Deworm the World monitoring summary [2017]
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Deworming day (process monitoring)Post-Deworming Day (Coverage validation)
Additional notes
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MethodsResultsMethodsResults
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Who conducted the monitoring?How were "Don't knows" counted?Fully randomized selection (geographic area, schools, classes)?Sample size% of schools that had someone attend training% of schools that had sufficient drugs for deworming (as observed by monitors on deworming day)% of schools that reported implementing deworming day activities% of schools where monitors observed Deworming Day activities% of schools where proper recording protocols were followed% of schools where teachers did not give deworming pills to sick children% of schools where teachers or CHCs' staff watched children swallow the pillHow long after Deworming Day was coverage validation?Student interviewed in private?Checks on accuracy of student answers?% of schools that had sufficient drugs for deworming (head teacher interviews)% of students reported being dewormedNumber of students dewormed according to class records / number of students reported dewormed by government (state verification factor)
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Kenya - 2014-15Evidence Action
Don't know was often a predefined answer a monitor could select. "Other" was an option that allowed the monitor to write in an answer. We are unsure how these answers were treated in the analysis of the data.
Maybe
247 schools were observed on deworming day. See Deworm the World, Kenya Narrative Report - Year 3, Quarter 3. Pg 5. We are not sure how many were observed on coverage validation day.
97%91%99%98%89%95%96%Unclear
Unclear, but we think yes
Yes, children select which tablet they took
92%83%1.05
We focus on questions related to Albendazole in our analysis. Deworm the World also supports some treatments for schistosomiasis (treated with Praziquantel) in Kenya, but the large majority of schools surveyed were only treating with Albendazole. Of the five schools monitors observed that were also treating with Praziquantel, all five reported that they had sufficient Praziquantel. We chose sample questions to present based on a) what we thought was easy to understand, b) our sense of what information would be most likely to change our view about Deworm the World, and c) the metrics that we felt were most comparable to the metrics we had chosen for India's program, so that we could compare the two programs. Our analysis provides slightly different results than what was presented in the monitoring report. For example, the most recent summary report from Kenya reported that 98% of schools visited on Deworming Day had ordered sufficient drugs, 9% of schools were observed to run out of drugs during Deworming Day, and 92% of head teachers reported that their school had sufficient drugs. We do not know the reasons for this discrepancy. Both the summary report's results and the results from our own data analysis indicate a high level of school preparedness for Deworming Day. We are not sure what to make of the fact that some of the figures reported seem to slightly contradict each other. If 9% of schools were observed to run out of drugs, then 98% couldn't have ordered a sufficient number of drugs. We include several schools in our analysis that monitors did not record observations for (reasons include that the school was closed or did not exist).
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India - Bihar - 2015GfK Mode Private Limited
Don't know/Don't remember was often an option monitors could select. Unclear how these responses were treated in the data analysis.
Nearly—unclear how classes were selected within schools on deworming day and mop-up day. "Random Child Selection Table" used to choose a child for the interview
123 schools on deworming day, 124 on mop-up day, 748 schools for coverage validation
83.40%Unclear?Unclear?84.20%68.40%80.00%Not reportedUnclearYes
Some, but not rigorous. Students were shown the deworming pill and asked if that was the pill they took.
86.10%88.50%0.82
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India - Delhi - 2015
Sigma Research and Consulting Private Limited
Don't know/Don't remember was often an option monitors could select. Unclear how these responses were treated in the data analysis.
Yes
58 schools on DD, 89 schools on MUD, 253 schools on coverage validation day. 1 child per school was interviewed on DD and MUD. 3 children per school were interviewed for coverage validation. For Anganwadis, 61 were visited on DD, 90 on MUD, and 249 on coverage validation day.
89.10%Unclear?Unclear?80.30%84.70%93.20%Not reported~1.5 weeksYes
Some, but not rigorous. Students were shown the deworming pill and asked if that was the pill they took.
97.20%95.60%0.98
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India - Madhya Pradesh - 2015
SPECTRA Research and Development Private Limited,
Don't know/don't remember and "other" were predefined responses the monitor could chose. Unclear how those responses were used in the analysis.
Yes
125 schools on deworming day, 125 on mop-up day, and 750 on coverage validation day
46.00%Unclear?Unclear?59.60%62.00%72.70%Not reportedUnclearYes
Some, but not rigorous. Students were shown the deworming pill and asked if that was the pill they took.
79.20%81.80%0.89
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India - Rajasthan - 2015
State Institute of Health and Family Welfare
Don't know/don't remember and "other" were predefined responses the monitor could chose. Unclear how those responses were used in the analysis.
Nearly—unclear how classes were selected
125 schools on deworming day, 125 on mop-up day, 375 for coverage validation. 1 child interviewed per school on deworming day and mop-up day, 3 children per school on coverage validation day.
62.40%Unclear?Unclear?86.80%66.40%72.40%Not reportedUnclearYes
Some, but not rigorous. Students were shown the deworming pill and asked if that was the pill they took.
96.00%93.80%0.87
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India - Chhattisgarh - 2015GfK Mode Private Limited
"Don't know/don't remember" and "no response" were predefined responses the monitor could chose. Unclear how those responses were used in the analysis.
Essentially—due to complications, not all randomly selected school were sampled
490 schools (550 intended). 73 Anganwadi canters. 3 children interviewed per school.
40.60%95.50%99%Unclear?48.20%Not reportedNot reported~2 weeksYes
Some, but not rigorous. Students were shown the deworming pill and asked if that was the pill they took.
Not reported?96.90%0.49
Deworm the World only performed coverage validation in Chhattisgarh. Deworm the World provided "light" technical assistance to Chhattisgarh in 2015.
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Ethiopia - 2015
Collaborative Research and Training Center on Neglected Tropical Diseases at the Arba Minch University
Appear to have been counted separately
Nearly - monitors watched the first fifty enrolled children on Deworming Day
143 schools
Between 38.4% and 87.4%
Unclear?Unclear?About 91.6%
About 70% - 92%
31.90%88.90%
Coverage validation was not implemented
n/an/an/an/a
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Vietnam - May 2016
Center for Environment and Health Studies
UnknownPartially randomized.
90 schools on Deworming Day, 72 on Mop-up Day, and 98 on Coverage Validation Day
77.30%93.90%Unclear?97%75%79.79%95.20%
Coverage validation was conducted several days (3-4) after the MDA, to avoid recall bias
YesYesNot reported?97.00%0.99
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Vietnam - Nov-Dec 2016
Center for Environment and Health Studies
Unclear
Randomized (but process not fully explained)
80 schools on deworming day
91.76%96.10%Unclear?Unclear?51%88.75%51%~1.5 weeksYes
Some, but not rigorous.
Not reported97.50%1.00
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Nigeria - Cross River - 2016Infotrak Research and ConsultingUnclearYes
60 schools selected to visit on deworming day, 58 actually observed.
97%
Not entirely clear; perhaps around 95%
Not reported
Not entirely clear; but probably high (above 90%)
95%Not reported98%
Coverage validation was not implemented
n/an/an/an/an/a
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India - Uttar Pradesh - 2016Karvy Insights LimitedUnclearYes
540 schools (of 420 targeted) and 84 anganwadis (of 210 targeted) for process monitoring; 1680 schools (of 1680 targeted) and 4509 children (of 5040 targeted; 4509 is 3 from each school that reported conducting deworming during coverage validation) for coverage validation.
78.7% for schools; 71.4% for anganwadis
75.6% for schools; 66.7% for anganwadis
87.7% of schools; 79.6% of anganwadis
41.4% of schools; 35.7% of anganwadis
66.3% of schools; 56.3% of anganwadis
Not reportedNot reportedUnclearNot reportedNot reportedNot reported94.75%0.57
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India - Tripura - 2016
Sigma Research and Consulting Private Limited
UnclearYes
320 schools and 160 anganwadis for process monitoring, 400 schools and 400 anganwadis for coverage validation (matches the number targeted). 1176 students (of 1200 targeted) for coverage validation.
94.4% for schools; 96.3% for anganwadis
93.1% of schools; 91.3% of anganwadis
95.0% of schools; 98.8% of anganwadis
50.6% of schools; 61.3% of anganwadis
76.5% of schools; 67.3% of anganwadis
Not reportedNot reportedUnclearNot reportedNot reportedNot reported98.13%
0.71 in schools; 0.85 in anganwadis
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India - Chhattisgarh - 2016Karvy Insights LimitedUnclearYes
259 schools (292 intended) and 132 anganwadis (146 intended) for process monitoring. 337 schools (365 intended), 978 students (1095 intended), 343 anganwadis (365 intended) for coverage validation.
74.9% for schools; 75.0% for anganwadis
94.2% of schools; 78.0% of anganwadis
96.4% of schools; 93.0% of anganwadis
37.1% of schools; 37.1% of anganwadis
75.2% of schools; 54.3% of anganwadis
Not reportedNot reportedUnclearNot reportedNot reportedNot reported96.63%
0.74 in schools; 0.69 in anganwadis
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India - Jharkhand - 2016Karvy Insights LimitedUnclear
Yes, with the exception of one district which was excluded
500 schools, 500 anganwadis (matches targets). 1203 students (of 1500 targeted).
52.2% of schools; 62.1% of anganwadis
N/A
66.8% of schools; 76.0% of anganwadis
N/A
31.9% of schools; 55.6% of anganwadis
Not reportedNot reported~5 weeksNot reportedNot reported
70.8% of schools; 64.0% of anganwadis
93.43%
0.51 in schools; 0.84 in anganwadis
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India - Telangana - 2016Karvy Insights LimitedUnclear
Yes, with the exception of one district which was excluded
409 schools (400 targeted) and 205 anganwadis (200 targeted) for process monitoring; 498 schools and 500 anganwadis (of 500 targeted, for both) and 1359 students (of 1500 targeted) for coverage validation.
57.7% for schools; 75.1% for anganwadis
78.0% of schools; 85.4% of anganwadis
79.7% of schools; 93.6% of anganwadis
55.8% of schools; 69.3% of anganwadis
64.6% of schools; 62.2% of anganwadis
Not reportedNot reportedUnclearNot reportedNot reportedNot reported98.45%
0.66 in schools; 0.78 in anganwadis
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Kenya - 2015-2016Evidence ActionUnclearYes
265 schools for process monitoring; 142 schools for coverage validation
97%94%Not reported
Not entirely clear, but probably high (above 95%).
Not reportedNot reported90%1 day
Not reported; some were interviewed in groups.
Yes
Not reported; 2% of children reported insufficient drugs.
93%1.11
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Ethiopia - 2016
Note: We have received a coverage survey from Deworm the World's partner in Ethiopia, the Schistosomiasis Control Initiative. See https://docs.google.com/spreadsheets/d/1Cb4By-WyxzaCSi_9AidxTHnZjrBwkMjj-RfK2jdRO9A/edit#gid=1487323759.
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