Design a Health Household Survey

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 a health program. **Survey Context:** - Program name: the health program requiring a survey - Survey purpose: the reason for conducting the survey - Target population: the survey respondent groups - Geographic scope: the survey coverage area - Sample size estimate: the approximate number of households - Donor: the primary funding agency - Comparable data sources: existing surveys or data for benchmarking **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.