Transcript Slide 1

Zambia National Malaria
Indicator Survey (MIS) 2010
Questionnaires
Background
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Zambia Malaria Indicator Survey objectives:
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To collect up-to-date information on Coverage of Core
interventions in National Malaria Strategic Plan to guide
planning and implementation.
Assess malaria parasite prevalence according to the Roll
Back Malaria (RBM) Monitoring and Evaluation Reference
Group (MERG) recommendations, and in accordance with
national recommendations;
Assess the status of (severe) anaemia among the target
populations (children 6-36 months) according to the RBM
MERG recommendations;
Strengthen the capacity of the Ministry of Health and local
partners in implementation of malaria surveys.
Indicators – Malaria and malariarelated burden
• % malaria parasite prevalence, in children
– Using ICT Malaria Pf (RDT)
– Using blood films and filter paper
• % anemia prevalence in children
– Hemocue Hb photometers
Indicators – Malaria Prevention
• % households sprayed
• % households with insecticide-treated
mosquito nets (ITNs)
• Average number of ITNs per household
• % children sleeping under ITNs
• % pregnant women sleeping under ITNs
• % all ages sleeping under ITNs
Indicators – Malaria Treatment
• % children with fever
• % children with fever receiving antimalarial
treatment
• % children with fever receiving prompt
antimalarial treatment
• Source and type, especially Coartem®, of
antimalarial treatment
Questionnaire components
• 2 questionnaire components
– Household questionnaire
– Women’s questionnaire
• Testing procedures
Questionnaire changes since 2008
• No questions removed
• Questions added
– Fever prevalence and treatment seeking behavior
added to the household questionnaire
– Time indoors/outdoors in the morning/evening
– Eaves open/closed
– Education level of HH head
– Additional HH assets (from to DHS 2007)
– Personal protection measures for
malaria/mosquitoes
– Age at death of children under age six in women’s
questionnaire
– Diagnostic tests during febrile episode (<5 yrs)
Household questionnaire
Household person listing
• all household members/usual residents
•Identify eligible women ++
•Identify children ++
•Fever prevalence and treatment practice among all household members
Household amenities / assets
Malaria Prevention: Indoor Residual Spraying
Malaria Prevention: Insecticide treated nets
•Possession
•Treatment status
•Use
Malaria parasite and anaemia testing
Parental consent
Children Under Age 6
•Finger stick
•Hemocue anaemia test
•Rapid Diagnostic Test
•Blood slide: thick and thin blood smear
•Dried blood spot
Women’s questionnaire
Informed consent
Reproduction
• Birth history
•Child deaths
•Pregnancy status
General malaria knowledge
Antenatal care
Malaria Prevention: Intermittent Preventive Treatment
Fever treatment: Children Under Age 5
•Fever prevalence
•Treatment of fever with antimalarial
•Where and when
Translation
• Translations for questionnaires
– Available as paper version as reference
• PDA questionnaire is in English
• During the training, we will spend much
time working through the appropriate
language translations for all areas to be
visited among field teams
Personal Digital Assistants (PDAs)
• All questionnaire information will be
entered into PDAs, NOT on paper
• PDAs need to be kept in working order
each day
• Only use 1 PDA per household during
interviewing
• Do NOT enter practice questionnaire data
on PDAs once field work begins