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Survey on Non Adherence to Prevention of Mother to Child Transmission Among HIV Positive Mothers
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Are you aware of the prevention methods for mother to child transmission of HIV?
Please select the option that best describes your awareness.
Yes
No
Not Sure
2
Rate your adherence to the prevention methods on a scale of 1 to 10.
Please rate your adherence to the prevention methods, where 1 is low adherence and 10 is high adherence.
3
What factors prevent you from adhering to the prevention methods?
Please provide details on the factors that hinder your adherence.
4
Have you faced any challenges in accessing the necessary healthcare services for prevention of mother to child transmission?
Please select the option that best describes your experience.
Yes
No
5
Do you feel supported in your adherence to the prevention methods?
Please select the option that best describes the support you feel.
Yes
No
Not Sure
6
How often do you communicate with healthcare providers regarding the prevention methods?
Please select the frequency of your communication with healthcare providers.
Daily
Weekly
Monthly
Rarely
Never
7
What improvements could be made to support HIV positive mothers in adhering to the prevention methods?
Please provide your suggestions for enhancing support and adherence.
8
Do you feel informed about the risks of non adherence to the prevention methods?
Please select the option that best describes your level of information.
Yes
No
Partially
9
How important do you think it is to adhere to the prevention methods for mother to child transmission of HIV?
Please rate the importance of adherence to these methods.
10
Are there any cultural or social stigmas that impact your adherence to the prevention methods?
Please provide information on any cultural or social stigmas affecting your adherence.
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