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Zambia Active Parasite Detection (APD) 2011
Questionnaire
Objectives of APD
• Zambia APD objectives:– Work with districts and local communities in areas
of low malaria transmission to develop a comprehensive strategy to actively test and treat individuals
– Indentify and train community health workers; and health facility staff in malaria parasite infection testing and treatment in their communities
– Implement a systematic active malaria parasite detection campaign strategies at the rural health center level.
– Strengthen the capacity of the NMCC and local agencies in implementation of APD.
Indicators – Malaria and malaria-related burden
• % malaria parasite prevalence, in children and adults– 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
• % individuals with fever
• % individuals with fever receiving antimalarial treatment
• % individuals with fever receiving prompt antimalarial treatment
• Source and type, especially Coartem®, of antimalarial treatment
Questionnaire components
• 2 questionnaire components– Household questionnaire
• Testing procedures
Household questionnaire
Household person listing• all household members/usual residents•Fever prevalence and treatment practice among all household members
Malaria Prevention: Indoor Residual Spraying
Malaria Prevention: Insecticide treated nets•Possession•Treatment status•Use
Malaria parasite and anaemia testing
All individuals
•Rapid Diagnostic Test
Parental consent
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
Interviewing Techniques
Active Parasite Detection
Conducting and Interview
• Interviewing is an art
• Building rapport– Make a good first impression– Always have a positive approach– Stress confidentiality– Answer questions frankly– Interview respondent alone
Additional techniques
• Be neutral throughout
• Never suggest answers to the respondent
• Do not change the wording or sequence of questions
• Do not form expectations
• Do not hurry through the interview
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