MTN-003 Study Implementation Materials

Description	Date	Size
ACASI Training Scripts
ACASI Audio Training Script Instructions (BEMBA) [1]	2009-Nov-11	34.5 KB
ACASI Audio Training Script Instructions (NYANJA) [2]	2009-Nov-11	33.54 KB
ACASI Audio Training Script Instructions (SHONA) [3]	2009-Sep-30	29.8 KB
ACASI Audio Training Script Instructions (ZULU) [4]	2009-Sep-22	35.81 KB
Informed Consent Support Materials
Circumcision Fact Sheet [5]	2009-Jul-01	316.18 KB
Community Fact Sheet [6]	2009-Jul-01	251.69 KB
Condoms Fact Sheet [7]	2009-Jul-01	277.05 KB
English Booklet South Africa and Uganda [8]	2009-Jan-08	4.52 MB
English Booklet Zambia [9]	2009-Feb-23	4.28 MB
English Booklet Zimbabwe [10]	2009-Jan-08	4.2 MB
Gel Use Instructions [11]	2009-Jul-01	466 KB
Male Partner Fact Sheet [12]	2009-Jul-01	370.98 KB
Participant Fact Sheet [13]	2009-Jul-01	269.13 KB
Resistance Fact Sheet [14]	2009-Jul-01	155.19 KB
Table-Top Flip Chart [15]	2009-Jul-01	5.44 MB
Tablet Use Instructions [16]	2009-Jul-01	612.78 KB
Other Materials
Combined MTN-003 and MTN-003B Visit Scheduling Tool [17]	2010-Feb-19	71 KB
Creatinine Clearance Worksheet Convert [18]	2010-Feb-16	44.5 KB
Creatinine Clearance Worksheet No Convert [19]	2010-Feb-16	35.5 KB
CRF Request Form [20]	2009-Dec-30	35.75 KB
Enrollment Adherence Counseling [21]	2009-Aug-07	73 KB
Enrollment Informed Consent Comprehension Checklist [22]	2009-May-06	50.5 KB
Follow-up Adherence Counseling Worksheet, P 1 of 3 [23]	2009-Aug-07	73 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, All of the Time [24]	2009-Aug-07	73 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, Most or Some of the Time [25]	2009-Aug-07	73.5 KB
Follow-up Adherence Counseling Worksheet, P 2 of 3, Not at All [26]	2009-Aug-07	73 KB
Follow-up Adherence Counseling Worksheet, P 3 of 3 [27]	2009-Aug-07	66 KB
HIV Tests Performed During FOLLOW-UP in VOICE [28]	2010-May-27	47.16 KB
MTN-003 Financial Disclosure Form [29]	2009-Sep-16	71 KB
MTN-003 Visit Scheduling Tool [30]	2010-Feb-19	46 KB
Product Ordering Tool [31]	2010-Jan-29	21 KB
Protocol Safety Team Review Query Form [32]	2009-Nov-03	52 KB
Safety Line Call Record [33]	2009-Sep-09	31.5 KB
Sample Adverse Event Tracking Log [34]	2009-Aug-07	42.5 KB
Sample Informed Consent Cover Sheet [35]	2009-May-06	71 KB
Sample Pregnancy Management Worksheet [36]	2009-Aug-07	75 KB
Sample Safety Monitoring Flow Sheets [37]	2010-Jun-24	238 KB
Visit Checklists
01: Screening, Part 1 [38]	2010-Apr-16	97.5 KB
02: Between Screening Part 1 and Screening Part 2 Worksheet [39]	2010-Apr-16	63 KB
03: Screening, Part 2 [40]	2010-Apr-16	89.5 KB
04: Screening, Pelvic Exam [41]	2010-Apr-16	70.5 KB
05: Between Screening Part 2 and Enrollment Worksheet [42]	2010-Apr-16	67.5 KB
06: Enrollment [43]	2010-Apr-16	129.5 KB
07: Month 1 Visit [44]	2010-Apr-16	114 KB
08: Monthly Visit [45]	2010-Apr-16	109.5 KB
09: Quarterly Visit [46]	2010-Apr-16	110.5 KB
10: Follow-up Pelvic Exam [47]	2010-Apr-16	67 KB
11: Semi Annual Visit [48]	2010-Apr-16	118.5 KB
12: Annual Visit [49]	2010-Apr-16	95 KB
13: Product Use End Visit (PUEV) [50]	2010-Apr-16	107 KB
14: Termination/Study Exit Visit [51]	2010-Apr-16	98 KB

Links:
[1] http://mtnstopshiv.org/sites/default/files/attachments/ACASI Audio Training Script Instructions (BEMBA).pdf
[2] http://mtnstopshiv.org/sites/default/files/attachments/ACASI Audio Training Script Instructions (NYANJA).pdf
[3] http://mtnstopshiv.org/sites/default/files/attachments/VOICE_ACASI_AUDIO_TRAINING_SCRIPT_Shona_final_30Sept 2009.pdf
[4] http://mtnstopshiv.org/sites/default/files/attachments/VOICE_ACASI_AUDIO_TRAINING_SCRIPT_Zulu_22Sept 2009final.pdf
[5] http://mtnstopshiv.org/sites/default/files/attachments/Circumcision Fact Sheet.pdf
[6] http://mtnstopshiv.org/sites/default/files/attachments/Community Fact Sheet.pdf
[7] http://mtnstopshiv.org/sites/default/files/attachments/Condoms Fact Sheet.pdf
[8] http://mtnstopshiv.org/sites/default/files/attachments/English booklet_South Africa and Uganda.pdf
[9] http://mtnstopshiv.org/sites/default/files/attachments/VOICEEnglish2ZambiaV.pdf
[10] http://mtnstopshiv.org/sites/default/files/attachments/English booklet_Zimbabwe.pdf
[11] http://mtnstopshiv.org/sites/default/files/attachments/Gel Instruct sheet.pdf
[12] http://mtnstopshiv.org/sites/default/files/attachments/Male Partner Fact Sheet.pdf
[13] http://mtnstopshiv.org/sites/default/files/attachments/Participant Fact Sheet.pdf
[14] http://mtnstopshiv.org/sites/default/files/attachments/Resistance Fact sheet.pdf
[15] http://mtnstopshiv.org/sites/default/files/attachments/VOICE Table-Top Flip Chart_English.pdf
[16] http://mtnstopshiv.org/sites/default/files/attachments/Tab instruct sheet.pdf
[17] http://mtnstopshiv.org/sites/default/files/attachments/m003_and_m003B_visit_calendar_tool_v1.0.xls
[18] http://mtnstopshiv.org/sites/default/files/attachments/MTN003_CR_CL_Calculator_VOICE_CONVERT_16FEB10.xls
[19] http://mtnstopshiv.org/sites/default/files/attachments/MTN003_CR_CL_Calculator_VOICE_NO_CONVERT_16FEB10.xls
[20] http://mtnstopshiv.org/sites/default/files/attachments/m003_CRF_Request.pdf
[21] http://mtnstopshiv.org/sites/default/files/attachments/Enr_Adh_Counseling 2009-08-07.doc
[22] http://mtnstopshiv.org/sites/default/files/attachments/VOICE IC Comp Checklist 6MAY09.xls
[23] http://mtnstopshiv.org/sites/default/files/attachments/FU_Adh_Counseling P1 2009-08-07.doc
[24] http://mtnstopshiv.org/sites/default/files/attachments/FU_Adh_Counseling P2 ALL 2009-08-07.doc
[25] http://mtnstopshiv.org/sites/default/files/attachments/FU_Adh_Counseling P2 MOST_SOME 2009-08-07.doc
[26] http://mtnstopshiv.org/sites/default/files/attachments/FU_Adh_Counseling P2 NOT 2009-08-07.doc
[27] http://mtnstopshiv.org/sites/default/files/attachments/FU_Adh_Counseling P3 2009-08-07.doc
[28] http://mtnstopshiv.org/sites/default/files/attachments/HIV FU POST-TEST COUNS NL-CORE 27MAY2010.pdf
[29] http://mtnstopshiv.org/sites/default/files/attachments/MTN-003 Financial Disclosure Form.doc
[30] http://mtnstopshiv.org/sites/default/files/attachments/m003_visit_calendar_tool_v1.0.xls
[31] http://mtnstopshiv.org/sites/default/files/attachments/m003product_ordering_tool_29jan10.xls
[32] http://mtnstopshiv.org/sites/default/files/attachments/MTN 003 PSRT Query Form 2009 11 03.doc
[33] http://mtnstopshiv.org/sites/default/files/attachments/VOICE_Safety_Line_Call_Record Version 1-0.doc
[34] http://mtnstopshiv.org/sites/default/files/attachments/Sample AE Tracking Log 7AUG09_0.doc
[35] http://mtnstopshiv.org/sites/default/files/attachments/Sample IC Coversheet 6MAY09.doc
[36] http://mtnstopshiv.org/sites/default/files/attachments/Sample_Preg_Mgt_Worksheet_7AUG09.doc
[37] http://mtnstopshiv.org/sites/default/files/attachments/Sample Safety Monitoring Flow Sheets 24JUN10.doc
[38] http://mtnstopshiv.org/sites/default/files/attachments/1_SP1_Checklist_16 Apr 2010.doc
[39] http://mtnstopshiv.org/sites/default/files/attachments/2_S1_to_S2_Worksheet_16 Apr 2010.doc
[40] http://mtnstopshiv.org/sites/default/files/attachments/3_SP2_Checklist_16 Apr 2010.doc
[41] http://mtnstopshiv.org/sites/default/files/attachments/4_Screening_Pelvic_Checklist_16 Apr 2010.doc
[42] http://mtnstopshiv.org/sites/default/files/attachments/5_SP2_to_E_Worksheet_16 Apr 2010.doc
[43] http://mtnstopshiv.org/sites/default/files/attachments/6_Enrollment_Checklist_16 Apr 2010.doc
[44] http://mtnstopshiv.org/sites/default/files/attachments/7_Month 1_Checklist_16 Apr 2010.doc
[45] http://mtnstopshiv.org/sites/default/files/attachments/8_Monthly_Checklist_16 Apr 2010.doc
[46] http://mtnstopshiv.org/sites/default/files/attachments/9_Quarterly_Checklist_16 Apr 2010.doc
[47] http://mtnstopshiv.org/sites/default/files/attachments/10_Follow-Up_Pelvic_Checklist_16 Apr 2010.doc
[48] http://mtnstopshiv.org/sites/default/files/attachments/11_Semi Annual_Checklist_16 Apr 2010.doc
[49] http://mtnstopshiv.org/sites/default/files/attachments/12_ Annual_Checklist_16 Apr 2010.doc
[50] http://mtnstopshiv.org/sites/default/files/attachments/13_PUEV_Checklist_16 Apr 2010.doc
[51] http://mtnstopshiv.org/sites/default/files/attachments/14_Termination_16 Apr 2010.doc