Active Parasite Detection 2011 Supplemental Enumerator and CHW Training 14 November, 2011.
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Transcript of Active Parasite Detection 2011 Supplemental Enumerator and CHW Training 14 November, 2011.
Active Parasite Detection 2011
Supplemental
Enumerator and CHW Training
14 November, 2011
Centers for Disease Control-CDCSwiss Tropical InstituteJohns Hopkins UniversityThe World Bank The Global Fund against AIDS, Tuberculosis and MalariaLiverpool School of Tropical MedicineMACRO InternationalMalaria Consortium Malaria Control and Evaluation Partnership in Africa (MACEPA) – PATHMalaria in Pregnancy Consortium SecretariatMEASURE EvaluationWHOWHO-AFROTulane UniversityUNICEFUSAID/PMI
Acknowledgements
Questionnaire Components 1 questionnaire component
◦ Household questionnaire Testing procedures
Household person listing• all household members/usual residents
Household Questionnaire
Bednet Knowledge/Attitudes/Practices
Household amenities / assets
Malaria Prevention: Indoor Residual Spraying
Malaria Prevention: Insecticide treated nets• Possession• Treatment status• Use
Malaria Testing/ Anemia Testing
Malaria and Anemia Testing Finger stick
If Child 6-59 months old: Hemocue anaemia test
Rapid Diagnostic TestBlood slide: thick and thin blood smear
Dried blood spot
If Needed: TREATUnless women of reproductive age, then refer
Tools/Techniques Global Positioning System (GPS)
◦ Mapping/Navigating to households Personal Digital Assistants (PDAs)
◦ Guided Interview◦ Household listing◦ Questionnaire
Malaria parasite and anemia testing◦ Hemocues◦ Rapid Diagnostic Tests (RDTs)◦ Malaria blood slides◦ Filter papers/blood spots
Teams: 7 facilities for Gwembe and 3 for
SinazongweEach team has: ◦ CHWs ◦ HWs◦ 1team lead◦ 1driver
Survey Overview
Sampling Frame ??? enumeration areas 700 households will be visited ~1000 children Average 2 days in each enumeration area
Survey Overview
Inclusion Criteria◦ All residents of the Household
Exclusion Criteria◦ Declined consent
Survey Overview
Laboratory CollectionAll people◦RDTs◦Slides 1 slide with a thick and thin smear
◦Dried blood spot◦Anemia/Hemoglobin (Hemocue)
Survey Overview
Map of selected Areas
Survey Overview
Typical Field DayContacting households
Making Call backs
Determine directions/route planning to village the night before you travel
Notify village leader of your arrival Present letter from MOH Explain the study Arrange to have village guides Identify enumeration area boundaries
At the Village…
Ensure all PDAs, GPS, and lab equipment are charged and working properly
Ensure all team members know the village name/number
Review work assignments: ◦ Divide area among team members for mapping◦ Divide households for interviews/call back
appointments Map all households within the EA boundaries Coordinate a location to meetand method to
reach supervisor if help is needed
In the morning…
Because each household has been carefully selected, you must make every effort to conduct interviews with the households assigned to you
Absent households should be re-visited at least 2 times on at least 2 different days◦ To gain consent◦ To conduct HH interview◦ To test children who may not be present
Attempts should be made at different times of the day
Call backs
What do you do when you arrive at the household?
Question
Wear your identification Smile and introduce yourself Verify that you are at the correct household Identify eligible respondents Obtain Informed Consent Begin interview
At the correct household…
What do you do if…? An eligible respondent is not available? A respondent refuses to be interviewed? An interview is not completed? A respondent is incapacitated?
At the correct household…
Because each household has been carefully selected, you must make every effort to conduct interviews with the households assigned to you
Sometimes a household member will not be available at the time you first visit.
Households with absent individuals should be re-visited at least 2 different times◦ Call backs should be scheduled at different times
of the day than the previous visit attempt
Call backs
Ensure any treatment schedules were performed appropriately.
Review the questionnaire to verify it is finished. This review should be done before you leave the
household so that you can be sure every appropriate question was asked and that all answers are clear and reasonable.
Clarify any errors with the respondent before leaving. Simply explain to the respondent that you made an error and ask the question again.
Thank the respondent for their time and participation.
At the end of the interview…
Before leaving Notify village leader of your departure Thank the village participants for their time
and cooperation
At the Village…
Look for Label Ask for Original Packaging Other features
◦ Observe: shape/size/color◦ Touch/Feel: materials feel different
Hints:◦ Source of net◦ Age of net
Tips for Bednet Identification