4 Frequency of clients In the past week, approximately how many occasional and repeat clients did you have? Occasional clients____ Repeat clients____ 97. Refused Assist her to quantify if necessary 5 Frequency of sex work In the past month, approximately how many days did you do sex work? Number_____ 97. Refused Assist her to quantify if necessary 6 Income In the past month, what was your average monthly income? (Include sex work and other work.) Number (rupees)___ 97. Refused Assist her to quantify if necessary 7 Mobility In the past month, did you spend more than 10 days away from your main city/town of residence? 1. Yes 2. No 97. Refused 8 Marital status What is your current marital status? 1. Never Married, 2. Married, 3. Widow / Widower, 4. Divorced, 5. Separated, 97. Refused. Service use 9 Clinic visit In the past 3 months, have you been seen at the Ashodaya/DMSC clinic (other than for PrEP)? 1. Yes 2. No 97. Refused 10 Peer educator visit In the past 3 months, have you been visited by or talked with an Ashodaya/DMSC peer educator (other than for PrEP)? 1. Yes 2. No 97. Refused
11 STI testing In the past 3 months, have you been tested for a sexually transmitted infection (STI) (at Ashodaya/ DMSC or anywhere)? 1. Yes 2. No 97. Refused 98. Don’t know 12 STI treatment In the past 3 months, have you been treated for an STI (at Ashodaya/ DMSC or anywhere)? 1. Yes 2. No 97. Refused 98. Don’t know Sexual behaviors INTERVIEWER: I’m going to ask you some questions about your occasional clients. Please remember, a new/occasional client is a paying client who has come to you once or a few times in the last one month and who gave you money or gifts in return for sex, but you do not remember their face or you do not know them. 13 Consistent condom use – occasional clients In the past week, how often did you use a condom when you had sex with occasional clients? 1. Never 2. Sometimes 3. Most of the time 4. Every time 99. NA 14 Condom use last sex – occasional client Did you use a condom the last time you had sex with an occasional client? 1. Yes 2. No 99. NA 15 Anal sex – occasional client In the past month, have you had anal sex with any of your occasional clients? 1. Yes 2. No 97. Refused 99. NA Go to 17 Go to 17 Go to 17 16 Condom use anal sex – occasional client Did the occasional client you last had anal sex with use a condom? 1. Yes 2. No 97. Refused If yes to anal sex – occasional client INTERVIEWER: I’m going to ask you some questions about your regular clients. Please remember, a regular or repeat client is a paying client who comes to you repeatedly and you recognize well; someone who gives you money or gifts in return for sex. 17 Consistent condom use – regular clients In the past week, how often did you use a condom when you had sex with regular clients? 1. Never 2. Sometimes 3. Most of the time 4. Every time 99. NA
18 Condom use last sex – regular client Did you use a condom the last time you had sex with a regular client? 1. Yes 2. No 99. NA 19 Anal sex – regular client In the past month, have you had anal sex with any of your regular clients? 1. Yes 2. No 97. Refused 99. NA Go to 21 Go to 21 Go to 21 20 Condom use anal sex – regular client Did the regular client you last had anal sex with use a condom? 1. Yes 2. No 97. Refused If yes to anal sex – regular client; INTERVIEWER: Now I am going to ask you some questions about your non-paying partners; individuals that you don't consider to be clients. As mentioned previously, a partner is a non-commercial partner, someone who does not give you money or gifts in return for sex and someone for whom you feel an emotional attachment. This may be a husband or boyfriend. 21 Regular partner Do you currently have a regular non-paying sexual partner 1. Yes 2. No Go to 26 22 Consistent condom use – regular partner In the past week, how often did you use a condom when you had sex with your 1. Never 2. Sometimes 3. Most of the time 4. Every time 99. NA 23 Condom use last sex – regular partner Did you use a condom the last time you had sex with your 1. Yes 2. No 99. NA 24 Anal sex – regular partner In the past month, have you had anal sex with your 1. Yes 2. No 97. Refused 99. NA Go to 26 Go to 26 Go to 26 25 Condom use anal sex – regular partner When you last had anal sex with your did he use a condom? 1. Yes 2. No 97. Refused If yes to anal sex – regular partner; Risk perceptions husband/boyfriend husband/boyfriend ,
26 HIV risk perception What would you say are your chances of getting infected with HIV? 1. No chances at all 2. Low 3. Moderate 4. High 97. Refused 98. Don’t know 27 Reasons for risk perception What are the reasons you gave for your answer to the previous question [HIV risk perception]? 1. Free text response ___________________ 97. Refused 98. Don’t know Free text responses: 28 Partner HIV status knowledge Do you know the HIV status of your 1. Yes 2. No 97. Refused 99. NA Go to 31 Go to 31 Go to 31 29 Partner HIV status If yes, is your 1. HIV-positive 2. HIV-negative 97. Refused 98. Don’t know Go to 31 Go to 31 Go to 31 30 Partner ART status If HIV-positive, is your currently on HIV treatment (ARVs)? 1. Yes 2. No 97. Refused Alcohol and drug use 31 Alcohol Do you consume alcohol? 1. Yes 2. No 97. Refused Go to 34 Go to 34 32 Alcohol frequency How many days in a week do you consume alcohol? Number(1 to 7)_______ 97. Refused 98. Don’t know/can’t remember If yes to alcohol use; 33 Alcohol amount How often do you have a quarter bottle or more on one occasion? 1. Monthly or less 2. 2-4 times a month 3. 2-3 times per week 4. 4 + times per week 97. Refused 98. Don't know If yes to alcohol use; 34 Drug use Did you use drugs during the last 3 months? 1. Yes 2. No 97. Refused Go to 37 Go to 37 35 Injection drug use Among the drugs you have used in the past 3 months, are there some that you injected? 1. Yes 2. No 97. Refused Go to 37 Go to 37
36 Needle/ syringe type In the past 3 months, which types of needles/syringes did you use to inject drugs? a. New needle/syringe b. Used needle/syringe (only by yourself) c. Used needle/syringe (previously used by someone else) 97. Refused 98. Don’t know/can’t remember If yes to drug use and injection; Note: can choose, multiple responses Contraceptive use/fertility intentions 37 use Are you currently using contraception 1. Yes 2. No 3. No (Trying to conceive) 97. Refused Go to 40 Go to 40 Go to 40 38 method What contraceptive methods are you currently using? a. None, b. Oral contraceptives (pill), c. Injectable, d. IUD, e. Condom, f. Implants g. Sterilization, 96. Other (specify) ____________________ 97. Refused If yes to use; Note: can choose multiple methods 39 Fertility intentions Are you planning to become pregnant in the near future? 1. Yes 2. No 97. Refused Violence INTERVIEWER: Now I am going to ask you some questions about your personal experience with violence. These questions can be sensitive and you can refuse to answer any question that makes you feel uncomfortable. 40 Physical violence In the last 3 months, how many times would you say someone has beaten (hurt, hit, slapped, pushed, kicked, punched, choked, burned but not used weapon) you? 1. Once 2. 2-5 times 3. 6-10 times 4. 11 or more times 5. Never 96. Other (specify): __________________ 97. Refused 98 Don't know
Side effects – which What side effects have you experienced? (Check all that apply) a. Nausea b.Vomiting c. Fatigue d. Dizziness e.Headache f. Rash g.Abdominl pain h. Weight loss 96.Other, specify 97. Refused PrEP restart 46 Restart PrEP Would you like to start taking PrEP again? Yes 2. No If yes, refer to clinical monitoring 47 Restart reason If yes, why have you decided to start taking PrEP again? 1. Free text response ___________________ 97. Refused 98. Don’t know 99. NA If yes to restarting PrEP