4f. Key Informant Interview Indicator List HIV 1

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The objectives of the HIV key informant interviews (KIIs) are to:

1. Assess HIV key informants’ knowledge of the MISP standard and its relation to HIV

2. Learn more about whether HIV is effectively integrated with RH and vice versa for HIV prevention and response and to meet the MISP standard 3. Explore HIV concerns and needs of the crisis-affected population in the

setting

4. Determine what MISP-related HIV services are available in this setting and the timeliness of the HIV response

5. Determine if an effective HIV referral mechanism has been established 6. Explore how affected communities are engaged in the HIV response 7. Assess HIV agencies' preparedness for MISP–related HIV response

8. Determine key barriers and facilitating factors for the reproductive health-related HIV response

SECTION I. PRELIMINARY INFORMATION

P1 Survey # (Code) P1

___ ___ ___ ___ ___ P2 Consent for interview granted

P2 1=Yes 2=No (STOP)(Proceed) If no, why:

__________________________ P3 Today’s date (dd/mm/yyyy) P3

____/____/_____ P4 Location of the interview P4

P5 Interviewer’s name P5

P6 Respondent’s organization P6 P7 Respondent’s position in

organization P7

P8 Respondent’s no. of months in

organization P8

P9 No. of months working in current emergency?

P9

Months___________ P10 Time started interview: P10

_____: _____ (00:00 – 24:00) P11 Time ended interview: P11

(2)

) s)

COORDINATION

1. a. Is there a national entity responsible for HIV coordination in this crisis? b. Is there an international agency leading HIV coordination in this crisis?

2. Learn more about whether the HIV response is effectively integrated with RH and vice versa for HIV prevention and response and to meet the MISP standard

MISP

Objective 3 Number/Percent of HIVKIs reporting presence of national HIV lead agency in current emergency

1 Yes 2 No 99 DK

Name documented: Number/Percent of HIV KIs reporting presence of international HIV lead agency in current emergency

1 Yes 2 No 99 DK

Name documented: 2. a. Is there a

designated national HIV focal point for this crisis?

b. Is there a designated international HIV focal point for this crisis

MISP

Objective 3 Number/Percent of HIVKIs reporting presence of national HIV focal point for current crisis 1 Yes

2 No 99 DK

Name documented: Number/Percent of HIV KIs reporting presence of international HIV focal point for current crisis

1 Yes 2 No 99 DK

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3. a. Are HIV coordination meetings held?

b. If yes, how often?

2. Learn more about whether the HIV response is effectively integrated with RH and vice versa for HIV prevention and response and to meet the MISP standard.

MISP

Objective 3 Number/Percent of HIVKIs reporting existence of HIV coordination meetings

1 Yes 2 No 99 DK

Number/Percent of HIV KIs reporting

frequency of HIV coordination meetings 1 Never

2 Weekly 3 Bi-weekly 4 Monthly

66 Other (specify) 99 DK

4. Does the RH focal point participate in HIV

coordination meetings?

MISP Objectives 1, 3

participation of HIV focal point in RH coordination meetings 1 Yes

2 No

3 Sometimes 99 DK

5. a. Does the HIV focal point

participate in the RH coordination meetings? b. (If YES)

Does the HIV focal point report back to the HIV

2. Learn more about whether the HIV response is effectively integrated with RH and vice versa for HIV prevention and response and to meet the MISP

MISP Objectives 1, 3

participation of HIV focal point in RH coordination meetings 1 Yes

2 No

3 Sometimes 99 DK

(4)

coordination

group? standard back to the HIV coordination group 1 Yes

2 No

3 Sometimes 99 DK

6. Do you participate in the RH coordination meetings?

MISP

Objective 1 Number/Percent of HIVKIs reporting participation in RH coordination meetings 1 Yes

2 No

3 Sometimes 4 NA

7. Please rate the

coordination efforts between the RH and HIV sectors on a scale of 1 to 5, where 1 is very poor and 5 is excellent.

MISP Objective 1

Number/Percent of HIV KIs who rate the effectiveness of coordination efforts between the RH and HIV sectors as:

1 Very Poor 2 Poor 3 Average 4 Good 5 Excellent 99 DK

8. How could the

coordination between the HIV and RH sectors be improved?

2. Learn more about whether the HIV response is effectively integrated with RH and vice versa for HIV prevention and response

MISP Objective 1

HIV KIs’ comments on how to improve

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and to meet the MISP standard

KNOWLEDGE OF MISP AND ADDITIONAL PRIORITIES

9. Have you ever heard of the Minimum Initial Service Package (MISP) for reproductive health?

1. Assess HIV key

informants’ knowledge of the MISP standard and its relation to HIV

DRR and emergency preparedne ss

Number/Percent of HIV KIs reporting hearing of the MISP

1 Yes 2 No

10.a. Have you received training in the MISP?

b. (If YES)

How?

1. Assess HIV key

Number/Percent of HIV KIs reporting receiving training in the MISP 1 Yes

2 No

Number/Percent of HIVKI reporting type of training received: 1 MISP Training course

2 MISP Distance Learning Module 66 Other (specify) 11.Please name

all the objectives and

additional priorities of the MISP that you know.

1. Assess HIV key

Number/Percent of HIV KIs able to correctly cite all five objectives of the MISP and four additional priorities

12.What are the MISP

activities to

REDUCE HIV transmission ?

1. Assess HIV key

informants’ knowledge of the MISP standard and

DRR and emergency preparedne ss, MISP Objective 3

Number/Percent of HIV KIs able to correctly cite all MISP activities to reduce HIV

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its relation to HIV

HIV CONCERNS

13.Have you heard of incidents of HIV

transmission in this

setting? If yes, please describe.

3. Explore HIV concerns and needs of the crisis-affected population in the setting

MISP Objective 3,

Additional Priority - ARVs

Number/Percent of HIV KIs reporting having heard of incidents of HIV transmission in the setting

1 Yes 2 No

Description of incidents of HIV transmission documented 14. Do you have

any concerns about people living with HIV in this setting? Please describe.

3. Explore HIV concerns and needs of the crisis-affected population in the setting

MISP Objective 3,

Number/Percent of HIV KIs reporting concerns about people living with HIV in this setting 1 Yes

2 No

Description of

concerns about people living with HIV in this setting documented

RESPONSE

15.At what point during your agency’s response did your

organization’ s

implementati on of HIV services start?

4. Determine what MISP- related HIV services are available in this setting and the timeliness of the HIV response

MISP

Objective 3 Number/Percent of HIVKIs reporting the initiation of HIV service provision with the following time frames: 1 Within 48 hours 2 Within 1-2 weeks 3 Within 3-4 weeks 4 After 4 weeks 66 Other (specify) 5 NA

99 DK

16.What MISP-related HIV services are

4. Determine what MISP- related HIV

MISP Objective 3,

(7)

MISP-available and in this

setting?

services are available in this setting and the timeliness of the HIV response

related HIV services in this setting

1 Safe blood transfusion 2 Adherence to standard precautions 3 Free condoms available

4 ARVs available for continuing users 5 Prevention of mother-to-child transmission

17.a. What protocols is your agency using to guide

prevention of HIV (blood screening and standard precautions)? b. What protocols is your agency using to guide HIV treatment (ARVs)?

4. Determine what MISP-related HIV services are available in this setting and the timeliness of the HIV response

MISP Objective 3,

Number/Percent of HIV KIs reporting the following protocols used for blood screening and

standard precautions: 1 MOH

2 WHO 66 Other 4 NA 99 DK

Number/Percent of HIV KIs reporting the following protocols used for HIV treatment (ARVs):

1 MOH 2 WHO 66 Other 4 NA 99 DK 18.a. Is there a

HIV referral mechanism established?

b. (If YES)

Please describe.

5. Determine if there is an effective HIV referral mechanism established

MISP

Objective 3 Number/Percent of HIVKIs reporting establishment of HIV referral mechanism 1 Yes

2 No 66 DK

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documented 19.Rate how

well the referral system is working on a scale of 1 to 5 where one is “very poor” and five is “excellent”

5. Determine if there is an effective HIV referral mechanism established

MISP

Objective 3 Number/Percent of HIVKIs who rate the effectiveness of the HIV referral system as: 1 Very poor

2 Poor 3 Average 4 Good 5 Excellent 99 Don’t know 20.Are affected

communities engaged in MISP-related HIV

programming ?

6. Explore how affected communities are engaged in the HIV response

MISP Objective 3, Overall RH

Response

engagement of

affected communities in RH-related HIV programming 1 Yes

2 No 99 DK 21.How are the

affected communities engaged in MISP-related HIV

programming ?

Response

engagement of communities in RH-related HIV

programming through: 1 Data collection 2 Program design 3 Implementation (specify)

4 Monitoring 5 Evaluation 6 Feedback mechanisms 7 Consultations 66 Other (specify) 22.Have any

efforts been made to engage LGBTI people in HIV related programming

Response

Number/Percent HIV KIs reporting

engagement efforts with LGBTI people in HIV related

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? 2 No 99 DK 23.How are

LGBTI people engaged in HIV related programming ?

Response

HIV KIs’ comments about how LGBTI people are engaged in HIV related

programming documented

24.a. Has your organization received any funding for the MISP-related HIV response during this humanitarian crisis?

b. (If YES)

How much?

8. Determine key barriers and

facilitating factors for the RH-related HIV response

Response

Number/Percent of HIV KIs reporting receiving funding for RH-related HIV response in this crisis

1 Yes 2 No 99 DK

Amount received documented: 99 DK

25.From which

donor? 8. Determinekey barriers and

facilitating factors for the

reproductive

health-related HIV response.

Response

Number/Percent of HIV KIs reporting receiving funding from the following donors: 1 Flash, Cap or other donor appeals

2 UNHCR 3 MOH 4 UNFPA 4 WHO

5 Foundations 7 Internal source 66 Other (specify) 99 DK

26.a. Is your funding sufficient to meet your reproductive

health-related HIV program

reproductive

health-MISP Objective 3, Overall RH

Response

Number/Percent of HIV KIs reporting sufficient funding to address their RH-related HIV program goals

(10)

goals?

b. (If NO)

How much more does your agency need for this programming ?

related HIV

response. Amount needed:

99 DK

27.a. Has your agency ordered Inter-agency Reproductive Health Kit 1 (condoms)? b. Has your agency ordered Inter-agency Reproductive Health Kit 12 (blood

transfusion)?

reproductive

health-related HIV response

Response

Number/Percent of HIV KIs reporting ordering RH Kit 1 (condoms) 1 Yes

2 No 99 DK

Number/Percent of HIV KIs reporting ordering RH Kit 12 (blood transfusion) 1 Yes 2 No 99 DK

28.a. Are there any issues with the kits for your agency or the response broadly? b. If yes, please explain.

reproductive

Response

Number/Percent of HIV KIs reporting any issues with kits for their agency or the response more broadly 1 Yes

2 No 3 NA 99 DK

PREPAREDNESS

29.Did your organization make any prior

preparations or

7. Assess HIV agencies’ preparednes s for

reproductive health–

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arrangement s for MISP-related HIV activities for this

humanitarian crisis?

related HIV

response activities for this humanitarian crisis 1 Yes

2 No 99DK

30.What did your

organization do to prepare for this emergency?

7. Assess HIV agencies’ preparednes s activities for

reproductive health– related HIV response for this

emergency

Number/Percent of HIV KIs reporting on what their organization did to prepare for this emergency

1 Supplies: virtual storage, stockpile, pre-positioning,

other______

2 Financial resources dedicated to RH-HIV related services 3 Dedicated HIV focal points identified 4 Information,

education and communication materials developed 5 Data on RH-HIV indicators collected 6 Advocacy with the MOH on clinical care for survivors

7 Capacity development with MOH or national actors on clinical care

66 Other (specify) 9 Nothing

99 DK 31.a. Are the

personnel employed by your agency required to sign a Code of Conduct against

7. Assess HIV agencies’ preparednes s activities for

reproductive health– related HIV

DRR and emergency preparedne ss, MISP Objectives 2, 3

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sexual exploitation and abuse? b. Have you signed a Code of Conduct against sexual exploitation and abuse?

response for this

emergency

2 No 99 DK

Number/Percent of HIV KIs reporting having signed a Code of Conduct against sexual abuse and exploitation 1 Yes 2 No 99 DK

32.a. Has your agency made available opportunities for staff to be trained in MISP-related HIV

activities? b. If yes, specify training.

7. Assess HIV agencies’ preparednes s activities for MISP– related HIV response for this

emergency

DRR and emergency preparedne ss, MISP Objective 3

Number/Percent of HIV KIs reporting their organizations make available opportunities to be trained in MISP-related HIV activities 1 Yes

2 No 3 NA 99 DK

Training documented:

SUMMARY

33.Do you have any

suggestions for improving safe blood transfusion? Please think about both preparedness and

response.

reproductive

MISP Objective 3, DRR and emergency preparedne ss

Number/Percent of HIV KIs offering the

following suggestions for improving safe blood transfusion considering both preparedness and response:

1a Integrate

MISP/HIV into disaster risk reduction policies 1b More training of people in MISP

1c Improved

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supplies

1e Improved coordination

1f Increase funding 1g Increase in number of RH Kit 12 1h Expanded service provision

1i Improved quality of services

66 Other (specify) 1k None

34.Do you have any

suggestions for improving condom availability? Please think about both preparedness and response

facilitating factors MISP implementati on in this crisis response

following suggestions for improving the provision of condom availability considering both preparedness and response:

1a Integrate MISP/HIV into disaster risk reduction policies 1b More training of people in MISP

1c Improved

availability/pre-positioning of supplies 1d Improved logistics system for distributing supplies

1f Improved HIV prevention protocols 1g Increase funding 1h Increase in number of RH Kit 1 1i Expanded service provision

1j Improved quality of services

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1n None 35.Do you have

any

suggestions for improving adherence to standard precautions? Please think about both preparedness and

response.

facilitating factors MISP implementati on in this crisis response

following suggestions for improving

adherence to standard precautions

considering both preparedness and response:

1a Integrate

MISP/HIV into disaster risk reduction policies 1b More training of people in MISP

1c Improved

1f Increase funding 1g Expanded service provision

1h Improved quality of services

1i Improved monitoring on

adherence to standard precautions

66 Other (specify) 1j None

36.Do you have any

suggestions for improving medical waste

management ? Please think about both

preparedness

facilitating factors MISP implementati on in this crisis response.

following suggestions for improving medical waste management considering both preparedness and response:

(15)

and response 1b More training of people in MISP

1c Improved

66 Other (specify) 1j None

37.Do you have any

suggestions for improving ARV

treatment, including PMTCT? Please think about both preparedness and

response.

facilitating factors MISP implementati on in this crisis response.

Additional Priority – ARVs, MISP Objective 3, DRR and emergency preparedne ss

following suggestions for improving ARV treatment, including PMTCT, considering both preparedness and response:

1a Integrate MISP/HIV into disaster risk reduction policies 1b More training of people in MISP

1c Improved

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38.What are the top three barriers to an effective MISP-related HIV response in this

emergency?

facilitating factors for MISP-related HIV response

MISP Objective 3,

Additional Priority – ARVs, Overall Response

Top three barriers to effective RH-related HIV response identified by HIV KIs documented

39.What top three factors have helped facilitate the MISP-related HIV response in this

emergency?

facilitating factors for MISP-related HIV response

MISP Objective 3,

Additional Priority – ARVs, Overall Response

Top three facilitators to effective RH-related HIV response identified by HIV KIs documented

40.We have talked about a lot of things today; do you have any final comments or questions?