IBBS Field operations and monitoring manual English

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Integrated Behavioral and Biological SurveillanceField Operations and Monitoring Manual8. MONITORING IBBSMonitoring is an intermittent (regular orirregular) series of observations in time carriedout to show the extent of compliance withformulated benchmarks and indicators bothquantitative and qualitative.All IBBS activities must be regularly monitoredfor authenticity and quality of informationcollected from high-risk groups. While therewill be external monitors such asrepresentatives of NACP/PACPs, there mustalso be internal monitors designated by theorganization implementing the IBBS in eachcity. These monitors should be availablethroughout the IBBS process starting from thelocal IBBS workshop till the completion of datacollection.should be aware ofSessions:the entire planningprocess. It should be understood that steppingin the field without planning the entire activityand having a mitigation plan would be not veryeffective. MF-1 should be used for monitoringpurposes.The local IBBS workshop is also evaluated bythe participants. However, MF2 should be usedfor all local workshops. Generally, the areasthat need to be assessed are:1.The quality of informationpassed on in the plenary sessions has to becorrect, and the session should beinteractive so that the participantsunderstand the concepts properly.The5IBBS training manual should be usedextensively for the purpose.There are four key areas that should beregularly monitored:1. Local IBBS workshop for overall quality oftraining and contents.2. Planning of IBBS field work.3. Recruitment of social mobilizers.4. Actual data collection.8.1 Local IBBS WorkshopThe planning of IBBS workshop should ideallytake place after all the other details of fieldwork have been finalized. However, it may alsobe organized earlier. The designated monitor2.Role plays: The second crucial componentof the local workshop which should bemonitored and evaluated is the role playsin which administering of consent form andquestionnaire is practiced by theparticipants. If this area is not givenadequate attention, that can compromisethe quality of interviews and the overallindicators for various high-risk groups maynot reflect the actual situation. Followingthe interview, there should also be adebriefing session in which the interviewerwill try to answer the respondent'squestions.5The IBBS training manual has been developed to provide a format for training of field staff on how to train field teams on how to collectauthentic data. This document is available from HASP-NACP offices.31
Integrated Behavioral and Biological SurveillanceField Operations and Monitoring Manual3. DBS: Collecting the biological sample byDBS method is the final part of the IBBSprocess. The local workshop should coverit step-by-step from preparation of thefinger to disposing of waste.8.2 Recruitment of social mobilizersfor each high-risk groupThe IBBS activity cannot be implementedsuccessfully if the organization does have goodcontacts with social mobilizers. They are thekey persons who play a pivotal role in improvingthe quality and authenticity of data. Each high-risk group requires a separate social mobilizerand, depending on the size of the city, theirnumber may vary.The monitor should keep in mind that in citieslike Larkana (Sindh) or Sargodha (Punjab), oneor two social mobilizer for IDUs and hijras maybe sufficient. However, in large cities likeKarachi and Lahore, the number will have to beincreased to get to all the relevant spots. Thetwo categories which require a lot of focus andAttention are FSWs and MSWs. Therefore, asufficient number of efficient social mobilizersis necessary.The following criteria should be kept in mindwhile recruiting social mobilizers:FSW social mobilizers: The monitor andothers should know that social mobilizers,especially for FSWs, have a habit of boastingabout the number of their contacts andconnections. However, when it will come toactual data collection, the field team will oftenhear comments like, “There was a police raid;therefore, the kothikhana is shut,” or, “The girlis out for a program and won't be back for manyhours,” or, “She is not responding; her mobilenumber must have recently changed.”Things to be kept in mind while recruiting asocial mobilizer:1. While finalizing the deal with any FSWsocial mobilizer, he/she must beassessed critically regarding theirconnections with madams/pimps ornetwork operators (NWOs) as well asFSWs.2. In reality, a social mobilizer does nothave more than 8-10 contacts andsometimes even fewer.3. All terms and conditions; particularly,f i n a n c e s , t r a n s p o r t a t i o n a n dcommunication; should be fixed prior tostarting data collection as any ambiguitycan potentially delay the process.4. Social mobilizers should always beprovided mobile cards for bettercommunication.5. Transportation for social mobilizersshould be provided throughout the datacollection process.6. An effective social mobilizer should bevalued.32
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MF-IBBS-07: DBS EVALUATION FORMHIV
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