Coverage Survey Builder (CSB) – A Microsoft Excel-based tool that was designed to aid survey coordinators with the planning and implementation of a coverage evaluation survey. The CSB is available for download at: . Drug Package – Combination of preventive chemotherapy drugs, which are given out together to treat one NTD. Eligible Population– The population targeted for MDA treatment, based on drug-specific eligibility criteria. Epidemiological Coverage – The proportion of individuals in the survey area who have swallowed the drug, or combination of drugs, out of the total population in the survey area, regardless of treatment eligibility. Household (HH) – A group of people who eat and live together. Implementation Unit – The administrative unit in a country that is used as the for making decisions about implementing MDA. Interviewer – The person in charge of questioning the respondents and filling out the questionnaire. Mass Drug Administration (MDA) – A method of preventive chemotherapy distribution in which drugs are administered to the entire population of an area (e.g., state, region, province, district, sub-district, village) at regular intervals, regardless of individual infection status. Preventive Chemotherapy – The use of anthelminthic drugs (or, for trachoma, an antibiotic), alone or in combination, as a public health tool to control or eliminate neglected tropical diseases. In preventive chemotherapy, all individuals in endemic communities/areas are treated regardless of infection status. Preventive chemotherapy is commonly delivered through mass community- and school-based distributions. Preventive Chemotherapy Coverage – A general term meant to encompass the various types of coverage (e.g., geographical coverage, national coverage, epidemiological coverage, reported coverage) that programmes may calculate and report. Programme Reach – The proportion of people in the survey area who were given the opportunity to receive the preventive chemotherapy, regardless of whether the drug(s) was ingested. Reported (aka Administrative) Coverage – The coverage calculated from data reported by all drug distributors, with census figures or drug distributor reports used to estimate the population denominator.
Household Survey to Measure Coverage of [list drug(s) here] Among [list survey population here ] Interviewer Code: |__|__|__| District: |__________________| Sub-district: |_______________| Subunit (EA/Village/Other_______________): |___________________________| HH No: |__|__|__| Date of interview (dd/mm/yyyy): |__|__|/|__|__|/|__|__|__|__| Household Head:_______________________________ Survey population: ________________________________________________ [Drug 1] [Drug 2] # Name Sex (M/F) Age (Years) HH member present (Y/N) Offered the drug(s)? (Y/N/DK) Reason not offereda Swallow the drug(s)? (Y/N/DK) Reason DID NOT swallowb Reason DID swallowc Offered the drug(s)? (Y/N/DK) Reason not offereda Swallow the drug(s)? (Y/N/DK) Reason DID NOT swallowb Reason DID swallowc 1 2 3 4 5 6 7 8 9 10 aReason treatment was not offered bReason treatment was not swallowed cReason treatment was swallowed 1= Underage 6= Didn't hear MDA 1= Fear of side effects 1= Fear of disease(s) 2= Pregnant 7= Drug ran out 2= Bad taste 2=To disease(s) 3= Breast feeding 8= Nobody came 3= Not sick 3= Because it was given/ free 4= Sick 9= 4= Not enough information given 4=Useful information from CDD 5= Absent 5=
APPENDIX 2: RESULTS ENTRY FORM Drug: Order Subunit Name No. Females Interviewed No. Males Interviewed No. Females Offered No. Males Offered No. Females Swallowed No. Males Swallowed Total Sample Size 0 Female Sample Size 0 Male Sample Size 0 Program Reach 0 Female Program Reach 0 Male Program Reach 0 Surveyed Coverage 0 Female Surveyed Coverage 0 Male Surveyed Coverage 0