District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 1

District Level Management NTD Training Course

Session 5.2:

Determining Total Population in the catchment area

Module 5

Programme operations and Logistics

Revision:29.5.2015 (Global version)

District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 2

District Level Management NTD Training Course

Determining Total Population in the catchment area

Purpose:

This Unit aims at equipping learners with knowledge and skills on the essential field operations at district, sub-district and community levels in order to

determine total populations in their catchment areas.

District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 3

District Level Management NTD Training Course

Learning objectives

At the end of this unit, learners will be able to • Explain the significance of determining populations

requiring preventive chemotherapy for the five PC-NTDs. • Conduct a census determining populations • Use census data for estimating requirement of PC

medicines and other supplies.

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District Level Management NTD Training Course

Census Registration

• Census is undertaken to determine community populations when community distributors/ community health volunteers visit all the households in a community in order to count and register the people eligible to receive MDA (or everyone in the household)

• The census data is used to determine number of tablets required for treatment of each disease and estimate drug and other logistic requirement.

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District Level Management NTD Training Course

Advantages and disadvantages of each Census method

Census type Advantage Disadvantage

Community census data

- More accurate if CDDs are well trained

- Not always updated by CDDs - May lead to under -estimation of

drugs and other Logistics

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District Level Management NTD Training Course

Important definitions

• The total population comprises all those who are living in the community including pregnant and lactating women, children and sick people.

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District Level Management NTD Training Course

Census/Medicine distribution form

• Community Register. 2013.xlsx

• Example from Tanzania (Community Distributor’s Version)

Use country specific census /medicine distribution form

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District Level Management NTD Training Course

Information collected during target population registration

• Name of house hold members, age, gender

• In case school-age children, note whether the child attends school and the name of school

• Use each class attendance register and include those who are absent in the register and estimate

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District Level Management NTD Training Course

Determining the denominator for each PC disease

Disease Total Population

Target population

Tablets / person

Number of tablets needed

ONCHO Total Community population

80 % of total population

IVM 2.8 100 % target population x 2.8

LF + ONCHO

Total Community population

80 % of total population

IVM- 2.8 + ALB 1

100 % of target population x 2.8 100% of target population x1

LF Total endemic district census population

100 % of total population

DEC 2.5

- ALB 1

100% of target population x 2.5 100 % of target population x 1

District Level Management NTD Training Course Meeting NTD STAG, 29-30 April 2013, Geneva, Switzerland 10

District Level Management NTD Training Course

Determining the denominator for each PC disease

Disease Population Target population

Dosage (Tablets)

Number of tablets needed

SCH Total school population

Enrolled Praziquantel 2.5

Total school x 2.5

Total Community population

80% of total population

Praziquantel 3 80% total population x 3

STH Total School population Total Community population

School age 5-14 years old Pre-school age 1-4 years old Women of child bearing age

Albendazole /Mebendazole 1

100% registeredx1 100% registeredx1 100% registeredx1

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District Level Management NTD Training Course

Determining the denominator for each PC disease

Disease Population Target pop Dosage (Tablets /syrup)

Number of tablets needed

Trachoma* Total Population

Above 5 years

Zithromax 3 tablets

80% of total pop x 3

Total Population

1-5 years Zithromax syrup 10 ml

18% of total pop x 10ml

Total Population

Below 1 year

Tetracycline eye ointment = 2 tube/child

2% of total pop x 2

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District Level Management NTD Training Course

Some Q&A on population census?

Questions Census Why is this operation necessary? • Estimating PC medicines

• Treatment distribution

• Evaluate performance

When should this operation take place • Before MDA starts

Who should lead on this operation • CDD /Community health volunteers or

appropriate personnel

What are the logistics needed • Household & School registers

• Health Facility & District MDA Summary Data forms

What are the issues •Incomplete census leading to

shortage of medicines etc.

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District Level Management NTD Training Course

Session 5.2: Key messages

• Census is useful to determine people requiring PC medicines for MDA

• Census facilitates more accurate estimation of quantity of PC medicines to procure