COURSE ANNOUNCEMENT Training Rapid Health Survey for Public Health Researcher

DATES 8-12 November, 2010 (5-day) PLACE Holiday Inn Silom Bangkok ORGANIZERS Field Epidemiologist Association of Thailand (FEAT) Application deadline: 31 October 2010

With the cooperation of: National Family Planning Coordinating Board, Indonesia Field Epidemiology Training Program Thailand Bureau of Epidemiology, Ministry of Public Health - Thailand THE COURSE As the National Family Planning Coordinating Board (BKKBN), Indonesia has an intention to improve their researcher capability to conduct rapid health survey, and FETP Thailand have regularly provided this kind of training workshop for public health workers and researchers, including the Rapid Survey Workshop instructed by Dr. Ralph Frerichs in 2007, we would like to propose a five-day workshop on rapid health survey to strengthen the researcher capacity in rapid monitoring and evaluating of the program performance. Rationale of the Training This training will provide an opportunity for National Family Planning Coordinating Boards researchers and relevant participants from Thailand and other countries to learn the theoretical and application of the Rapid Health Survey module. Purpose The purpose of the training is to gain understanding, knowledge and skills about the various aspects of rapid health survey, including the following: 1. Theoretical framework 2. Methodological framework 3. Application of the module Expected Outputs 1. The participants will be knowledgeable and understand more on usefulness and methods of rapid health survey 2. The participants will have opportunity to practice and finally possess various skills needed to do a rapid health survey. PARTICIPANTS The team will comprise 10 to 12 researchers from central and provincial level. The participants are middle and junior researchers as well as staffs that intended to become a researcher. A maximum of 25 participants will be selected. TEACHING TEAM International team of recognized experts identified through professional networks of the partners. WORKING LANGUAGE : English COURSE FEE: USD. 1,400 cover tuition fee, coffee breaks, lunch and accommodation during 8-12 November 2010 and round trip transfer from airport-hotel.

TRAVEL, ACCOMMODATION AND LIVING EXPENSES Participants will be responsible for their round trip travel costs to and from Bangkok, Thailand and dinner. APPLICATION Please use the Course application form at http://www.interfetpthailand.net and send it together with a statement summarizing your experience and the relevance of the course to your current or future projects in no more than 700 words. Applications should be mailed to the following contact address: Contact Field Epidemiologist Association of Thailand (FEAT) 88/20 Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health, Tiwanond Road, Nonthaburi, 11000, Thailand Tel: +66 2590 1734 Fax: +66 2590 1784 Dr. Than Zin at thanzin76@gmail.com or Ms. Walaiporn Jiaranairungroj E-mail: beau_wj@hotmail.com

Rapid Health Survey Workshop

Monday 18 November 2010 Overview of Research Methods and Issues Introduction Use of rapid surveys Describe health problems, knowledge, attitudes and practices in populations; Determine possible causative factors; Evaluate programs and projects Policy issues Cost-benefit analysis and cost-effectiveness analysis; Efficacy, effectiveness and efficiency; Forms of evaluation; Evaluate efficiency Preventing disabled years or premature death years Social values and mortality Mortality & Fertility indicators for cost-effectiveness analysis Mortality rates; Years of potential life lost; Healthy life lost; Disability-adjusted life years (DALYs) Adding the reproductive, fertility and family planning indicators! Questions Who is to be surveyed? Target population; Study population; Potential bias What unit is to be sampled? Households; Individuals; Episodes, events or beliefs How much error is acceptable? Truth; Systematic error (bias); Accuracy How valuable is the information? Planning a survey Frequency of surveys Required information and cost Standardized measurements Instruments for obtaining measurements Plausible values for measurements (range and logic check) Determine sampling strategy and design Simple random sampling; Systematic sampling; Stratified random sampling; Simple cluster sampling; Two stage cluster sampling Interview surveys General comments Standardization Recognition of reproductive conditions Recognition of events Sources of bias Misclassification bias; Selection bias; Recall bias; Observation period bias Tuesday 9 November 2010 Hardware and Software Portable computers

Portable printers Software Word-processing; Form-making; Sample management; Spreadsheet; Statistical software Rapid survey Planning Formulate the study objectives; State the aims; Identify the variables; Feasibility study; Conduct a small pilot study Organizing and conducting Approval; Involvement of local officials; Language problems; Introduction to subjects; Supervision; Preliminary analysis in field; Presentation of selected findings to local officials and guests; Final analysis; Write final report Interview training Types of interviews Confidential; Non-confidential Approach to interviews Use of role playing Statistical Methods and Issues For Rapid Surveys General Notions More on units Sampling and elementary units; Enumeration rule Value of altenative sources of information Opinion of expert; Consensus of experts; Synthetic estimation; Sample of population; Total count of population Data Types of data; Average value of data; Analysis of data; Data and action Variability and bias Accuracy and precision; Bias; Standard error; Confidence interval Simple Random Sampling Introduction With or without replacement Average value and standard error Samples and elements Equal Probability of Selection Introduction EPSEM sampling Two-stage cluster sampling With equal selection probabilities; With unequal selection probabilities PPS Sampling Sampling and elementary units Wednesday 10 November 2010 Variance of Cluster Sampling Sampling of persons

Sampling unit same as elementary unit; Mean; Variance Sampling of households Sampling unit different from elementary unit; Unique variance formula Analysis of subgroups Cluster Sampling for Common Events Introduction Steps for doing a survey; Potential biases Steps for doing a EPI/WHO style two-stage cluster survey Sample size determination Answer three questions: ((1) Best estimate of true proportion in study population?; (2) How precise should the estimate be?; (3) How confident do you need to be that a derived interval brackets the true value in the study population?); Use CSurvey program to derive appropriate sample size: (Answer to three questions; Design effect; Intraclass correlation coefficient; Maximum standard error) Sample size and decision-making Evaluation of WHO-style surveys Other Uses of Cluster Sampling Evaluation of WHO-style surveys Other uses for cluster sampling Measuring changes in level of an attribute over time; Assess the occurrence of uncommon events; Other applications Cluster Sampling for Rare Events Sample size determination Approach favored by R. R. Frerichs Sample size program (CSurvey) Interval estimation; Hypothesis testing Thursday 11 November 2010 and Friday 12 November 2010 Use of design effect (and roh) Variation among clusters High variation with design effect of 4.0; Low variation with design effect of 1.0 Values of design effect in two-stage cluster surveys Immunization surveys; Infectious disease incidence surveys Uses of design effect for management For health care variables; For disease variables Improving Precision of Rapid Surveys Theory Reduction of design effect and intraclass correlation coefficient Actual field experience Rural Indonesia (Bali); Urban Indonesia (Jakarta) Improving the Accuracy of Cluster Surveys Difference between accuracy and precision Sources of potential bias Non-response errors with two-stage cluster surveys

Modifications to improve accuracy Modifications to dispersed rural areas Completion of course what was gained? Appreciate the need for rapid surveys Understand the theory of sampling, rapid surveys, and assessment for decision-making Acquired practical skills to do the field work for rapid surveys and analyze data from rapid surveys Able to present analysis of surveys findings in understandable terms Objectives; Methods; Results; Discussion and recommendations