Tool 3. Sexual Knowledge, Attitudes, Practices and Beliefs
Local Key Informant Interview
Prepared by New Dimensions Consultancy (NEDICO)
Name of interviewer ____________________________
Position of informant ___________________________
Start time __________ Finish time __________ Total time __________
Interviewer self-check (Print name)_____________________________
My name is______________ and I am carrying out a survey on Knowledge, Attitudes
and Practices on behalf of New Dimensions Consultancy (NEDICO). NEDICO is a
Namibian black empowerment consultancy corporation specialising in Applied
Research, Capacity Building, Institutional Development and Project Management.
Currently NEDICO is contracted to carry out a KAPB survey for the Project on the
Introduction of the Prevention of Mother to Child Transmission (PMTCT) and Highly
Active Anti-Retroviral Treatment (HAART) in the Caprivi Region. This project is
funded by Bristol-Myers Squibb Company: Secure the Future™ and implemented by
the Ministry of Health and Social Services (MoHSS), in conjunction with the Namibia
Red Cross Society (NRCS), Social Marketing Association (SMA), Africare and the
Namibia Institute of Pathology (NIP). The aim of the survey is to document existing
knowledge, beliefs, attitudes and practices about HIV/AIDS and antiretroviral drugs.
(En: Please do not give away too much and make sure that you do not raise
1) Get some details of the respondent such as the length of position, level of
involvement in community issues, length of stay in community etc.
2) Can you briefly give a description of the organizations, such as NGOs and CBOs,
operating in the area? (get an estimate of the number of organizations, their profile, area of focus
2a) (if not many organizations operate in the area) Why do you think that only few
organizations such as CBOs and NGOs operate here (probe for issues such as a lack
of finance, fights among community members, alcoholism, lack of cooperation etc.)
3) (for local authorities and headman only) Do you keep records of the numbers and
kinds of organizations operating on the area? (probe for the kind of records, how
frequent this is update and by whom)
4) What major activities are always held in this community? (probe for major sports
events, cultural/traditional events, etc.)
5) Do people migrate seasonally in and out of this area? (probe for patterns and
estimated in or out migration figures)
Perceived HIV/AIDS risks and knowledge
5) In general do you think that HIV/AIDS poses a major health threat in this area?
5a) (if yes to 5) What sector of the society is more at risk of HIV/AIDS infections?
(probe for young versus old, male versus female, employed versus unemployed, school
going versus out of school youths, commercial sex workers etc.)
6) Do people in general know about the dangers of HIV/AIDS? (probe for the
perceived risks among the different groups as mentioned above)
7) Who are the most infected and affected people in the area?
8) How would you rate the HIV/AIDS awareness in this area? (probe for source of
information for various groups, including media )
Attitude and Practices
9) Are there people who still do not believe in the existence of HIV/AIDS? (probe for
the reasons why and the category of these people, cultural believe)
10) Do people generally know that there is no cure for AIDS, what about traditional
doctors? (ask for traditional doctors coming from South Africa, Zimbabwe, Zambia
etc. with the promise of a cure)
11) Do people normally practice safe sex in this area? (probe for the availability of
condoms, perception about the use of condoms, attitudes toward HIV, prostitution
12) (if it’s a high transit area) What risks does this poses to the area? (get info on the
behaviour of truck drivers, migrant workers, vendors etc.)
13) What are some of the major factors contributing to the spread of HIV/AIDS in
this area? ( probe for list, and how each can be overcome)
14) Would you say there is stigmatization and discrimination against individuals who
are known to be HIV positive?
14a) Has anybody in this area ever declared their HIV positive status?
14b) (if yes) How were they perceived after the declaration?
Voluntary Counselling and Testing (VCT)
15) Are there any voluntary counseling and testing centers in this area? (please explain
what VCT is and get the respondent to reflect on the existence of such services and get
info on who runs these centres)
15a) (if there are any VCT services) Do people make use of these services?
145b) (if they do not make use of the service ) What do think are the reasons for
people not using VCT services? (probe for information on stigma, confidentiality and
cultural and any other social believes, locations)
15c ) What could be done to overcome these obstacles to the use of VCT? (probe
education, information and any other incentives)
15b) (if no services exist) If there were any VCTs, would people go for these
services? (probe for the incentives to induce people to use these services, e.g
medicines, home based support and other incentives)
16) Do the local clinics provide counseling and testing for HIV/AIDS? (probe for
whether they do only testing or a combination of testing and counseling and probe for
pre- and post counseling)
17) Would you say that people would prefer to be tested for HIV/AIDS in a hospital
setting or in a community VCT center? (probe for confidentiality of hospital settings
versus VCT centers such as the New Start Centre in Katima)
Home Based Care
18) Do people know about home-based care in general? (probe for the perceived
importance of such services)
19) Are there any home based care providers or givers in the area? (if no, probe for
the reasons why there are none)
19a) (if yes to 19) Who are these groups and how do they operate? (get as much info
as possible on these groups)
19b) Do you know if these care provider received any training? (probe for how they
became care providers, if trained for source of training)
19c) (if yes to 19) How effective are these groups? (probe for issues of organization,
financing, cooperation, etc.)
19d) (if no to 19) Do you think that there is a need for such groups in these area?
(probe for why)
20) What are you perception regarding the importance of Home Based Care? (probe
for the need for such services, the urgency and the
Believes (Accept for Traditional Healers)
21) What is the prevalence of traditional doctors in this area?
22) Where do most of Traditional Doctors come from? (if mostly come from outside
Namibia, probe for the official residence of this doctors, and how frequently they
come in and out of Namibia. Also probe for whether there are any controls for these
23) Do people generally believe that Traditional Healers can cure HIV/AIDS?
24) Are there some Traditional Healers who believe that they can cure HIV/AIDS?
(probe for why this is the case, and the impact this has on people practicing safe sex,
and seeking other treatment such as ARV)
Traditional Healers only
25) Do people generally use the services of traditional healers in this area? (probe for
the types of people)
26) Have you ever treated anyone who is HIV positive? (probe for how this people
were identified, the genders of these people, where they live etc.)
26a) (if yes to 26) Did the person come specifically to be treated for HIV/AIDS? (if
yes, probe for what happened afterwards, and get a sense of whether the person’s
condition has improved)
27) Do you believe that some traditional herbs can cure HIV/AIDS? (probe for the
kind of herbs and their relationship to ARVs)
28) Would you encourage some of you clients to use antiretroviral drugs? (this is a
very important question, therefore get some sense of the perceived role of traditional
healers to perform referrals etc.)
29) If we were to succeed in managing HIV/AIDS in your area, what are the possible
interventions and strategies?
29a) How would you wish to support these proposed interventions?
30) As a last question, what are your views with regard to
Thank you for your cooperation.