3. PREMARITAL SEX HISTORY AND STI-HIV/AIDS RISK
FACTORS
|
8.Have you ever had sex?
|
1. Yes
|
2. No
|
HAVESEX
|
|
9.How old were you when you first had sex?
|
|
|
9.NA
|
HAGEFSX
|
|
10. Number of sexual partners ever had
|
|
|
9.NA
|
HASXPAR
|
4.3.4. 4.3.5. 4.
GENERAL KNOWLEDGE (AWARENESS) ON STI, HIV/AIDS, VCT AND PCT
|
11. Do you know or have you known a young adult who
suffers/suffered from
HIV/AIDS?
|
1. Yes
|
2. No
|
KPHAIDS
|
|
12. Do you know that unprotected pre-marital sex with
casual/multiple
partners is a risky behaviour that could expose to
STI-HIV/AIDS?
|
1. Yes
|
2. No
|
8. NK
|
KRISKSX
|
|
13. Can a child be born HIV positive from sexual union of his/her
parents/mother?
|
1. Yes
|
2. No
|
8. NK
|
KMTCTH
|
|
14. Do you know that HIV/AIDS does not have any effective
cure?
|
1. Yes
|
2. No
|
8.NK
|
KNOCURE
|
|
15. Are all sexual unions and marriages safe and good for health
of both
partners and offspring?
|
1. Yes
|
2. No
|
8. NK
|
KSAFEMA
|
|
16. If no to Q 15 what makes it unsafe?
|
1. Because of HIV/AIDS
|
2. Other diseases
|
3. Both 1 & 2
|
8.NK
|
9. NA
|
KUNSAFE
|
|
17. Would you consider health status as core criteria when you
choose your
marriage partner?
|
1. Yes
|
2. No
|
8.NK
|
KSCRITE
|
18. If yes to Q 17 how would you assess «Good Health
Status» of your marriage
partner before marriage?
|
1. By observing his/her appearance
|
2. By asking close family member/friends
|
KHSASS
|
|
3. Through premarital medical examination
|
4. Others:
|
8.NK
|
9. NA
|
|
19. Have you ever heard about HIV voluntary counselling and
testing (VCT)?
|
1. Yes
|
2. No
|
KHHVCT
|
|
20. Have you ever heard about HIV premarital counselling and
testing (PCT)?
|
1. Yes
|
2. No
|
KHHPCT
|
21. If yes to Q 20, how did you hear about it?
|
1. Radio/TV/Cinema/Video
|
2. Health
workers
|
3. News papers or
books or posters
|
4. Churches or mosques
|
|
5. Conference/youth camp
|
6. School
|
7. Internet
|
8. Friends/third person
|
|
9. Parents
|
10. Others
|
99. NA
|
|
21.1. How hear 1
|
|
|
KWHPCTA
|
|
21.2. How hear 2
|
|
|
KWHPCTB
|
|
21.3. How hear 3
|
|
|
KWHPCTC
|
|
21.4. How hear 4
|
|
|
KWHPCTD
|
|
21.5. How hear 5
|
|
|
KWHPCTE
|
|
21.6. How hear 6
|
|
|
KWHPCTF
|
|
22. Do you think HIV PCT is one of the main measures to limit the
spread
of HIV/AIDS in new couples in Kintampo district and in
Ghana?
|
1. Yes
|
2. No
|
8. NK
|
KPCTLIM
|
|
23. Do you know of someone or a couple who underwent HIV PCT
before marriage?
|
1. Yes
|
2. No
|
8. NK
|
KCHPCT
|
24. Who is required to undergo Premarital Counselling and Testing
(PCT)?
|
1. The male partner
|
2. The female partner
|
3. Both partners
|
8. NK
|
KPCTARG
|
25. What are some of the major advantages of HIV PCT?
|
1. To know about their health and HIV status so that they decide
responsibly about marriage.
|
2. Stability and safety in marriage
|
|
|
3. To ensure fertility in couples
|
4. It strengthens marital relationship and
enhance marriage satisfaction
|
8.NK
|
|
25.1. Advantage 1
|
|
|
KADVANA
|
|
25.1. Advantage 2
|
|
|
KADVANB
|
|
25.1. Advantage 3
|
|
|
KADVANC
|
|
*(*)*a. Score Knowledge on HIV PCT (
please leave these two questions blank)
|
|
|
KSCORE
|
|
b. Level of
Knowledge
|
1 Adequate Good
|
2. Average good
|
9. Poor
|
KSCOREA
|
5. PERCEPTIONS AND ACCEPTANCE TOWARDS PCT
26. Do you know that you or your partner [fiancé (e)]
though apparently healthy
|
can be an unknown carrier of HIV/AIDS that could be
detected
during PCT?
|
1. Yes
|
2. No
|
8. NK
|
PERRISK
|
|
27. Is HIV-AIDS a very dangerous/fatal disease that you fear very
much?
|
1. Yes
|
2. No
|
8. NK
|
PERSEVR
|
28. Do you think that there is a high risk of getting married
unknowingly to an HIV
|
infected person and of becoming HIV infected when two
fiancés do
not attend any premarital medical examination on HIV
test?
|
1. Yes
|
2. No
|
8. NK
|
PTHREAT
|
|
29. Do you believe that HIV Premarital Counselling and Testing
(PCT)
is important?
|
1. Yes
|
2. No
|
8. NK
|
PERSBEN
|
|
30. Do you believe you are self-confident and able to decide your
self to
undergo HIV PCT?
|
1. Yes
|
2. No
|
8. NK
|
PSELFFI
|
|
31. Do you believe that your family will support you or
encourage you to perform HIV PCT before getting married?
|
1. Yes
|
2. No
|
8. NK
|
PSNORMA
|
|
32. Do you believe that your peers will support you or
encourage you to perform HIV PCT before getting married?
|
1. Yes
|
2. No
|
8. NK
|
PSNORMB
|
|
33. Should HIV PCT be institutionalised in the district, the
country, the society,
as well as in churches and mosques etc?
|
1. Yes
|
2. No
|
8. NK
|
PSNORMC
|
34. If yes to Q 33, with the objective of limiting the spread of
HIV/AIDS in
|
new couples nationwide, do you think HIV
PCT should be compulsory or optional?
|
1. Compulsory
|
2. Optional
|
8. NK
|
9. NA
|
POPTION
|
|
35. In your opinion, will there be some barriers to HIV PCT
implementation in Kintampo district?
|
1. Yes
|
2. No
|
8. NK
|
PCTBARR
|
36. Do you think the following can be a barrier which can prevent
young unmarried people from going for HIV PCT
services at the Hospital?
|
36.1. Inexistence of regulatory procedures and Law/Policy on
PCT in Ghana
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARA
|
|
36.2. Mandatory imposition of PCT which is against the Human
Right of individuals
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARB
|
|
36.3. High cost (price) of premarital examinations
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARC
|
|
36.4. The location of the centre/hospital at long distances
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARD
|
|
36.5. The attitude of the service provider
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARE
|
|
36.6. Premarital sex and fear to know one's HIV status
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARF
|
|
36.7. Fear of stigma and discrimination in marriage (denial of
marriage for HIV+)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARG
|
|
36.8. Ignorance of the importance of PCT
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARH
|
|
36.9. Reluctance of fiancés
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARI
|
|
36.10. Preference of people to get married without PCT
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARJ
|
|
36.11. Opposition of some churches
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARK
|
|
36.12. Opposition of some parents
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARL
|
|
36.13. Polygyny (Polygymous/polygamous marriages) & Islamic
religion
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARM
|
|
36.14. Marriage by convenience (outside churches & civil
registrar
officer)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARN
|
|
36.15. Forced marriage (e.g traditional early marriage)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARO
|
|
36.16. Unregistered marriage
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARP
|
|
36.17. Inadequate VCT/PCT facilities
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARQ
|
|
35.18. Lack or inadequate trained counsellors
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARR
|
|
36.19. Fiancés are in a hurry to get married very quickly
for any
reason
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARS
|
|
36.20. Lack of confidentiality and privacy among health
workers
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBART
|
|
36.21. Medical premarital certificate provided by doctor without
any
medical check-ups (fraud)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARU
|
|
36.22. Re-marriage ( for divorced or widowed)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARV
|
|
36.23. Inability for girls to negotiate for HIV PCT when boys
don't
like it
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARW
|
|
36.24. Little solution for those who test HIV (+) ( no effective
drugs
to treat AIDS)
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARX
|
|
36.25. Blind love
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARY
|
|
36.26.
Others:....................................................
|
1. Yes
|
2. No
|
8. NK
|
9. NA
|
PBARZ
|
37. Which do you prefer: HIV Voluntary Counselling and Testing
(VCT) outside
marriage context or HIV Premarital Counselling and
Testing (PCT)?
|
1.VCT outside marriage context
|
2. HIV PCT
|
3. Both
|
4. None of them
|
8. NK
|
PREFVP
|
|
38. Do you think there is the need of implementing HIV PCT
services in
Kintampo district in the fight against HIV/AIDS in new
couples?
|
1. Yes
|
2. No
|
8. NK
|
PNEEDP
|
|
39. Will you undergo HIV PCT with your fiancé (e) before
Marriage?
|
1. Yes
|
2. No
|
8. NK
|
PWILIN
|
|
40. If yes to Q 39 will you really be ready to know and accept
your
HIV test result from the doctor?
|
1. Yes
|
2. No
|
8. NK
|
9.NA
|
PRESULT
|
|
*(*)*Score Perception towards HIV PCT
( please leave these two questions blank)
|
|
|
PSCORE
|
|
Level of Perception
|
1. Adequate Positive
|
2. Average positive
|
9. Negative (Bad)
|
PSSCOREA
|
6. KEY SUGGESTIONS TOWARDS HIV PCT HEALTH PRACTICE
41. How often would you like the HIV PCT to be set before
marriage?
|
1. Once, just 2-3 months prior to
marriage
|
2. Twice, the 1st before bride price is paid, and the
2nd one prior to the celebration of the
marriage
|
SHOFTEN
|
|
3. At least once at any time
before marriage
|
4.The PCT frequency should depend and vary according to the
length of the engagement/marriage period
|
|
5. More than 2 times before the celebration of marriage, with 3-
6 months interval between 2 tests.
|
6. Others:
|
8.NK
|
42. In your opinion, who should send would-be couples to the
hospital for HIV PCT?
|
11. The registry officer in case
of civil marriage
|
12. Churches/mosques in case of
religious marriage
|
13. Parents/family of
woman
|
|
14. Parents/family of man
|
15. Parents/family of both
|
16. Both man and woman
on their will
|
|
17. Community leader
|
18. Other
|
88. NK
|
|
42.1. Who should send would-be
couples 1
|
|
|
SHSENDA
|
|
42.2. Who should send would-be
couples 2
|
|
|
SHSENDB
|
|
42.3. Who should send would-be
couples 3
|
|
|
SHSENDC
|
|
42.4. Who should send would-be
couples 4
|
|
|
SHSENDD
|
|
42.5. Who should send would-be
couples 5
|
|
|
SHSENDE
|
43. To whom should the HIV test results be communicated to by the
doctor after PCT session?
|
11. The concerned fiancé(e)
only
|
12. To both fiancé(e)s,
separately
|
13. The parents or
guardian of the fiancés
|
|
14. The church/mosque involved in
the religious marriage process
|
15. The registry officer involved
in the civil marriage process
|
16. To both fiancés together
|
|
17. The brothers or sisters of the
concerned fiancés
|
18. Other
|
88. NK
|
|
43.1. Communication of PCT
results 1
|
|
|
SRECOMA
|
|
43.2. Communication of PCT
results 2
|
|
|
SRECOMB
|
|
43.3. Communication of PCT
results 3
|
|
|
SRECOMC
|
|
43.4. Communication of PCT
results 4
|
|
|
SRECOMD
|
|
43.5. Communication of PCT
results 5
|
|
|
SRECOME
|
44. What ways/means should be used in order to promote HIV PCT
in Kintampo district/Ghana?
|
44.1. There should be a specific law (decree-law)on premarital
examinations in
Ghana
|
1. Yes
|
2. No
|
8. NK
|
SPROMOA
|
|
44.2. Mass sensitisation campaigns about PCT through durbars,
Radio, TV, news
papers, clubs, churches, mosques, NGO, schools,
university, Hotels, hospitals
etc
|
1. Yes
|
2. No
|
8. NK
|
SPROMOB
|
|
44.3. PCT should be taught in the health education &
reproduction matters in school
|
1. Yes
|
2. No
|
8. NK
|
SPROMOC
|
|
44.4. Strictly prohibit all marriage (be it civil, religious,
traditional) before PCT,
through a decree law
|
1. Yes
|
2. No
|
8. NK
|
SPROMOD
|
|
44.5. Providing care and support services for people living with
HIV/AIDS, including would-be couples found HIV positive after PCT.
|
1. Yes
|
2. No
|
8. NK
|
SPROMOE
|
|
44.6. Creating youth HIV associations/clubs like Virgin club
etc
|
1. Yes
|
2. No
|
8. NK
|
SPROMOF
|
|
44.7. PCT should be clearly mentioned in the health reproductive
policies of Ghana
|
1. Yes
|
2. No
|
8. NK
|
SPROMOG
|
|
44.8. Open discussions on Youth sexual education about HIV-AIDS
and PCT in
youth durbars such as sport.
|
1. Yes
|
2. No
|
8. NK
|
SPROMOH
|
|
44.9. Churches and mosques should teach PCT to young couple
before marriage.
|
1. Yes
|
2. No
|
8. NK
|
SPROMOI
|
|
44.10. Strictly recommend a prenuptial medical certificate from
the doctor for each
fiancé before celebration of marriage
|
1. Yes
|
2. No
|
8. NK
|
SPROMOJ
|
|
44.11. Reducing stigma and discrimination against people living
with HIV/AIDS
|
1. Yes
|
2. No
|
8. NK
|
SPROMOK
|
|
44.12. Add other premarital required tests a part from HIV test
in order to reduce
stigma associated to HIV/AIDS
|
1. Yes
|
2. No
|
8. NK
|
SPROMOL
|
|
44.13. Encouragement by providing free treatment for any other
diseases detected
among those would-be couples who come for HIV PCT.
|
1. Yes
|
2. No
|
8. NK
|
SPROMOM
|
|
44.14. Others:
|
1. Yes
|
2. No
|
8. NK
|
SPROMON
|
45. In your opinion what should be done so that unmarried young
people have easier
access to HIV PCT in Kintampo?
|
1. HIV PCT is to be free or set at affordable
cost/fees in all hospitals
|
2. HIV PCT fees are to be paid by the
government/NGO
|
|
3. HIV PCT fees are to be paid equitably
by both fiancés
|
4. Increase number of hospitals/centre
providing VCT and PCT services
|
|
5. VCT and PCT centres not at long distances
|
6. Others:
|
|
8. NK
|
//////////////////////////////////////////////////////////////////
|
|
45.1. Access to HIV PCT in
Kintampo District 1
|
|
|
SACCESSA
|
|
45.2. Access to HIV PCT in
Kintampo District 2
|
|
|
SACCESSB
|
|
45.3. Access to HIV PCT in
Kintampo District 3
|
|
|
SACCESSC
|
|
45.4. Access to HIV PCT in
Kintampo District 4
|
|
|
SACCESSD
|
46. What do you suggest for the HIV PCT practice to be more
effective, acceptable and attractive
to unmarried young people in Kintampo district?
|
11. Provide for unbiased, clear and non-judgemental advices to
would-be couples
|
1. Yes
|
2. No
|
8. NK
|
SEFECTA
|
|
12. Secure permission of patients before passing on information
to anybody (parents, pastors/bishop and other care providers.)
|
1. Yes
|
2. No
|
8. NK
|
SEFECTB
|
|
13. Provide permanent caring and support services for PLWA
|
1. Yes
|
2. No
|
8. NK
|
SEFECTC
|
|
14. Examiner/counsellor of the same sex as the client
|
1. Yes
|
2. No
|
8. NK
|
SEFECTD
|
|
15. To be counselled by knowledgeable, well trained, kind, wise
and good communicator examiner/counsellors
|
1. Yes
|
2. No
|
8. NK
|
SEFECTE
|
|
16. To be counselled by counsellors not known in the area and or
change continuously the old counsellors by new ones after a certain period.
|
1. Yes
|
2. No
|
8. NK
|
SEFECTF
|
|
17. Follow up of fiancés / newly married is done after HIV
PCT
|
1. Yes
|
2. No
|
8. NK
|
SEFECTG
|
|
18. Guarantee complete confidentiality and privacy
|
1. Yes
|
2. No
|
8. NK
|
SEFECTH
|
|
19. Provide for the presentation of test results as soon as
possible, to reduce the anxiety of waiting too long (same day result)
|
1. Yes
|
2. No
|
8. NK
|
SEFECTI
|
|
20. Affordable cost or free HIV PCT examination
|
1. Yes
|
2. No
|
8. NK
|
SEFECTJ
|
|
21. To be counselled by young adults counsellors
|
1. Yes
|
2. No
|
8. NK
|
SEFECTK
|
|
22. More than one counselling session is provided to the
fiancés
|
1. Yes
|
2. No
|
8. NK
|
SEFECTL
|
|
23. When there will be a treatment or cure for HIV-AIDS
|
1. Yes
|
2. No
|
8. NK
|
SEFECTM
|
|
24. Provide entertainment in PCT VCT centres
|
1. Yes
|
2. No
|
8. NK
|
SEFECTN
|
|
25. Others.
|
1. Yes
|
2. No
|
SEFECTO
|
|
47. In your opinion in which health facility in the district
should a PCT centre be
established?
|
|
|
SPCTFAC
|
USE THE HOSPITAL KEY BELOW TO ANSWER QUESTION 46
HOSPITALS AND CLINICS IN KINTAMPO DISTRICT
|
11. KINTAMPO Hospital, Kintampo
|
12. ADOM Mat. Home, Jema
|
|
13. JEMA Health Centre, Jema
|
14. ANYIMA Health Centre, Anyima
|
|
15. AMOMA Health Centre, Amoma
|
16. NEW LONGORO, Health Centre
|
|
17. DAWADAWA, Health Centre
|
18. PERPERTUAL Mat. Home, Apesika
|
|
19. KUNSU Health Centre, Kunsu
|
20. EBENEZER Mat. Home, Kintampo
|
|
21. ARMS Mat. Home, Ajina
|
22. ANNOA ASARE Memorial clinic
|
|
23. BUSUAMA Health Centre, Busuama
|
24. PRINCE OF PEACE Maternity clinic
|
|
25. In any one of the above facilities
|
26. In all the above facilities
|
27. In none of them
|
88.NK
|
7. DECISION-MAKING ON MARRIAGE VIS A VIS HIV TEST RESULTS
AFTER PCT
48. Assuming that after a premarital examination you are found to
be HIV negative but your
fiancé (e) is detected HIV positive and the
doctor/counsellor advises you so that you decide
responsibly. Of the following decisions which one will you
more likely make?
|
1. Marry her/him but abandon childbearing
(permanent contraception) and +protected sex
(condom use) all the time
|
2. Marry her/him but abandon childbearing
(permanent contraception),adopt children +
protected sex (condom use) all the time
|
DMNGPOS
|
|
3. Marry if my partner accepts, limit childbearing with strict
and continuous prevention of mother-to-child transmission of HIV for all
pregnancy and breastfeeding.
|
4. Break up of engagement/marriage
relationship and search/choice of
an other healthy partner
|
|
5. None of them, I will still marry her/him , have unprotected
sex and bear children irrespective of all advices, because I
love her/him and marriage is for the best and the worst
|
6. Other
|
8. NK
|
49. Assuming that after a premarital examination you are found
to be HIV positive but your
fiancé (e) is detected HIV negative and the
doctor/counsellor advises you so that you
decide responsibly. Of the following decisions which one
will you more likely make?
|
1. Marry her/him but abandon childbearing
(permanent contraception) and +protected sex
(condom use) all the time
|
2. Marry her/him but abandon childbearing
(permanent contraception),adopt children +
protected sex (condom use) all the time
|
DMPOSNG
|
|
3. Marry if my partner accepts, limit childbearing with strict
and continuous prevention of mother-to-child transmission of HIV for all
pregnancy and breastfeeding.
|
4. Break up of engagement/marriage
relationship.
|
|
5. None of them, I will still marry her/him , have unprotected
sex and bear children irrespective of all advices, because I love her/him and
marriage is for the best and the worst.
|
6. Other
|
8. NK
|
50. Assuming that after a premarital examination you and your
fiancé(e) are both found to
be HIV positive and the doctor/counsellor advises you so
that you decide responsibly.
Of the following decisions which one will you more likely
make?
|
1. Marry her/him but abandon childbearing
(permanent contraception) and +protected sex
(condom use) all the time
|
2. Marry her/him but abandon childbearing
(permanent contraception),adopt children +
protected sex (condom use) all the time
|
DMPOPOS
|
|
3. Marry if my partner accepts, limit childbearing with
strict and continuous prevention of mother-to-child transmission of HIV for
all pregnancy and breastfeeding.
|
4. Break up of engagement/marriage
relationship and search/choice of
an other healthy partner
|
|
5. None of them, I will still marry her/him , have unprotected
sex and bear children irrespective of all advices, because I love her/him and
marriage is for the best and the worst.
|
6. Other
|
8. NK
|
51. What do you think about marriage between couples where one is
HIV positive and the
other HIV negative
|
1. It should be permitted only under certain protective
precautions given by the doctor/counsellor
|
2. It shouldn't be permitted
|
DMDISCO
|
|
3. No matter if the two fiancés agree to marry
|
4. No matters if the church/mosque agrees with this marriage
|
|
5. No matters if the parents/families of both
fiancés agree with this marriage union
|
6. Other:
|
8. NK
|
52. What do you think about marriage between two HIV positive
fiancés after a PCT?
|
1. It should be permitted only under certain protective
precautions given by the doctor/counsellor
|
2. It shouldn't be permitted
|
DMBHIHI
|
|
3. No matter if the two fiancés agree to marry
|
4. No matters if the church/mosque agrees with this marriage
|
|
5. No matters if the parents/families of both
fiancés agree with this marriage union
|
6. Other:
|
8. NK
|
53. What is your last word about HIV Premarital Counselling and
Testing (PCT) implementation in Kintampo?
_________________________________________________________________________________________
_________________________________________________________________________________________
END OF FORM. THANK THE RESPONDENT AND CHECK YOUR
FORM
ANNEX 2.a: INTERVIEW GUIDE FOR HEALTH CARE
PROVIDERS
KNOWLEDGE AND PERCEPTIONS TOWARDS PREMARITAL
COUNSELLING AND TESTING (PCT) ON HIV INFECTION AMONG UNMARRIED YOUNG ADULTS IN
KINTAMPO DISTRICT
|
Interview Date:_____/_____/05
Interview No:_______
Hospital/Health centre of: ___________________
_________________________________
Time opening IDI: :
Time End IDI: :
Interviewer:
Language Translator:.....................
|
|
My name is__________________________________. I am collecting
information on «Knowledge and perception towards premarital counselling
and testing (PCT) on HIV infection among unmarried young adult in Kintampo
District» with regard to the implementation of Voluntary counselling and
testing (VCT) services. All the information you give me will help the District
Health Authorities to successfully implement VCT and HIV PCT services in the
district. It will also be used for academic purpose. Responses will be treated
as confidential. This questionnaire will take not more than 30minutes. I need
your voluntary participation in this research interview. Do you have questions
before we start? Thank you for agreeing to participate in this study.
|
Designation of respondent being interviewed
|
NO
|
RESPONDENT
|
NO
|
RESPONDENT
|
|
1
|
Medical Doctor
|
4
|
Laboratory Technician
|
|
2
|
Matron
|
5
|
Medical counsellor
|
|
3
|
Nurse
|
6
|
Others, specify
|
1.Do you some times receive would-be couples for Premarital
Medical Counselling and Testing (PCT) in your hospital? Y/N
2. If yes to Q1 what is the approximate average
frequency?.............couples/individuals per Month/Trimester/year (Tick the
correct measure)
3.If yes to Q1 what medical lab exams do you do for them?
- - - - -
4. If no to Q1 why?
................................................................................................................................................
5.Are you already trained in medical marriage counselling and
testing? Y/N
6.Do you think HIV PCT should be institutionalized in Kintampo
as a core strategy to limit the spread of HIV/AIDS in new couples and their
children? Yes/No. Why?
7.Do you think HIV PCT should be compulsory or optional?? And
why???
8. If yes to Q1, who commonly send you fiancés for HIV
PCT?
9.How do they send you fiancés for HIV PCT?
10.Among the following mains steps of PCT what do you often
do?
11. If yes to Q1 what is the current cost of (HIV) PCT in
your hospital? Per individual or per couple?
................................................................................................................................................
12.Do you think this amount is affordable to Ghanaian in
Kintampo? Y/N. If No why?
13.How do you deal with the HIV PCT results?
a) In case of no problem found:
b) In case of discovery that one fiancé(e) is HIV
seropositive?
c) In case of discovery that both fiancé(e) are HIV
seropositive?
14.What do you take as position when you face a discordant
couple or a HIV/AIDS seropositive couple after a HIV PCT?
15.In case of a STI is found through PCT to one or both
fiancés what do you decide about the marriage process?
16.Do you deliver a prenuptial medical certificate (marriage
licence) to the fiancés after (HIV) PCT? Y/N and why?
17. How often would you like the HIV PCT to be set before
marriage and why?
................................................................................................................................................
18.In your opinion what barriers can prevent young unmarried
people from undergoing HIV PCT in Kintampo?
- -
19. What existing opportunities (enabling factors) in the
society today can make easier the implementation of HIV PCT in Kintampo
district?
- -
20. Given barriers to HIV PCT (Q 18) and enabling factors to
HIV PCT (Q 19), is HIV PCT implementation workable and feasible in Kintampo
district? Why?
21. What ways/means should be used in order to promote HIV PCT
in Kintampo?
- -
22. In your opinion what should be done so that unmarried
young Ghanaian people have easier access to attend HIV PCT in Kintampo?
23. What do you suggest for the HIV PCT practice to be more
effective, acceptable and attractive for unmarried young Ghanaian people in
Kintampo?
- -
24. What do you think about marriage between HIV discordant
couple (one partner is seropositive, the other still seronegative) or HIV
seropositive fiancés after a PCT?
25. In case of marriage between discordant couples or HIV
infected couples, those couples should be given certain precautionary measures
such as permanent condom use, limitation of childbearing or prevention of
mother-to-child transmission (PMTCT) measures (e.g. Nevirapine,
breastfeeding....) so that they protect themselves and children.
a) Do you think those couples can permanently
be able to practice them all their life long? Yes /No and why?
......................................................................................................................................................
b) Can one rely on the ability of couples to practices those
measures all their life long? Yes/No why?
......................................................................................................................................................
c) Is the application of these permanent measures truly
workable and feasible? Yes/No and why?
......................................................................................................................................................
d) If no to Q c, what should rather be done?
26. What difficulties or challenges do you often encounter in
your hospital during PCT in general and HIV PCT in particular?
27.What do you suggest to the following bodies in order to
solve these difficulties/challenges?
|
A) To the government/MOH
B) To the churches/mosques
C) To the registry officer
D) To the traditional/customary chiefs
E) To the parents
|
F) To the fiancés
G) To the Ghanaian people, especially young people
H) To the health system, hospitals and health care workers
I) To Others:.....................................
|
28.Your last word about HIV PCT implementation in Kintampo
district?
End.
ANNEX 2b: IN-DEPHT INTERVIEW GUIDE FOR RELIGION LEADERS
|
|
KNOWLEDGE AND PERCEPTIONS TOWARDS PREMARITAL
COUNSELLING AND TESTING (PCT) ON HIV INFECTION AMONG UNMARRIED YOUNG
ADULTS
IN KINTAMPO DISTRICTS
|
|
Interview Date:_____/_____/05
Interview No:_______
Interviewer:..............................
Translator:.....................................
Religion:_____________
Church or Mosque :________________________
Time opening IDI: :
Time End IDI: :
|
|
My name is__________________________________. I am collecting
information on «Knowledge and perception towards premarital counselling
and testing (PCT) on HIV infection among unmarried young adult in Kintampo
District» with regard to the implementation of Voluntary counselling and
testing (VCT) services. All the information you give me will help the District
Health Authorities to successfully implement VCT and HIV PCT services in the
district. It will also be used for academic purpose. Responses will be treated
as confidential. This questionnaire will take not more than 30minutes. I need
your voluntary participation in this research interview. Do you have questions
before we start? Thank you for agreeing to participate in this study.
|
1. Do you think the church or mosque has a major role to play
towards the control of the spread of HIV-AIDS in the general population and
would-be couples particularly? Yes/No
Why? What role should the church play?
2.What actions does your church and mosque carry out in the
fight against HIV-AIDS?
3. According to you, do those actions have a positive impact
towards the reduction of the spread of HIV-AIDS in the area?
4.What of the following preventive measures does your church
or mosque support in the fight against HIV-AIDS? And why?
|
Measures
|
Yes
|
No
|
Why?
|
|
Sexual abstinence
|
|
|
|
|
Faithfulness
|
|
|
|
|
Condom promotion/use
|
|
|
|
|
STI/HIVScrening,VCT,HIV PCT
|
|
|
|
5.Do you think people respect all the preaching the church or
mosque support towards the reduction of the spread of HIV-AIDS in the area?
Yes/No Why?
6.How many marriage do you celebrate on average in your church
or mosque during a month/year?................/month/year.(statistics needed
)
7.What activities does your church or mosque conduct when
preparing young adults who are about to enter into marriage? Do you tell them
about HIV PCT? Yes No
8.Are you already trained in medical marriage guidance
counselling and testing? Y/N
Is there any church/mosque elder who is trained? Y/N
9.Does your church or mosque require HIV Premarital Medical
Counselling and Testing (PCT) for all your church/mosque members who are about
to enter into marriage? Yes/No , Why?
10. If yes to Q 9, is HIV PCT compulsory/optional in your
church/mosque? Yes No and why?
11.If yes to Q 9,what is the average
frequency?.............Month/Trimester/year (statistics needed if possible)
12.If yes to Q 9, for what purpose do you send would-be
couples for PCT to the hospital?
13. How do you commonly send fiancés for PCT to the
hospital ?
14.How do you deal with the HIV PCT results?
a) In case of no problem found:
b) In case of discovery that one fiancé(e) is HIV
seropositive?
c) In case of discovery that both fiancé(e) are HIV
seropositive?
15.What do you take as position when you face a discordant
couple or a HIV/AIDS seropositive couple after a HIV PCT?
16.Do you require would-be couples to present a prenuptial
medical certificate (marriage licence) before the church/mosque can publicize
and celebrate their weddings? Y/N and why?
17. How often would you like the HIV PCT to be set before
marriage and why?
18.In your opinion what barriers can prevent young unmarried
people from undergoing HIV PCT at the Hospital?
19. What existing opportunities (enabling factors) in the society
today can make easier the implementation of HIV PCT in Kintampo district.
20. Given barriers to HIV PCT (Q 18) and enabling factors to HIV
PCT (Q 19), is HIV PCT implementation workable and feasible in Kintampo
district? Why?
21. What ways/means should be used in order to promote HIV PCT in
your church/Mosque and in Kintampo society?
22. In your opinion what should be done so that unmarried young
people have easier access to attend HIV PCT in Kintampo?
23. What do you suggest for the HIV PCT practice to be more
effective, acceptable and attractive for young adults in Kintampo society? :
24. What do you think about marriage between HIV discordant
couple (one partner is seropositive, the other still seronegative) or HIV
seropositive fiancés after a PCT?
25. In case of marriage between discordant couples or HIV
infected couples, those couples should be given certain precautionary measures
such as permanent condom use, limitation of childbearing or prevention of
mother-to-child transmission (PMTCT) measures (e.g. Nevirapine,
breastfeeding....) so that they protect themselves and children.
a) Do you think those couples can permanently be
able to practice them all their life long? Yes /No and why?
b) Can one rely on the ability of couples to practices those
measures all their life long? Yes/No why?
c) Is the application of these permanent measures truly workable
and feasible? Yes/No and why?
d) If no to Q c, what should rather be done?
26. What difficulties or challenges do you often encounter in
your church/mosque concerning PCT in general and HIV PCT in particular?
27.What do you suggest to the following bodies in order to
solve these difficulties/challenges?
|
A) To the government/MOH
B) To the churches/mosques
C) To the registry officer
D) To the traditional/customary chiefs
E) To the parents
|
F) To the fiancés
G) To the Ghanaian people, especially young people
H) To the health system, hospitals and health care workers
I) To Others:.....................................
|
28.Your last word about HIV PCT implementation in Kintampo
district?
END!
ANNEX 3: FOCUS GROUP DISCUSSION GUIDE
(FGDG)
KNOWLEDGE AND PERCEPTIONS TOWARDS PREMARITAL
COUNSELLING AND TESTING (PCT) ON HIV INFECTION AMONG UNMARRIED YOUNG
ADULTS
|
Date:_____/_____/05
FGD Specification:.........................
Time opening FGD: :
Time End FGD: :
Moderator________________
Note-Taker:...................................
|
|
My name is__________________________________. I am collecting
information on «Knowledge and perception towards premarital counselling
and testing (PCT) on HIV infection among unmarried young adult in Kintampo
District» with regard to the implementation of Voluntary counselling and
testing (VCT) services in the District in the near future. All the information
you give me will help the District Health Authorities to successfully implement
VCT and HIV PCT services in the district. It will also be used for academic
purpose. Responses will be treated as confidential. This questionnaire will
take not more than 2 hours. I need your voluntary and active participation in
this research discussion. Do you have questions before we start? Thank you for
agreeing to participate in this study.
|
|
NB: Remember to:
§ To brief focus group members on the research topic so
that they understand the nature and the aim of the discussion.
§ Introduce yourself and the purpose of the
recorder/photograph taking
§ Rule for discussion
§ Let participants introduce themselves
§ Ask for consent of participants for recording the
discussions
§ Tell participants that the information will be kept
with confidentiality and erased after the study.
§ Tell participants that their participation is
voluntary and that no allowance will be paid
§ Tell participants that they are free to use any
language (Twi or English).
|
1. What are some of the factors pushing younger children to have
sex before marriage in Kintampo district? Can this be prevented? If yes how? If
no why?
2. a) Is HIV/AIDS a real disease killing young people in Kintampo
district? Y/N How, give examples if possible?
b) What do you think is the effect of HIV/AIDS on the right and
freedom of people towards marriage today ??
c) What should be done to limit the spread of HIV/AIDS among
would-be couples who are about to enter into marriage?
3. Must young people consider «Health status» as a
core criteria when they choose their marriage partner? why?
4. a) How is marriage organized in K'po district and what is the
place of PCT in the marriage process in K'po?
b) Do you agree with this way of doing things?
c) Is HIV PCT currently being done in Kintampo district?
d) If yes is HIV PCT being currently conducted systematically
and in a very effective way?
e) If no Why is HIV PCT not being currently conducted in
Kintampo district?
5. Do you believe HIV Premarital Counselling and Testing (PCT) is
important (beneficial)? Why?
6. a) Should HIV PCT be institutionalized in the
country/society/churches? Why?
b) Should HIV PCT be compulsory or optional and why?
7. Do you believe that families, parents and peers should support
or encourage their younger children to perform HIV PCT before getting married?
Why?
8. In your opinion, who should send would-be couples to the
hospital for HIV PCT?
9. In your opinion, how often would you like the HIV PCT to be
set before marriage and why?
10. What are some barriers which can prevent young unmarried
people from going for HIV PCT services in Kintampo district?
11. What existing opportunities (enabling factors) in the society
today can make easier the implementation of HIV PCT in Kintampo district.
12. Given barriers to HIV PCT (Q 10) and enabling factors to HIV
PCT (Q 11), do you think HIV PCT implementation is workable and feasible in
Kintampo district? Why?
13. What ways/means should be used in order to promote HIV PCT in
Kintampo district?
14. What should be done so that unmarried Ghanaian young people
have easier access to HIV PCT services in Kintampo district?
15. What do you suggest for the HIV PCT practice to be more
effective, acceptable and attractive for young adults in Kintampo district?
16. What do you think about marriage between discordant couples
(one would-be couple is HIV infected) and HIV infected couples (both are HIV
infected) in Ghana and Kintampo? Should such marriage be allowed or forbidden?
And why?
17. In case of marriage between discordant couples or HIV
infected couples, those couples should be given certain precautionary measures
such as permanent condom use, limitation of childbearing or prevention of
mother-to-child transmission (PMTCT) measures (e.g. Nevirapine,
breastfeeding....) so that they protect themselves and children.
a) Do you think those couples can permanently be
able to practice them all their life long? Yes /No and why?
b) Can one rely on the ability of couples to practices those
measures all their life long? Yes / No why?
c) Is the application of these permanent measures truly workable
and feasible? Yes/No and why?
d) If no to Q c, what should rather be done?
END!
* ** ab: Reserved to
be completed by the researcher him self.
* ** Reserved to be completed by
the researcher him self.
| 
