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Multiple Indicator Cluster Surveys Survey Design Workshop. Household Questionnaire: Insecticide Treated Nets and Indoor Residual Spraying. Global goals and targets. MDG 6: Combat HIV/AIDS, malaria and other diseases

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Multiple indicator cluster surveys survey design workshop

Multiple Indicator Cluster SurveysSurvey Design Workshop

Household Questionnaire:

Insecticide Treated Nets

and

Indoor Residual Spraying

MICS4 Survey Design Workshop


Global goals and targets
Global goals and targets

  • MDG 6: Combat HIV/AIDS, malaria and other diseases

    • Target 6.C By 2015 have halted and begun to reverse the incidence of malaria and other major diseases

      • Indicator 6.6 Incidence and death rates associated with malaria

      • Indicator 6.7 % of children under five sleeping under ITNs (MICS)

      • Indicator 6.8 % of children under five treated with anti-malarials(MICS)

  • RBM Global Malaria Action Plan (2008)

    • Achieve universal coverage…with interventions for prevention and case management by 2010 (MICS)

    • Halve the malaria burden between 2000 and 2010

    • Eliminate malaria in 8-10 countries by 2015…and in the long-term eradicate malaria worldwide…

MICS4 Survey Design Workshop


Background
Background

  • WHO estimates 190-330 million malaria episodes in 2006, resulting in nearly 1 million deaths

  • About 90 per cent of all malaria deaths occur in sub-Saharan Africa, most among children under five

  • Significant funding toward malaria control, and significant progress in scaling up ITNs in recent years

  • Major focus by RBM partners on achieving universal coverage targets by end-2010

MICS4 Survey Design Workshop


Mosquito net background
Mosquito net background

  • Net roster added to MICS4 questionnaire to measure availability and usage of mosquito nets

  • Streamlines questions related to mosquito nets throughout MICS questionnaire; improves accuracy of responses

  • Allows for calculation of “universal coverage” indicators and ITN use by pregnant women

MICS4 Survey Design Workshop


Mics indicators
MICS Indicators

#3.12 - Household availability of ITN

% households with at least one insecticide-treated net

#3.15 - Children sleeping under ITNs

% under fives sleeping under an ITN the previous night

#3.14 - Children sleeping under any net

% under fives sleeping under any net the previous night

MICS4 Survey Design Workshop


Mics indicators1
MICS Indicators

#3.19 - Pregnant women sleeping under ITNs

% pregnant women sleeping under an ITN the previous night

MICS4 Survey Design Workshop


Itn module
ITN module

  • Total number of nets

  • For each net:

    • - Observe net

    • - ITN status

    • - Usage of nets

MICS4 Survey Design Workshop


Methodological issues nets
Methodological issues – Nets

  • May be difficult to observe nets

  • Important to strictly follow questionnaire flow when nets are being observed

  • Does not measure net quality (e.g. holes or rips in net)

  • If more than 3 nets in a household, use a new questionnaire to record information about additional nets

MICS4 Survey Design Workshop


Indoor residual spraying
Indoor residual spraying

  • Separate module; only include if programs exist

  • IRS questions added to calculate indicator: households protected by a vector control method

    # 3.13 - Households protected by a vector control method

    % households with at least one ITN and/or received spraying through an IRS campaign in past 12 months

MICS4 Survey Design Workshop


Methodological issues irs
Methodological issues – IRS

  • IRS spraying often limited to small target areas in countries – not recommended to report national-level IRS coverage alone (report indicator: HH protected by a vector control method)

  • Correspondence of IRS target areas with survey sampling areas

  • Important to capture only IRS organized as part of campaign, and to exclude spraying conducted by a household member

  • Confusion over the wording of “interior walls” in IRS question. Does spraying outside the house count?

MICS4 Survey Design Workshop


Methodological issues
Methodological issues

General considerations:

  • MICS often carried out in the dry season for logistical reasons; not during times of peak malaria transmission

  • Even if only sub-national populations are at risk for malaria transmission, these modules can be included

  • Become familiar with main types of nets locally available

  • Become familiar with ongoing local IRS programs

MICS4 Survey Design Workshop