Cross-sectional survey questionnaire

# NEW CODE QUESTION RESPONSES SKIPS
  INT_ID Interviewer ID [___|___] Must be two digits
  CODENUM What is the participants coupon code? [___|___|___|___|___] Values 001-XXX
  CONSENT1 Did the participant provide informed consent for the questionnaire?  1. Yes  
2. No  End Survey
  CONSENT2 Did the participant provide informed consent for a rapid HIV test?  1. Yes  
2. No   
  CONSENT3 Did the participant provided consent for a rapid syphilis test?  1. Yes  
2. No   
  CONSENT4 Did the participant provided consent to have a DBS made? 1. Yes  
2. No   
  CONSENT5 Did the participant provided consent for a sample to be tested for PSA  and STI? 1. Yes  
2. No   
  REF_SEED Is this participant a SEED?  1. Yes Go to DEM_AGE1 and REF1 to REF2 is valid skip
2. No   
REFERENCE        
    INTERVIEWER: I am going to start with some questions regarding who invited you to participate in this survey.     
101 REF1 Think about the person who gave you your referral coupon.  What is your relationship with her? Is she a:

READ OUT ANSWERS. RECORD ONLY ONE ANSWER. 

01. Sexual partner  
02. Friend, who is not a sexual partner  
03. Stranger/Don't know person Go to DEM_AGE1 and REF2 is valid skip
04. Casual acquaintance, who is not a friend or sexual partner  
05. Co-worker  
96. Other (specify):_____________  
97. Refused Go to DEM_AGE1 and REF2 is valid skip
98. Don't know Go to DEM_AGE1 and REF2 is valid skip
99. Valid skip  
102 REF2 How long have you known the person who gave you the referral coupon? 01. Less than 6 months  
02. 6 months to 1 year  
03. More than 1 year  
97. Refused  
98. Don't know  
99. Valid skip  
DEMOGRAPHIC DATA        
    INTERVIEWER: Now I am going to ask you some basic information about you.     
111 DEM_AGE1 In what month and year were you born? [____|____] (month)  
98. Don’t know the month  
[____|____|____|____] (year)  
9998. Don’t know the year  
112 DEM_AGE2 How old did you turn on your last birthday?  [____|____] (age)  
98. Don’t know  
113 DEM_CZN What is your citizenship? (to be defined)  
   
   
   
   
   
   
   
114 DEM_EDU1 Do you currently or have you ever attended school?  1. Yes, currently go  
2. Yes, went in the past  
3. No  Go to DEM_LANG and DEM_EDU2 is valid skip
7. Refused  
8. Don't know or don't remember  
115 DEM_EDU2 What is the highest level of school you attended ?  (to be defined)  
   
   
   
   
   
   
   
   
   
   
   
   
116 DEM_RES1 In what city do you have your primary residence?

(READ DEFINITION OF PRIMARY RESIDENCE: a primary residence is defined as the unit that you have occupied for the largest part of the calendar year)

(to be defined)  
   
   
   
         
         
         
         
         
         
         
         
         
         
         
117 DEM_RES2 How long have you lived in above place?  [ __ |__ ] (number of years)  
[ __ |__ ] (number of months if less than 1 year)  
97. Refused  
98. Don't know  
118 DEM_RES3 In the last 12 months, have you been away from your primary residence for more than one month at a time? 1. Yes   
2. No   
7. Refused  
119 DEM_RES4 In the last week, did you spend one or more nights away from your primary residence?  1. Yes   
2. No  Go to DEM_MAR and DEM_RES5 is valid skip
7. Refused Go to DEM_MAR and DEM_RES5 is valid skip
120 DEM_RES5 In the last week, how many nights did you spend away from your primary residence?  [____] (number of nights) Valid values 1-7
8. Don't know  
9. Valid skip  
121 DEM_MAR I would now like to ask you about your present relationship or relationships? Are you currently:

READ OUT ANSWERS. RECORD ONLY ONE ANSWER.

01. Married and living together  
02. Married and living apart  
03. Not married, but living with partner together  
04. Not married, together with steady partner, but living apart  
05. Regular visiting partner        
06. Single, no current partner        
07. Separated        
08. Divorced        
09. Has a female sexual partner        
97. Refused  
SEXUAL HISTORY        
    INTERVIEWER: Now I am going to ask you some questions about sexual history.  These questions can be sensitive. Please remember that you do not have to provide answers to questions you do not feel comfortable answering.     
131 FSEXNUM1 In total, with how many different men have you had sexual intercourse in the past 3 months? Sex being defined as vaginal or anal sex. If you don't remember, give your best estimate. [____|____|____] (number of  partners) If 000 then apologize and end the survey
If <10 then go to FSEXNUM1b
If >90 than go to FSEXNUM1c and FSEXNUM1b is valid skip
If >=10 or <=90 then goto FSEXNUM2 and FSEXNUM1b and FSEXNUM 1c are valid skip
997. Refused  
998. Don't know  
132 FSEXNUM1b In total, with how many different men have you had sexual intercourse in the past 6 months?  [____|____|____] (number of  partners) Goto FSEXNUM2 and FSEXNUM1c is valid skip
997. Refused Goto FSEXNUM2 and FSEXNUM1c is valid skip
998. Don't know Goto FSEXNUM2 and FSEXNUM1c is valid skip
999. Valid skip  
133 FSEXNUM1c In total, with how many different men have you had sexual intercourse in the past week?  |____|____] (number of  partners)  
97. Refused  
98. Don't know  
99. Valid skip  
134 FSEXNUM2 Of these (response from FSEXNUM1), how many were regular non-paying male partners (husband, boyfriend or live-in-partner)? [____|____|____] (number of  partners)  
997. Refused  
998. Don't know  
999. Valid skip  
135 FSEXNUM3 Of these (response from FSEXNUM1), how many were other non-paying partners (casual or occasional partners, one-night stands)? [____|____|____] (number of  partners)  
997. Refused  
998. Don't know  
999. Valid skip  
136 FSEXPAY1 Of these (response from FSEXNUM1), how many were a first time paying sexual partners?

READ DEFINITION OF PAYING PARTNER: A paying partner is a partner who gave money or gifts in return for sex)

[____|____|____] (number of  partners)  
997. Refused  
998. Don't know  
999. Valid skip  
137 FSEXPAY2 Of these (response from FSEXNUM1), how many were repeat paying sexual partners (a paying sexual partner that you have had sex with at least once before)? [____|____|____] (number of  partners)  
997. Refused  
998. Don't know  
999. Valid skip  
CONDOM USE WITH CLIENTS              
    Now I’ m going to ask you a series of questions about the last two first time clients and the last regular client you had who paid you for sex in the last 3 months.   1 2 3  
141 P1_RLTN What was your relationship to this person?

READ OUT ANSWERS. RECORD ONLY ONE ANSWER.
1. First client        
2. Regular client        
7. Refused        
8. Don't know        
142 P1_MCP When did you last have sex with this person ? # days ago OR [__|___] [__|___] [__|___]  
# months ago OR [__|___] [__|___] [__|___]  
# weeks ago [__|___] [__|___] [__|___]  
143 P1_FSX1 During the past 3 months, how many times did you have sexual intercourse (vaginal or anal) with this person? Number of times [__|___] [__|___] [__|___]  
997. Refused [__|___] [__|___] [__|___] Goto P1_FSX3 andP1_FSX2 is valid skip
998. Don’t know [__|___] [__|___] [__|___] Goto P1_FSX3 andP1_FSX2 is valid skip
999. Valid skip [__|___] [__|___] [__|___]  
144 P1_FSX2 How many of those times that you had intercourse, did you NOT use a male or female condom? Number of times [__|___] [__|___] [__|___]  
997. Refused [__|___] [__|___] [__|___]  
998. Don’t know [__|___] [__|___] [__|___]  
999. Valid skip [__|___] [__|___] [__|___]  
145 P1_FSX3  The last time you had sex with this person was a condom used?  1. Yes          
2. No         
7. Refused        
8. Don’t know        
9. Valid skip        
CONDOM USE WITH NON-CLIENTS              
    Now I am going to ask you a series of question about the last three partners you had that you don't consider to be clients.    1 2 3  
151 P2_RLTN What was your relationship to this person?

READ OUT ANSWERS. RECORD ONLY ONE ANSWER.

1. Permanent        
2. Steady        
3. Casual        
4. One night stand        
7. Refused        
8. Don't know        
152 P2_MCP When did you last have sex with this person ? # days ago OR [__|___] [__|___] [__|___]  
# months ago OR [__|___] [__|___] [__|___]  
# weeks ago  [__|___] [__|___] [__|___]  
153 P2_HIV1 The last time you had sex with this person did you know his HIV status?  1. Yes        
2. No       Go to P2_HIV3 and P2_HIV2 is valid skip
7. Refused        
154 P2_HIV2 What did you know this persons HIV status to be?  1. HIV Negative       Go to P2_FSX1 and P2_HIV3 is a valid skip
2. HIV Positive       Go to P2_FSX1 and P2_HIV3 is a valid skip
7. Refused       Go to P2_FSX1 and P2_HIV3 is a valid skip
9. Valid skip        
155 P2_HIV3 What did you believe this persons HIV status to be?  1. HIV Negative        
2. HIV Positive        
7. Refused        
8. Don’t know        
9. Valid skip        
156 P2_FSX1 During the past month, how many times did you have sexual (vaginal or anal) intercourse with this person? Number of times [__|___] [__|___] [__|___] If P2_FSX1=0 then go to P1_FSX3 and P2_FSX2 is valid skip
997. Refused [__|___] [__|___] [__|___] Go to P1_FSX3 and P2_FSX2 is valid skip
998. Don’t know [__|___] [__|___] [__|___] Go to P1_FSX3 and P2_FSX2 is valid skip
999. Valid skip [__|___] [__|___] [__|___]  
157 P2_FSX2 How many of those times that you had intercourse, did you NOT use a male or female condom? Number of times [__|___] [__|___] [__|___]  
997. Refused [__|___] [__|___] [__|___]  
998. Don’t know [__|___] [__|___] [__|___]  
999. Valid skip [__|___] [__|___] [__|___]  
158 P1_FSX3  The last time you had sex with this person was a condom used?  1. Yes          
2. No         
7. Refused        
8. Don’t know        
9. Valid skip        
SEXWORK              
    INTERVIEWER: Now I am going to ask you some questions on your sex work.    
161 SXWK1 In the past week, how many times did you have sex for money or gifts? 
[____|____|____] (times)  
997. Refused  
998. Don't know  
162 SXWK2 In the past month, how many times did you have sex for money or gifts? 
[____|____|____|____] (times)  
9997. Refused  
9998. Don't know  
163 SWINC1 In the past  month, what was the average amount of money you received for sex?  [____|____|____|____|____] (XXX)  
99997. Refused  
99998. Don't know  
164 SWINC2 In the past month have you earned money for doing work other than sex?  1. Yes         
2. No        Goto CONDOM1; SWINC3 and SWINC4 is valid skip
7. Refused Goto CONDOM1; SWINC3 and SWINC4 is valid skip
8. Don't know Goto CONDOM1; SWINC3 and SWINC4 is valid skip
165 SWINC3 What was this work?  Open ended: ___________________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip  
166 SWINC4 In the past month, what was your average weekly income from this other work? [____|____|____|____|____] (XXX)  
99997. Refused  
99998. Don't know  
99999. Valid skip  
CONDOMS AND LUBRICANTS              
    INTERVIEWER: Now I am going to ask you about condom and lubricant use.     
171 CONDOM1  Where do you usually obtain male condoms?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Hospital  
02. Private Clinic  
03. Pharmacy  
04. Shop/Supermarket  
05. Café/Bar/Disco  
06. Gas Station  
07. Hotel  
08. Market/Stand  
09. At Work  
10. Street Vendor  
11. Friends  
12. Peer Educators        
13. Aids Organizations  
14. School  
96. Other (specify):__________  
97. Refused  
98. Don't know  
172 CONDOM2 Have you ever had a male condom break during sex? 1. Yes   
2. No   
7. Refused  
8. Don't know  
173 CONDOM3 Do you find male condoms to be very affordable (price), somewhat affordable, or not affordable?

RECORD ONLY ONE ANSWER.

1. Free  
2. Very affordable  
3. Somewhat affordable  
4. Not affordable  
7. Refused  
8. Don't know  
174 CONDOM4 Are you very satisfied, satisfied, a little satisfied, or not satisfied with the current availability of male condoms?

RECORD ONLY ONE ANSWER.

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
175 FEMCON1 How often do you use a female condom?

RECORD ONLY ONE ANSWER.

1. Don't know what a female condom is Goto HEALTH1; FEMCON2 and FEMCON3 is valid skip
2. Never Goto HEALTH1; FEMCON2 and FEMCON3 is valid skip
3. Rarely  
4. Often  
5. Always  
7. Refused Goto HEALTH1; FEMCON2 and FEMCON3 is valid skip
8. Don't know Goto HEALTH1; FEMCON2 and FEMCON3 is valid skip
176 FEMCON2 How many times would you say you used it in the past year? [____|____|____|  
997. Refused  
998. Don't know  
999. Valid skip  
177 FEMCON3 Are you very satisfied, satisfied, a little satisfied, or not satisfied with the current availability of female condoms?

RECORD ONLY ONE ANSWER.

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
 Health utilization              
    INTERVIEWER: Now I am going to ask you some questions about your experience with the health care system.       
181 HEALTH1 During the last twelve months have you sought medical care for any reason?  1. Yes   
2. No  Go to HEALTH4 and HEALTH2 to HEALTH3 is valid skip
7. Refused Go to HEALTH4 and HEALTH2 to HEALTH3 is valid skip
8. Don't know Go to HEALTH4 and HEALTH2 to HEALTH3 is valid skip
182 HEALTH2 During the past year, have you had difficulty getting medical care when you sought it? 1. Yes   
2. No  Go to HEALTH4 and HEALTH3 is valid skip
7. Refused Go to HEALTH4 and HEALTH3 is valid skip
8. Don't know Go to HEALTH4 and HEALTH3 is valid skip
9. Valid skip  
183 HEALTH3 What difficulty did you have?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Too expensive  
02. Too far away  
03. Could not take time from work  
04. Long waiting times  
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
184 HEALTH4 Where do you normally go for healthcare?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Public Hospital/Health Center  
02. Private Clinics  
03. Pharmacy  
04. Clinic/services targeting high-risk groups   
05. Traditional Doctor  
96. Other (specify):__________  
97. Refused  
98. Don't know  
185 HEALTH5 How much did you pay the last time you visited this place, including costs of transport, services, tests and medicines? [____|____|____|____|____] (XXX)  
99997. Refused  
99998. Don't know  
186 HEALTH6 Are you very satisfied, satisfied, a little satisfied, or not satisfied with the current health services?

RECORD ONLY ONE ANSWER.

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
Contraception/ Unintended pregnancies              
    INTERVIEWER: Now I am going to ask you some questions about getting pregnant and what you can do to avoid getting pregnant.  Remember that everything you say here is confidential and nobody will know it was you that gave the answers.  If you feel uncomfortable answering certain questions you can always refuse to answer them.  
191 PREGN1 Have you ever been pregnant? If so, how many times were you pregnant?  [____|____] (number of times) If 0 goto CONTR1; PREGN2 to UNINT3 is valid skip
97. Refused goto CONTR1; PREGN2 to UNINT3 is valid skip
98. Don't know goto CONTR1; PREGN2 to UNINT3 is valid skip
192 PREGN2 Have you ever had a pregnancy that miscarried or was aborted in the last five years? 1. Yes   
2. No   
7. Refused  
8. Don't know  
9. Valid skip  
193 UNINT1 In the last five years, did you ever got pregnant while you didn't want to get pregnant at that time? 1. Yes   
2. No  If 0 goto CONTR1; UNINT2 to UNINT3 is valid skip
7. Refused If 0 goto CONTR1; UNINT2 to UNINT3 is valid skip
8. Don't know If 0 goto CONTR1; UNINT2 to UNINT3 is valid skip
9. Valid skip  
194 UNINT2 What did you do?

DO NOT READ OUT ANSWERS. RECORD ONLY ONE ANSWER.

1. Kept the pregnancy  
2. Went to a  Public Hospital/Health Center for an abortion  
3. Went to a  Private Clinic for an abortion  
4. Went to another type of clinic: _______________  
5. Went elsewhere for an abortion  
7. Refused  
8. Don't know  
9. Valid skip  
195 UNINT3 Were you very satisfied, satisfied, a little satisfied, or not satisfied with the services?

RECORD ONLY ONE ANSWER.
1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
196 CONTR1 Are you currently doing something or using any method to delay or avoid pregnancy? 1. Yes  Goto CONTR3; CONTR2 is valid skip
2. No   
7. Refused Goto EC; CONTR2 to CONTR7 is valid skip
8. Don't know Goto EC; CONTR2 to CONTR7 is valid skip
9. Valid skip  
197 CONTR2 If not doing something to avoid pregnancy: Why not?

RECORD ONLY ONE ANSWER.

1. I want to get pregant Goto EC; CONTR3 to CONTR7 is valid skip
2.  I am currently pregnant Goto EC; CONTR3 to CONTR7 is valid skip
3. I am unable to conceive Goto EC; CONTR3 to CONTR7 is valid skip
4. Other: ________________________       Goto EC; CONTR3 to CONTR7 is valid skip
7. Refused Goto EC; CONTR3 to CONTR7 is valid skip
8. Don't know Goto EC; CONTR3 to CONTR7 is valid skip
9. Valid skip  
198 CONTR3 If doing something to avoid pregnancy: Which method are you using?

RECORD ALL MENTIONED.

01. Female sterilization  
02. Male sterilization  
03. IUD  
04. Injectables   
05. Implants   
06. Pill   
07. Condom   
08. Female condom   
09. Diaphragm   
10. Foam/jelly   
11. Lactational amenprreia method   
12. Rhythm method   
13. Withdrawal   
14. Other modern method   
15. Other traditional method   
97. Refused  
98. Don't know  
99. Valid skip  
199 CONTR4 Where did you obtain this method last time?


DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.
01. Public Hospital/Health Center/Health Post  
02. Private Clinic  
03. Clinic/services targeting high-risk groups   
04. Pharmacy Goto CONTR6; CONTR5  is valid skip
05. Traditional Doctor Goto CONTR6; CONTR5  is valid skip
96. Other (specify):__________ Goto CONTR6; CONTR5  is valid skip
97. Refused Goto CONTR6; CONTR5  is valid skip
98. Don't know Goto CONTR6; CONTR5  is valid skip
99. Valid skip  
200 CONTR5 Can you tell me the name of the clinic or drop in center you last went to?   (open ended) _____________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
201 CONTR6 Why did you go there instead of somewhere else?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Cost  
02. Shorter waiting times  
03. Nearby  
04. Where I always go  
05. Quality of care  
06. Privacy  
07. Welcoming/Friendly Health personnel   
08. It was indicated/referred  
96. Other (specify):__________  
97. Refused  
98. Don't know or don't remember  
99. Valid skip  
202 CONTR7 Were you very satisfied, satisfied, a little satisfied, or not satisfied with the services?

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
203 EC Did you ever take an emergency pillimmediately following unprotected sex to prevent a pregancy from occurring? 1. Yes   
2. No   
7. Refused  
8. Don't know  
STI/RTI              
    INTERVIEWER: Now I amgoing to ask you some questions about sexually transmitted diseases.  These are diseases you can get from having sex with someone.     
211 STI1 Sometimes women experience an abnormal discharge from their vagina. During the last 12 months, have you had an abnormal discharge from your vagina? 1. Yes   
2. No   
7. Refused  
8. Don't know  
212 STI2 Sometimes women have a sore or ulcer near their vagina. During the last 12 months, have you had a sore or ulcer near your vagina? 1. Yes   
2. No  If ST1=2, 7 or 8 then STI3 to STI7 is valid skip
7. Refused If ST1=2, 7 or 8 then STI3 to STI7 is valid skip
8. Don't know If ST1=2, 7 or 8 then STI3 to STI7 is valid skip
213 STI3 IF HAD DISCHARGE, SORE OR ULCER: The last time you had this problem did you seek any kind of advice or treatment? 1. Yes   
2. No  Goto VCT1; STI4 to STI7 is valid skip
7. Refused Goto VCT1; STI4 to STI7 is valid skip
8. Don't know Goto VCT1; STI4 to STI7 is valid skip
9. Valid skip  
214 STI4 IF HAD DISCHARGE, SORE OR ULCER: The last time you had this problem where did you go? Any other place?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Public Hospital/Health Center/Health Post  
02. Private Clinic  
03. Clinic/services targeting high-risk groups   
04. Pharmacy  
05. Traditional Doctor  
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
215 STI5 Can you tell me the name of the clinic or drop in center you last went to?   (open ended): _________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
216 STI6 Why did you go there instead of somewhere else?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Cost  
02. Shorter waiting times  
03. Nearby  
03. Where I always go  
04. Quality of care  
05. Privacy  
06. Welcoming/Friendly Health personnel   
07. It was indicated/referred  
96. Other (specify):__________  
97. Refused  
98. Don't know or don't remember  
99. Valid skip  
217 STI7 Were you very satisfied, satisfied, a little satisfied, or not satisfied with the services?

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
HIV Testing History              
    INTERVIEWER: Now I am going to ask you some questions about HIV testing and your experience.  Remember that you do not have to answer any questions you do not feel comfortable answering.     
221 VCT1 Have you ever been  tested for HIV?  1. Yes   
2. No  Go to CERVIC1
7. Refused Go to CERVIC1
8. Don't know Go to CERVIC1
223 VCT2 IF TESTED: When was the last time you were tested? 01. Less than 3 Months  
02. 3 to 6 Months  
03. 6 to 12 Months  
04. 1 to 2 Years  
05. 3 to 5 Years Goto VCT7; VCT3 to VCT6 is valid skip
06. Five 5 Years Or More Goto VCT7; VCT3 to VCT6 is valid skip
97. Refused Goto VCT7; VCT3 to VCT6 is valid skip
98. Don't know Goto VCT7; VCT3 to VCT6 is valid skip
99. Valid skip  
224 VCT3 IF TESTED: Where was the last test done?

READ OUT ANSWERS. RECORD ALL MENTIONED.

01. VCT centre  
02. Public Hospital/Health Center/Health Post  
03. Blood Donation  
04. Private Clinic/Lab  
05. Clinic/services targeting high-risk groups   
06. Youth Friendly Services  
07. PMTCT  
08. Community T&C GotoVCT5; VCT4 is valid skip
96. Other (specify):__________  
97. Refused GotoVCT5; VCT4 is valid skip
98. Don't know GotoVCT5; VCT4 is valid skip
99. Valid skip  
225 VCT4 Can you tell me the name of the clinic or drop in center you last were tested?   (open ended): _________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
226 VCT5 Why did you go there instead of somewhere else?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Cost  
02. Shorter waiting times  
03. Nearby  
03. Where I always go  
04. Quality of care  
05. Privacy  
06. Welcoming/Friendly Health personnel   
07. It was indicated/referred  
96. Other (specify):__________  
97. Refused  
98. Don't know or don't remember  
99. Valid skip  
227 VCT6 Were you very satisfied, satisfied, a little satisfied, or not satisfied with the quality of services provided at the place where you got the last test?

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
228 VCT7 What was the result of your most recent HIV test?  1.  Positive   
2. Negative  Go to CERVIC1; POS1 to POS7 is valid skip
3. Indeterminate  Go to CERVIC1; POS1 to POS7 is valid skip
4. Didn’t get results  Go to CERVIC1; POS1 to POS7 is valid skip
7. Refused Go to CERVIC1; POS1 to POS7 is valid skip
8. Don't know Go to CERVIC1; POS1 to POS7 is valid skip
9. Valid skip  
HIV Care and Treatment              
    INTERVIEWER: Because you have said you know your HIV status to be positive, I am now going to ask you some questions about HIV treatment.     If VCT9 was other than 1, 'positive', goto CERVIC1; POS1 to POS11 is valid skip
231 POS1 Have you seen a nurse, doctor or other health care provider for a medical evaluation or care related to your HIV infection? 1. Yes  Goto POS3; POS2 is valid skip
2. No   
7. Refused Goto POS3; POS2 is valid skip
8. Don't know Goto POS3; POS2 is valid skip
9. Valid skip  
232 POS2 IF NOT: Why didn't you see a nurse, doctor or other health care provider? Any other reason?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Wasn' told to  
02. Haven't had the time yet  
03. Don't know where to go  
04. Too costly  
05. I am scared of being stigmatised  
06. Distance is far        
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
233 POS3 Are you currently being followed for your  HIV infection or taking ARVs? 1. Yes, being followed but not yet taking ARVs  
2. Yes, taking ARVs  
3. No  Go to CERVIC1; POS4 to POS7 is valid skip
7. Refused Go to CERVIC1; POS4 to POS7 is valid skip
8. Don't know Go to CERVIC1; POS4 to POS7 is valid skip
9. Valid skip  
234 POS4 If taking ARVs or being followed for your  HIV infection, where do you go?

READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Public Hospital/Health Center  
02. Private Clinics  
03. Clinic/services targeting high-risk groups   
04. Pharmacy Goto POS10; POS9 is valid skip
05. Traditional Doctor Goto POS10; POS9 is valid skip
06. Not here in XXX, but in another city       Goto POS10; POS9 is valid skip
96. Other (specify):__________ Goto POS10; POS9 is valid skip
97. Refused Goto POS10; POS9 is valid skip
98. Don't know Goto POS10; POS9 is valid skip
99. Valid skip  
235 POS5 Can you tell me the name of the clinic or hospital you receive ARV or are being followed for your  HIV infection?   (open ended): _________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
236 POS6 Why did you go there instead of somewhere else?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Cost  
02. Shorter waiting times  
03. Nearby  
03. Where I always go  
04. Quality of care  
05. Privacy  
06. Welcoming/Friendly Health personnel   
07. It was indicated/referred  
96. Other (specify):__________  
97. Refused  
98. Don't know or don't remember  
99. Valid skip  
237 POS7 Are you very satisfied, satisfied, a little satisfied, or not satisfied with the quality of services provided at the place where you receive ARV or are being followed for your  HIV infection?

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
Cervical cancer screening              
    INTERVIEWER:  Now I am now going to ask you some questions about testing for cervical cancer.      
241 CERVIC1 Have you ever been  tested for cervical cancer?  1. Yes   
2. No  Got to RAPE1 and CERVIC2 to CERVIC3 is valid skip
7. Refused Got to RAPE1 and CERVIC2 to CERVIC3 is valid skip
8. Don't know Got to RAPE1 and CERVIC2 to CERVIC3 is valid skip
9. Valid skip  
242 CERVIC2 IF TESTED: Where was the last test done?

READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Public Hospital/Health Center  
02. Private Clinic  
03. Clinic/services targeting high-risk groups   
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
243 CERVIC3 Can you tell me the name of the clinic or hospital you last were tested?   (open ended): _________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
Sexual Violence              
    INTERVIEWER: Now I am going to ask you some questions about your personal experience with violence. These questions can be sensitive and you can refuse to answer any question that makes you uncomfortable.     
251 RAPE1 In the past 12 months, how many times did anyone force you to have sex with them by sexually assaulting or raping you? [____|____] (number of times) (00=never) If 00, go to STIGMA1; RAPE2 to RAPECARE5 =valid skip
97. Refused Go to STIGMA1; RAPE2 to RAPECARE5 =valid skip
98. Don't know Go to STIGMA1; RAPE2 to RAPECARE5 =valid skip
252 RAPE2 Was a condom used the last time someone forced you to have sex?  1. Yes   
2. No   
7. Refused  
8. Don't know  
9. Valid skip  
253 RAPECARE1 Did you seek medical treatment or support after this happened? 1. Yes   
2. No  Goto STIGMA1; RAPECARE2 to RAPECARE5 is valid skip
7. Refused Goto STIGMA1; RAPECARE2 to RAPECARE5 is valid skip
8. Don't know Goto STIGMA1; RAPECARE2 to RAPECARE5 is valid skip
9. Valid skip  
254 RAPECARE2 Where did you seek care?

READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Public Hospital/Health Center/Health Post  
02. Private Clinic  
03. Clinic/services targeting high-risk groups   
04. SGBV clinic  
05. Traditional Doctor  
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
255 RAPECARE3 Can you tell me the name of the clinic or  center you sought care?   (open ended) _____________________________  
256 RAPECARE4 Why did you go there instead of somewhere else?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. Cost  
02. Shorter waiting times  
03. Nearby  
04. Where I always go  
05. Quality of care  
06. Privacy  
07. Welcoming/Friendly Health personnel   
08. It was indicated/referred  
96. Other (specify):__________  
97. Refused  
98. Don't know or don't remember  
99. Valid skip  
257 RAPECARE5 Were you very satisfied, satisfied, a little satisfied, or not satisfied with the services?

1. Very satisfied   
2. Satisfied  
3. A little satisfied  
4. Not satisfied  
7. Refused  
8. Don't know  
9. Valid skip  
Stigma/Discrimination              
    INTERVIEWER: Now I am going to ask you some questions about any experiences you might have had because of being a sex worker.    
261 STIGMA1 In the past 12 months, have you ever been refused a service or been discriminated in any other way because of being a sex worker?  1. Yes   
2. No  Go to STIGMA3 and STIGMA2=valid skip
7. Refused Go to STIGMA3 and STIGMA2=valid skip
8. Don't know Go to STIGMA3 and STIGMA2=valid skip
262 STIGMA2 IF YES: What was it that you were refused and how many times?

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

Responses Never Once More than once  
a. Refused access to a bar or other entertainment venue 1 2 3  
b.Refused a service at a health facility 1 2 3  
c. Refused a social service 1 2 3  
d. Other1:____________________ 1 2 3  
e. Other2:____________________ 1 2 3  
263 STIGMA3 When visiting the public health services, do you disclose yourself as being a FSW? 1. Yes   
2. No   
7. Refused  
8. Don't know  
264 STIGMA4 When visiting the public health services, how do you feel treated by the health care workers?

READ OUT ANSWERS. RECORD ONLY ONE ANSWER.

1. Normal, just like everyone else  
2. Slightly less well than other clients  
3. Much worse than other clients        
7. Refused  
8. Don't know  
Empowerment/Capability              
    INTERVIEWER: Now I am going to ask you some questions about who usually takes the decisions.      
271 EMPOW1 Who will usually decide if you will use a condom or not with a paying client? 1. I will  
2. The client will  
3. Someone else will: ______________________________________  
7. Refused  
8. Don't know  
272 EMPOW2 Have you ever refused a client because he did not want to use a condom? 1. Yes   
2. No   
7. Refused  
8. Don't know  
273 EMPOW3 During the past 3 months, did you participate in any group, organisation, network or association that defends the rights of female sex workers? 01. Yes  
02. No  Goto PEEREDU1; EMPOW4 is valid skip
97. Refused Goto PEEREDU1; EMPOW4 is valid skip
98. Don't know Goto PEEREDU1; EMPOW4 is valid skip
274 EMPOW4 Can you tell me the name of the group or organisation?   (open ended): _________________________________  
99997. Refused  
99998. Don't know  
99999. Valid skip        
PEER EDUCATION              
    INTERVIEWER: Now I am going to ask you some questions about your experience with peer educators.     
281 PEEREDU1 Have you been in contact with any peer educator in the community in the last 12 months? 1. Yes   
2. No  Goto Netsize1 and PEEREDU2 to PEEREDU5 is valid skip
7. Refused Goto Netsize1 and PEEREDU2 to PEEREDU5 is valid skip
8. Don't know Goto Netsize1 and PEEREDU2 to PEEREDU5 is valid skip
282 PEEREDU2 Have any of the peer educators you have been in contact with been female sex workers?   1. Yes   
2. No   
7. Refused  
8. Don't know  
9. Valid skip  
283 PEEREDU3 Which organization was sponsoring these peer educators?

RECORD ALL MENTIONED.

01. Organization 1                                                 
02. Organization 2                                                   
03. Organization 3                                 
04. Organization 4                   
05. Organization 5                  
06. Organization 6  
07. Organization 7                                                
08. Organization 8  
96. Other (specify): ______________________  
97. Refused  
98. Don't know  
99. Valid skip  
284 PEEREDU4 How many times have you been in contact with the peer educator in the last 12 months? [__|__|__]  (number of times)  
997. Refused  
998. Don't know  
999. Valid skip  
285 PEEREDU5 What services or information did you receive from the peer educator?                     

DO NOT READ OUT ANSWERS. RECORD ALL MENTIONED.

01. General HIV/STI prevention/transmission information                                              
02. Condoms                                                
03. Referral for STI Treatment  
04. Referral for VCT  
96. Other (specify):__________  
97. Refused  
98. Don't know  
99. Valid skip  
Needs              
    We are almost finished.     
291 NEEDS1 After going through all these different health services, what health service do you feel is most needed? _______________________________________________________  
Sexual Identity and Networks              
    INTERVIEWER: To finish, I am going to ask you some questions about your sexual identity and your network.       
    INTERVIEWER: Please take your time to carefully think about these questions. Please give me your best estimates.

You do not need to give me their names. They may or may not identify themselves as being female sex workers. Thisincludes anyone that has sex for money or gifts. Please give me your best estimate.

IF PARTICIPANT DOESN’T KNOW OR DOESN’T REMEMBER, PROBE FOR AN APPROXIMATE NUMBER OR RANGE. 

   
301 NETSIZE1 Approximately how many other women who have sex for money do you think live in and around <Study area>?  [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
302 NETSIZE2 Of those <RESPONSE FROM NETSIZE1>, how many do you know by name and they know yours?     [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
303 NETSIZE3 Of those <RESPONSE FROM NETSIZE1>, how many can you contact in the next month? [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
304 NETSIZE4 How many of them <FROM NETSIZE3> have you seen or met in the last one month?    [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
305 NETSIZE5 Of those <FROM NETSIZE3>, about how many of them would you say are XX years of age or older? [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
306 NETSIZE6 Of those <FROM NETSIZE3>, about how many of them would you say identify themselves as female sex workers?  [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
307 NETSIZE7 Of those <FROM NETSIZE3>, about how many of them are Mozambican?   [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
308 NETSIZE8 Of those <FROM NETSIZE3>, about how many are only occasionally engaging in sex work?  [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
309 NETSIZE9 Of those <FROM NETSIZE3>, about how many would you consider recruiting into this study?  [__|__|__|__|__|__|__] (number of MSM) (000=none)  
(0000000=none)  
310 CONSENT6 Before we close, would you like the opportunity to modify your consent to have your blood tested centrally for HIV, other STI and PSA? 1. Yes   
2. No   
9. Valid skip  
311 CONSENT7 Would you like the opportunity to modify your consent to receive your rapid HIV test results? 1. Yes   
2. No   
9. Valid skip  
312 CONSENT8 Would you like the opportunity to modify your consent to receive your rapid syphilis test results? 1. Yes   
2. No   
9. Valid skip  
313 CODENUM2 INTERVIEWER: Reenter the participants coupon code [___|___|___|___|___] If CODENUM2 is not equal to CODENUM1 have interviewer reenter CODENUM1 and CODENUM2