Deworm the World - monitoring spreadsheet
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Deworming Day (Process monitoring)Post-Deworming Day (Coverage validation)
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Type of questionMethodsMethodsMethodsMethodsResultsResultsResultsResultsResultsResultsMethodsMethodsMethodsResultsResults
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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% 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 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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AnswerCenter for Environment and Health StudiesUnknownPartially randomized.90 schools on Deworming Day, 72 on Mop-up Day, and 98 on Coverage Validation Day77.30%93.90%97%75%79.79%95.20%Coverage validation was conducted several days (3-4) after the MDA, to avoid recall biasYesYes97.0%0.99
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Source"All monitors are CEHS’s staff, officers/lecturers from Thai Binh Medical and Pharmaceutical Univeristy. All of them are required as follows:
-Having at least bachelor of public health or higher, in which numerous monitors are doctors and masters;
-Having at least 5 experience-years in implementing studies, monitoring on public health, parasites and social medicine;
-Having ability to work with high pressure and travel in difficult areas;
-Having high responsibility and ability to work independently in the field."
Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 11.
There was an option for monitors to select that they "Don't know/Didn't observe this process", but we are not sure how those responses were treated in the data analysis. E.g., see Deworm the World, Vietnam Deworming Day monitoring form, 2016, Pg 6-In the Vietnamese school system, many "primary schools" have a number of smaller "sattelite schools" under the same administration but located in more rural areas (so that more children have easy access to schools). Deworm the World only had data on primary schools before Deworming Day started, so monitors were assigned a randomly selected primary school to visit. After completing monitoring at the primary school, monitors asked if the school had any sattelite schools; if it did, the monitor was supposed to randomly select one to visit. Monitors were not told how to randomly select the sattelite school in the field, so in practice they likely visited those that were easier to reach. @Paul Monaghan, conversation with GiveWell, September 8, 2016@
-"The random-selection was performed by EMW/Evidence Action and the list of selected schools and alternative schools was provided to CEHS." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 10-.
-"On the main deworming day and the mop-up day, if the main school had a satellite school that was implementing deworming day on the same day, that satellite school was visited after completing the monitoring at the main schools; if more than one satellite school was implementing deworming, the monitor randomly-selected one to visit. On the coverage validation, the main primary school had 1 or more satellite school, the monitor randomly-selected one to visit to interview and fill information about the satellite school selected for monitoring on the coverage validation." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 14.
-We are not sure how monitors randomly selected classes while in the field; the monitoring form simply tells them to "Randomly select one class." @Deworm the World, Vietnam Deworming Day monitoring form, 2016@, Pg 1.
"The table above shows total of main schools and satellite schools which were monitored on the main deworming, mop-up day and coverage validation, in which, 67 main schools and 23 satellite schools were monitored on the main deworming day in four provinces; 65 main schools and 7 satellite schools were monitored on the mop-up day; 72 main schools and 26 satellite schools were monitored on the coverage validation day." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 14.Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 36"Most information from interviews with commune health workers (93.9%) also showed that the quantity of tablets brought to schools was sufficient for the total number of children at the school." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 46"On the main deworming day, 97% of primary schools performed deworming day as planned." Deworm the World, Vietnam Independent Monitoring Report, 2016 Pg 65."After ensuring that the student swallowed the tablet, CHCs’ staff/teachers should tick on the next to the name of each student in the class list. As observed by the monitors, 75% of schools implemented properly this step on the main deworming day...This rate was lower for the mop-up day, only 68.4% of CHCs’ staff/teachers at all visited schools ticked on the next to the name of each student in the class list." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pgs 32-33.-"Percentage of CHCs’ staff/teachers at all visited schools asking children if they were feeling unwell before drug-administration on the main deworming day and mop-up day" for all schools on Deworming Day was 85.7%.
-"For shools where unwell children were identified, the percentage of those schools subsequently excluded unwell children from the main deworming day and mop-up day" for all schools on Deworming Day was 93.1%
Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 27
"The observation results show that a very high proportion of CHCs’ staff and teachers ensured that the child swallowed the tablet on the main deworming day and the mop-up day (95.2% and 82.5% respectively)."Paul Monaghan, conversation with GiveWell, September 8, 2016"Speak with the children one-by-one outside the classroom" Vietnam Deworming Day Coverage Validation Form. Pg. 6."Do you remember the color of the tablet? (do not prompt)" Vietnam Deworming Day Coverage Validation Form. Pg. 7."The results of interviews also showed that 97% of students received 1 tablets, no interviewed students received more than two ones, a very small number (3%) did not receive any tablet (4 children on the deworming day and 1 child on the mop-up day). The reasons were having a fever, forgetting the permission form at home, busy to do homework, be dewormed recently." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 51-52"There was a slight difference in the proportion of students dewormed between number from reporting forms of CHCs and number from counting of the class lists conducted by monitors. The proportion from reporting forms of CHCs was 93.8% and from counting of the class lists was 93.2%. The slight difference was popular at all 4 provinces. The rate of CHCs reporting accurately and over-reporting was presented for each CHC on the table above." Deworm the World, Vietnam Independent Monitoring Report, 2016. Pg 60.
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[For results]: Sample question asked"How many representatives from the school attended the official training for deworming?" Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 3Community health worker is asked, "How many tablets of albendazole did you bring to the school today?" Monitor answers, "Is the quantity of tablets reported...sufficient for the total number of children at the school?" Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 9"Is deworming happening at your school today?" Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 2
"Was the name of the child ticked off the class list upon swallowing thetablet?" Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 7.
-"Before albendazole was distributed to children, did the commune health worker or teacher ask children if they were feeling unwell?"
-"Were children who were feeling unwell excluded from participating in the MDA?"
Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 6
"When the tablet was given to a child, did the commune health worker or teacher ensure that the child swallowed the tablet?" Deworm the World, Vietnam Deworming Day monitoring form, 2016. Pg 7"Did you receive medicine at school last week?" Deworm the World, Vietnam coverage validation form, 2016. Pg 7
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Sources:
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Deworm the World, Vietnam Independent Monitoring Report, 2016
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Paul Monaghan, conversation with GiveWell, September 8, 2016
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Vietnam - 2016
Kenya 2014-2015
India - Bihar - 2015
India - Delhi - 2015
India - Madhya Pradesh - 2015
India - Rajasthan - 2015
India - Chhattisgarh - 2015
Ethiopia - 2015
Nigeria