If YES How? 4f. Key Informant Interview Indicator List HIV 1

Question HIV KIs Objectives MISP Objective s Indicators Comment s 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 NumberPercent 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 informants’ knowledge of the MISP standard and its relation to HIV DRR and emergency preparedne ss NumberPercent of HIV KIs reporting receiving training in the MISP 1 Yes 2 No NumberPercent 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 informants’ knowledge of the MISP standard and its relation to HIV DRR and emergency preparedne ss NumberPercent 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 NumberPercent of HIV KIs able to correctly cite all MISP activities to reduce HIV transmission 5 Question HIV KIs Objectives MISP Objective s Indicators Comment s 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 NumberPercent 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, Additional Priority - ARVs NumberPercent 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 NumberPercent of HIV KIs 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, NumberPercent of HIV KIs reporting availability of MISP- 6 Question HIV KIs Objectives MISP Objective s Indicators Comment s available and in this setting? services are available in this setting and the timeliness of the HIV response Additional Priority - ARVs 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, Additional Priority - ARVs NumberPercent of HIV KIs reporting the following protocols used for blood screening and standard precautions: 1 MOH 2 WHO 66 Other 4 NA 99 DK NumberPercent 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