Microbicide Trials Network

MTN-041 Study Implementation Materials

DescriptionDateSize
Case Report Forms
Behavioral Assessment – Female2017-Dec-14368.78 KB
Behavioral Assessment – Male Partner2017-Dec-14360.86 KB
Demographic Information Form2018-Feb-09200.03 KB
Participant Status Form2018-Feb-08103.52 KB
Protocol Deviation Report2018-Jan-29128.52 KB
Social Harms Report2018-Jan-2698.2 KB
Informed Consent Support Materials
Enrollment IC Comprehension Checklist2017-Dec-1134.34 KB
Informed Consent (IC) Coversheet2018-Feb-1628.55 KB
Interview Guides and Checklists
FGD Group Visit Checklist2018-Feb-1335.77 KB
FGD Individual Participant Visit Checklist2018-Feb-1338.31 KB
Grandmother Focus Group Discussion (FGD) Topic Guide2017-Dec-14742.81 KB
IDI Visit Checklist2018-Feb-1337.95 KB
Key Informant In-Depth Interview Guide2017-Dec-14688.92 KB
Male Partner Focus Group Discussion (FGD) Topic Guide2017-Dec-14743.03 KB
Pregnant and Breastfeeding Women Focus Group Discussion (FGD) Topic Guide2017-Dec-14746.84 KB
Other Tools/Templates
Behavioral Eligibility Worksheet2017-Dec-1261.79 KB
Delegation of Authorities Log2018-Jan-1085.5 KB
Eligibility Checklist2017-Dec-19923.56 KB
English Storyboard2018-Jan-2814.16 MB
HIV Prevention Methods Video Script2017-Dec-13361.57 KB
Luganda Storyboard2018-Jan-3018.6 MB
Screening and Enrollment Log2018-Feb-1326.19 KB
Shona Storyboard2018-Jan-3012.61 MB
Storyboard Explanation2018-Jan-29307.77 KB