Skip to main content

Table 1 Survey questions at health facilities in Kulon Progo and Magelang Districts

From: A framework for evaluating health system surveillance sensitivity to support public health decision-making for malaria elimination: a case study from Indonesia

Facility catchment

 catchment_population

What is the estimated catchment population size of your health facility?

 monthly_outpatient

What is the estimated average monthly number of outpatient attendees for your health facility?

 outside_catchment_percent

What percentage of patients reporting at your facility are from outside your catchment area?

 atdistrict_outside

What district are they normally a resident of?

Health Seeking

 fever_percent

What percentage of your total facility attendance reported fever in the last week?

 uncomp_mal_percent

What percentage of attendees were diagnosed for uncomplicated malaria in the last year?

 severe_mal_percent

What percentage of attendees were diagnosed for severe malaria in the last year?

Microscopy materials

 microscopy_provided

Does your facility provide malaria microscopy testing?

 functioning_microscope

Do you have functioning electronic microscopes with dual eyepieces available?

 functioning_countingmeters

Do you have functioning microscopy counting meters available?

 microscopy_stockout

Has your facility experienced stock-outs of material to conduct microscopy in the last year?

 microscopy_stockout_month

Which month was the stock-out?

 microscopy_stockout_length

What was the length of the stock-out?

RDT materials

 rdt_provided

Does your facility provide malaria testing by RDT?

 rdt_stockout

Has your facility experienced RDT stock-outs of material in the last year?

 rdt_stockout_month

Which month was the stock-out?

 rdt_stockout_length

What was the length of the stock-out?

Antimalarial materials

 antimal_provided

Does your facility provide antimalarials? (first-line ACT, injectable artesunate for severe malaria, or other)

 antimal_stockout

Has your facility experienced stock-outs of antimalarials in the last year?

 antimal_stockout_month

Which month was the stock-out?

 antimal_stockout_length

What was the length of the stock-out?

Reference laboratories

 reflab_confirm

Do you confirm suspected samples with testing at reference laboratories?

 reflab_samples

Which samples do you send to confirm at reference laboratories?

 reflab_criteria

Specify criteria for sending samples to reference laboratory:

 Reflab

Which reference laboratory do you send your samples to for confirmation?

Microscopy training

 microscopy_staff

Do you have staff available at your facility to conduct malaria microscopy?

 microscopy_training

Have your staff received training on malaria diagnosis by microcopy?

 microscopy_training_date

When was the last microscopy training received?

 microscopy_competency

Was a competency certificate received?

RDT training

 rdt_staff

Do you have staff available at your facility to conduct RDTs?

 rdt_hf_training

Have your staff received training on malaria diagnosis by RDT?

 rdt_hf_training_date

When was the last training received?

 rdt_chw_training

Have community health workers that report to your facility received training on malaria diagnosis by RDT?

 rdt_chw_training_date

When was the last training received?

Case training

 case_training

Have your staff ever received training or attended workshops on malaria case management?

 case_training_date

When was the last training received/workshop attended?

 treatment_sops

Is a copy of the national malaria treatment guidelines or standard operating procedures on malaria case management available in your facility?

 Supervision

Has your facility received supervisory visits from a district health officer or consultant in the last year?

 supervision_date

When was the last visit?

Case reporting

 suspected_record

Can you show me the facility records for number of patients suspected for malaria in the last 2–3 years?

 no_record_suspected_reason

What are the reasons for not keeping records on patients suspected?

 tested_record

Can you show me the facility records for number of patients tested for malaria in the last 2–3 years?

 no_record_tested_reason

What are the reasons for not keeping records on patients tested?

 cases_record

Can you show me the facility records for number of confirmed malaria cases in the last 2–3 years?

 no_record_cases_record

What are the reasons for not keeping records on confirmed cases?

 vivax_record

Can you show me the facility records for number of confirmed P. vivax cases in the last 2–3 years?

 no_record_vivax_reason

What are the reasons for not keeping records on confirmed P. vivax cases?

 database_record

Can you show me the online record of your facility’s submissions on the number of patients suspected, tested and confirmed for malaria to the national database in the last 2–3 years?

 test_case_definition

What is your case definition/criteria to test a patient for malaria?

 vivax_definition

What is the case definition for a P. vivax relapse (as opposed to a case) for this facility?

 vivax_investigation

Is this facility able to conduct epidemiological investigations to confirm P. vivax relapse?

 imported_definition

What is the case definition for an imported case for this facility?

 imported_investigation

Describe the epidemiological investigation process your district uses to confirm if a case is imported or indegenous