Screening for patient interview

Midwest HIV Prevention and Pregnancy Planning Initiative (MHPPPI)

0990-MHPPPI-patient eligibility screener qual

Screening for patient interview

OMB: 0990-0439

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MHPPPI: HIV Provider Survey

Knowledge, Attitudes, Practices


Introduction and purpose


The AIDS Foundation of Chicago (AFC) is in the formative stages of the Midwest HIV Prevention and Pregnancy Planning Initiative, an innovative effort aiming to increase medical providers’ capacity to meet women’s HIV prevention and pregnancy planning needs in Iowa, Illinois, Indiana, Michigan, Minnesota, Missouri, Ohio and Wisconsin.


AFC is partnering with Planned Parenthood of Illinois, Midwest AIDS Training and Education Center, Pediatric AIDS Chicago Prevention Initiative, and Everthrive Illinois to develop a training on the latest in HIV prevention science including PrEP and treatment as prevention; best practices for assessing pregnancy intention; safer conception counseling and resources; and successful strategies for integrating HIV prevention and pregnancy planning into care.


To this end we are asking you to participate in a brief (< 15 minutes) web-based survey to help assess the current landscape of HIV prevention and pregnancy planning knowledge, attitudes, and practices of Midwestern providers of HIV primary care and reproductive health care.


With your help, we will better understand Midwestern providers’ practices and knowledge, and develop a training to build provider skills supporting the delivery of high-quality services.

Eligibility:


These next questions will help us determine your eligibility to participate in the survey.


In the past 12 months, have you provided care for any HIV+ persons of reproductive age (15-49 years) in Iowa, Illinois, Indiana, Ohio, Michigan, Minnesota, Missouri, or Wisconsin?

0 No

1 Yes




In the past 12 months, have you provided care for HIV negative persons of reproductive age (15-49 years) with HIV positive partner(s)?


0 No

1 Yes


[Program skip if both E1 & E2= No, then ineligible script; all else skip to Eligible script]




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAmy K. Johnson
File Modified0000-00-00
File Created2021-01-25

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