Sample Intimate Partner Violence (IPV) Screening Questions for Index Clients

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Jhpiego and Tanzanian Ministry of Health, Community Development, Gender, the Elderly and Children (2016).

This form provides a set of four questions to be used with partner notification services (PNS) clients that assess the history of intimate partner violence to use as the basis for a discussion between providers and clients about appropriate notification strategies for each partner. It was developed by Jhpiego and the Tanzania Ministry of Health, Community Development, Gender, the Elderly and Children for use in a PNS study.