National Project Implementation Plan - NVBDCP

treat malaria correctly. Modules for use by KATS for LQAS are being developed
to include client interviews, provider interviews and observation of the facilities.
In order to minimize data collection the project will apply a new approach to
LQAS analysis called Large Country LQAS (LC-LQAS). 10 Using this approach a
statistically determined sample of sectors will be made at a point in time (e.g.,
15 sectors or 5 blocks per MTS).This approach will permit assessment of the 15
sectors after 5 weeks and also calculate a point estimate for the district. LC-
LQAS permits the program to carry out an innovative approach to program
monitoring for it can carry out 3 waves of data collection at key times of the
year (e.g., at the beginning of the high transmission season, at the end of the
high transmission season, and at the low transmission season. The resulting
data will permit program managers to determine the stability of net use and
case management throughout the year, and therefore inform program
managers about priority support that is needed in PHCs. Most key program
outcome indicators will be measured using the LC-LQAS data.
In addition, two cross-sectional household surveys to collect the same data
plus selected other variables, especially malaria prevalence will be carried out
in 2010, and 2013 across the high-burden districts after approval from MOH.
Cross sectional household and health facility surveys have been carried out for
kala-azar in 2006 and the findings were used in the JMM. These surveys were
very useful in planning the kala-azar programme. Similar surveys are proposed
in 2008, 2010 and 2013 to monitor progress in kala-azar elimination.
(b) A Logistic Management Information System (LMIS)
This will be created to track LLINs, insecticides, RDTs and ACTs from their
purchase or point of entry to the project districts to the decentralized
distribution points in the PHC areas. For kala-azar it is proposed to include RDK
and first line medicines. The LMIS will use a standardized form that records the
quantity of LLINs, RDTs (or ‘rk39’) and ACTs (or first line medicines for the
treatment of kala-azar) at each point where an organization takes delivery or
delivers these commodities. The LMIS tracks the distribution of the products
down to the lower sub-district level service delivery points. Each district will be
responsible for tracking its own allotments but will be required to use one
reporting system and forward this information centrally to the NVBDCP. The
LMIS will show the spatial distribution of LLINs, RDTs, (‘rk39’) ACTs and first
line medicines for kala-azar in the project area, and provide the project
management with information to determine whether any area is deprived of
needed commodities. The MTS/KTS or a different person (e.g., a designee or
10 Bethany Hedt, Casey Olives, Marcello Pagano, Joseph J. Valadez, “Large Country-Lot Quality
Assurance Sampling: A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and
Population Programs at Sub-National Levels.” The World Bank. (In Review 2008). LC-LQAS has
already been used in Eritrea, Kenya, Nigeria and Uzbekistan.
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