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<h2 class="hd hd-2 unit-title">Part I</h2>
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<p>In this exercise, we return to the HIV case used in the Module 6 exercise. </p>
<p>South Africa has one of the highest rates of HIV in in the world with a national prevalence of 19% (UNAIDS). The government of KwaZulu-Natal has approached your research team to evaluate a school-based pilot program designed to address risky sexual behavior among adolescent girls who are at significant risk of contracting HIV in this context. Existing data show that HIV prevalence differs by age and sex, and that adult men have a higher prevalence of HIV than adolescent boys. The government hypothesizes that if they give adolescent girls accurate information on the relative risk of sexual activity by age of their sexual partner, this will lead to less risky sexual behavior with older men and reduce their likelihood of contracting HIV or other sexually transmitted infections as well as their chances of becoming pregnant. </p>
<p>The program will send trained project officers to eighth grade classrooms across the state to hold a one-time, one-hour session with students. The officer will show a 15-minute video on “sugar daddies”, older men who offer gifts and money for sexual relations, followed by an explanation of data that show HIV rates by age and sex and a Q&A session. The pilot will be implemented in 100 upper primary schools and the government has agreed to randomly select which schools will receive the treatment. 100 additional schools will serve as a comparison group. </p>
<p>Recall the table created below which summarizes the indicators at each level and assumptions</p>
<table style="width: 893px; line-height: 24.6px; overflow-wrap: normal;" border="1" height="647"><caption><b>Table of Theory of Change Components</b></caption>
<tbody>
<tr><th scope="col" style="width: 140px; text-align: center;" nowrap="nowrap"></th><th scope="col" style="width: 165px; text-align: center;" nowrap="nowrap">Project summary</th><th scope="col" style="width: 250px; text-align: center;" nowrap="nowrap">Indicators</th><th scope="col" style="width: 165px; text-align: center;" nowrap="nowrap">Sources of <br />Measurement</th><th scope="col" style="width: 250px; text-align: center;" nowrap="nowrap">Assumptions</th></tr>
<tr>
<td style="text-align: center;"><b>Inputs and Activities</b></td>
<td style="text-align: left;">Project officers are recruited and trained</td>
<td style="text-align: left;"># of project officers trained</td>
<td style="text-align: left;">Program monitoring data</td>
<td style="text-align: left;">Project officers learn concepts during the training</td>
</tr>
<tr>
<td style="text-align: center;"><b>Outputs</b></td>
<td style="text-align: left;">Trained project officers visit schools to provide information to students</td>
<td style="text-align: left;"># of students visited by project officers</td>
<td style="text-align: left;">Program monitoring data</td>
<td style="text-align: left;">Project officers are able to visit schools and conduct sessions during class time</td>
</tr>
<tr>
<td style="text-align: center;"><b>Outcomes (Shorter term)</b></td>
<td style="text-align: left;">Students have improved knowledge</td>
<td style="text-align: left;">% of students who know that cross generational relationships are risky</td>
<td style="text-align: left;">Student survey</td>
<td style="text-align: left;">Students trust project officers and are receptive to the information. Project officers provide correct information.</td>
</tr>
<tr>
<td style="text-align: center;"><b>Outcomes (Longer term)</b></td>
<td style="text-align: left;">Students have fewer relationships with older partners</td>
<td style="text-align: left;">Portions of students who have had sex in the preceding 12 months with a partner who is 10 or more years older than themselves</td>
<td style="text-align: left;">Student survey</td>
<td style="text-align: left;">Students know the real age of their partners</td>
</tr>
<tr>
<td style="text-align: center;"><b>Impact</b></td>
<td style="text-align: left;">Reduced HIV transmission</td>
<td style="text-align: left;">HIV prevalence</td>
<td style="text-align: left;">HIV test during student survey</td>
<td style="text-align: left;">Students don't engage in more risky behaviors (such as unprotected sex) with other partners they believe are low risk (i.e. partners their own age)</td>
</tr>
</tbody>
</table>
<p></p>
</div>
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<p>To measure the short term outcomes indicator, % of students who know that cross generational relationships are risky, what measurement tools could be considered as options? (Select all that apply)</p>
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</label>
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<p>What are the advantages and disadvantages of each of the following options for measuring <strong>% of students who know that cross generational relationships are risky</strong>? The below sequence of questions will ask you to list at least 3 advantages and disadvantages of a<strong> self administered questionnaire </strong>vs. a<strong> questionnaire administered in a face to face interview</strong>.</p>
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Question 2
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<p>List at least 3 advantages and 3 disadvantages of a self-administered questionnaire.</p>
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<h3 class="hd hd-3 problem-header" id="52c1f5bbd0dc41b1b9899b147bca38bd-problem-title" aria-describedby="block-v1:MITx+JPAL350x+3T2020+type@problem+block@52c1f5bbd0dc41b1b9899b147bca38bd-problem-progress" tabindex="-1">
Question 3
</h3>
<div class="problem-progress" id="block-v1:MITx+JPAL350x+3T2020+type@problem+block@52c1f5bbd0dc41b1b9899b147bca38bd-problem-progress"></div>
<div class="problem">
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<p>List at least 3 advantages and 3 disadvantages of a questionnaire administered during face-to-face interview.</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><div id="inputtype_52c1f5bbd0dc41b1b9899b147bca38bd_2_1" class=" capa_inputtype textline">
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<p>What are the advantages and disadvantages of each of the following options for measuring <strong>% of students who know that cross generational relationships are risky</strong>? The below sequence of questions will ask you to list at least 3 advantages and disadvantages of an<strong> electronic questionnaire </strong>vs a<strong> paper based <span style="line-height: 25.6px;">questionnaire</span></strong><span style="font-size: 1em; line-height: 1.6em;">.</span></p>
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Question 4
</h3>
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<p>List at least 3 advantages and 3 disadvantages of an electronic questionnaire.</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><div id="inputtype_47ed6f8c958746f4b00f8205a730bc3f_2_1" class=" capa_inputtype textline">
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Question 5
</h3>
<div class="problem-progress" id="block-v1:MITx+JPAL350x+3T2020+type@problem+block@9b5f15675988441c86710c345f18fd1c-problem-progress"></div>
<div class="problem">
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<p>List at least 3 advantages and 3 disadvantages of a paper based questionnaire.</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><div id="inputtype_9b5f15675988441c86710c345f18fd1c_2_1" class=" capa_inputtype textline">
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<input type="text" name="input_9b5f15675988441c86710c345f18fd1c_2_1" id="input_9b5f15675988441c86710c345f18fd1c_2_1" aria-describedby="status_9b5f15675988441c86710c345f18fd1c_2_1" value="" size="70"/>
<span class="trailing_text" id="trailing_text_9b5f15675988441c86710c345f18fd1c_2_1"/>
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<p>What are the advantages and disadvantages of each of the following options for measuring <strong>% of students who know that cross generational relationships are risky</strong>? The below sequence of questions will ask you to list at least 3 advantages and disadvantages of an <strong>SMS survey</strong>.</p>
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Question 6
</h3>
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<p>List at least 3 advantages and 3 disadvantages of an SMS survey.</p>
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<h2 class="hd hd-2 unit-title">Part II</h2>
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<h3 class="hd hd-3 problem-header" id="7f72beb6c0af4da7834fe45e81e1db8d-problem-title" aria-describedby="block-v1:MITx+JPAL350x+3T2020+type@problem+block@7f72beb6c0af4da7834fe45e81e1db8d-problem-progress" tabindex="-1">
Question 7
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<p>To measure HIV prevalence which of the following options could be used? (Select all that apply)</p>
<div class="wrapper-problem-response" tabindex="-1" aria-label="Question 1" role="group"><div class="choicegroup capa_inputtype" id="inputtype_7f72beb6c0af4da7834fe45e81e1db8d_2_1">
<fieldset aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1">
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_0" class="field-input input-checkbox" value="choice_0"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_0-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_0" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> A. Spirometry
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_1" class="field-input input-checkbox" value="choice_1"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_1-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_1" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> B. Point of Care HIV test using capillary blood sample
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_2" class="field-input input-checkbox" value="choice_2"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_2-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_2" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> C. Laboratory testing using dried blood spot
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_3" class="field-input input-checkbox" value="choice_3"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_3-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_3" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> D. Paper questionnaire administered in face to face interview
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_4" class="field-input input-checkbox" value="choice_4"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_4-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_4" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> E. CES-D
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_5" class="field-input input-checkbox" value="choice_5"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_5-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_5" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> F. Cognitive testing
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_6" class="field-input input-checkbox" value="choice_6"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_6-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_6" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> G. Field notes
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<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_7" class="field-input input-checkbox" value="choice_7"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_7-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_7" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> H. Harvard Step Test
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_8" class="field-input input-checkbox" value="choice_8"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_8-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_8" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> I. Anthropometry
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_9" class="field-input input-checkbox" value="choice_9"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_9-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_9" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> J. Laboratory testing of venous blood sample
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_10" class="field-input input-checkbox" value="choice_10"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_10-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_10" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> K. Bayley scales
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_11" class="field-input input-checkbox" value="choice_11"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_11-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_11" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> L. GIS
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_12" class="field-input input-checkbox" value="choice_12"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_12-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_12" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> M. Point of care HIV test using hair sample
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_13" class="field-input input-checkbox" value="choice_13"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_13-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_13" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> N. Stool sample testing
</label>
</div>
<div class="field">
<input type="checkbox" name="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1[]" id="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_14" class="field-input input-checkbox" value="choice_14"/><label id="7f72beb6c0af4da7834fe45e81e1db8d_2_1-choice_14-label" for="input_7f72beb6c0af4da7834fe45e81e1db8d_2_1_choice_14" class="response-label field-label label-inline" aria-describedby="status_7f72beb6c0af4da7834fe45e81e1db8d_2_1"> O. Self-reported HIV status
</label>
</div>
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<p><span style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif; line-height: 25.6px;">What are the advantages and disadvantages </span><span face="Open Sans, Helvetica Neue, Helvetica, Arial, sans-serif" style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif;">of the following approaches for measuring <strong>HIV prevalence</strong><span style="line-height: 25.6px;">? The below sequence of questions will ask you to list at least 2 advantages and disadvantages of <strong>p</strong></span><strong>oint of care HIV test </strong>vs<strong> laboratory HIV test using venous blood.</strong></span></p>
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Question 8
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<p>List at least 2 advantages and 2 disadvantages of point of care HIV test.</p>
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Question 9
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<p>List at least 2 advantages and 2 disadvantages of a laboratory HIV test using venous blood sample.</p>
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<p><span style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif; line-height: 25.6px;">What are the advantages and disadvantages </span><span face="Open Sans, Helvetica Neue, Helvetica, Arial, sans-serif" style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif;">of the following approaches for measuring <strong>HIV prevalence</strong><span style="line-height: 25.6px;">? The below sequence of questions will ask you to list at least 2 advantages and disadvantages of <strong>c</strong></span></span><span face="Open Sans, Helvetica Neue, Helvetica, Arial, sans-serif" style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif;"><b>apillary blood, venous blood and saliva samples.</b></span></p>
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Question 10
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<p>List at least 2 advantages and 2 disadvantages of a capillary blood sample.</p>
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<p>List 2 advantages and 2 disadvantages of a venous blood sample.</p>
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<p>List at least 2 advantages and 2 disadvantages of a saliva sample.</p>
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<p><span style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif; line-height: 25.6px;">What are the advantages and disadvantages </span><span face="Open Sans, Helvetica Neue, Helvetica, Arial, sans-serif" style="font-family: 'Open Sans', 'Helvetica Neue', Helvetica, Arial, sans-serif;">of the following approaches for measuring <strong>HIV prevalence</strong><span style="line-height: 25.6px;">? The below sequence of questions will ask you to list at least 2 advantages and disadvantages of <strong>s</strong></span></span><font face="Open Sans, Helvetica Neue, Helvetica, Arial, sans-serif"><b>elf reported HIV status.</b></font></p>
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Question 13
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<p>List at least 2 advantages and 2 disadvantages of self reported HIV status.</p>
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