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GHS/NHRC/UNICEF/Liverpool School of Tropical Medicine

LQAS HOUSEHOLD SURVEY

Evaluation of the High Impact Rapid

Delivery (HIRD) Interventions

In the Three Northern Regions of Ghana

6 February, 2013

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LOT QUALITY ASSURANCE SAMPLING

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Non Priority

SA

Priority SA

JIRAPA URBAN

ULLO

TUGGO

AND

YAGHA

HAIN & SABULI

DUORI

Distr ict: J IRAPA

70% Children U5

sleeping under LLIN

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10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95%

N/A N/A 1 1 2 2 3 4 5 5 6 7 7 8 8 9 10 11

N/A N/A 1 1 2 3 3 4 5 6 6 7 8 8 9 10 11 11N/A N/A 1 1 2 3 4 4 5 6 7 8 8 9 10 11 11 12

N/A N/A 1 2 2 3 4 5 6 6 7 8 9 10 10 11 12 13

N/A N/A 1 2 2 3 4 5 6 7 8 9 9 10 11 12 13 14

N/A N/A 1 2 2 3 4 5 6 7 8 9 10 11 12 13 14 15

N/A N/A 1 2 2 3 5 6 7 8 9 10 11 11 12 13 14 16

N/A N/A 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

N/A N/A 1 2 3 4 5 6 7 8 9 11 12 13 14 15 16 17N/A N/A 1 2 3 4 5 6 8 9 10 11 12 13 14 16 17 18

N/A N/A 1 2 3 4 5 7 8 9 10 12 13 14 15 16 18 19

N/A N/A 1 2 3 4 6 7 8 10 11 12 13 14 16 17 18 20

N/A N/A 1 2 3 4 6 7 9 10 11 13 14 15 16 18 19 21

N/A 1 2 2 4 5 6 8 9 10 12 13 14 16 17 18 20 21

N/A 1 2 3 4 5 6 8 9 11 12 14 15 16 18 19 21 22

N/A 1 2 3 4 5 7 8 10 11 13 14 15 17 18 20 21 23N/A 1 2 3 4 5 7 8 10 12 13 15 16 18 19 21 22 24

N/A 1 2 3 4 5 7 9 10 12 13 15 17 18 20 21 23 25

N/A 1 2 3 4 5 7 9 11 12 14 16 17 19 20 22 24 26

LQAS Table: Decision Rules for Sample Sizes of 12-30 and Annual Target/Average Coverage of 10% to 95%

Sample Sizes

Annual Target/Average Coverage

14

15

12

13

18

19

16

17

22

23

2021

24

25

30

N/A = Not Applicable -- Indicates that LQAS should not be used since coverage is too low for LQAS to detect.

28

29

For all coverage benchmarks (except where noted) LQAS is at least 92% sensitive and specific

Alpha and Beta Errors are > 10%

Alpha and Beta Errors are > 15%

26

27

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LQAS for Two Purposes?

Decision making: aids district authorities

refine program strategies, and guide

allocation of resources at district andsub-district level.

Reporting: aids DHMT members toprepare reports based on evidence.

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INDICATOR CATEGORIES

Pneumonia, diarrhea and malaria case management

Pneumonia, diarrhea and malaria prevalenceCare giver knowledge of danger signs in children U5

ANC, delivery and postnatal care

TT injection

IPTIron and folic acid

Early Initiation of breastfeeding, EBF, and complementary feeding

Childhood Immunization

Child Vitamin A

Malaria knowledge

Ownership and use of LLINs

IRS

Health insurance

CBA/CHO services

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Target Groups

Mothers of children 0-5 months

Mothers of children 12-23 months

Mothers of children under 0-59 months

Mothers of children 0-59 months with fever in the last two

weeks

Mothers of children 0-59 months with diarrhea in the last

two weeks

Mothers of children 0-59 months with symptoms of

pneumonia in the last two weeks

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SAMPLINGEach district was divided into 5 SAscovering the total number of sub-districts.

19 interview locations were selected foreach SA using PPS.

19 respondents from each target groupwere interviewed in each SA.

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PRELIMINARY FINDINGS