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

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dc.creatorHedt, Bethany L.
dc.creatorOlives, Casey
dc.creatorPagano, Marcello
dc.creatorValadez, Joseph J.
dc.date2014-02-10T19:22:24Z
dc.date2014-02-10T19:22:24Z
dc.date2008-05
dc.date.accessioned2026-07-01T00:35:53Z
dc.descriptionSampling 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.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://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
dc.identifierhttps://hdl.handle.net/10986/16962
dc.identifierhttps://doi.org/10.1596/16962
dc.identifier.urihttp://hdl.handle.net/123456789/406984
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationHealth, Nutrition and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACQUIRED IMMUNODEFICIENCY SYNDROME
dc.subjectADULT EDUCATION
dc.subjectALLOCATION OF RESOURCES
dc.subjectANOVA
dc.subjectANTENATAL CARE
dc.subjectBINOMIAL DISTRIBUTION
dc.subjectCALCULATION
dc.subjectCHILD HEALTH
dc.subjectCHILD MORTALITY
dc.subjectCOMMUNITY DEVELOPMENT
dc.subjectCOMMUNITY HEALTH
dc.subjectCOMPUTATION
dc.subjectCONFIDENCE INTERVALS
dc.subjectCONTRACEPTIVE METHOD
dc.subjectCONTRACEPTIVE USE
dc.subjectCORRELATIONS
dc.subjectDATA ANALYSIS
dc.subjectDATA COLLECTION
dc.subjectDEVELOPING COUNTRIES
dc.subjectEDUCATION ACTIVITIES
dc.subjectEQUAL OPPORTUNITY
dc.subjectESTIMATORS
dc.subjectFAMILY PLANNING
dc.subjectFORMAL EDUCATION
dc.subjectHEALTH INDICATORS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHIV
dc.subjectHIV INFECTION
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN IMMUNODEFICIENCY VIRUS
dc.subjectIMMUNIZATION
dc.subjectIMMUNODEFICIENCY
dc.subjectINFANT
dc.subjectINFANT MORTALITY
dc.subjectINTERVENTION
dc.subjectLIMITED RESOURCES
dc.subjectLOCAL CAPACITY
dc.subjectMALARIA
dc.subjectMETHODOLOGIES
dc.subjectMETHODOLOGY
dc.subjectMINISTRY OF HEALTH
dc.subjectMORTALITY
dc.subjectMOTHER
dc.subjectMOTHER TO CHILD
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL CAPACITY
dc.subjectNATIONAL LEVEL
dc.subjectNATIONAL LEVELS
dc.subjectNATIONAL POLICY
dc.subjectNATIONAL POLICY MAKERS
dc.subjectNUMBER OF PEOPLE
dc.subjectNUTRITION
dc.subjectORAL REHYDRATION THERAPY
dc.subjectPOPULATION DATA
dc.subjectPOPULATION ESTIMATES
dc.subjectPOPULATION PROGRAMS
dc.subjectPOPULATION SIZE
dc.subjectPOTENTIAL CONTRIBUTION
dc.subjectPRACTITIONERS
dc.subjectPRECISION
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPROBABILITY
dc.subjectPUBLIC HEALTH
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY CONTROL
dc.subjectQUESTIONNAIRES
dc.subjectRANDOM SAMPLES
dc.subjectRANDOM SAMPLING
dc.subjectREPRODUCTIVE HEALTH
dc.subjectRESPECT
dc.subjectSAMPLE SIZE
dc.subjectSAMPLING FRAMES
dc.subjectSCENARIO
dc.subjectSECONDARY EDUCATION
dc.subjectSELECTED CLUSTERS
dc.subjectSERVICE DELIVERY
dc.subjectSTATA
dc.subjectSTATISTICAL COMPUTING
dc.subjectSTATISTICAL METHODS
dc.subjectSURVEY DATA
dc.subjectSURVEY DESIGN
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTECHNICAL SKILLS
dc.subjectTECHNIQUES
dc.subjectVARIABILITY
dc.subjectVOLUNTARY TESTING
dc.subjectWAR
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectLQAS
dc.titleLarge Country-Lot Quality Assurance Sampling : A New Method for Rapid Monitoring and Evaluation of Health, Nutrition and Population Programs at Sub-National Levels

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