Iodine Deficiency Disorder Control Program - pbhealth.gov.inpbhealth.gov.in/The Survey.pdf · The Survey (based on 30 cluster sampling technique) Iodine Deficiency Disorder Control

The Survey (based on 30 cluster sampling technique)

Iodine Deficiency Disorder Control

Program

The Survey

Step 1- Data required from districts

• State IDD Cell requires the following data in the format provided by districts for identifying clusters as per sampling technique. Census data preferred. – Total Population of district. – Block/Village wise population – Urban - ward wise population in urban city area.

• Data provided by Hoshiarpur, SBS Nagar & Faridkot.

• A total of 30 clusters will be selected in a district for survey.

Step 2- Cluster identification (SBS Nagar)

30 clusters identified based on PPS Sampling Technique (Probability Proportionate to Size Sampling) .

S.No. Block Sub Centre Village Population

1

Mukandpur

Khanpur Sadhpur 1027

2 Larroya Jhingran 2697

3 Garh Padhana Dudhala 1030

4 Khurd Nawan Burj 401

5 Ballowal Lidhar kalan 1044

6

Sujjon

Dosanjh Khurd BHARO MAJARA 1793

7 Khamachon KHAMACHON 1397

8 Hamirowal HAMIROWAL 435

9 Masoodpur SOONDH 1130

10 Jasso Majra MAHANT GURBACHAN DASS NAGAR 996

11 Khothran KHOTHHRAN 4976

12

Muzzafarpur

Dopalpur Mandala 128

13 Mahallon Bhangal Kalan 2109

14 Ghari F Khan Saidpur 545

15 Punnu Mazara Punnu Mazara 1484

16 Barnal Kalan Jethu Mazara 1420

17 Sahlon Sakohpur 1329

18

Saroya

Sahungra Bakapur 1060

19 Bachhauri Khandupur 516

20 Katwara Katwara Khurd 705

21

Balachaur

Rail Majra Rail 1576

22 Barthala Dubhali 300

23 Behrari Nighi 907

24 Thopia Roohno+Bung Nangli 105

25 Mehatpur Mehatpur 2490

26 Banga Ward No.5 1508

27 Nawanshahar

Ward No.2 3160

28 Ward No.11 2328

29 Rahon Ward No.5 1173

30 Balachaur Ward No.5 2179

Step 3- Cluster identification & Previsit

• Once 30 clusters are identified state shares with the district.

• Following this, a meeting will be held at State Headquarters to explain methodology/logistic requirement

• After this, a pre visit will be made by state officials to the concerned district

– Pre visit : Meeting with CS/DHO/Epidemiologist/School Health Officer/DPM/Data entry operator

District preparation

• District to make 3 teams to carry out survey in district

• Each team – 4 members + 1 ASHA/Link Worker from identified cluster

• 10 clusters per team • Deadline 3 weeks from date of State Level

Training. • Budget from State will be forwarded to Districts .

– Honorarium/ Mobility budget will be provided for each team separately

Capacity Building of District Teams

A 3 day Training of identified District Staff by State team

Day 1 – State Level Meeting with 3 survey teams from district

Hoshiarpur, Faridkot, SBS Nagar and Shri Muktsar Sahib to explain IDD Survey methodology.

Day 2

- One State team move to districts

- Field Demonstration to identified district teams in an identified cluster by State team.

Day 3

- Survey by 3 teams in identified clusters separately.

Team composition

• School Health officer

• RMO / MO

• BEE/SI

• LHV/ANM

• ASHA/ Link Worker

• Support for 10 ASHAs

• 1 from each identified cluster

+

• Epidemiologist officer

• RMO / MO

• BEE/SI

• LHV/ANM




+

• Medical Officer

( Distt Identified)

• RMO / MO

• BEE/SI

• LHV/ANM




+

DHO/CS

Team 1 Team2 Team3

Cat

A

Cat

B

Cat

C

Team composition

• School Health officer

• RMO / MO

• BEE/SI

• LHV/ANM




+

• Epidemiologist officer

• RMO / MO

• BEE/SI

• LHV/ANM




+

• Medical Officer

( Distt Identified)

• RMO / MO

• BEE/SI

• LHV/ANM




+

DHO/CS

Team 1 Team2 Team3

Cat

A

Cat

B

Cat

C

Rs 350 per day X 5 days Rs 1750 per person


Rs 100 per cluster per ASHA Rs 1000 per 10 cluster

Total Budget for survey for teams

1. Category A

2. Category B

3. Category C

4. Per Team

mobility

5. Data Entry

Operator

6. Messenger

Support



Rs 100 per cluster per ASHA Rs 1000 per 10 clusters

Rs 1750 X2 Rs 3500

Team members Total per team

Rs 1125 X2 Rs 2250

Rs 1000

Rs 600 per team per day X 5 days Rs 3000

Total Funds for all 3 teams in district for max 5 days (3500X3) + (2250X3) +(100X30) +(3000 X 3)+(200)+(150)=

Rs 29600

Rs 200 per district for 30 clusters data entry

Rs 150 per district for messenger bringing samples to State IDD Lab

State Support

• Funds for district

– For 3 teams (max 5 days including mobility)

Rs 29600 per district.

–Necessary Logistics ( Urine & Salt Kits/ LRF/labels/ Stickers/ formats) will be provided by State

SOE/ UC- Deadline Distt to send to State IDD cell

within 3 days of activity completion

State to GoI timeline within 7 days of activity

What is to be done in IDD Survey Clusters to be surveyed per district 30

In 1 cluster children to be surveyed 90

Children to be surveyed in district

2700

Urine samples to be collected in 1 cluster 9

Total Urine samples to be collected in district

270

Salt samples to be collected in 1 cluster 18

Total Salt samples to be collected in district

540

Formulas for calculation

• IDD Survey to be conducted by PPS (Probability Proportionate to Size Sampling) Technique.

• Sample Size

–30 clusters (wards & villages)

• Sampling Interval (SI)

–Total Population/30=SI.

Selection of 30 Clusters

First Random Sample will be = RS

Second Random Sample will be = RS+SI

Third Random Sample will be = R+2SI

Fourth Random Sample will be =RS+3SI

Fifth Random Sample will be =RS+4SI & so on …

30th Random Sample will be = R+29SI

Hypothetical Example

• Suppose in district Saharanpur ,

– Total population: 38820

– Sampling Size: 30

– Sampling Interval (SI): 38820/30

=1294

PPS SAMPLING

S.No Name of

village

Population Cumulative Population Cluster

1 550 550

2 300 850 (RS)

3 500 1350

4 600 1950

5 345 2295 2

6 400 2695

7 799 3494 3

8 800 4294

• After identification of 30 clusters,

– From each cluster, sample size of 90 children (45 boys & 45 girls) of age group 6-12 years from school and community to be taken.

– Goiter examination in every child surveyed i.e 30 clusters x 90 children= 2700

– Salt sample collection from every 5th child

– Urine sample collection from every 10th child.

What to do after identification of clusters

Criteria for Selection of children

Source- Census 2011-12

Literacy Rate Female

Literacy Rate Male

SBS Nagar 81% 86%

=32

Criteria for of Samples Selection….

District Girls Boys

SBS Nagar

School 81*100/45 = 33

86*100/45 =39

From Community

12 6

Total 45 45

Introduction to Thyroid Gland for Goiter Examination

•Goiter Examination based on inspection & palpation of neck. •The examination may palpate from front side or back side of neck. •The examiner palpate the isthmus & lobes with two thumbs/two fingers/fingers of both hands being separated

around lateral side of neck.

CLASSIFICATION OF GOITER

Three types of Goiter:- • Grade 0:- No palpation or visible goiter /no goiter

• Grade 1:- Mass in neck consistent with enlarged thyroid. Palpation is not visible when neck is in

normal position it moves upward in the neck as the individual swallows.

Nodular alteration can occur even without

enlargement of thyroid.

CLASSIFICATION OF GOITRE

Grade II:- The swelling in neck is visible when the neck is in normal position and is consistent with enlarged thyroid when it is palpated

Instructions to Survey teams

• Deadline for completion of survey in identified district is three weeks from date of State/District level training. – IDD Survey in all 4 districts should be completed by

31st March, 2013

• Prior information to the Principal or the Head of the school before visit to identified School in a cluster.

Instructions contd…

• Salt & Urine samples collected from district should reach State immediately (within one or two) after completion of survey.

• Report of funds utilized should reach the State by end of each week.

• Follow up of children identified with Grade 2 Goiter. (School Health Officer to follow up)

Role of MO/RMOs

• Identification of 90 children of 6-12 yrs age group from School & community in a cluster.

• Goiter Examination in each identified child.

Selection of 90 Children from a Cluster District : SBS Nagar

District Male Literacy rate 86% District Female Literacy rate 81%

Boys to be examined Girls to be examined

From School 39 From School 33

From Community 6 From Community 12

Total 45 Total 45

Age Group Male Female

From School From Community From School From Community

6 yr 5 0 4 1

7 yr 5 1 4 1

8 5 1 5 2

9 6 1 5 2

10 6 1 5 2

11 6 1 5 2

12 6 1 5 2

Total 39 6 33 12

Selection of 90 Children from a Cluster District : Hoshiarpur





Total 45 Total 45



6 yr 5 0 5 1

7 yr 5 0 5 1

8 6 1 5 1

9 6 1 5 1

10 6 1 5 1

11 6 1 5 2

12 6 1 6 2

Total 40 5 36 9

0 Selection of 90 Children from a Cluster

District : Shri Muktsar Sahib





Total 45 Total 45



6 yr 4 1 3 2

7 yr 4 1 4 2

8 5 1 4 2

9 5 2 4 3

10 5 2 4 3

11 5 2 4 3

12 5 2 4 3

Total 33 11 27 18

0 Selection of 90 Children from a Cluster

District : Faridkot





Total 45 Total 45



6 yr 4 1 4 2

7 yr 5 1 4 2

8 5 2 4 2

9 5 2 4 2

10 5 2 4 2

11 5 2 4 3

12 5 2 5 3

Total 34 11 29 16

Role of BEE/SI & ANM/LHV

• BEE/SI & ANM/LHV to ensure that

– Salt sample collected from every 5th identified Child in a cluster.

– Urine sample from every 10th identified Child in a cluster.

– Required information of children surveyed from each cluster entered in GOI Performa.

Role of ASHA in each cluster

• Every cluster will have ASHA of that area.

• Identified ASHA will support Survey in community.

• In community, ASHA from each cluster will – Identify children of 6-12 years from community.

– In urban area, where ASHA is not here, LHV will be identified.

Thank You

Documents

Iodine Deficiency Disorder Control Program - pbhealth.gov.inpbhealth.gov.in/The Survey.pdf · The Survey (based on 30 cluster sampling technique) Iodine Deficiency Disorder Control