Enumerator and CHW Training

21 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

1 questionnaire component◦ Household questionnaire

Testing procedures

Household person listing• all household members/usual residents

Household QuestionnaireHousehold Questionnaire

Fever Prevalence and Treatment

Malaria Prevention: Indoor Residual Spraying

Malaria Prevention: Insecticide treated nets•Possession•Treatment status•Use

Malaria Testing/ Anemia Testing

Malaria TestingMalaria TestingFinger stick

Individuals of all ages:

Rapid Diagnostic Test

If Needed: TREATUnless women of reproductive age, then refer

Global Positioning System (GPS)◦ Mapping/Navigating to households

Personal Digital Assistants (PDAs)◦ Guided Interview◦ Household listing◦ Questionnaire

Malaria parasite testing◦ Rapid Diagnostic Tests (RDTs)

Teams: 7 facilities for Gwembe and 3 for

SinazongweEach team has: ◦ CHWs ◦ HWs◦ 1team lead

Sampling Frame

12096 households will be visited ~3145 children Average 2 days in each enumeration area

Inclusion Criteria◦ All residents of the Household

Exclusion Criteria◦ Declined consent

Laboratory Collection◦ Individuals of all ages tested with RDTs

Map of selected Areas

Contacting householdsMaking 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

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 meet and method

to reach supervisor if help is needed

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

What do you do when you arrive at the household?

Wear your identification Smile and introduce yourself Verify that you are at the correct household Identify eligible respondents Obtain Informed Consent Begin interview

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?

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

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.

Before leaving Notify village leader of your departure Thank the village participants for their time

and cooperation