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MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Household Questionnaire: Insecticide Treated Nets and Indoor Residual.

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Presentation on theme: "MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Household Questionnaire: Insecticide Treated Nets and Indoor Residual."— Presentation transcript:

1 MICS4 Survey Design Workshop Multiple Indicator Cluster Surveys Survey Design Workshop Household Questionnaire: Insecticide Treated Nets and Indoor Residual Spraying

2 MICS4 Survey Design Workshop 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…

3 MICS4 Survey Design Workshop Background WHO estimates 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

4 MICS4 Survey Design Workshop 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

5 MICS4 Survey Design Workshop MICS Indicators # Household availability of ITN % households with at least one insecticide-treated net # Children sleeping under ITNs % under fives sleeping under an ITN the previous night # Children sleeping under any net % under fives sleeping under any net the previous night

6 MICS4 Survey Design Workshop MICS Indicators # Pregnant women sleeping under ITNs % pregnant women sleeping under an ITN the previous night

7 ITN module MICS4 Survey Design Workshop Total number of nets For each net: - Observe net - ITN status - Usage of nets

8 MICS4 Survey Design Workshop 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

9 MICS4 Survey Design Workshop Indoor residual spraying Separate module; only include if programs exist IRS questions added to calculate indicator: households protected by a vector control method # 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

10 MICS4 Survey Design Workshop 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?

11 MICS4 Survey Design Workshop 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


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