Deworm the World monitoring summary [2018]
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Deworming Day (process monitoring)Post-Deworming Day (coverage validation)
Additional notes
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MethodsResultsMethodsResults
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CountryState (if applicable)YearReviewed here?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?Fully randomized selection (geographic area, schools, classes, students)?% 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
2014-2015
YesEvidence 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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IndiaBihar2015YesGfK 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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IndiaDelhi2015Yes
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
2015Yes
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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IndiaRajasthan2015Yes
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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IndiaChhattisgarh2015YesGfK 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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Ethiopia2015Yes
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/a-n/an/a
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IndiaRajasthanFeb 2016No
Note: Received but not reviewed.
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India
Madhya Pradesh
Feb 2016No
Note: Received but not reviewed.
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IndiaTripuraFeb 2016No
Note: Received but not reviewed.
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IndiaUttar PradeshFeb 2016No
Note: Received but not reviewed.
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IndiaTelanganaFeb 2016No
Note: Received but not reviewed.
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IndiaChhattisgarhFeb 2016No
Note: Received but not reviewed.
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IndiaBiharFeb 2016No
Note: Received but not reviewed.
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VietnamMay 2016Yes
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
YesYes-Not reported?97.00%0.99
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VietnamNov 2016Yes
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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NigeriaCross River2016YesInfotrak 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/a-n/an/an/a
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IndiaUttar PradeshAug 2016YesKarvy 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 reported-Not reported94.75%0.57
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IndiaTripuraAug 2016Yes
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 reported-Not reported98.13%
0.71 in schools; 0.85 in anganwadis
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IndiaChhattisgarhAug 2016YesKarvy 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 reported-Not reported96.63%
0.74 in schools; 0.69 in anganwadis
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IndiaJharkhandAug 2016YesKarvy 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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IndiaTelanganaAug 2016YesKarvy 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 reported-Not reported98.45%
0.66 in schools; 0.78 in anganwadis
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Kenya
2015-2016
YesEvidence 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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Ethiopia2016No
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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IndiaBiharFeb 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above, and the August 2017 report, below.
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IndiaChhattisgarhFeb 2017YesKarvy Insights Limited
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes, possibly excepting 4 of 31 districts
193 schools and 191 anganwadis for process monitoring (200 of each targeted); 495 schools and 495 anganwadis (500 of each targeted) and 1390 students (1500 targeted) for coverage validation
76% of schools; 71% of anganwadis
97% of schools; 86% of anganwadis
94% of schools; 94% of anganwadis
45% of schools; 51% of anganwadis
67% of schools; 59% of anganwadis
Not reported
Not reported; coverage validation found 97%
One to two weeksYes
Some, not rigorous
Yes, possibly excepting 4 of 31 districts
Not reported97%
0.47 for schools; 0.73 for anganwadis
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IndiaJharkhandFeb 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above, and the August 2017 report, below.
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India
Madhya Pradesh
Feb 2017YesKarvy Insights Limited
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
249 schools and 251 anganwadis (250 of each targeted) for process monitoring; 625 schools and 625 anganwadis (625 of each targeted) for coverage validation
65% of schools; 79% of anganwadis
78% of schools; 85% of anganwadis
87% of schools; 90% of anganwadis
47% of schools; 52% of anganwadis
60% of schools; 54% of anganwadis
Not reported
Not reported; coverage validation found 96%
One to two weeksYes
Some, not rigorous
YesNot reported93%
0.45 in schools; 0.80 in anganwadis
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IndiaRajasthanFeb 2017Yes
State Institute of Health and Family Welfare
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
250 schools and 250 anganwadis (250 of each targeted) for process monitoring; 625 schools and 625 anganwadis (625 of each targeted) and 1780 children (1875 targeted) for coverage validation
80% of schools; 82% of anganwadis
86% of schools; 91% of anganwadis
91% of schools; 94% of anganwadis
65% of schools; 72% of anganwadis
80% of schools; 61% of anganwadis
Not reported
Not reported; coverage validation found 98%
One to two weeksYes
Some, not rigorous
YesNot reported97%
0.81 in schools; 0.76 in anganwadis
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IndiaTelanganaFeb 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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IndiaTripuraFeb 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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IndiaUttar PradeshFeb 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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IndiaBiharAug 2017YesKarvy Insights Limited
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Partially (11 out of 35 districts were excluded due to rescheduling NDD)
131 schools and 133 anganwadis for process monitoring; 693 schools and 693 anganwadis for coverage validation
81% of schools; 83% of anganwadis
79% of schools; 94% of anganwadis
92% of schools; 96% of anganwadis
68% of schools; 62% of anganwadis
86% of schools; 74% of anganwadis
Not reported
Not reported; coverage validation found 96%
Two weeksYes
Some, not rigorous
Partially (11 out of 35 districts were excluded due to rescheduling NDD)
82% of government schools; 45% of private schools
98%
0.76 in schools; 1.11 in anganwadis
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IndiaChhattisgarhAug 2017YesKarvy Insights Limited
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
153 schools, 163 anganwadis
63% of schools; 63% of anganwadis
88% of schools; 85% of anganwadis
85% of schools; 89% of anganwadis
24% of schools; 28% of anganwadis
66% of schools; 59% of anganwadis
Not reported
Not reported; coverage validation found 94%
Two weeksYes
Some, not rigorous
YesNot reported97%
0.58 in schools; 1.06 in anganwadis
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IndiaJharkhandAug 2017YesCentre for Media Studies
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
200 schools and 200 anganwadis for process monitoring; 500 schools and 500 anganwadis for coverage validation
62% of schools; 71% of anganwadis
77% of schools; 74% of anganwadis
86% of schools; 82% of anganwadis
68% of schools; 62% of anganwadis
56% of schools; 47% of anganwadis
Not reported
Not reported; coverage validation found 95%
Two weeksYes
Some, not rigorous
YesNot reported100%
0.49 in schools; 1.04 in anganwadis
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IndiaKarnatakaAug 2017YesUnclear
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
249 schools and 250 anganwadis (250 of each targeted) for process monitoring; 625 schools and 625 anganwadis (625 of each targeted) for coverage validation
57% of schools; 72% of anganwadis
61% of schools; 67% of anganwadis
72% of schools; 72% of anganwadis
25% of schools; 27% of anganwadis
64% of schools; 64% of anganwadis
Not reported
Not reported; coverage validation found 91%
Two weeksYes
Some, not rigorous
YesNot reported98%
0.56 in schools; 1.15 in anganwadis
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IndiaTelanganaAug 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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IndiaTripuraAug 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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IndiaUttar PradeshAug 2017No
Note: Received but not reviewed. We reviewed the 2016 report, above.
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Kenya2017Yes
Monitoring team employed by Evidence Action
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes
2% of schools – 295 planned, 296 actual for process monitoring; 60 students for coverage validation
Not reported93%Not reported
Not entirely clear, but probably high
No more than 83% fully following protocol
Not reported91%
Generally within a week, but up to three months
Not reportedYesYesNot reported94%N/A
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Vietnam2017Yes
Center for Environment and Health Studies
Unclear
Yes, with some replacement
66 schools for process monitoring (87 schools counting satellite schools); 132 schools for coverage validation
92.0%91.1%
97% on deworming day; 100% within 3 days
91%48.1%70.9%92.40%6 to 11 daysYesYes
Yes, with some replacement
Not reported97.6%Not reported
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NigeriaCross River2017YesInfotrak Research and Consulting
"Don't know" is treated as a valid response, separate from "Yes" and "No"
Yes70 schoolsAt least 70%Not reportedNot reported97%Not reported82%Not reportedN/AN/AN/AN/A96%N/AN/A
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