Malawi Coverage Survey 2017 Measuring treatment coverage for schistosomiasis and soil transmitted helminths with preventive chemotherapy 1 Contents Contents .................................................................................................................................................. 2 Introduction ............................................................................................................................................ 4 Background to the Coverage Survey ....................................................................................................... 4 Schistosomiasis and STH in Malawi .................................................................................................... 5 Previous mapping ............................................................................................................................... 5 Treatment History ............................................................................................................................... 5 Previous Coverage Surveys ................................................................................................................. 6 2012 ................................................................................................................................................ 6 2014 ................................................................................................................................................ 6 2016 ................................................................................................................................................ 7 Details of the MDA in Malawi 2017 .................................................................................................... 8 Coverage targets for MDA in 2017 ..................................................................................................... 8 Reported coverage from the MDA ..................................................................................................... 9 Study Aim .............................................................................................................................................. 11 Ethical approval................................................................................................................................. 11 Study Objectives ................................................................................................................................... 11 Study Design ......................................................................................................................................... 11 Overview ........................................................................................................................................... 11 Survey team ...................................................................................................................................... 12 Timing of survey ................................................................................................................................ 12 Implementation unit selection ......................................................................................................... 12 Number of villages and households to survey within each IU .......................................................... 13 Selection of villages to survey within each IU ................................................................................... 13 Selection of households to survey within each village ..................................................................... 13 Selection of individuals to survey within each household ................................................................ 13 Study Participant Recruitment .......................................................................................................... 13 Data collection and analysis .............................................................................................................. 14 APPENDIX A: Field team planning manual ............................................................................................ 15 Survey team composition ................................................................................................................. 15 Survey team training ......................................................................................................................... 15 Training Material ............................................................................................................................... 15 Timetable of activities ....................................................................................................................... 16 Roles and responsibilities ................................................................................................................. 16 2 APPENDIX B: Malawi 2017 Coverage survey interviewer manual ........................................................ 18 Before arriving at the village ............................................................................................................. 18 Arriving at the village ........................................................................................................................ 18 What to do if a village cannot be visited .......................................................................................... 18 Selecting households to interview .................................................................................................... 18 Definition of a household ................................................................................................................. 18 Selecting households method 1: Village lists .................................................................................... 19 Selecting households method 2: Modified random walk ................................................................. 20 Obtaining household permission to survey ...................................................................................... 21 What to do if a household cannot be interviewed ........................................................................... 22 Selecting individuals within a household .......................................................................................... 22 What to do if an individual cannot be interviewed .......................................................................... 23 Interviewing selected individuals ...................................................................................................... 23 Finishing the survey .......................................................................................................................... 23 APPENDIX C: Data Collection Forms ..................................................................................................... 24 Village Questionnaire ............................................................................................................................ 25 Household Questionnaire ..................................................................................................................... 27 Individual Questionnaire ....................................................................................................................... 30 Individual Answer Code ........................................................................................................................ 35 Translated Survey.................................................................................................................................. 37 Appendix D: Detailed survey methodology & sample size estimation ................................................. 42 Deviations from general statistical approach in this protocol .......................................................... 42 Sample size details ............................................................................................................................ 42 Statistical approach to coverage survey ........................................................................................... 42 Appendix E: Selected Villages ............................................................................................................... 45 Chitipa District Village ....................................................................................................................... 45 Karonga District Villages ................................................................................................................... 45 Rumphi District Villages .................................................................................................................... 46 Dedza District Villages ....................................................................................................................... 46 Mchinji District Villages ..................................................................................................................... 47 Ncheu District Villages ...................................................................................................................... 47 Authors .................................................................................................................................................. 48 References ............................................................................................................................................ 48 3 Introduction This survey protocol describes the background and implementation