REPUBLIC OF ZAMBIA
MINISTRY OF HEALTH
ACTIVITY REPORT
Title of Activity: The 2015 National Malaria Indicator Survey Training Workshop
13th to 19th April 2015
Submitted by:
Date: 04th May 2015.
Mercy Mwanza Ingwe -Surveillance and Information officer –
NMCC
Nawa Mukumbuta – Program Officer UNDP
Location: Barn Motel, Lusaka
Date:
13th to 19th April 2015
Implementers:
MOH,MACEPA, PMI/ UNDP, WHO,
UNICEF
Table of Contents
1.0 Background ............................................................................................................................................. 3
1.1 Training Workshop Objectives; ........................................................................................................... 3
1.2 2015 Malaria Indicator Survey Specific Objectives; ............................................................................ 3
2.0 Training Methodology............................................................................................................................. 4
3.0 Results: .................................................................................................................................................... 7
3.1 Key Outputs and Take Home Messages:............................................................................................. 7
3.2 Next Steps ........................................................................................................................................... 8
4.0 Annexes: .................................................................................................................................................. 9
4.1 2015 Malaria Indicator Survey Participants List ................................................................................. 9
4.2 Daily Attendance Lists ....................................................................................................................... 11
1.0 Background
The Ministry of Health, through the National Malaria Control Centre (NMCC), in collaboration
with the Central Statistics Office and with Roll Back Malaria (RBM) partners, will be conducting
the National Malaria Indicator Survey 2015 to assess the community-level availability of key
malaria interventions and the status of malaria-related burden through anemia and parasite
prevalence testing for children under five. The survey is planned for 150 randomly selected
clusters throughout the country. This effort builds on our previous efforts of the National
Malaria Indicator Surveys in 2006, 2008, 2010, and 2012. To facilitate for the survey field work,
NMCC and partners conducted a 7 days training workshop from 13th to 19th April 2015 at the
Barn Motel in Lusaka. The workshop was officially opened by the Director Disease Surveillance,
Control and Research – Dr. E. Chizema and was officially closed the by the Permanent Secretary
in the Ministry of Health – Dr. D. Chikamata.
1.1 Training Workshop Objectives;
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To update participants on the objectives, scope and context of the MIS 2015.
To train data collectors in collecting up-to-date information on coverage of Core
interventions in NMSP (2011-2015) using Epi-data on smartphones.
To train data collectors in collecting clinical information such as malaria and anaemia
testing and preparations of blood slides.
Strengthen the capacity of the NMCC and local agencies in implementation of malaria
surveys.
1.2 2015 Malaria Indicator Survey Specific Objectives;
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To collect up-to-date information, building on the experience of the previous MISs) on
coverage of the core malaria interventions included in the National Malaria Strategic
Plan 2011 – 2016.
To assess malaria parasite prevalence.
To assess the status of anaemia among the target populations (in particular children 6 –
36 months and women 15 to 49 years).
To assess disparities in malaria intervention coverage, and malaria parasite and anemia
prevalence among the surveyed population by location and other background
characteristics
To implement standardized, representative household survey methods.
To strengthen the capacity of the National Malaria Control Centre and local agencies
involved in order to facilitate the implementation of surveys of this type in the future.
2.0 Training Methodology
The training was conducted through;
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

PowerPoint presentations
Practical sessions on the use Epi Sample on smartphones for data collection
Practical sessions on malaria testing using blood slides, RDTs and anemia testing
Role play
One day field practical in a community setting in Chinkuli ward of Chongwe district
The table below is a summary of the training program:
Zambia National Malaria Indicator Survey 2015
Training schedule 13 April - 19 April
The Barn Motel, Lusaka
Time Content
Monday, 13 April 2015
8:30 Registration
9:00 Introductions of staff and participants (roll call), Administrative
arrangements for training week, distribution of training
manuals
Welcome Remarks
9:15 Formal Introduction of Survey Effort
9:30 Introduction and Objectives of MIS 2015
9:45 Results of MIS 2012 (MIS 2012 Reports)
10:15 Multiple survey groups (National MIS, MDA Follow up survey,
cohort)
10:30 Break
10:45 Survey logistics including timelines, training schedule,
transportation, per diems, etc.
11:30
12:00
Official Opening of MIS 2015 Training Workshop
Participation Agreement and other forms for consideration
12:30
13:30
14:00
15:00
15:15
Lunch
MIS 2015 sampling strategy
Questionnaire overview/Interviewer Techniques
Break
Introduction to the Smart Phone Data Collection Tool
16:30
GPS, listing and household selection
18:00 End for day
Tuesday, 14 April 2015
8:30 Listing and cluster selection/Backup of Listing
10:30
10:45
Break
Consent/Ethical issues
Facilitator/s
Secretariat
NMCC
Dr. Chizema / MoH
Dr. M Kamuliwo / MoH Official
NMCP/Dr Hamainza
TBD
John Miller
UNDP/Mercy MwanzaIngwe/Mulenga
Matches/Muleba Matafwali
TBA
Mercy Mwanza-Ingwe/Chris
Lungu/Kafula Silumbe
CSO, John Miller
NMCC
Christopher Lungu/Neil
Hendrick/NMCC
Christopher Lungu/Neil
Hendrick/NMCC
Christopher Lungu/Neil
Hendrick/NMCC
NMCP/Fred Masaninga/Busiku
11:00
Team Assignments
12:30
13:30
Lunch
EpiSample Questionnaire training/Team leaders break away
Admin sesssion
15:00
15:15
Break
EpiSample Questionnaire training/Team leaders break away
Admin sesssion
18:00 End for day
Wednesday, 15 April 2015
8:30 EpiSample Questionnaire training
10:30
10:45
Break
EpiSample Questionnaire training
12:30
13:30
Lunch
Laboratory Overview
14:00
Treatment protocol
14:30
EpiSample Questionnaire training/Laboratory training
(Concurrent Sessions)
15:00
15:15
Break
EpiSample Questionnaire training/Laboratory training
(Concurrent Sessions)
18:00 End for day
Thursday, 16 April 2015
8:30 Blood training day for the nurses (includes finger sticks and
blood smears, rapid tests and hemocues)
10:30
10:45
Concurrent session where the enumerators learn Smart Phone
tool responsibilities such as data backup, recharging, basic
troubleshooting, and an introduction to GPS so that they can
help teach the larger group the next day.
Break
EpiSample Questionnaire training/Laboratory training
(Concurrent Sessions)
Hamainza
NMCP/Mercy MwanzaIngwe(Lead)/Moonga Hawela
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
Moonga Hawela/Dr
Mudenda/Lungowe Sitali/Jacob
Chirwa
Dr Mudenda/Dr Rodgers
Mwale/ Busiku Hamainza
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
Moonga Hawela/Dr
Mudenda/Lungowe Sitali/Jacob
Chirwa
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
12:30
13:30
Lunch
Smart phone backups/Charging and troubleshooting
15:00
13:30
Break
Smart phone backups/Charging and troubleshooting
18:00 End for day
Friday, 17 April 2015
7:00 Organize teams for Field Practical
8:00 In the field for Field training day - Chongwe Enumeration Areas
15:00 Administrative issues and field logistics (ALL MUST ATTEND)
18:00 End for day
Saturday, 18 April 2015
8:00 Supervisor roles
9:00 Debrief from field experience
10:00 BREAK
15:00 Role play follow up
18:00 End of Day
Sunday, 19 April 2015
8:00 Break
13:00 Role play follow up
15:00
16:00
Teams organize materials and prepare to leave Monday
Monday, 20 April 2015
8:00 Vehicles assemble
10:00
Field teams leave
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
NMCP/CSO/Moonga
Hawela/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
All facilitators
Facilitators
Mercy Mwanza-Ingwe and all
facilitators
All facilitators
NMCP/CSO/Moonga
Hawela/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
All facilitators
All facilitators
NMCP/CSO/Moonga
Hawela/Christopher
Lungu/Kafula Silumbe/Mercy
Mwanza-Ingwe/Busiku
Hamainza/Neil Hendrick
3.0 Results:
A total of 102 people attended the training including support staff, out of these 72 were core
data collectors who included nurses (29), lab technicians (29) and mappers (14) from Central
Statistics Office. Others were facilitators from the National Malaria Control program,
cooperating partners who were supporting the survey in technical, financial capacity and some
support staff. Below is a summary breakdown of the attendees by organization:
Organization
Central province
Copperbelt Province
Eastern Province
Luapula
Lusaka
Muchinga
Northern
Northwestern
Southern
Western
Central statistics Office
Ministry of Health
MACEPA
USAID
UNDP
UNICEF
UNZA
WHO
Total
No. Participants
Category of Participants
4
6
7
6
7
5
7
6
4
6
14
17
7
1
2
1
1
1
102
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Nurses, Lab technicians
Mappers
Directors, Facilitators and support
staff
Technical experts
Technical experts
Facilitators
Technical experts
Technical experts
Technical experts
3.1 Key Outputs and Take Home Messages:


A total of 70 data collectors were trained with 2 backups, were subdivided into 14 teams
comprising of 2 nurses and 2 laboratory technicians and 1 CSO mapper for period of 6
weeks in all the ten provinces.
These would commence field work from Monday April 20, 2015 by travelling to their
different destinations in the 10 provinces and start the data collection immediately.
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Each team would collect data from clusters in the districts comprising of an average of
120 households in each cluster.
Each district will have 2-3 clusters sampled. These are based on historical sampling from
previous MISs.
Each group will spend minimum of 3 days in each cluster, first day mapping the
households and the next two days data collection.
The work involved will be interviewing respondents on the knowledge, attitudes and
behaviors related to malaria key indicators using a standard questionnaire covered
during the training.
The questionnaires are electronic and preloaded in the smartphones using epi-data
software, upon completion of each record; the data is then automatically uploaded to
the central database in Lusaka. The smartphones have GPS capabilities and linked
directly to the central database.
The teams will also test anemia under five children and pregnant women using hemocues; a digital application and report results directly using the smart phones. This is to
ascertain the prevalence of aneamia in these key populations.
The teams will also test for malaria in under five children and pregnant women using
RDTs and blood slides and send back the cassettes and slides to the NMCC for further
analysis. This is to ascertain the prevalence of malaria in these key populations.
Teams of experts will follow up the data collectors to provide technical assistance and assure
quality of the field work.
3.2 Next Steps



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Field work by fourteen teams.
Supervision of the survey field work.
Data analysis
Report writing and dissemination
4.0 Annexes:
4.1 2015 Malaria Indicator Survey Participants List
No.
1
Central
Name
Hilda Mutampuka
Nakawala
Position
Duty Station
Nurse
Kabwe Gen Hosp
2
Central
Baptista Kasumo Mofya
Nurse
Kabwe Mine Hosp
3
Central
Stephen Chibuta
Lab
Kapiri DH
4
Central
Mordecai Malambo
Lab
Liteta Hosp
5
Copperbelt
Patricia Mwale
Lab
Kakosa Health Centre
6
Copperbelt
Brenda Mudenda
7
Copperbelt
Ireen Mutamina Chomba
Nurse
Masaiti Council Health Centre
8
Copperbelt
Martin Mweshi
Lab
Kalulushi Govt Clinic
9
Copperbelt
Albert Kasuba
Nurse
Machiya RHC
10
Copperbelt
Sr. Susan Katwishi
Lab
St. Joseph RHC
11
Eastern
Everlyn Banda Kasukumya
Nurse
Petauke
12
Eastern
Lenia Banda
Nurse
Chadiza
13
Eastern
Prisca S. Kamena
Nurse
Mambwe
14
Eastern
Frank Kapeka
Lab
Lundazi
15
Eastern
Justina Phiri Dowatt
Lab
Nyimba
16
Eastern
Nzima Gersom
Lab
Mambwe
17
Eastern
Thandiwe Banda
Nurse
Lundazi
18
Luapula
Melody Chisopo Shawa
Nurse
Mansa DHO
19
Luapula
Josephine Mumbi Chatama
Nurse
Mansa Gen. Hosp
20
Luapula
Agness Mupeta
Nurse
Chipili DHO
21
Luapula
Joseph Mwewa
Lab
Mansa Gen. Hosp
22
Luapula
Richard Ngwenya
Lab
Milenge DHO
23
Luapula
Allan Kalapa
Lab
Kasaba Hosp Samfya
24
Lusaka
Beatrice Kakhuni
Nurse
0977365649
25
Lusaka
Peter Akombwa
Lab
26
Lusaka
Margert K Kafwelu
Nurse
Kamwala clinic
27
Lusaka
Maggie Mwila
Nurse
Luangwa
28
Lusaka
Kelvin Chibwalwe
Lab
Rufunsa
29
Lusaka
Judy Mwanza
Lab
Kafue DH
30
Muchinga
Getrude Katongo
Nurse
Isoka DHO
31
Muchinga
Beatrice Mutale
Nurse
Isoka DHO
32
Muchinga
Perinah Hamutete
Lab
Chinsali DH
33
Muchinga
Jairos Khondowe
Lab
Nakonde DH
34
Muchinga
Raphael Likando
Lab
Muyombe RHC
35
Northern
Josphat Nkole
Lab
Mporokoso
Ndola - Ndeke UHC
36
Northern
Romu Makwakwa
Nurse
Mungwi
37
Northern
Rita Phiri Bwanga
Lab
Mbala
38
Northern
Chipo Siantebele
Lab
Mpulungu
39
Northern
Samuel Chonya
Nurse
Mbala
40
Northern
Sydney C Chipili
Nurse
Kaputa
41
Northern
Sr. Ngosa Elizabeth Ndili
Lab
Kasama Hospital
42
North-Western
Hellen Phiri
Nurse
Solwezi DH
43
North-Western
Leah Makanta
Nurse
Solwezi DH
44
North-Western
Kamaya Kalimbwe
Nurse
Solwezi DH
45
North-Western
Hebert Mbewe
Lab
Solwezi DH
46
North-Western
Catherine Lunda
Lab
Solwezi DH
47
North-Western
Thomas Silumbwe
Lab
Solwezi DCMO
48
Southern
Flonny Mutabali
Nurse
Chipepo RHC
49
Southern
Emmanuel Vwavwa
Nurse
Kafue DH
50
Southern
Sophie Musonda
Lab
Sinazongwe DCMO
51
Southern
Christine Musonda
Lab
Mazabuka Gen.Hosp
52
Western
Kate Kelewa Manyando
Nurse
Kalabo
53
Western
Wamundila Kamwi
Lab
Lewamika Hospitial
54
Western
Mike Phiri
Lab
Yeta Hospital
55
Western
Bridget Lubinda
Nurse
Mulobezi
56
Western
Siame Ivwananjiji
Nurse
Lukulu
57
Western
Zakeyo Mwanza
Lab
Kaoma
58
Lusaka
Florence Kayombo Lumbala
Nurse
Chilenje Clinic
59
Lusaka
Clymore Kalyangile
Mapper
CSO
60
Lusaka
Aaron Phiri
Mapper
CSO
61
Lusaka
Sinyembe Sinyemba
Mapper
CSO
62
Lusaka
Gershom Musenge
Mapper
CSO
63
Lusaka
Aggripa Mwinga
Mapper
CSO
64
Lusaka
Justine Hambamba
Mapper
CSO
65
Lusaka
Owen S. Mwimbu
Mapper
CSO
66
Lusaka
Siwanasoto Fredrick
Mapper
CSO
67
Lusaka
Mweemba Munachilau
Mapper
CSO
68
Lusaka
Conrad Sinkanyiti
Mapper
CSO
69
Lusaka
Chishimba Bonaventure
Mapper
CSO
70
Lusaka
Albert Munkanda
Mapper
CSO
71
Lusaka
Mpatisha Ernest
Mapper
CSO
72
Lusaka
Kamocha Collins
CSO
73
Lusaka
Dr. E. Chizema
Mapper
Director Disease Surveillance
and Research
74
Lusaka
Dr. M. Kamuliwo
Dep. Director Disease
MOH
MOH
Surveillance and Research Malaria
75
Lusaka
Dr. M. Mudenda
MOH
Dr. Busiku Hamainza
Case Management Officer
Principal Operations Research
Officer
76
Lusaka
77
Lusaka
Dr. Chadwick Sikaala
Entomologist
MOH
78
Lusaka
Moonga Hawela
MOH
79
Lusaka
Mercy Mwanza Ingwe
Chief Parasitologist
Surveillance and Information
Officer
80
Lusaka
Jacob Chirwa
Principal Lab technologist
MOH
81
Lusaka
Ketty Ndlovu
Principal ITN Officer
MOH
82
Lusaka
Pauline K. Wamulume
Principal IEC Officer
MOH
83
Lusaka
Reuben Zulu
Principal IRS Officer
MOH
84
Lusaka
MarthaC. Mulenga
Logistics Officer
MOH
85
Lusaka
Tadious Chimombe
Pharmacist
MOH
86
Lusaka
Brenda Sichone
Secretary
MOH
87
Lusaka
Christine Tembo
Admin
MOH
88
Lusaka
Smart Tembo
Driver
MOH
89
Lusaka
Dr. John Miller
Technical Advisor
MACEPA
90
Lusaka
Chris Lungu
M&E Officer
MACEPA
91
Lusaka
Kafula Silumbe
M&E Officer
MACEPA
92
Lusaka
Muleba Matafwali
Admin
MACEPA
93
Lusaka
Sosenna Assefa
Admin
MACEPA
94
Lusaka
Belendia Abdissa
Developer
MACEPA
95
Lusaka
John Espana
Peace Cop
USAID
96
Lusaka
Neil Hendrick
MACEPA
97
Lusaka
Dr. Freddie Masaninga
Developer
Malaria National Programme
Officer
98
Lusaka
Dr. Rodgers Mwale
99
Lusaka
Dr. Nawa Mukumbuta
Malaria Programme Officer
UNDP
100
Lusaka
Nalukui Sii Kazilimani
M&E Officer
UNDP
101
Lusaka
Lungowe Sitali
Lecturer
UNZA - SOM
102
Lusaka
Maiwase Mkamana
Admin
MOH
4.2 Daily Attendance Lists
MOH
MOH
WHO
UNICEF