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 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 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: husband/boyfriend husband/boyfriend ,
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 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, 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. (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 41 Sexual violence In the last 3 months, did anyone ever force you to have sex with them by sexually assaulting or raping you? 1. Yes 2. No 97. Refused 42 Violence services In the last 3 months, have you used the DMSC/Ashodaya violence intervention program services? 1. Yes 2. No 97. Refused PrEP experience
43 Side effects – yes/no In the last 3 months, have you experienced any side effects as a result of taking PrEP? 1. Yes 2. No 97. Refused Go to 45 Go to 45 44 Side effects – which What side effects have you experienced? (Check all that apply) On going Resolved Note: can choose multiple side effects a. Nausea b.Vomiting c. Fatigue d. Dizziness e.Headache f. Rash g.Abdominal pain h. Weight loss 96.Other, specify 97. Refused PrEP adherence 45 Ability to take pill Please rate your ability, over the past month, to take pills exactly as you were instructed. Very poor Poor Fair Good Very good Excellent
46 Recalling taking pill I will now ask about taking pills in the past 7 days, not including today. I will ask about each of the past seven days, starting with yesterday (x-day). We are most interested in knowing on how many days you took the pill. Soif you cannot remember which day(s) exactly you did or did not take the pill, please guess. If you missed some days, we prefer that you indicate this even if you cannot remember exactly which days you missed. Yesterday (x-day) did you take a pill? Yesterday, Day 1: 1. Yes 2. No 98. Don’t remember Day 2: 1. Yes 2. No 98. Don’t remember Day 3 1. Yes 2. No 98. Don’t remember Day 4 1. Yes 2. No 98. Don’t remember Day 5 1. Yes 2. No 98. Don’t remember Day 6 1. Yes 2. No 98. Don’t remember Day 7 1. Yes 2. No 98. Don’t remember NOTE: Repeat going backwards 7 days starting with yesterday. 47 Pill with regular activities Does taking interfere with any of your regular daily activities? 1. Yes 2. No 48 Time of pill In the past month, what time of day do you typically take your pill? 1. Morning 2. Afternoon 3. Evening 96. Other, specify____________ 49 of pill In the past month, how often did you take your pill at about the same time each day? Always Sometimes Never
50 to take pill In the past month, what has helped you remember to take your pill? Nothing Calendar Alarm/cell phone/pager Pill box Husband/boyfriend/ primary partner Family member or friend Association with a daily activity Association with having sex Association with taking oral contraception 10. Association with taking other pills or medication 11. Daily visit from outreach worker 96. Other,specify___________ 50a Disclose to others Who have you disclosed that "you are taking PrEP medication?" a. No one b. Husband/Boy friend c. Other sex workers d. Mother or father e. Children f. Other family member g. Neighbors h. Friends 96. Other (specify): _______________________ 97. Refused Note: can choose, multiple responses
56 Continue PrEP Do you want to continue taking PrEP for the next month? Yes No Go to 58 57 Reason for If no, why not? a. I will not be doing sex work b. I do not like taking PrEP c. I get side effects from taking PrEP d. I find it too difficult to remember to take PrEP 96.Other, specify___________ Note: can choose, multiple responses 58 Delivery method What PrEP delivery method would you like to use for the next month? 1. Direct delivery 2. Weekly clinic pick-up 96.Other, specify___________