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Zambia National Malaria
Indicator Survey (MIS) 2010
Welcome!!
The Barn Motel
Lusaka
MIS 2010
• You are here for training and participating
in a national household survey to measure
progress in malaria prevention and control
services
• We will spend 1 week training and then
will spend about 6 weeks carrying out the
survey in all parts of Zambia
Why conduct a household survey?
National Malaria Strategic Plan
2006-2010
• A malaria ‘free’ Zambia
• Scaling up for impact
– Focus on prevention during scale up
– Improving diagnosis and care
• Effective program management
• Empowering individuals and communities
• Commitment to M&E
Priority malaria interventions
• Case management
– with ACTs (Coartem©) as first line treatment
and improvements in diagnostic services
using microscopy and RDTs
• Prevention
– Insecticide-treated mosquito nets, now
exclusively LLINs
– Indoor residual spraying (IRS) in 15 mainly
urban districts, expanding to 22+ in 2008
– Prevention of malaria in pregnancy, including
IPT(SP) and ITNs
Reminder: Targets and Goals
National Strategic Plan 2006-2010
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a reduction of malaria incidence by 75% and deaths due to
malaria will be significantly reduced by the end of 2011
a reduction of all cause mortality by 20% in children under five
Abuja Targets 60%  80%  100%
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At least 80% of those suffering from malaria should be able to
access and use correct, affordable and appropriate treatment
within 24 hours of onset of symptoms.
At least 80% (or 85%) of those at risk of malaria, particularly
pregnant women and children under 5 years of age, should
benefit from suitable personal and community protective
measures such as ITNs.
At least 80% of all pregnant women who are at risk of malaria,
especially those in their first pregnancies should receive IPT
Background
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Zambia MIS 2010 objectives:
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To collect up-to-date information on Coverage of
Core interventions in NMSP (2006-2010) to guide
planning and implementation.
Assess malaria parasite prevalence according to
the standardized RBM MERG recommendations;
Assess the status of anaemia among the target
populations (children 6-36 months) according to the
RBM MERG recommendations;
Strengthen the capacity of the NMCC and local
agencies in implementation of malaria surveys.
Tools/Techniques
• Personal Digital Assistants (PDAs)
– Household listing
– Questionnaires
• Malaria parasite and anaemia testing
– Hemocues
– Rapid Diagnostic Tests (RDTs)
– Malaria blood slides
– Filter papers/blood spots
PDAs / GPS
• Two critical advantages
– Time saving: 1) In one field visit, both
the 2nd stage household selection and
interviewing conducted 2) combining
multiple team member HH listings
– Highly efficient at data processing
• One important disadvantage
– If the programming is not correct, BIG
potential source of error
• FYI: gadgetry, importation,
available pool of PDAs, software
development, lessons learned
(Windows Mobile 5, VB vs. Visual
CE)
Logistics
• Training: 24 March -31 March
– Facilitated by NMCC, WHO, MACEPA, HSSP, UNZA,
PMI, MTC
• Field work: 1 April- first week of May
• Survey teams included:
– 15 Field Teams (national sample)
• 2 nurses from surveyed districts (MoH), 2 lab
techs/microscopists, CSO, 1 driver
– ~32 people involved in focused survey in
Luangwa/Nyimba district
• created from select UNZA MPH students
– Several participants for IVCC survey (Emanuel
Chanda-NMCC, Mike Coleman, MRC Durban)
Research Ethics Approval
• University of Zambia
• Centre’s for Disease Control and
Prevention for PMI
• PATH (for MACEPA)
• Consent for participation, finger
sticks/testing and women’s questionnaire
Sensitization
• MoH, CSO, partners
• MoH
Province
Districts facilities
CHW chiefs/headmen
communities
• Community radio stations