Conducting a Participatory Situation Analysis of.pdf - Global HIV ...
Conducting a Participatory Situation Analysis of.pdf - Global HIV ...
Conducting a Participatory Situation Analysis of.pdf - Global HIV ...
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Appendix I: Example Consent Forms<br />
Example Consent Form #1<br />
Oral Informed Consent for Guardians<br />
(Zambia SCOPE Project)<br />
Introduction:<br />
“My name is …. I’m working for SCOPE. We’re interviewing children between the ages <strong>of</strong> 6 and 12 years here in<br />
[name <strong>of</strong> city, region, or site] in order to find out what their experiences are as orphans and vulnerable children. Are<br />
there any children living in this household who have lost either their mother or father? Have any <strong>of</strong> these children<br />
been interviewed in the past few weeks [or other appropriate time period] for this study?” IF THE RESPONDENT<br />
STATES THAT A CHILD IN THE HOUSEHOLD HAS BEEN INTERVIEWED BEFORE, DO NOT INTER-<br />
VIEW ANYONE IN THIS HOUSEHOLD AGAIN. Explain to them that you cannot interview them a second<br />
time; thank them; and end the interview. If they have not been interviewed before, continue.<br />
Confidentiality and Consent:<br />
“I’m going to ask the child some personal questions that some people may find difficult to answer. The answers are<br />
completely confidential, and the name <strong>of</strong> the child will not be written on this form and will never be used in connection<br />
with any <strong>of</strong> the information provided. The child does not have to answer any questions that he or she does not<br />
want to answer, and may end this interview at any time he or she wants. We would greatly appreciate your help in<br />
responding to this interview. The interview will take about 10 minutes. Would you be willing to let one <strong>of</strong> the children<br />
participate?”<br />
“I would also like to ask you a few questions about your life and the lives <strong>of</strong> your children. We are asking these questions<br />
so that we can understand the situation better and be able to develop support programs for you and your family.<br />
The questions for you will take only about 10 minutes. Would you be willing to participate?”<br />
Signature <strong>of</strong> Interviewer _____________________ Date___________<br />
(certifying that informed consent has been given verbally by respondent)<br />
Signature <strong>of</strong> Interviewer _____________________ Date___________<br />
(certifying that informed consent has been given verbally by respondent)<br />
<strong>Conducting</strong> a <strong>Situation</strong> <strong>Analysis</strong> <strong>of</strong><br />
Orphans and Vulnerable Children Affected by <strong>HIV</strong>/AIDS<br />
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