire If necessary, provide the participants with a somewhat private space for them to complete the questionnaire, where no one will be able to see their responses. Also, be sure to offer them a pen or pencil, in case they don t have one on hand. Be sure to tell the participants not to write their name or identifying information anywhere on the questionnaire. Participants can fill out and complete their questionnaire wherever they wish; however, if a participant has difficulty reading or understanding the questionnaire, an appropriate staff member can help this person read the questions and responses in a private location. It is important that the reader does not interpret or offer opinions about the questions, to minimize the chance that they influence the participant s responses. The reader should simply read the questionnaire out loud, word for word. To protect confidentiality, it is essential that the reader not share the participant s answers with anyone. Finally, instruct participants on where and how to securely submit their questionnaire. Whether it is to be placed into a sealed box or an envelope, they should be given clear instructions. Additionally, all staff members should be reminded that the questionnaires are confidential, and that once the questionnaire has been completed, no one at the organization will review individual results. Ideally, someone external to your organization should conduct the analysis, and present only grouped findings to the staff. Consider how and if you will follow-up with participants who have not submitted their completed questionnaire to you. Remember that confidentiality needs to be ensured throughout the follow-up process; you may have to remind ALL staff to complete the questionnaire if you do not have a record of who has completed it. Also, keep in mind that participation is voluntary; no one should participate against their will. Analysis STEP 11: Data Entry and Analysis Once all the questionnaires have been collected, data entry and analysis should be conducted. Ideally, an external consultant should be hired for data entry and analysis. (For assistance in choosing a consultant, feel free to contact IPPF/WHR). This toolkit includes an answer key and codebook to assist with data entry and analysis. Responses should be entered into a data base (available on the IPPF/WHR website in both SPSS and Excel). Analysis should group data so that responses are not attributable to any individual respondent. Implementation Guide for the HIV/AIDS KAP Questionnaire 23

24 STEP 12: Using the Survey Findings How your organization uses the information gathered through this questionnaire will depend on your reason for implementing it. Many organizations may use it to address gaps in knowledge among staff by providing training to address the issues illuminated by the questionnaire, or by creating a handout on Facts of HIV or reviewing basics of HIV at a staff meeting. In addition, the findings can be used to understand the attitudes of staff towards this area of work, and should inform the content of sensitization sessions for all staff. Implementation Guide for the HIV/AIDS KAP Questionnaire 24