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