Module 6: Phase 2 Conducting Casper

Conducting face-face interviews

In conducting CASPER its important to note that:

time is crucial and the community needs to be aware of the assessment

It is important to know the ___, ___, and ____ before making the decision to conduct an RNA

assessment area, sample selection, and sample size

what does the conduct phase entail?

administering face to face interviews, preparing interview teams, and selecting sampling method for homes

JIT

Interview teams

2nd stage sampling

JIT definition

3-6 hour training one day before or morning of first day od CASPER, explains background and objectives, familiarizes team with tracking forms

how many teams are there? characteristics of teams

10+ (1-2 people per team)

diverse and multifaceted and a local person

each team should have 1-2 leaders

who will be on ur team?

Agencu staff, students, or volunteers

important aspects to portray during an interview

listen with empathy

communicate with teammates while doing fieldwork (tiredness, comfortability)

stage 2 systematic sampling (3 steps)

choose

select

calculate

choose

randomly choose starting point

select

select the nearest house then every noth house after

calcualte

choose n based on number of houses then divive by 7

what are somethings to avoid during household selection?

convience sampling, target sampling, sequential sampling, and poor record keeping

Convience sampling

picking houses because they are easy to reach (selection bias)

targeted sampling

finding the most-hit-houses or the most vulnerable omes (this is assessment not research)

sequential sampling

just picking houses in a row; neighbors can be too similar and share the same income level or issues

poor record keeping

response rates cant be calculated and results in a inaccurate analysis

only use sequential sampling when neccessary! when is it neccessary?

cluster is really small

extreme geo barriers

what is included on the tracking form?

contact rate, cooperation rate, and completion rate

contact rate

number of completed interviews/ all hhs that were attempted

cooperation rate

number of completed int/all hhs where contat was made

completion rate

number of completed int./number of interviews intended to complete (210)

why are debriefs important?

to address improvements and gain insight

Flooding in a Southeast Asian country

Torrential rainfall and floods due to seasonal monsoons affected a province in a Southeast Asian country. On July 22, 2013, 45,948 people were displaced, 24 reported as dead, 2 were injured, and 14 were missing. Thousands of acres of farmland were damaged. In the early hours of July 21, 2013, flooding on a local river caused embankments to break flooding 80% of nearby areas. The province had one community hospital, one pharmacy, few physicians and clinicians, limited commercial air service, and limited support infrastructure. Nevertheless, it was rich in local culture and had a strong, intact social system and leadership. All latrines in the city and county centers were destroyed. Two hospitals were partially damaged. Many roads and bridges were damaged, limiting access to affected areas. Electric power was mostly not available, and water utilities had low pressure. In the flood’s aftermath, many health personnel responded, but some experienced personal injury, family injuries or deaths, and property loss. Because some responders were also victims and unable to work during the disaster, public services needed staffing assistance from outside sources.

The local government requested interagency assistance from NGOs, MOH, and other key partners to determine the health and general needs of the affected population. The objective was to inform response and recovery activities by assessing affected areas and identifying post-storm public health needs.[See page 15]. RNA interview teams were selected, appropriately trained, briefed on the conditions related to impassable roads and bridges, damaged hospitals, limited electricity and water, and are ready to begin the RNA

What are the interview steps in the field?

What are some of the safety concerns in the field?

Why is debriefing important?

1. map clusters using maps or gps, household selection using Sytermatic radnom sampling, informed consent, conducting interview, obseve during interview, thank respondent, and debrieef after

2. damaged buildings, water safety, downed power lines, diseases, animal hazards, communication blackouts, standing, psychological stress

3. Data Quality and Validation

   It allows the Lead Epidemiologist to check the forms for completeness while the interviewers' memories are fresh. If a team says, "Everyone in Cluster 4 has a cough," the supervisor can immediately investigate if there is a specific localized outbreak starting.

   Operational Adjustments

   If one team reports that a bridge is out, the logistics lead can re-route other teams for the next day. It’s the "eyes and ears" for the decision-makers back at the operations center.

   Mental Health and Resiliency

   As noted in the scenario, many responders are also victims. Debriefing provides a space to process the trauma they witness. It helps identify "compassion fatigue" or secondary traumatic stress early, ensuring the workforce remains healthy enough to continue the recovery phase.