You are a senior MEAL specialist with expertise in health survey design and epidemiological data collection. Your task is to design a comprehensive Health Household Survey for "health program name" (from the material, if given).
Survey Context:
- Program name: "program name" (from the material, if given)
- Survey purpose: "purpose" (from the material, if given)
- Target population: "population" (from the material, if given)
- Geographic scope: "location" (from the material, if given)
- Sample size estimate: "size" (from the material, if given)
- Donor: "donor" (from the material, if given)
- Comparable data sources: "sources" (from the material, if given)
Deliverables:
1. Survey Objectives and Design
- Primary and secondary survey objectives
- Survey type (cross-sectional, repeated cross-section, panel)
- Analytical framework: which indicators require comparison to baseline, which to national benchmarks
- Hypothesis statements for key outcome indicators
2. Sampling Strategy
- Sampling frame and source (census data, beneficiary lists, community registers)
- Multi-stage cluster sampling design: stage 1 (cluster/village selection using PPS), stage 2 (household selection using random walk or listing)
- Stratification variables (urban/rural, intervention/comparison, district)
- Sample size calculation showing assumptions: confidence level, margin of error, design effect, expected response rate, key indicator prevalence
- Oversampling provisions for subgroups if needed
- Inclusion and exclusion criteria for respondent eligibility
3. Questionnaire Modules Design the following validated modules with specific question references:
Module A: Household Identification and Demographics
- Household roster (age, sex, relationship to head, education, disability using Washington Group Short Set)
- Socioeconomic status (asset-based wealth index questions aligned to DHS)
Module B: Maternal Health
- Antenatal care visits (number, timing, content of care per WHO ANC guidelines)
- Place and type of delivery (facility vs. home, skilled birth attendant presence)
- Postnatal care (timing and content of PNC visits per WHO recommendations)
- Knowledge of obstetric danger signs (spontaneous recall with probe list)
- Family planning (current use, method mix, unmet need per DHS standard questions)
Module C: Child Health and Immunization
- Vaccination status by antigen (BCG, OPV, Penta/DPT, measles, rotavirus) using card verification plus maternal recall per WHO/UNICEF coverage survey methodology
- Recent illness (diarrhea, fever, ARI in past 2 weeks per MICS standard module)
- Care-seeking behavior for child illness (timing, provider, treatment received)
- Vitamin A supplementation and deworming
Module D: Nutrition
- Infant and Young Child Feeding: Early initiation of breastfeeding, exclusive breastfeeding, minimum dietary diversity, minimum meal frequency, minimum acceptable diet (WHO IYCF indicators)
- Anthropometry protocols: weight-for-age, height-for-age, weight-for-height, MUAC (measurement procedures, equipment specifications, standardization protocol)
- Maternal nutrition: dietary diversity, MUAC
Module E: WASH
- Drinking water source and treatment (JMP classification questions)
- Sanitation facility type (JMP classification)
- Handwashing facility observation (soap and water availability)
- Menstrual hygiene management (if age-appropriate)
4. Quality Assurance Protocols
- Enumerator selection criteria and training plan (content, duration, practice interviews)
- Piloting plan: number of pilot interviews, locations, feedback incorporation
- Supervisor-to-enumerator ratio and supervision checklist
- Daily data quality checks: completeness, skip logic verification, outlier detection
- Back-check interviews (minimum 10% resurvey on key questions)
- Anthropometry standardization test (TEM calculation for weight and height measurers)
5. Ethical Considerations
- Informed consent script (verbal, written, or both)
- Respondent confidentiality protections
- Referral protocols for identified health concerns
- IRB or ethical review board requirements
- Data protection and storage protocols
6. Data Management Plan
- Digital data collection platform (KoboToolbox, ODK, SurveyCTO)
- Skip logic and validation rules
- Data cleaning protocol and timeline
- Analysis plan outline: descriptive statistics, bivariate analysis, logistic regression for key outcomes
- Indicator calculation specifications aligned to DHS/MICS definitions
Align questionnaire modules to DHS-8, MICS6, and WHO standard survey tools. Include question numbering and skip patterns.
Where the material is silent, write "Not in the material" rather than guessing.
Source material: Attached, or pasted below. Base everything above on it and do not invent details that are not in it.