Research Title/Research Confronting Stigma: A Phenomenological Study of Health Care

Proposal: Provider In Social Hygiene Facilities______________________

Student Researchers/ Abella, Catherine M.______ Vallejo, Timmy Rose C.______
Faculty Researcher/s: Gemperona, Justin Ross L._ Villaret, Dianne Nicole_______
Palima, Edrea Dieserhe B._ _________________________
Usop, Al-Nazaer A._______ _________________________
Name of Sponsor (if applicable): _________________
Date Submitted: August 9, 2014____________
Date Received: _______________________


Form 6. [Informed Consent Form for Participants]
This Informed Consent Form is for the healthcare providers at Reproductive Health Wellness
Center (RHWC)

Research Title/Research Confronting Stigma: A Phenomenological Study of Health Care
Proposal: Provider In Social Hygiene Facilities______________________
Student Researchers/ Abella, Catherine M.______ Vallejo, Timmy Rose C.______
Faculty Researcher/s: Gemperona, Justin Ross L._ Villaret, Dianne Nicole_______
Palima, Edrea Dieserhe B._ _________________________
Usop, Al-Nazaer A._______ _________________________
Name of Sponsor
[Confronting Stigma: A Phenomenological Study of Health Care Provider In Social Hygiene
Facilities]
This Informed Consent Form has two parts:
Information Sheet
Certificate of Consent
You will be given a copy of the Full informed Consent Form


PART I: Information Sheet
Introduction

We are nursing students from San Pedro College. We are doing research on Confronting Stigma:
A Phenomenological Study of Health Care Provider in Social Hygiene Facilities. We are going
to give you information and invite you to be a part of this research. You do not have to decide
today whether or not you will participate in the research. Before you decide, you can talk to
anyone you feel comfortable with about the research.

There may be some words that you dont understand. Please ask us to stop as we go through the
information and we will take time to explain.

Purpose
With this research we will be able to show the importance of healthcare providers in
implementing social hygiene measures such as counselling and providing health teachings on
prevention towards acquiring the infection efficiently. The findings of this study will also
enhance the effective interviewing and counselling skills of the healthcare providers
characterized by respect, compassion and a non-judgemental attitude toward all patients through
the elimination or minimizing stigma.

Participant Selection
We are inviting all healthcare providers who are working at Reproductive Health Wellness
Center to participate in the research with regards to their lived experiences in dealing with their
clients.

Voluntary Participation
Your participation in this research is entirely voluntary. It is your choice whether to participate or
not. You may change your mind later and stop participating even if you agreed earlier.

Information on the Trial Drug (Name of Drug)- Not Applicable

Procedures and Protocol- Not Applicable

A. Unfamiliar Procedures- Not Applicable

If the protocol is for clinical research-Not Applicable