Literal question
CONSENT DECLARATION FOR HIV TEST
READ THE CONSENT STATEMENT TO EACH RESPONDENT. RECORD CODE '1' IN 806 IF RESPONDENT ACCEPTS THE HIV TEST AND CODE '3' IF SHE REFUSES.
FOR WOMEN BETWEEN 15 AND 17NEVER IN A UNION, ASK FOR THE CONSENT OF THE PARENT/ ADULT IDENTIFIED IN 805 BEFORE ASKING FOR THE CONSENT OF THE ADOLESCENT HERSELF. CIRCLE CODE '2' IN 806 IF THE PARENTS REFUSE. ONLY PERFORM THE TEST IF BOTH CONSENTS, THAT OF THE PARENT/ADULT AND THE ADOLESCENT RESPONDENT, HAVE BEEN RECEIVED.
As part of this survey, we are asking people all over the country to take an HIV test. HIV is the virus that causes AIDS. AIDS is a very serious health problem. This test will assist the government to measure the severity of the problem of AIDS in Cameroun.
For this test, we need a few drops of blood from a finger. The equipment used to take the blood is clean and completely safe. It has never been used before and will be thrown away after each test.
No name will be attached to the blood samples and we will not be able to tell you the results. No one else will be able to know (NAME OF ADOLESCENT) results either. If you would like to know if you have HIV, I can give you a list of the (closest) facilities that offer tests and counseling for HIV. I would also give you a coupon for free services in these facilities for you (and for your partner if you would like).
Do you have any questions?
You can say yes to the test, or you can say no. It is up to you to decide.
Will you allow (NAME OF ADOLESCENT) to participate in the HIV test?
Do you agree to participate in the HIV test?
LINE NUMBER FROM COLUMN 9.
NAME FROM COLUMN 2.
LINE NUMBER: ___
NAME: ___