Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels

Sampling theory facilitates development of economical, effective and rapid measurement of a population. While national policy maker value survey results measuring indicators representative of a large area (a country, state or province), measurement...

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Main Authors: Hedt, Bethany L., Olives, Casey, Pagano, Marcello, Valadez, Joseph J.
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2014
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2008/05/18673016/large-country-lot-quality-assurance-sampling-new-method-rapid-monitoring-evaluation-health-nutrition-population-programs-sub-national-levels
http://hdl.handle.net/10986/16962
id okr-10986-16962
recordtype oai_dc
spelling okr-10986-169622021-04-23T14:03:34Z Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels Hedt, Bethany L. Olives, Casey Pagano, Marcello Valadez, Joseph J. ACQUIRED IMMUNODEFICIENCY SYNDROME ADULT EDUCATION ALLOCATION OF RESOURCES ANOVA ANTENATAL CARE BINOMIAL DISTRIBUTION CALCULATION CHILD HEALTH CHILD MORTALITY COMMUNITY DEVELOPMENT COMMUNITY HEALTH COMPUTATION CONFIDENCE INTERVALS CONTRACEPTIVE METHOD CONTRACEPTIVE USE CORRELATIONS DATA ANALYSIS DATA COLLECTION DEVELOPING COUNTRIES EDUCATION ACTIVITIES EQUAL OPPORTUNITY ESTIMATORS FAMILY PLANNING FORMAL EDUCATION HEALTH INDICATORS HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HIV HIV INFECTION HUMAN DEVELOPMENT HUMAN IMMUNODEFICIENCY VIRUS IMMUNIZATION IMMUNODEFICIENCY INFANT INFANT MORTALITY INTERVENTION LIMITED RESOURCES LOCAL CAPACITY MALARIA METHODOLOGIES METHODOLOGY MINISTRY OF HEALTH MORTALITY MOTHER MOTHER TO CHILD NATIONAL AIDS NATIONAL CAPACITY NATIONAL LEVEL NATIONAL LEVELS NATIONAL POLICY NATIONAL POLICY MAKERS NUMBER OF PEOPLE NUTRITION ORAL REHYDRATION THERAPY POPULATION DATA POPULATION ESTIMATES POPULATION PROGRAMS POPULATION SIZE POTENTIAL CONTRIBUTION PRACTITIONERS PRECISION PREGNANCY PREGNANT WOMEN PROBABILITY PUBLIC HEALTH QUALITY ASSURANCE QUALITY CONTROL QUESTIONNAIRES RANDOM SAMPLES RANDOM SAMPLING REPRODUCTIVE HEALTH RESPECT SAMPLE SIZE SAMPLING FRAMES SCENARIO SECONDARY EDUCATION SELECTED CLUSTERS SERVICE DELIVERY STATA STATISTICAL COMPUTING STATISTICAL METHODS SURVEY DATA SURVEY DESIGN TECHNICAL ASSISTANCE TECHNICAL SKILLS TECHNIQUES VARIABILITY VOLUNTARY TESTING WAR WORKERS WORLD HEALTH ORGANIZATION LQAS Sampling theory facilitates development of economical, effective and rapid measurement of a population. While national policy maker value survey results measuring indicators representative of a large area (a country, state or province), measurement in smaller areas produces information useful for managers at the local level. It is often not possible to disaggregate a national survey to obtain local information if that was not the intent of the original survey design. Cluster sampling is typically used for national or large area surveys because sampling in clusters lowers the cost of a survey. Lot Quality Assurance Sampling (LQAS) is used to measure results at a local level, since it requires small random samples and produces results useful to local managers. However, current LQAS methodology requires all local areas (strata) be included in the survey in order to be aggregated to produce point estimates for the nation or state. In large countries it is not feasible to sample all strata for logistical and financial reasons. This paper resolves this problem by presenting Large Country (LC)-LQAS, a method with two concurrent objectives: 1) provide local managers with accurate local information to enable data driven decisions, and 2) provide central policy makers with the aggregate information they require. These are achieved by integrating cluster sampling with LQAS methodologies. Two examples of the implementation of LC-LQAS are provided, in an HIV/AIDS program in Kenya and a Malaria Booster Project in Nigeria. Classifications of local health units into performance categories and aggregate estimates of coverage, with associated confidence intervals, are provided for select indicators in order to demonstrate its use, analysis, and costs. This paper is written as a manual to support the use of LC-LQAS by others. 2014-02-10T19:22:24Z 2014-02-10T19:22:24Z 2008-05 http://documents.worldbank.org/curated/en/2008/05/18673016/large-country-lot-quality-assurance-sampling-new-method-rapid-monitoring-evaluation-health-nutrition-population-programs-sub-national-levels http://hdl.handle.net/10986/16962 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACQUIRED IMMUNODEFICIENCY SYNDROME
ADULT EDUCATION
ALLOCATION OF RESOURCES
ANOVA
ANTENATAL CARE
BINOMIAL DISTRIBUTION
CALCULATION
CHILD HEALTH
CHILD MORTALITY
COMMUNITY DEVELOPMENT
COMMUNITY HEALTH
COMPUTATION
CONFIDENCE INTERVALS
CONTRACEPTIVE METHOD
CONTRACEPTIVE USE
CORRELATIONS
DATA ANALYSIS
DATA COLLECTION
DEVELOPING COUNTRIES
EDUCATION ACTIVITIES
EQUAL OPPORTUNITY
ESTIMATORS
FAMILY PLANNING
FORMAL EDUCATION
HEALTH INDICATORS
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HIV
HIV INFECTION
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
IMMUNIZATION
IMMUNODEFICIENCY
INFANT
INFANT MORTALITY
INTERVENTION
LIMITED RESOURCES
LOCAL CAPACITY
MALARIA
METHODOLOGIES
METHODOLOGY
MINISTRY OF HEALTH
MORTALITY
MOTHER
MOTHER TO CHILD
NATIONAL AIDS
NATIONAL CAPACITY
NATIONAL LEVEL
NATIONAL LEVELS
NATIONAL POLICY
NATIONAL POLICY MAKERS
NUMBER OF PEOPLE
NUTRITION
ORAL REHYDRATION THERAPY
POPULATION DATA
POPULATION ESTIMATES
POPULATION PROGRAMS
POPULATION SIZE
POTENTIAL CONTRIBUTION
PRACTITIONERS
PRECISION
PREGNANCY
PREGNANT WOMEN
PROBABILITY
PUBLIC HEALTH
QUALITY ASSURANCE
QUALITY CONTROL
QUESTIONNAIRES
RANDOM SAMPLES
RANDOM SAMPLING
REPRODUCTIVE HEALTH
RESPECT
SAMPLE SIZE
SAMPLING FRAMES
SCENARIO
SECONDARY EDUCATION
SELECTED CLUSTERS
SERVICE DELIVERY
STATA
STATISTICAL COMPUTING
STATISTICAL METHODS
SURVEY DATA
SURVEY DESIGN
TECHNICAL ASSISTANCE
TECHNICAL SKILLS
TECHNIQUES
VARIABILITY
VOLUNTARY TESTING
WAR
WORKERS
WORLD HEALTH ORGANIZATION
LQAS
spellingShingle ACQUIRED IMMUNODEFICIENCY SYNDROME
ADULT EDUCATION
ALLOCATION OF RESOURCES
ANOVA
ANTENATAL CARE
BINOMIAL DISTRIBUTION
CALCULATION
CHILD HEALTH
CHILD MORTALITY
COMMUNITY DEVELOPMENT
COMMUNITY HEALTH
COMPUTATION
CONFIDENCE INTERVALS
CONTRACEPTIVE METHOD
CONTRACEPTIVE USE
CORRELATIONS
DATA ANALYSIS
DATA COLLECTION
DEVELOPING COUNTRIES
EDUCATION ACTIVITIES
EQUAL OPPORTUNITY
ESTIMATORS
FAMILY PLANNING
FORMAL EDUCATION
HEALTH INDICATORS
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HEALTH WORKERS
HIV
HIV INFECTION
HUMAN DEVELOPMENT
HUMAN IMMUNODEFICIENCY VIRUS
IMMUNIZATION
IMMUNODEFICIENCY
INFANT
INFANT MORTALITY
INTERVENTION
LIMITED RESOURCES
LOCAL CAPACITY
MALARIA
METHODOLOGIES
METHODOLOGY
MINISTRY OF HEALTH
MORTALITY
MOTHER
MOTHER TO CHILD
NATIONAL AIDS
NATIONAL CAPACITY
NATIONAL LEVEL
NATIONAL LEVELS
NATIONAL POLICY
NATIONAL POLICY MAKERS
NUMBER OF PEOPLE
NUTRITION
ORAL REHYDRATION THERAPY
POPULATION DATA
POPULATION ESTIMATES
POPULATION PROGRAMS
POPULATION SIZE
POTENTIAL CONTRIBUTION
PRACTITIONERS
PRECISION
PREGNANCY
PREGNANT WOMEN
PROBABILITY
PUBLIC HEALTH
QUALITY ASSURANCE
QUALITY CONTROL
QUESTIONNAIRES
RANDOM SAMPLES
RANDOM SAMPLING
REPRODUCTIVE HEALTH
RESPECT
SAMPLE SIZE
SAMPLING FRAMES
SCENARIO
SECONDARY EDUCATION
SELECTED CLUSTERS
SERVICE DELIVERY
STATA
STATISTICAL COMPUTING
STATISTICAL METHODS
SURVEY DATA
SURVEY DESIGN
TECHNICAL ASSISTANCE
TECHNICAL SKILLS
TECHNIQUES
VARIABILITY
VOLUNTARY TESTING
WAR
WORKERS
WORLD HEALTH ORGANIZATION
LQAS
Hedt, Bethany L.
Olives, Casey
Pagano, Marcello
Valadez, Joseph J.
Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
relation Health, Nutrition and Population (HNP) discussion paper;
description Sampling theory facilitates development of economical, effective and rapid measurement of a population. While national policy maker value survey results measuring indicators representative of a large area (a country, state or province), measurement in smaller areas produces information useful for managers at the local level. It is often not possible to disaggregate a national survey to obtain local information if that was not the intent of the original survey design. Cluster sampling is typically used for national or large area surveys because sampling in clusters lowers the cost of a survey. Lot Quality Assurance Sampling (LQAS) is used to measure results at a local level, since it requires small random samples and produces results useful to local managers. However, current LQAS methodology requires all local areas (strata) be included in the survey in order to be aggregated to produce point estimates for the nation or state. In large countries it is not feasible to sample all strata for logistical and financial reasons. This paper resolves this problem by presenting Large Country (LC)-LQAS, a method with two concurrent objectives: 1) provide local managers with accurate local information to enable data driven decisions, and 2) provide central policy makers with the aggregate information they require. These are achieved by integrating cluster sampling with LQAS methodologies. Two examples of the implementation of LC-LQAS are provided, in an HIV/AIDS program in Kenya and a Malaria Booster Project in Nigeria. Classifications of local health units into performance categories and aggregate estimates of coverage, with associated confidence intervals, are provided for select indicators in order to demonstrate its use, analysis, and costs. This paper is written as a manual to support the use of LC-LQAS by others.
format Publications & Research :: Working Paper
author Hedt, Bethany L.
Olives, Casey
Pagano, Marcello
Valadez, Joseph J.
author_facet Hedt, Bethany L.
Olives, Casey
Pagano, Marcello
Valadez, Joseph J.
author_sort Hedt, Bethany L.
title Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
title_short Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
title_full Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
title_fullStr Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
title_full_unstemmed Large Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels
title_sort large country-lot quality assurance sampling : a new method for rapid monitoring and evaluation of health, nutrition and population programs at sub-national levels
publisher World Bank, Washington, DC
publishDate 2014
url http://documents.worldbank.org/curated/en/2008/05/18673016/large-country-lot-quality-assurance-sampling-new-method-rapid-monitoring-evaluation-health-nutrition-population-programs-sub-national-levels
http://hdl.handle.net/10986/16962
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