IBBS Field operations and monitoring manual English

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MF-IBBS-06: INTERVIEW EVALUATION FORMHIV AIDS SURVEILLANCE PROJECT - NACPDate:City:Form Filled by:HRGName of Field worker:1- Duration of Interview : _____ min2- Please rate the interviewer on following on a scale of 1 to 5. Please tick ()Very Poor Poor Satisfactory Good Very Good2.1 Informed Consent 1 2 3 4 52.2 Rapport building 1 2 3 4 52.3 Clarity in questioning 1 2 3 4 52.4 Probing by interviewer 1 2 3 4 52.5 Writing Eligibility 1 2 3 4 52.6 Quality of Information 1 2 3 4 52.7 Ability to answerinterviewees questions1 2 3 4 52.8 Overall Interviewing 1 2 3 4 53- Interviewer explained the data confidentiality to respondent properly: Yes No4- Interviewer took notice of the respondents’ body language: Yes No5- Interviewer kept ethical considerations in view while interviewing: Yes No6- The subjects were properly referred to SDP / VCT Yes NoComments/Observations:
MF-IBBS-07: DBS EVALUATION FORMHIV AIDS SURVEILLANCE PROJECT - NACPDate:City:Form Filled by:HRGName of Field worker:Please observe and note whether following steps were taken or not:Please tick ()Where was the DBS taken Field centreClient seated comfortably? Yes NoSample Taker wearing gloves? Yes NoFinger cleaned with alcohol swab? Yes NoHand of client placed on the table: Yes NoPrick with lancet: Single More# of drops colleted on card:Drops collected with: Ease DifficultyFinger cleaned with Alcohol swab: Yes NoBandage tape applied: Yes NoCondition of client: In pain RelaxedWaste disposed properly in Bio hazard bag: Yes NoAverage time taken for DBS collection:Observations/comments:
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INTEGRATED BIOLOGICAL ANDBEHAVIORAL
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Integrated Behavioral and Biologica
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IBBS Field operations and monitoring manual English

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