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Household Survey Indicators for Malaria Control

Health Metrics Network: Assessing the National Health Information System

The purpose of this manual is to provide detailed specifications for the indicators that can be measured through household surveys and the data that is required for their construction, as well as the issues related to their interpretation. Details of the data collection methods required for estimating these indicators through national-level household surveys are also provided. This manual is intended to maximize internal consistency and comparability of the indicators and the types of data collection methods used across countries and over time.

It should be noted that the indicators and measurement tools described in this guide were developed in the context of the high malaria burden countries of Africa. While children under five and pregnant women are most at risk for malaria in these settings, programs are attempting to attain universal coverage and utilization of vector control interventions across all age groups. Monitoring and evaluation efforts will reflect this program emphasis. In other settings, such as Southeast Asia and Latin America, where the distribution of malaria is more focal, a more targeted approach to monitoring and evaluation may be necessary. Likewise, the indicators to measure ITN use or IPTp may not reflect the preventive strategies used in some settings.

Due to increased funding in the past few years, malaria control efforts have expanded rapidly, and interventions have evolved with the changing funding climate. Technical strategies for the control and prevention of malaria have also evolved according to new evidence from the field and changes in technical recommendations and strategic targets. Given these changes, this manual has been reviewed and revised substantially from the version published in 2009.

Tool Designer Organization:
RBM Partnership
Tool [in English]
Jui Shah

Summary of main features

To provide guidance on the core indicators that can be measured through household surveys, the required data, and issues related to interpretation.
Scope of interventions
These guidelines were developed in the context of the high-burden countries of Africa and may not be suited to other contexts, such as South-East Asia or Latin America.
Household surveys, M&E plans
Time frame
Any time a survey is being planned in the country; during national planning exercises
Potential users
Programme managers, partners, and donors
Skills required
No specific skills—some knowledge of M&E and programmatic issues.
Type of software
Adobe PDF
User manual available?
Type and length of training required
Available languages
Country applications
National surveys; monitoring and evaluation plans
Last update and version
June 2013