PEER EDUCATOR OUTREACH CALENDAR 1= Street, 2= Injecting den, 3= Uninhabitable building, 4= Parks, 5= Homes,6= Beach, 7= Casino, 8= Bar with

1= Street, 2= Injecting den, 3= Uninhabitable building, 4= Parks, 5= Homes,6= Beach, 7= Casino, 8= Bar with lodging,
9= Bar without lodging, 10=Sex den, 11=Strip club, 12=Highways, 13= Brothel, 14= Guest house/Hotels/Lodgings, 15= Massage
Name of outreach worker/social worker:………………………………... County name:……………. parlor, 16= Chang’aa den, 17= Barbershop/Salon, 18=Virtual Space, 19 Truck stops20= Other (Specify) 20
1. PreP Messaging
5. HIV/STI Information 8. U=U
Sub-county name:…………………….. Ward name:…………………… Implementer……………… 2. HIV Self Testing Messaging
6. TB 9. Stigma reduction
3. Substance abuse
7. PEP Messaging 10. Disclosure
4. Family Planning
Year:……….Month:………Name of peer educator: ………………….……..…..PE CODE:………. 11. Information on
Prison setting typologies (1. Remandees 2. Convicted 3. Staff working in prison settings and their families. NCDs

Key Population Type: FSW / MSM / MSW / PWID / PWUD / TRANSMAN / TRANSWOMAN Vulnerable CODES FOR HEALTH EDUCATION (Multiple codes applicable-e.g., 12, 26, etc.)
population Type; Fisherfolks Truckers People in prison Discordant Couple * Definition of contact: When a KP receives any of the following services: Receiving a commodity directly from the programme
(Condom/ Lube/Needle & syringe), Receiving any biomedical service (HTC, STI screening / Treatment, PEP, Cervical cancer
screening, POST abortal care, Clinical PWP, TB screening/Treatment, Abscess screening / Treatment, HIV care and treatment),
Screening of alcohol and drug abuse, Counselling, Family planning, Condom demonstration, Linkage to psychosocial support,
Rapport.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

Needle and syringe requirements per

distributed Not applicable to inmates

Average number of anal sex acts per

Lubricant requirements per month.

/Trucking/ Fishing/Since tested DC

Unique Identifier Code (issued by

Prison setting typologies (Indicate

Referred for clinical services (Y/N)

Condom requirements per month.
hotspot/operating sites Typology

Health Education (Indicate Code)

Location in the prisons (Inmates

Ever experienced violence (Y/N)

Average number of sex acts per

(Column 8 *4) Not applicable for

only) wards/cell blocks name or
sites/Block Number for Inmates

/incarcerated (indicate in years)

Received clinical services (Y/N)

Duration in sex work / Injecting

Number of needles & syringes

Crisis/ Violence reported (Y/N)

Average number of injecting

Number of lubes distributed

Number of female condoms

Number of HIV self-test kits

distributed (Numbers) Not
Name of hotspot/operating
Mobile phone number (Not

Number of male condoms

Age (in completed years)

applicable for inmates)

month (Column 12*30)

applicable to inmates
Sex (Male, Female)

New\Repeat (N\R)

episodes per day

(Indicate Code)

(Column 10 *4)
programme)

distributed

distributed

Remarks
inmates
number
S. No

Code)
Name

week

week
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