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Table 1 Inputs for human resource analysis

From: Community point distribution of insecticide-treated bed nets and community health worker hang-up visits in rural Zambia: a decision-focused evaluation

Inputs

Number

Units

Note

Nets

HH per zonal distribution

198

households

Average # study HHs per zone1

Point distribution attendance rate

96 %

percent

Based on distribution event attendance1

Percentage HHs requiring mop-up visit

4 %

percent

Based on distribution event attendance1

Nets per household

2.7

nets

Average nets per household was 2.71

Self-installation rate

74 %

percent

Mean self-installation rate 10–17 days after distribution

Number of nets to be distributed

5750,300

nets

4,810,300 from UNDP ITN Operational plan.2 TWG goal was 8,998,200, with 5,750,300 committed at time of plan publication

% of available ITNs to be distributed to rural areas

75 %

percent

60 % of Zambia population is rural (2012 figure, data.worldbank.org). Assume full coverage for rural area; 50 % coverage for urban areas

Distances

Distance multiplier

1.5

 

Distances are measured using GPS coordinates. This accounts for the indirectness of roads

Straightline distance from clinic to community

5.3

km

Straightline average distance between point distribution and clinic was 5.3 km1

Travel distance from clinic to community

7.9

km

 

Times

Time for introductions

5

min

Introduction, entry permission, fetching hh head

Avg. travel time between HH

11.51

min

Mean travel-time walking from evaluation: 15.35.1 Speed calculated using average walking and cycling speeds

Burden of carrying nets (time multiplier)

1.25

multiplier

Transport w/ITNs and fetching ITNs from storage

Time to hang one net

10

min

Conservative estimate based on field obs

Workday Length

8

h

 

Point distribution publicity CHW

1

Man days

Based on field observations1

Point distribution

8

h

Based on field observations1

Survey time

5

min

Basic data collection (all HH visits)

Averate trip time fetching nets

1.79

h

 

CHW

Number of CHWs allocated by UNDP

6945

CHW

50 nets a day/CHW and 14 days to complete2

CHWs day per supervisor day

22

CHW days

Assumption

CHWs per point distribution

4

CHWs

Based on field observations1

Average # of HHs to visit per day (D2D)

7

HHs

Accounts for time fetching nets

Transport costs

Average walking speed

5.00

km/h

Avg walking speed

Average cycling speed

10.00

km/h

Avg cycling speed

Average speed carrying nets

8.00

km/h

Incorporating ITN carrying multiplier

Average # of nets distributing per day

18

nets

# of ITNs distributed per CHW per day (with time for one trip to storage to fetch nets)

Average net transport capacity

100

nets

Maximum # of nets a CHW can transport per trip (via bicycle)

  1. 1Demand Driven Evaluations for Development (3DE). February, 2014. ITNs 6-week follow-up Survey Data
  2. 2Zambia Ministry of Health, United Nations Development Program (UNDP), Churches Health Association of Zambia (CHAZ). 2014. Towards Universal Coverage of Long-Lasting Insecticidal Nets (LLINs) in Zambia: Operational Distribution Plan for the Year 2014