Time: ________________________ a.m./p.m.

Organization/Program: _____________________________

If the interviewee is available, make sure that s/he has 20-30 minutes to discuss the project with you on the phone. If s/he cannot talk now, find out when would be a good time to contact her/him and call back at that time. Please read the following:

Hello, my name is ______ and I am working with The Measurement Group to ask some questions about your program. I have a few questions I would like to ask you about your program’s HIV testing services that will take about 20-30 minutes. We are asking these questions to document the major HIV counseling and testing aspects of your organization.

We will not use your name in any reports or documents. Do you have time now to talk about the program?

(If Yes, proceed with the interview.)

Who is/are your SPNS project’s primary target population(s)? (Interviewer, note: Can check all that apply, but as few as possible)

[ ] Other (specify: ______________________________________________________)

[ ] Don’t know

Which of the following best describe your professional role: (Check as many as apply)

[ ] Other (specify: ____________________________________________)

Does your SPNS project offer HIV pre-test counseling on site or through a testing center? (Choose only one)

[ ] On site

[ ] Through a testing center

Does your SPNS project offer HIV post-test counseling on site or through a testing center? (Choose only one)

[ ] On site

[ ] Through a testing center

Does your SPNS project offer HIV testing on site or through a testing center? (Choose only one)

[ ] On site

[ ] Through a testing center

How are HIV counseling and testing services usually made available to young people (sero-status unknown) in your SPNS program? (Choose only one)

[ ] Youth usually request testing services

[ ] Youth are offered testing services when they enter the program

[ ] Youth are offered testing services after they are already in the program

[ ] Youth are given a referral to another agencies for testing services

[ ] Other (specify: _______________________________________________________________)

[ ] Don’t know

Who are your program’s HIV test counselors? (Check all that apply)

[ ] Staff of your SPNS project

[ ] Staff from a local/community testing center

[ ] Staff from another collaborating agency

[ ] Other (specify: _______________________________________________________________)

[ ] Don’t know

Who can access HIV counseling and testing services at your testing site? (Check all that apply)

[ ] Youth/adolescents

[ ] Adults

[ ] Don’t know

In general, how readily do youth accept HIV counseling and testing services in your community? (Choose only one)

[ ] Youth accept testing services very readily

[ ] Youth accept testing services somewhat readily

[ ] Youth accept testing services fairly readily

[ ] Youth do not readily accept testing services at all

[ ] Don’t know

In general, how readily do youth accept HIV counseling and testing services through your SPNS project? (Choose only one)

[ ] Youth accept testing services very readily

[ ] Youth accept testing services somewhat readily

[ ] Youth accept testing services fairly readily

[ ] Youth do not readily accept testing services at all

[ ] Don’t know

Has your staff noticed any differences between the acceptability of community services and your SPNS services? (Choose only one)

[ ] No

[ ] Yes

[ ] Don’t know

Overall, how interested in HIV testing is your SPNS project’s target population of youth? (Choose only one)

[ ] Not interested at all

[ ] Slightly interested

[ ] Somewhat interested

[ ] Very interested

[ ] Extremely interested

[ ] Don’t know

In your experience, which subpopulations of youth are the most interested in HIV testing? (Check all that apply)

[ ] Other (specify: ________________________________________________)

[ ] Don’t know

In your experience, which subpopulations of youth are the least interested in HIV testing? (Check all that apply)

[ ] Other (specify: _______________________________________________)

[ ] Don’t know

Which components/elements of your SPNS project do you think are most useful to youth in helping them make the decision about getting tested for HIV? (Check all that apply)

[ ] Peer-run support and educational groups

[ ] Provision of HIV/AIDS information and education

[ ] HIV/AIDS-related literature (e.g., brochures and pamphlets)

[ ] Risk reduction counseling

[ ] Youth-sensitive attitude of staff working at the testing site(s)

[ ] Ability to get tested on site

[ ] Availability of medical services

[ ] Discussion of available treatment (antivirals, protease inhibitors, alternate therapy, etc.)

[ ] Other (specify: _______________________________________________________________)

[ ] Don’t know

What do you think are the unique services and/or aspects of your SPNS project that impact whether youth actually choose to get tested for HIV? (Check all that apply)

[ ] Other (specify: ______________________________________________________)

[ ] Don’t know

In your experience, which subpopulations of youth access HIV counseling and testing services the most through your SPNS project? (Check all that apply)

[ ] Other (specify: ______________________________________________)

[ ] Don’t know

In your experience, which subpopulations of youth access HIV counseling and testing services the least through your SPNS project? (Check all that apply)

[ ] Other (specify: ______________________________________________)

[ ] Don’t know

Has your SPNS project experienced difficulty in getting youth at the highest risk for HIV infection to access your testing services? (Choose only one)

[ ] No

[ ] Yes

[ ] Don’t know

Has your SPNS project started using any of the newer HIV testing technologies, such as oral testing and finger stick testing? (Choose only one)

[ ] No

[ ] Yes

[ ] Don’t know

IF THE ANSWER IS "NO", ASK THE NEXT QUESTION AND THEN SKIP TO THE NEXT SECTION OF THE INTERVIEW.

 

Are any new testing technologies available at other non-SPNS sites in your area? (Choose only one)

[ ] No

[ ] Yes

[ ] Don’t know

When did your SPNS project first start using the new testing technology? Give the month and year (e.g., 03/95 = March, 1995) (77/77=Don’t know, 88/88=Refused)

Has the use of the new testing technology had an impact on the acceptance of HIV testing of the youth served by your SPNS project? (Choose only one)

[ ] No

[ ] Yes

[ ] Don’t know

How comfortable with the new testing technologies are the youth that your project serves? (Choose only one)

[ ] Not comfortable at all

[ ] Slightly comfortable

[ ] Somewhat comfortable

[ ] Very comfortable

[ ] Extremely comfortable

[ ] Don’t know

What percent of youth that enroll in your program get tested for HIV infection through your SPNS project? [Interviewer, read: If you can’t easily provide the exact percent, it is okay to make an educated guess or estimate.] ________% Circle one: Known or Estimated

What percent of youth that get tested for HIV infection through your SPNS project actually return for their test results? [Interviewer, read: If you can’t easily provide the exact percent, it is okay to make an educated guess or estimate.] ________% Circle one: Known or Estimated

Is your SPNS project identifying new positive youth as part of its HIV counseling and testing efforts?

[ ] No

[ ] Yes

[ ] Don’t know

[ ] Other (specify: ___________________________________________________)

[ ] Don’t know

Interviewer, read the following: Those are all the questions I have. Thank you very much for your time.

IF THE STAFF MEMBER HAS OTHER COMMENTS ABOUT THE PROGRAM, RECORD THEM ON THIS INTERVIEW FORM.

Developed by The Measurement Group and Arlene Schneir, M.P.H., of Childrens Hospital Los Angeles. May be used for non-commercial purposes as long as the form is not changed.

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