PLACE fieldwork

2. PLACE fieldwork Level 1: Community informant interviews Level 2:Venue informant interviews and mapping Level 3: Patron and worker interviews and HIV testing

3. Purpose of interviews and tests • Collect information about characteristics of people who visit venues (patrons and workers), sexual behavior, and exposure to HIV prevention programs • Collect information about HIV status

4. How do we get this information? • Visit some of the venues. • Interview all people working there. • Interview people visiting there (referred to as patrons). • The testing and counseling team will conduct rapid HIV tests and provide counseling pre- and post-test.

5. Working in teams • Venues always visited by a team of interviewers • Interview simultaneously • Joined by HIV counseling and testing team

6. Who is interviewed at venues? • Men and women visiting the venue for 20 minutes or more on the night of fieldwork • Men and women working there the night of fieldwork, including women living at the venue • Must be 18 years old or older; or must be 15 to 17 years old and at the venue independent of their family

7. Supervisor gives instructions • For Forms A and B, interviewers identified informants • Different for Form C: • interviewers are trained how to select a participant • Supervisor communicates frequently with interviewers about selecting people to recruit

8. What about key populations? • Target number of men and women • Some will be members of key populations (sex workers, men who have sex with men, people who inject drugs, etc.) • Supervisor will tell you if there is another strategy for identifying key populations to interview

9. Questionnaire • Form C: Patron and Worker Interview • Includes a code that will be used to link interview to HIV test results

10. Steps 1-6: • Fill in venue information • Get assignment from Fieldwork Supervisor • Identify someone to recruit • Introduce yourself and describe interview • Offer Form C Informed consent fact sheet. Respondent initials it to indicate consent. • Confirm eligibility (willing, age 18 or older, or age 15-17 if there independently) (continued)

11. Steps 7-11: • Bring participant to HIV testing and counseling team • Conduct interview in private location • Return with participant to receive results and counseling • Ensure participant receives incentive • Report to s Fieldwork Supervisor to record completed interview and to receive next assignment

12. Fact Sheet Fact Sheet

13. Fact sheet (front)

14. Fact sheet (back)

15. Activity: Read fact sheet • Read the changed sections of the fact sheet aloud. • Interviewers take turns reading the section “What will the survey cover?” and the section on testing. • Feel free to ask questions about the content of the fact sheet.

16. Form C: Individual Interview

17. Form C: Interview with a patron or worker

18. Form C content • Information about venue of interview • Demographics • Venue attendance • Drug use • Sexual behavior • Other venues visited • Key populations • Symptoms and use of services • Vulnerabilities • Self-completed section

19. Activity: Read questions • Read Form C aloud. • Interviewers take turns reading a question and its answer categories. • Later, the questions will be explained in depth.

20. Form C content • Information about venue location and availability • Recruitment • Demographics • Venue attendance • Drug use • Sexual behavior • Other venues visited • Key populations • Symptoms and use of services • Vulnerabilities • Self-completed section 1 2 3

21. Activity: Read questions in Section 1 • Read Section 1 of Form C aloud again. • Interviewers take turns reading a question and its answer categories to the group. • After each question is read, the trainer describes the type of information sought and answers any questions.

22. Section 1: Information about venue of interview • Basic information: Venue name, ID, etc.

23. Section 1: Recruitment —type of respondent • We will cover recruitment in more detail later. • Overview: • Some patrons will be chosen randomly. • It’s important not to select only friendly people or people from the same group of friends. • Others may be chosen purposively. • This means some will be chosen because of certain risk factors (for example: female sex workers, women who live at the venue, transgender women).

24. Section 1: Recruitment of 15- to 17- year-olds • Usually people <18 are not considered adults who can make decisions • People 15, 16, and 17 visit venues and are vulnerable; do not miss chance to interview! • If at venue independently (like an adult), we can interview • If at venue with parents or running a family errand, we CANNOT interview!

25. Section 1: Recruitment • If not willing to take HIV test, cannot participate: END INTERVIEW • Is respondent capable of answering questions? • Drunk • Does not understand

26. Section 1: Demographics • Residence – how long? • Education • Employment

27. Section 1: Venue attendance on Saturday night • We visit venues on different days of the week. • Ask about Saturday night in some questions so that everyone is talking about the same day of the week. • Last Saturday = • If interviews occur Sunday, it is the day before. • If interviews occur Monday through Friday, it is the previous Saturday. • If interviews occur on a Saturday, it is the Saturday of the prior week, NOT that same day.

28. Section 1: Drug use • Alcohol use can lead to poor judgement and increased risk behavior. • It’s important to ask about sharing needles, because this is one way that HIV is transmitted.

29. Activity: Practice Section 1 • Interviewers form pairs. • One interviewer takes the role of venue patron or worker while the interviewer conducts Section 1 of the Form C interview. • Reverse roles to give the other interviewer practice. • Make up responses! It is not necessary to reveal personal information! • Questions about this section of the Form C interview?

30. Activity: Read questions in Section 2 • Read Section 2 of Form C aloud again. • Interviewers take turns reading a question and its answer categories to the group. • After each question is read, the trainer describes the type of information sought and answers any questions.

31. Section 2: Sexual behavior— sex with men • # of men had sex with in past 12 months • More questions about sex with men follow: condom use, anal sex, etc. • Some use 3-month time frame • Read each question exactly as written!!!!

32. Section 2: Sexual behavior— paid sex • Paid a woman for sex in past 3 months • Paid a man for sex in past 3 months • Received money for sex in past 3 months

33. Section 2: Sexual behavior— new partners • Have you had sex with a person in the past 12 months with whom you never had sex before? • First time with this person • Does not matter whether the respondent had sex only once or many times • In the past 3 months, have you met a new sex partner here at this venue?

34. Section 2: Other venues • Ask the respondent about other venues they have visited in the past 7 days. • Ask whether the respondent has used a social media app to meet a sex partner.

35. Section 2: Sexual behavior • # of men respondent had sex with in past 4 weeks • Of those, how many were new partners? **Should be less than total # in past 4 weeks** • # of women respondent had sex with in past 4 weeks • Of those, how many were new partners? **Should be less than total # in past 4 weeks** • Ask again about # of men/women/transgender women respondent had sex with in past 12 months

36. Section 2: Key populations • Series of questions about # of people respondent knows who visit venues • Talked to in past 4 weeks • You know them and they know you • Men who have sex with men • Female sex workers • Also ask about Saturday nights

37. Activity: Practice Section 2 • Interviewers form pairs. • One interviewer takes the role of venue patron or worker while the interviewer conducts Section 2 of the Form C interview. • Reverse roles to give the other interviewer practice. • Questions about this section of the Form C interview?

38. Activity: Read questions in Section 3 • Read Section 3 of Form C aloud again. • Interviewers take turns reading a question and its answer categories. • After each question is read, the trainer describes the type of information sought and answers any questions.

39. Section 3: Symptoms and services • Sexually transmitted infections • Tuberculosis (TB) • Circumcision • Be careful of time references (4 weeks, 12 months, 2 weeks)

40. Section 3: Symptoms and services • Health services for drug users? • Sources of information on HIV/AIDS? • Free condoms? • Peer education? • Purchased condoms? • Carry condom? – MUST SEE IT TO MARK YES • Lubricant? • HIV testing? • HIV-positive and on medication?

41. Section 3: Vulnerabilities • Vulnerabilities are factors that can affect a person’s risk for acquiring HIV • Includes question about sexual orientation and gender identity

42. Gender identity questions: Who are transgender people? • Transgender people identify with a different gender than the one they were assigned at birth. • For example, a transgender female was born male but over time felt more like a female than a male. In some cases, transgender people get hormone injections to change their appearance. “Trans” means “changed.” • A transgender male was born female and became male. • Transgender women are especially at risk of acquiring HIV.

43. Section 3: Self-completed • Few questions • Respondent marks answer • Pictures useful for people who cannot read: mark tree for yes, soccer ball for no, sun for man, and moon for woman • Interviewer reads questions and prompts respondent to mark answer (holds tablet out, directly facing the respondent, facing away from interviewer)

44. Section 3: Interviewer • After the interview, there are a few questions about the interview. • Space is given to enter the result of the HIV test. LEAVE THIS BLANK. It will be filled in by the Fieldwork Supervisor later.

45. Activity: Practice Section 3 • Interviewers form pairs. • One interviewer takes the role of venue patron or worker while the interviewer conducts Section 3 of the Form C interview. • Reverse roles to give the other interviewer practice. • Questions about this section of the Form C interview?

46. Putting It All Together

47. Steps

48. Steps • Fill in venue information • Get assignment from Fieldwork Supervisor • Identify individual to recruit • Introduce yourself and describe interview • Offer fact sheet; respondent initials it to indicate consent • Confirm eligibility (willing, age 18 or older or 15−17 and alone) • Bring participant to HIV testing and counseling team • Conduct interview in private location • Return with participant to receive results and counseling • Ensure participant receives incentive • Report to Fieldwork Supervisor to record completed interview and to receive next assignment

49. HIV testers and counselors <<Provide information related to your specific PLACE study about testers and counselors here.>>

50. Observe: Role-play • Interviewers observe recruitment of a venue patron or worker and interview using Form C. • Questions about recruitment process or interview?