Assessment on Public Knowledge, Attitudes, and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Guinea
Statement regarding Assessment Participation
Hello. My name is _______________________________.
I am working with Santé Plus Guinea to gather information on how people feel about the work that has been done around the country to fight Ebola disease. Sante Plus Guinea is a non-governmental organization led by Guinea professionals who are working on public health issues. Many people across the country will have the opportunity to voice their thoughts about Ebola and to help us to better understand what people know, think, and do to protect themselves from Ebola.
The information gathered from these interviews will help us, civil society organizations, health partners, and even Guinea government health professionals to provide people accurate information on to help stop Ebola and protect the residents of your community.
The opinions of individual community members are very important. We would like to ask you a few questions about your thoughts regarding the risk of Ebola, what information you have received about Ebola, and any concerns you have about Ebola activities in your area. Then we would like to answer questions you may have about Ebola. In total, the interview will take about 35 minutes.
Sante Plus will keep all the information you share with us private – meaning that we will not link your name in any reports or identify you as the respondent in any other way. You participation in this assessment is voluntary, and you will not be paid. You may choose to stop answering questions at any point or refuse to answer questions you do not feel comfortable responding to. There are no right or wrong responses. Therefore we encourage you to be honest and truthful in your responses so that we can accurately understand the on-the-ground situation.
ASK TO RESPONDENT:
Do you have any questions?
Do I have your permission to continue with the interview?
1. YES I AGREE Continue with interview
2. NO I DECLINE END interview; respectfully thank participant for their time
By signing below, I attest that I have read the above statement to the participant and he/she has agreed to continue with the interview. I have also addressed all of his/her questions and/or concerns.
SIGNATURE OF INTERVIEWER: ………………………………………………..
DATE (Day, Month, Year): /____/____/____/
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |