1. Zambia Active Parasite Detection (APD) 2011 Questionnaire

2. 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.

3. 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

4. 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

5. 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

6. Questionnaire components 2 questionnaire components –Household questionnaire Testing procedures

7. 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

8. Malaria parasite and anaemia testing All individuals Rapid Diagnostic Test Parental consent

9. 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

10. 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

11. Interviewing Techniques Active Parasite Detection

12. 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

13. 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