28 Partner HIV Do you know the 1. Yes status HIV status of your 2. No Go to 31 knowledge 97. Refused Go to 31 99. NA Go to 31 29 Partner HIV If yes, is your 1. HIV-positive status 2. HIV-negative Go to 31 97. Refused Go to 31 98. Don’t know Go to 31 30 Partner If HIV-positive, is 1. Yes ART status your 2. No 97. Refused currently on HIV treatment (ARVs)? Alcohol and drug use 31 Alcohol Do you consume 1. Yes alcohol? 2. No Go to 34 97. Refused Go to 34 32 Alcohol How many days in Number(1 to 7)_______ If yes to frequency a week do you alcohol consume alcohol? 97. Refused use; 98. Don’t know/can’t remember 33 Alcohol How do you 1. Monthly or less If yes to amount have a quarter 2. 2-4 times a month alcohol bottle or more on 3. 2-3 times per week use; one occasion? 4. 4 + times per week 97. Refused 98. Don't know 34 Drug use Did you use drugs 1. Yes during the last 3 2. No Go to 37 months? 97. Refused Go to 37 35 Injection Among the drugs 1. Yes drug use you have used in 2. No Go to 37 the past 3 months, 97. Refused Go to 37 are there some that you injected? 36 Needle/ In the past 3 a. New needle/syringe If yes to syringe type months, types b. Used needle/syringe drug use of (only by yourself) and needles/syringes c. Used needle/syringe injection; did you use to (previously used by inject drugs? someone else) Note: can 97. Refused choose, 98. Don’t know/can’t multiple remember responses Contraceptive use/fertility intentions
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
Ashodaya_follow-up-_questionnaire.docx