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1 Programming Connection Case Study Package / Trousse d étude de cas diffusée dans Connectons nos programmes Materials from: Operation Hairspray A program of: Ottawa Public Health, 179 Clarence Street, Ottawa ON K1N 5P7 This document was assembled and uploaded to the Programming Connection in October, For more information on Operation Hairspray, read the Case Study in CATIE s Programming Connection at www2.catie.ca/en/pc. The Programming Connection is designed to encourage the revitalization of existing programs and the creation of new programs. Should you use any part of these materials, please credit the author/organization as named on this cover sheet. Documents sur : Opération SprayNet Un programme de : Santé Publique Ottawa 179, rue Clarence Ottawa ON K1N 5P7 La présente documentation a été assemblée et téléchargée dans Connectons nos programmes en octobre, Pour plus de renseignements sur Opération SprayNet, veuillez lire l étude de cas dans Connectons nos programmes de CATIE à : www2.catie.ca/fr/cnp. L outil Connectons nos programmes a été conçu pour encourager la revitalisation de programmes existants et la création de nouveaux programmes. Si vous utilisez ces documents en totalité ou en partie, veuillez citer en référence l auteur ou l organisme tel qu il figure dans cette page couverture.
2 Operation Hairspray Evaluation Form Peer Volunteers - 6 Month Introduction: We (City of Ottawa Multicultural Health Team and Healthy Sexuality and Risk Reduction Team) are interested in knowing your reaction after being a Peer Volunteer for 6 months. As a Peer Volunteer, your opinion and feedback is very important. We invite you to complete this questionnaire. You are welcomed and encouraged to comment on any point below. Please comment on anything that you think may be missing. Note about confidentiality: So that you may feel free to make any comments you wish, all completed questionnaires will be treated in confidence. When feedback is given (verbal or written) we will not attribute specific responses to any individual. However, if you wish to identify yourself so that we can follow-up with any of your concerns, please feel free to sign your name. Instructions: Please check ( ) whether you agree or disagree with the following statements. Please choose only one response for each question. Questionnaire 1. My level of HIV knowledge has increased as a result of being involved in Operation Hairspray for the last 6 months. Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly disagree If you agree, please provide an example: If you disagree, please explain. 2. After 6 months as a Peer Volunteer, has your comfort level, about the subject matter, increased enough for you to deliver the information to other people? ottawa.ca/health TTY:
3 Yes (pleasedescribe) No (please describe) 3. Do you find the resources provided to you over the last 6 months have helped you engage clients in discussions about HIV/AIDS prevention? 1. Strongly agree 2. Somewhat agree 3. Neither agree nor disagree 4. Somewhat disagree 5. Strongly disagree If you agree, please provide an example: If you disagree, please explain. 4. Having been involved in the project for 6 months, are there any other types of resources that you may feel would assist you better with communicating HIV/AIDS prevention messages. Yes (please describe) No (please describe) 5. Which aspects of being a Peer Volunteer for Operation Hairspray do you feel, are going well? Please describe. ottawa.ca/health TTY:
4 6. Do you have any suggestions for the project staff, to work more effectively? Please describe. 7. Do you have any questions you would like addressed at future trainings? Please describe? 8. Any other comments or suggestions? Please describe. Thank you for completing this questionnaire! ottawa.ca/health TTY:
5 Operation Hairspray - Log Sheet for Peer Volunteers Activity details for the week of # of Peer Volunteers Name and address of Salon: Phone #: Type of Activity Please indicate with a check mark ( ) in the dated boxes below, each time you engage a client in a discussion of any of the topics listed on the left hand side of this form. Basic AIDS 101 Mon Tues Wed Thurs Fri Sat Sun Total HIV/AIDS, HIV/AIDS and stigma, HIV/Hepatitis Prevention Condoms- male and female, safer sex, mother to child transmission, harm reduction Testing Types of testing available, pre/post test counselling/where to go Referrals To agencies/organisations in Ottawa To websites Type of Activity/ Audience One on One Discussion Female One on One Discussion Male Group Discussion mainly females Group Discussion mainly males Group Discussion mixed Others- e.g. Family Friends Outside salon contacts, please describe Language Mainly English Mainly French Other- Please Specify Resources Requested Please tell us: 1 Personal information on this form is collected under the authority of section 5 of the Health Protection and Promotion Act, R.S.O. 1990, c.h.7. The information from this will be used in the context of the Healthy Sexuality and Risk Reduction Program and the Multicultural Health Program, Ottawa Public Health, in the planning and delivery of services to clients and their families. Only staff from this program will have access to, and use of, this information. Questions concerning the collection and use of this information should be directed to the Program Manager, City of Ottawa, Sexual Health Centre, 179 Clarence Street, Ottawa, ON K1N 5P7, Telephone ext
6 2 Operation Hairspray - Log Sheet for Peer Volunteers Additional Notes (Actions, calls made, support requested etc.) Support requested for the following issues: General comments/feedback Questions for Ottawa Public Health staff that clients have raised. For Office Use only: List of Inventory Items: Name Quantity Training Manuals (English and French) Condoms (gross) Bags of Candies Pens HSSR Pamphlets STI booklets Other: Personal information on this form is collected under the authority of section 5 of the Health Protection and Promotion Act, R.S.O. 1990, c.h.7. The information from this will be used in the context of the Healthy Sexuality and Risk Reduction Program and the Multicultural Health Program, Ottawa Public Health, in the planning and delivery of services to clients and their families. Only staff from this program will have access to, and use of, this information. Questions concerning the collection and use of this information should be directed to the Program Manager, City of Ottawa, Sexual Health Centre, 179 Clarence Street, Ottawa, ON K1N 5P7, Telephone ext
7 Operation Hairspray - Log Sheet for Peer Volunteers 3 Personal information on this form is collected under the authority of section 5 of the Health Protection and Promotion Act, R.S.O. 1990, c.h.7. The information from this will be used in the context of the Healthy Sexuality and Risk Reduction Program and the Multicultural Health Program, Ottawa Public Health, in the planning and delivery of services to clients and their families. Only staff from this program will have access to, and use of, this information. Questions concerning the collection and use of this information should be directed to the Program Manager, City of Ottawa, Sexual Health Centre, 179 Clarence Street, Ottawa, ON K1N 5P7, Telephone ext
This document was assembled and uploaded to the Programming Connection in October, 2010.
Programming Connection Case Study Package / Trousse d étude de cas diffusée dans Connectons nos programmes Materials from: Operation Hairspray A program of: Ottawa Public Health, 179 Clarence Street, Ottawa
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