Sick Child ModuleKnowledge, Practice, and Coverage

Survey (KPC)

CORE Spring MeetingMay 5, 2014

Jennifer Winestock Luna

Agenda

Brief overview of KPC tool; Revision process

Resources

KPC – What is it?

Rapid Small Sample Household Survey that:

Contains modules so that surveys can be customized to technical areas of a program

Useful for designing surveys for integrated health programs

Typically has sample size 300-600

Overview: Characteristics Easy to implement

Developed to collect standardized information from a variety of technical areas

Modules: questionnaires, indicators, tab plans, instructions

Implementers select modules relevant to technical areas Within each module select questions & indicators

relevant to interventions

Overview: Technical Areas - Modules

Sick Child - (ARI, CDD, Malaria, CCM)

Malaria (stand-alone)

Immunization

Maternal Newborn Care

Pregnancy Spacing and Family Planning

Breast Feeding IYCF

Water &Sanitation

The Revision Process

Team effort, led by MCHIP PVO/NGO Support with input from:

MCHIP Child Health Team; Save the Children MEASURE Evaluation – Malaria CORE working groups: Malaria, Community Child

Health USAID: PMI, Child Health, CSHGP

And by reviewing: DHS, MICs, CCM task force indicators, LiST Tool

The Sick Child Module

Includes instructions for contextual information needed before designing questionnaire:

Which interventions are being implemented (malaria, diarrhea, pneumonia)?

What are national CCM policies; CHW diagnosis/treatment?

What is current (or planned) situation regarding RDTs? Are RDTs approved? Is supply reliable? Do health workers know how to use them and willing to do so?

What is the national policy regarding zinc for diarrhea? Is zinc available in the project area?

Broader than iCCM; contains iCCM indicators

% children 0-59 months with fast/difficult breathing 2 wks preceding survey; advice or treatment sought from CCM-trained CHW

% children 0-59 months with fever 2 wks preceding survey who had finger or heel stick by CCM-trained CHW

% children 0-59 months w/diarrhea 2 wks preceding survey received ORS & zinc from CCM-trained CHW

Broader than iCCM; contains iCCM indicators

% children 0-59 months with fever 2 wks preceding survey received drug from a CCM-trained CHW; seen again by CHW for follow-up visit

% mothers of children 0-59 months know is CHW in community who provides treatment for fever/malaria; pneumonia/fast, difficult breathing; diarrhea management

Challenges

Among/within countries variation: roll-out iCCM & RDT Must consider context for questionnaire and

interpretation of results

Satisfying information needs of different vertical areas requires compromise for survey to be feasible 1 ITN for every 2 people requires net roster, not

always practical

Controversy in Malaria community regarding mother’s recall of finger/heel stick and if results of test received

Challenges

Developing combined indicators for fever; fast/ difficult breathing; and diarrhea complicated Fever and fast/difficult breathing should be seen

by a health provider (i.e. CCM trained CHW), but non-severe diarrhea can be managed in home

Limited experience using some indicators, i.e. % children 0-59 months with fast, difficult

breathing 2 wks preceding survey; advice/r treatment sought from CCM-trained CHW as first source of care

Challenges

Do iCCM programs measure immunization coverage?

Important for prevention

Pneumococcal Conjugate Vaccine (PCV) Rotavirus vaccine

If you want more information, please contact

me

Thank you

Jennifer.WinestockLuna@icfi.com