9. Appendices
Appendix 1: Persons Met:
1. AAH Ms Caroline Wilkinson Nutrition Co-ordinator
Ms Laura Phelps Nutritionist
2. ADRA Mr. Kevin Rowe Head of Mission
Ms Darlene Ward Minority food supply
3. DOW Ms Supria Madhaven Head of Mission
Ms Sarah Sheldon TB Education Officer
Dr. Barbara Cardozo Psychosocial consultant from CDC
Dr. Alfredo Vergara Psychosocial consultant from CDC
4. Institute of Public Health Prof Boshnjaku Director
Dr. Dedushai Head Epidemiologist
Dr. Luljeta Gashi Epidemiologist
Dr. Ariana Kalaveshi Epidemiologist
5. IRC Pristina Dr Kamal Raj Medical Director
Ms Marci Van Dyke Health Education Officer
Mr. Richard Jacquot Head of Mission
Dr. Bill McKenzie Epidemiologist
Dr. Mejreme Regja Medical Officer
Dr. Melihate Mustafa Medical Officer
Dr. Idriz Gergari Medical Officer
Dr. Alex Sallabanda Lab consultant
Mr. Roy Brennan Head of Water/San
NYC Dr. Rick Brennan Medical Director
6. KFOR Major Sylvie US Bondsteel – resp for Gjilan
Colonel de Beuf Medical Coordinator
7. Kinder Berg Dr. Allen Ross Health consultant
8. IMC Ms Barbara Pearsey Medical Coordinator
Ms Louise Head of Mission in Mitrovica
9. MSF-H Mr. Tim Pitt Head of Mission
Dr. Klassje Staal Medical Coordinator- Mitrovica
10. MSF-B Dr. Bart Janssens Medical Coordinator
11. UNFPA Dr. Olivier Brassard Head of Mission
12. UNMIK Dr. Hannu Vuori Health Director
Dr. Marie-Claire Paty Advisor at Mitrovica Hospital
Dr. Michael Rolfe Advisor at Pristina Hospital
Mr. Arthur Pitman Advisor at Pristina Hospital
13. UNHCR Kosovo Ms Annalies Borrel Food and Nutrition Coordinator
Dr. Mario Goethals Health Advisor
Ms Betsy Greve Protection Officer
Geneva Dr. Serge Male Senior Health Advisor
14. UNICEF Ms Melissa Brymer Psychosocial Coordinator
15. WHO Kosovo Dr. Daniel Tarantola Senior Policy Advisor
Dr. Dean Shuey Health Policy Advisor
Dr. Richard Alderslade Regional Advisor in Copenhagen
Dr. Philippe Rastano Co-ordinator liaison with IPH
Dr. Mike Ryan Epidemiologist
Dr. Christina Perfidi Liaison with IPH
Dr. Ardiana Gjini Medical Officer
Dr. Mark Anderson Landmine surveillance consultant from CDC
Dr. Margarita Rubin Consultant on Hospital Services
Dr. Truss Dereders Microbiologist consultant
Dr. Kees Rienveldt Program Manager
Dr. Lev Arevshatian Epidemiologist
Dr. Tundry Madras TB consultant
Ms Hilary Bower Media Advisor
Geneva Dr. Maire Connolly Epidemiologist
Appendix 2: Map of Kosovo:
Appendix 3: Agenda for the training of the survey teams
Day 1
Monday September 6, 1999
8.30-9.30
Registration9.30-10.00
Introduction
10.00-10.15
break
10.15- 12.00
Introduction to survey methods
How to choose the households
12.00-13.00
Lunch break and time for transport to the CIMIK centre
13.00-14.00
Landmine Awareness Training at the CIMIK centre
14.30-15.00
Time for transport back to IPH
15.00 –15.45
Logistic issues
15.45- 17.00
Selections of teams and team leaders
Responsibilities of team members
/ Day 2
Tuesday September 7, 1999
8.30-9.30
Introduction to the questionnaires
How to conduct an interview
9.30-9.45
break
9.45-12.00
Getting familiar with the questionnaires and practice interviews and filling out the forms
Questions and answers
12.00-13.00
Lunch break
13.00-14.45
Final Practice session on questionnaires
14.45-15.00
break
15.00-17.00
Explanation about the clusters that have been selected
Scheduling for teams
Appendix 4: Interviewer Manual
Part I. General information
This survey has been designed to get a better understanding of the health of the people of Kosovo. One of the key objectives is to determine the number of people who have died in Kosovo over the last 20 months and the major causes of death. Other information such as the percentage of children that have been immunized and the reasons that people cannot get access to health care will be determined.
Together with information from other surveys, this information will help the Institute of Public Health (IPH), WHO and UNMIK to come up with a plan for the short term and long term to understand the major health priorities and allocate resources fairly and effectively. The overall purpose is to give reliable information to the decision makers so that the people of Kosovo get better health care.
Teams:
There will be 12 teams consisting of two persons (a female and a male) per team. There will be six cars. 6 teams will be in Group A with Paul as the team leader and 6 teams in group B with Peter as the team leader. 2 teams will visit the same cluster on each day and be responsible for 12 dwellings per team. This means that in each car there will be four persons plus the driver of the car. 2 people will be the interviewers and 2 people will be the note-takers who actually fill out the questionnaires.
A team of two will always enter a house together, and work together.
In each car, one person will be the team leader.
The team leader is responsible for the group that is together in one car, and can make decisions where the teams will go and making sure all the rules are followed.
The two supervisors (Paul and Peter) are ultimately responsible for the data collection and the survey.
Security issues:
Because of the threat of landmines and other explosive devices the teams must check with KFOR at the regional CMIK centre before heading to a certain village. KFOR will provide detailed maps and other information related to security issues. These guidelines must be strictly followed.
Security issues always override any other rules or obligations, in order not to jeopardize the safety of the teams as well as other persons in their surroundings.
No driving after dark is allowed outside of the cities. This means that the teams must be back in Pristina at sunset.
All team members and drivers must attend the landmine awareness class Monday at 13.00 at the CIMIK centre in Pristina.
Logistics and other issues:
The driver of the cars makes sure that there is enough fuel in the tank and that there is a spare tire and tools in the car. The driver is also responsible for carrying sufficient drinking water in the car.
Work has to start early and all team members have to be punctual.
The team members are responsible for their own meals while on the road.
Part II. Explanation of Questionnaires
The Questionnaire consists of four parts:
The first part collects demographic data, such as the history of displacement and the age and the gender of everyone in the household. This is the longest part of the questionnaire and also includes questions on major chronic diseases in adults and a section on children which covers vaccination status. The note-taker is required to fill out a number of tables in this section.
The second part is called the health access section. This part asks simple questions related to health providers and costs.
The third part is the water and sanitation section.
Part four is the income section with basic questions on the major sources of income.
All four parts of the survey require the participation of the female or male head of household as the primary information source. The female head of household is the first choice because from other surveys we know that mothers tend to know more about their children than fathers. If the female head of household is not there, ask for the male head of household. If neither is present, try and come back to that house later in the day. If they will be away all day, then ask for any adult member of the household over 18 years of age.
The interviewer has the task of guiding the head of household through the questionnaire. Questions are designed to be closed questions. This is because the questionnaire is quite long and covers a number of topics. This means that answers should be short and fall into one of a number of categories. The note-taker may just have to mark a box for some answers.
Make sure that both team members check the questionnaires to see if they have been filled out correctly before leaving the house. The team leader must also make sure that each team has completed 12 dwellings each for a total of 24 before the group leaves the village.
Part III. Conducting the survey:
The Team Supervisors will randomly select the Clusters before the field survey starts. In each Cluster 24 households have to be randomly selected. There are several methods to choose the households, which will be explained below. The first suggestion is the most desirable and the last suggestion the least desirable.
Choosing the households to survey:
General guidelines
The household where the first interview is conducted should be chosen randomly.
After finishing one household you will always go to the closest house to the left when you are facing away from the house.
Finish all the households (24) in your cluster in the same day.
A. Mapping the area to pick the starting household:
If your cluster is in a small village:
Map the village with all the households, number them and choose the starting household by picking a random number. This can be done by car if this is easier.
B. Segmentation:
If your cluster is in a village too large to map:
Divide the village into a number of sectors small enough to map the households in any sector. Number all the sectors. Pick a sector by picking a random number.
Map all households in that sector. Number each household. Pick the starting household by picking a random number.
If your cluster is in a large city:
Follow instructions for “village too large to map”, repeating the “zooming in” process of picking a sector randomly until it is small enough to map and number all the households.
C: Random Walk:
If the methods described above don’t work do the random walk method:
Locate the centre of your cluster. Spin a bottle. In the direction of the bottle, follow a line to the edge of the village, as you go along map and number the households on that line. Pick a random number between 1 and the total number of households on that line. Start surveying at the household with the selected number.
If your cluster is in Pristina:
Follow the instructions for finding your cluster and first household in Pristina.
Because Pristina is a large city compared with a village, several clusters will be selected in Pristina by the supervisors. The city will be split up on a detailed map into different sections (clusters). These sections (clusters) will be treated as if they were villages and the same methods for choosing the households will apply for the sections of Pristina as for the villages.
Selecting the rest of the households to conduct the interviews:
After interviewing the people in the first household of your cluster, you will select the next household using the following guidelines. Select the closest household to the first one that is located to your left as you exit the household. All the households in the cluster will be selected this way always proceed to the closest house to the left as you exit the household where you just finished interviewing.
You will interview people in 24 households in your cluster. Do not survey more than the 24 houses in your cluster. If there are uninhabited houses, just continue to the closest house to the left. If you reach a house where nobody is home ask the neighbors if people live there. If people live there, mark the location and return when you are done with the other households in your cluster. Always proceed to the closest to the left, unless you are coming back to survey a household where there was nobody earlier.
If you reach the edge of the village and have not interviewed 24 households, keep following the perimeter of the village to the left and choose the next house to the left again.
If you come to a building with several floors, where there are several different dwelling units, such as an apartment building, follow the following procedure:
Count the number of floors in that building, choose a random number between 1 and the total number of floors, and begin your next interview at the first door to the left as you come onto the selected floor.
After surveying all households on the initial floor, flip a coin. If you get “heads up”, continue to the floor above you, and keep surveying all households close to the left until you reach the top of the building, then continue outside of the building with the closest house to the left. If you get “tails up” continue to the floor below until you reach the bottom of the building, then continue outside of the building with the closest house to the left. Remember to stop when you have surveyed the 24 in your cluster, no matter where you are.
If at some point you are in doubt, choose the direction RAMDOMLY and write down in your notebook what you did.
Conducting the interview:
· Introduce yourself to the members of the household. Tell them you work for the IPH/IRC and are conducting an interview about health.
· Read the explanation of the survey to the head of household and ask if she/he agrees to participate.
Try to arrange for a set-up that allows some privacy while a person fills out the questionnaire.
It is best to try avoiding discussion between members of the household while the head of household fills out the questionnaire.
Because of time constraints, it will not be possible to spend a long time talking at each household. Stay polite and friendly but avoid spending too much time in one household.
Definitions:
- A Cluster is a group of populations units (like a village or a section of a city) for which the population size can be estimated.
- A dwelling is a physical structure in which a number of families may live.
- A household is a group of persons who usually eat and live together. If a displaced family is living temporarily in the dwelling, then they are a separate household and should not be included in the list of people in that household.
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To choose randomly means to choose by chance, like by tossing a coin.
Duties of the team leader:
· Ensure that all rules and procedures in this manual are followed.