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Annexe 2. Questionnaire des enquêtes de Connaissance, Attitudes et Pratiques enmatière de TME du VIH.Form completed by ………………………………… Date | _ || _ | . | _ || _ | . | _ || _ || _ || _ |District …………………………. Ward ……………………..…. Village ………………………..1. Demographics1.1. Age | _ || _ |1.2. Sex □ female □ male1.3. Marital status □ never married □ married□ living with partner □ separated□ divorced □ widowed1.4. Level of education □ none □ primary□ secondary □ post secondary1.5. Employment □ formally employed □ self employed□ other (specify) …………..……………………….2. MTCT awareness2.1. Have you ever heard of mother-to-child transmission of HIV □ yes □ no2.2. Have you ever heard of HIV being transmitted from the mother to the baby through (read)- pregnancy □ yes □ no- delivery □ yes □ no- breastfeeding □ yes □ no2.3. Have you ever heard that MTCT could be prevented □ yes □ no3. MTCT knowledge3.1. Can HIV be transmitted from mother to the baby □ yes □ no□ does not know3.2. How is HIV transmitted? (Do not read answers but tick)□ during pregnancy □ at delivery □ during breastfeeding□ does not know□ other (specify)....................................................3.3. Who is at risk of transmitting HIV to their baby?apple couples practising unsafe sexapple HIV positive pregnant womenapple HIV positive women breastfeeding their babiesapple Other(specify)…………………………………….3.4. Do all HIV-infected mothers transmit HIV to their baby? □ yes □ no□ does not know3.5. Do the following factors increase the risk of transmission of HIV from mother to baby?- severity of HIV infection □ yes □ no □ does not know- recent HIV infection □ yes □ no □ does not know- infection with STIs □ yes □ no □ does not know- obstetric procedures □ yes □ no □ does not know395