Christian Organizations and Churches Involved in
HIV/AIDS Programes
Questionnaire Fill in form

BE A PART OF OUR DIRECTORY OF CHRISTIAN NGOS INVOLVED WITH HIV/AIDS. EFICOR is working on bringing out a directory of Christian NGOs involved with HIV/AIDS. Besides making a directory, EFICOR also proposes to bring out a research paper on the responses and challenges of the Christian community in the issue of HIV/AIDS in India. Fill in the online questionnaire and we will send you a copy of the directory and the research paper. Thank you for your cooperation and we really value it.

(Please fill the following details and press proceed)
1. Name of the organization:
    

2. Complete address:
    

3. Phone numbers:
    

4. Fax:
    

5. E-mail and Website (if any):
    

6. Contact person and address:
    

7. Type of organization:

9. Is HIV/AIDS programme your main area of involvement ?

10.What is the percentage allocated to HIV/AIDS programme from your total budget?
    

11. Levels at which your HIV/AIDS programmes are conducted? (Multiple selections allowed)
     International : National : Regional : State : District : Citi : Town : Village

12. According to the different programmes you implement please tick (?) the appropriate columns and also enter the appropriate number
covered by each of these programmes

    
Target Group/ Institutions Awareness Counseling Treatment Care Advocacy & Research Economic Assistance
  Yes/No No. Covered Yes/No No. Covered Yes/No No. Covered Yes/No No. Covered Yes/No No. Covered Yes/No No. Covered
General Public
Govt. Organizations
Institutions,
Corporate Sector,
Churches etc
School Children
Hospital Inmates
College students
Women’s Groups
Villagers
Commercial Sex Workers
Slum dwellers
Truck Drivers
Street Children
Prisoners
Lesbians/Gays
Migrants
Drug Addicts
Youth
Eunuchs
PHLWA
Blood Donors

13. Please fill Yes or No to the appropriate columns regarding Information Education and Communication (IEC) material and the number of
material that you have published or received on HIV/AIDS if any:

Material English Hindi Any Other Language Published/Received
  Y/N Number Y/N Number Y/N Number Language Fill in publish or received
Posters
Training Modules
Manuals
Video Cassettes
Pamphlets
Any Other

14. Do you offer training programmes for others on the issue of HIV/AIDS? (eg. Behavioural change, Home based care etc. )

Name of the prog. Topic Target group Duration Language

15. Who facilitates your training needs for your HIV/AIDS programme?
     Secular institutions Christian NGOs Self sufficient

16.Are you part of any networks?
     Yes No (If yes please give names and address)

Network Address

17. What are the challenges you face in HIV/AIDS work?

18.If you are an NGO how does the church support your HIV/AIDS programme?

19.If you are a church how do your members participate in your work on HIV/AIDS?

20.Do you promote condoms?

21. Do you promote needle exchange programme?
    

22.Would you work with MSM?
    

23. What are some innovative approaches you employ in your HIV/AIDS programmes?

24. Would you like to receive the copy of a HIV/AIDS directroy from EFICOR?