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Programs

HIV/AIDS RAPID ASSESSMENT GUIDE

PREPARED BY PROFESSOR DAVID WILSON

PROJECT SUPPORT GROUP (PSG) HARARE, ZIMBABWE

AND FAMILY HEALTH INTERNATIONAL (FHI) IMPACT PROJECT

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In this guide, we consider why we map, where we get maps, what we map and how we map.

Why Do We Map?

We map in order to learn about:

 Boundaries of an area

 The size, approximate population and dispersion of an area

 Sub-divisions in an area

 Major target groups, such as sex workers, truckers, migrant workers, traders, students  Major target areas, such as sex work neighbourhoods, truck stops, military bases, schools

 The possible size of different target groups and areas

 Major stable and mobile target groups and the relative size of each

 Potential interactions in an area, for example, between stable and mobile populations, military bases and sex work neighbourhoods or truck stops and schools

 Commerce, particularly commerce related to HIV transmission, including major sources of employment, nightclubs, bars and other liquour outlets

 Health, education, social and NGO services in an area

 Security and crime in an area

 Provisional zones, or discrete sub-divisions, in an area

 The visible social and sexual culture of an area

 Potential interventions

 The approximate resources required for interventions

 Where Do We Get Maps?

We may be able to get maps from the following sources:

 The ministry/department of lands

 The surveyor's office

 Local government authority town planning, housing or engineering departments

 The census bureau. Their maps of enumeration areas include footpaths and obstacles and are thus very useful

 Universities, archives or public libraries

 Development agencies working in an area, especially water and urban and rural development organizations

 Private corporations working in an area, especially mines, plantations and oil companies, who may have their own cartographers

 Aerial photograph agencies, such as mineral and agricultural surveyors

 Satellite mapping agencies. These are often more up-to-date than hand-drawn maps

 What Do We Map?

We map the following:

 Major external boundaries and internal divisions

 Major industrial centers

 Major commercial centers

 Major agricultural centers

 Major uniformed service bases

 Upper-income residential areas

 Lower-income, formal-housing residential areas

 Lower-income, informal-housing, authorized, residential areas

 Lower income, informal-housing, unauthorized, residential areas

 Major migrant worker settlements or transit points

 Major highways and public transportation arteries. Sexual risk behaviour is often more common along such routes

 Border posts

 Sex work neighbourhoods and residential areas

 Nightlife (bars/hotel/nightclub) areas

 Hospitals, clinics and informal health/drug providers. In some countries, drugs are also sold informally at markets or bus stations

 Colleges and schools

 Social services, youth centres and NGOs

 Religious centres

 How Do We map?

We use the following steps:

 We begin by studying the map carefully, noting major industrial, commercial and agricultural centers

 We then consult with people who are familiar with a project area, asking them to provide further detail

 We then drive slowly throughout an area, familiarizing ourselves with the site and noting major features. During this drive, we also develop a plan to map the site in greater detail, by sub-dividing it into smaller, more manageable units and identifying focal points for further mapping

 Armed with our maps, we then either walk through the site, if it is small enough, or drive to focal points, then walk through the site. During our walk/drive, we map the major features noted above

 We then develop a detailed key for each of the features mapped

 We then transfer our rough mapping onto a new map, complete with a key and a full list of all sites

 During the mapping, we also note the following, which will influence intervention development:

- What is the latest estimate of the population of the project area o How geographically dispersed is the project area?

- What proportion of the project area consists of informal settlements? In general, infrastructure, health and educational facilities are more limited in informal settlements o How good is public transport, both during the day and at night?

- How safe is the entire project area and its sub-areas? If violent crime is common at night, this will reduce night intervention activities. If it is even unsafe in daylight, this will affect intervention design and delivery

  On the basis of this mapping information, we begin to examine whether it is feasible to initiate interventions in the entire site, or whether we must limit ourselves to sub-sites. In deciding, we should consider these factors:

o If the project area's population is over 1 million people, it may be advisable to limit ourselves, at least initially, to sub-sites

o In widely dispersed areas, it is harder to begin interventions in the entire area  

o In sites consisting largely of informal settlements, it may be harder to cover the entire site. If the settlements are unauthorized, it may be even harder to conduct an assessment or intervention, because of mobility, official discouragement or inhabitants' distrust