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distribution of HIV and AIDS cases.<br />

Districts where the concentration of<br />

HIV and AIDS cases was higher were<br />

selected to make the survey more costeffective<br />

and less time consuming. A<br />

related concern was that if the district<br />

does not have enough number of cases,<br />

the required number of HIV households<br />

might not be captured.<br />

2.1.4 Selection of HIV<br />

households<br />

Generally in sample surveys, villages/<br />

urban blocks are first selected and<br />

then the household selection is made.<br />

However, in this study this procedure<br />

could not be followed for a number of<br />

reasons. First, the selection of sample<br />

sites depended upon the presence<br />

of PLWHA and not on the localities.<br />

Secondly, it was not possible for NCAER<br />

to get a list of PLWHA and their addresses<br />

from which sample households could<br />

have been drawn. The VCTCs situated<br />

at some of the government hospitals<br />

maintain a register with the addresses<br />

of those who have tested positive, but<br />

the VCTCs could not provide the list<br />

to NCAER research team due to the<br />

confidentiality clause in conducting<br />

the HIV test. Given these constraints<br />

and keeping in mind the ethical issues<br />

and the directions of the Institutional<br />

Review Board at NCAER, it was decided<br />

that the NCAER research team would<br />

not get access to the addresses of<br />

PLWHA. Instead it was decided to make<br />

use of the counsellors of the State AIDS<br />

Control Societies and representatives<br />

of the NGOs working in this field, so<br />

that they could directly approach the<br />

HIV households with whom they are in<br />

touch.<br />

These persons were provided training<br />

by the NCAER team and were advised<br />

to select the sample from a diverse<br />

socio-economic profile of households<br />

and to make an attempt to select<br />

PLWHA from both the sexes. Further,<br />

the sample was selected from General<br />

Hospitals (GH), Tuberculosis ( TB)<br />

hospitals, care and support homes and<br />

drop in centres run by NGOs, VCTCs,<br />

Networks of Positive People and the<br />

residences of PLWHA. Table 2.2 presents<br />

The HIV<br />

household sample<br />

was drawn mainly<br />

from the various<br />

government health<br />

facilities and<br />

care and support<br />

homes run by<br />

NGOs<br />

Table 2.2<br />

Distribution of sample HIV households by place of interview<br />

(in Percentages)<br />

Place of interview Rural Urban Total<br />

VCTC 17.4 11.7 14.2<br />

TB hospital 6.2 3.3 4.6<br />

Care and support home, community care centre and drop 13.8 11.9 12.7<br />

in centres<br />

General hospital 11.2 9.8 10.4<br />

Antenatal and maternity ward 3.2 3.3 3.3<br />

ARV collection centre 1.3 2.5 2.0<br />

Network of positive people’s office 5.8 6.3 6.1<br />

NGO office 4.5 7.6 6.3<br />

Residence 35.5 42.0 39.2<br />

Others 0.90 1.53 1.26<br />

Total 100 100 100<br />

Data and Methodology 19

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