1. Sick Child Module
Knowledge, Practice, and Coverage Survey
(KPC)
CORE Spring Meeting
May 5, 2014
Jennifer Winestock Luna

2. Agenda
 Brief overview of KPC tool; Revision process
 Resources

3. KPC – What is it?
 Rapid Small Sample Household Survey that:
 Contains modules so that surveys can be
customized to technical areas of a program
 Useful for designing surveys for integrated
health programs
 Typically has sample size 300-600

4. Overview: Characteristics
 Easy to implement
 Developed to collect standardized information from a
variety of technical areas
 Modules: questionnaires, indicators, tab plans, instructions
 Implementers select modules relevant to technical areas
 Within each module select questions & indicators relevant to
interventions

5. Overview: Technical Areas - Modules
 Sick Child - (ARI, CDD,
Malaria, CCM)
 Malaria (stand-alone)
 Immunization
 Maternal Newborn Care
 Pregnancy Spacing
and Family Planning
 Breast Feeding IYCF
 Water &Sanitation

6. The Revision Process
Team effort, led by MCHIP PVO/NGO Support with
input from:
 MCHIP Child Health Team;
 Save the Children
 MEASURE Evaluation – Malaria
 CORE working groups: Malaria, Community Child Health
 USAID: PMI, Child Health, CSHGP
And by reviewing:
 DHS, MICs, CCM task force indicators, LiST Tool

7. The Sick Child Module

8. Includes instructions for contextual information
needed before designing questionnaire:
 Which interventions are being implemented (malaria,
diarrhea, pneumonia)?
 What are national CCM policies; CHW diagnosis/treatment?
 What is current (or planned) situation regarding RDTs? Are
RDTs approved? Is supply reliable? Do health workers know
how to use them and willing to do so?
 What is the national policy regarding zinc for diarrhea? Is
zinc available in the project area?

9. Broader than iCCM; contains iCCM indicators
% children 0-59 months with fast/difficult breathing 2 wks
preceding survey; advice or treatment sought from CCM-
trained CHW
% children 0-59 months with fever 2 wks preceding survey
who had finger or heel stick by CCM-trained CHW
% children 0-59 months w/diarrhea 2 wks preceding survey
received ORS & zinc from CCM-trained CHW

10. Broader than iCCM; contains iCCM indicators
% children 0-59 months with fever 2 wks preceding survey
received drug from a CCM-trained CHW; seen again by
CHW for follow-up visit
% mothers of children 0-59 months know is CHW in
community who provides treatment for fever/malaria;
pneumonia/fast, difficult breathing; diarrhea management

11. Challenges
 Among/within countries variation: roll-out iCCM & RDT
 Must consider context for questionnaire and interpretation
of results
 Satisfying information needs of different vertical areas
requires compromise for survey to be feasible
 1 ITN for every 2 people requires net roster, not always
practical
 Controversy in Malaria community regarding mother’s
recall of finger/heel stick and if results of test received

12. Challenges
 Developing combined indicators for fever; fast/
difficult breathing; and diarrhea complicated
 Fever and fast/difficult breathing should be seen by a
health provider (i.e. CCM trained CHW), but non-severe
diarrhea can be managed in home
 Limited experience using some indicators, i.e.
 % children 0-59 months with fast, difficult breathing 2 wks
preceding survey; advice/r treatment sought from CCM-
trained CHW as first source of care

13. Challenges
Do iCCM programs measure immunization
coverage?
Important for prevention
 Pneumococcal Conjugate Vaccine (PCV)
 Rotavirus vaccine

14. If you want more information,
please contact me
Thank you
Jennifer.WinestockLuna@icfi.com