Large investments and increased global prioritization of malaria prevention and treatment have resulted in greater emphasis on programme monitoring and evaluation (M&E) in many countries. Many countries currently use large multistage cluster sample surveys to monitor malaria outcome indicators on a regional and national level. However, these surveys often mask local-level variability important to programme management. Lot Quality Assurance Sampling (LQAS) has played a valuable role for local-level programme M&E.

This article demonstrates the feasibility of integrating LQAS into multistage cluster sampling surveys and using these results to support a comprehensive national, regional and local programme M&E system. Furthermore, it outlines recommendations including guidelines on how to integreate the Large Country-LQAS design into macro-surveys while still obtaining results available through current sampling practices.

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Citation: Biedron, C. et al. An Assessment of Lot Quality Assurance Sampling to Evaluate Malaria Outcome Indicators. International Journal of Epidemiology 2010;39:72–79 doi:10.1093/ije/dyp363

Country: Mozambique