2011 LIBERIA MALARIA INDICATOR SURVEY
HOUSEHOLD QUESTIONNAIRE

NATIONAL MALARIA CONTROL PROGRAM - MINISTRY OF HEALTH AND SOCIAL WELFARE
LIBERIA INSTITUTE OF STATISTICS AND GEO-INFORMATION SERVICES

IDENTIFICATION

NAME OF COUNTY
NAME OF DISTRICT
NAME OF CLAN/TOWNSHIP
NAME OF CITY/TOWN/VILLAGE
LMIS CLUSTER NUMBER
HOUSEHOLD NUMBER
URBAN

MONROVIA 1
OTHER URBAN 2
VILLAGE 3

NAME OF HOUSEHOLD HEAD

INTERVIEWER VISITS

DATE
INTERVIEWER'S NAME
RESULT

COMPLETED 1
NO HOUSEHOLD MEMBER HONE/NO COMPETENT RESPONDENT HOME AT TIME OF VISIT 2
ENTIRE HOUSEHOLD ABSENT FOR EXTENDED PERIOD OF TIME 3
POSTPONED 4
REFUSED 5
DWELLING VACANT OR ADDRESS NOT A DWELLING 6
DWELLING DESTROYED 7
DWELLING NOT FOUND 8
OTHER (SPECIFY) 9

NEXT VISIT
DATE
TIME
FINAL VISIT
DAY
MONTH
YEAR
INT. NUMBER
RESULT

TOTAL NUMBER OF VISITS
TOTAL PERSONS IN HOUSEHOLD
TOTAL WOMEN 15-49
LINE NUMBER OF RESPONDENT TO HOUSEHOLD QUESTIONNAIRE
SUPERVISOR
NAME
DATE
OFFICE EDITOR
KEYED BY

INTRODUCTION AND CONSENT

Hello. My name is __. I am working with the Ministry of Health. We are conducting a survey about health all over Liberia. The information we collect will help the government to plan health services. Your household was selected for the survey. I would like to ask you some questions about your household. The questions usually take about 15 to 20 minutes. All of the answers you give will be confidential and will not be shared with anyone other than members of our survey team. You don't have to be in the survey, but we hope you will agree to answer the questions since your views are important. If I ask you any question you don't want to answer, just let me know and I will go on to the next question or you can stop the interview at any time. In case you need more information about the survey, you may contact the person listed on this card. GIVE CARD WITH CONTACT INFORMATION. Do you want to ask me anything about the survey? May I begin the interview now?

Signature of interviewer__
Date__

RESPONDENT AGREES TO BE INTERVIEWED 1 (CONTINUE)
RESPONDENT DOES NOT AGREE TO BE INTERVIEWED 2 (END)

HOUSEHOLD SCHEDULE

1. LINE NUMBER

USUAL RESIDENTS AND VISITORS

2. Please give me the names of the persons who usually live in your household and guests of the household who stayed here last night, starting with the head of the household. AFTER LISTING THE NAMES, RELATIONSHIP AND SEX FOR EACH PERSON, ASK QUESTIONS 2A-2C TO BE SURE THE LISTING IS COMPLETE. THEN ASK APPROPRIATE QUESTIONS IN CONLUMNS 5-13 FOR EACH PERSON.

RELATIONSHIP

3. What is the relationship of (NAME) to the head of the household? SEE CODES BELOW

HEAD 01
WIFE OR HUSBAND 02
SON OR DAUGHTER 03
SON-IN-LAW OR DAUGHTER-IN-LAW 04
GRANDCHILD 05
PARENT 06
PARENT-IN-LAW 07
BROTHER OR SISTER 08
OTHER RELATIVE 09
ADOPTED/FOSTER/STEPCHILD 10
NOT RELATED 11
DON'T KNOW 98

SEX

4. Is (NAME) male or female?

MALE 1
FEMALE 2

RESIDENCE

5. Does (NAME) usually live here?

YES 1
NO 2

6. Did (NAME) stay here last night?

YES 1
NO 2

AGE

7. How old is (NAME)? IF 95 OR MORE, RECORD 95.

IN YEARS__

ELIGIBILITY

8. CIRCLE LINE NUMBER OF ALL WOMEN AGE 15-49

9. CIRCLE LINE NUMBER OF ALL CHILDREN AGE 0-5

FOR EVERYONE FEVER AND TREATMENT

10. In the last 4 weeks, has (NAME) been sick with a fever at any time?

YES 1
NO 2 (GO TO NEXT LINE)
DON'T KNOW 8 (GO TO NEXT LINE)

11. Did (NAME) get any treatment for the fever in the last 4 weeks?

YES 1
NO 2 (GO TO NEXT LINE)
DON'T KNOW 8 (GO TO NEXT LINE)

12. Where did (NAME) go for treatment? USE CODES BELOW.

GOVERNMENT HOSPITAL 01
GOVERNMENT HEALTH CENTER 02
GOVERNMENT HEALTH CLINIC 03
PRIVATE HOSPITAL/CLINIC 04
PHARMACY 05
PRIVATE DOCTOR 06
MOBILE CLINIC 07
MEDICINE STORE 08
TRADITIONAL PRACTITIONER 09
BLACK BAGGER, DRUG PEDDLER 10
OTHER 96
DOES NOT KNOW 98

13. How much did the treatment cost? INCLUDE COST OF DOCTOR, NURSE, DRUGS, TESTS IF GREATER THAN 9990, WRITE '9990'.

LIBERIAN DOLLARS__

TICK HERE IF CONTINUATION SHEET USED

2A) Just to make sure that I have a complete listing, are there any other persons such as small children or infants that we have not listed?

YES (ADD)
NO

2B) Are there any other people who may not be members of your family, like domestic servants, lodgers, or friends who usually live here?

YES (ADD)
NO

2C) Are there any guests or temporary visitors staying here, or anyone else who stayed here last night, who have not been listed?

YES (ADD)
NO

HOUSEHOLD CHARACTERISTICS

101. What type of water do you mainly drink?

PIPED WATER

PIPED INTO DWELLING 11 (SKIP TO 104)
PIPED INTO YARD/PLOT 12 (SKIP TO 104)
PUBLIC TAP/SANDPIPE 13

TUBE WELL OR BOREHOLE 21

DUG WELL

HAND PUMP, PROTECTED WELL 31
UNPROTECTED WELL 32

WATER FROM SPRING

PROTECTED SPRING 41
UNPROTECTED SPRING 42

RAINWATER 51 (SKIP TO 104)
TANKER TRUCK 61
CART WITH SMALL TANK 71
SURFACE WATER/RIVER/LAKE/STREAM 81
BOTTLED WATER 91
OTHER (SPECIFY) 96

102. Where is that water source located?

IN OWN DWELLING 1 (SKIP TO 104)
IN OWN YARD/PLOT 2 (SKIP TO 104)
ELSEWHERE 3

103. How long does it take to go there, get water, and come back?

MINUTES__
DON'T KNOW 998

104. What type of toilet do you use here? IF FLUSH OR POUR FLUSH TOILET, PROBE: When you flush the toilet, where does the water go?

FLUSH OR POUR FLUSH TOILET

FLUSH TO PIPED SEWER SYSTEM 11
FLUSH TO SEPTIC TANK 12
FLUSH TO PIT LATRINE 13
FLUSH TO SOMEWHERE ELSE 14
FLUSH, DON'T KNOW WHERE 15

PIT LATRINE

VENTILATED IMPORVED PIT LATRINE 21
PIT LATRINE WITH A SLAB 22
PIT LATRINE WITHOUT SLAB/OPEN PIT 23

COMPOSTING TOILET 31
BUCKET TOILET 41
HANGING TOILET/HANGING LATRINE 51
NO FACILITY/BUSH/FIELD 61 (SKIP TO 107)
OTHER (SPECIFY) 98

105. Do you share this toilet facility with other households?

YES 1
NO 2 (SKIP TO 107)

106. How many households use this toilet facility?

NUMBER OF HOUSEHOLDS IF LESS THAN 10__
10 OR MORE HOUSEHOLDS 95
DON'T KNOW 98

107. Does your household have:

Electricity?

YES 1
NO 2

A generator?

YES 1
NO 2

A radio?

YES 1
NO 2

A mobile telephone?

YES 1
NO 2

An ice box?

YES 1
NO 2

A table?

YES 1
NO 2

Chairs?

YES 1
NO 2

A cupboard?

YES 1
NO 2

A mattress (not made of straw or grass)?

YES 1
NO 2

A sewing machine?

YES 1
NO 2

A television?

YES 1
NO 2

A computer?

YES 1
NO 2

108. What do you use for heating food while cooking?

ELECTRICITY 01
GAS CYLINDER 02
KEROSENE STOVE 03
FIRE COAL/CHARCOAL 04
WOOD 05
NO FOOD COOKED IN HOUSEHOLD 95
OTHER (SPECIFY) 98

109. MAIN MATERIAL OF THE FLOOR. RECORD OBSERVATION. IF DIFFERENT ROOMS HAVE DIFFERENT FLOOR MATERIAL, CIRCLE THE CODE FOR THE MOST COMMON, i.e., WHAT COVERS THE LARGEST AREA.

NATURAL FLOOR

EARTH/SAND/MUD 11

RUDIMENTARY FLOOR

WOOD PLANKS 21

FINISHED FLOOR

PARQUET OR POLISHED WOOD 31
FLOOR MAT, LINOLEUM, VINYL 32
CERAMIC TILES 33
CONCRETE, CEMENT 34
CARPET 35

OTHER (SPECIFY) 96

110. MAIN MATERIAL OF THE ROOF. RECORD OBSERVATION.

NATURAL ROOFING

THATCH/PALM LEAF 11

RUDIMENTARY ROOFING

RUSTIC MAT 21
PALM/BAMBOO 22
WOOD PLANKS 23
TARPAULIN, PLASTIC 24

FINISHED ROOFING

ZINC, METAL 31
WOOD 32
CERAMIC TILES 34
CONCRETE, CEMENT 35
ASBESTOS SHEETS, SHINGLES 36

OTHER (SPECIFY) 96

111. MAIN MATERIAL OF THE OUTSIDE WALLS. RECORD OBSERVATION.

NATURAL WALLS

MUD AND STICKS 11
CANE/PALM/TRUNKS 12
STRAW, THATCH MATS 13

RUDIMENTARY WALLS

MUD BRICKS 21
PLYWOOD 22
CARDBOARD, PLASTIC 23
RESUSED WOOD 24

FINISHED WALLS

CEMENT 31
STONE BLOCKS 32
BRICKS 33
WOOD PLANKS/SHINGLES 34

OTHER (SPECIFY) 96

112. How many rooms does this household use for sleeping?

ROOMS__

113. Does any member of this household own:

A watch?

YES 1
NO 2

A bicycle?

YES 1
NO 2

A motorcycle or scooter?

YES 1
NO 2

A car or truck?

YES 1
NO 2

A boat or a canoe?

YES 1
NO 2

114. Does any member of this household own any agricultural land?

YES 1
NO 2

115. Is anyone in this household raising any livestock, herds, other farm animals, or poultry?

YES 1
NO 2 (SKIP TO 117)

116. How many of the following animals does this household own? IF NONE, ENTER '00'. IF 95 OR MORE, ENTER '95'. IF UNKNOWN, ENTER '98'.

Cows?

COWS__

Pigs?

PIGS__

Goats?

GOATS__

Sheep?

SHEEP__

Chickens, ducks, or guinea fowl?

CHICKENS, DUCKS, OR FOWL__

117. Does any member of this household have a bank account?

YES 1
NO 2

118. At any time in the past 12 months, has anyone come into your dwelling to spray the interior walls against mosquitoes?

YES 1
NO 2 (SKIP TO 120)
DON'T KOW 8 (SKIP TO 120)

119. Who sprayed the dwelling?

GOVERNMENT WORKER/PROGRAM A
PRIVATE COMPANY B
NONGOVERNMENTAL ORGANIZATION (NGO) C
OTHER (SPECIFY) X
DON'T KNOW Y

120. Does your household have any mosquito nets that can be used while sleeping?

YES 1 (SKIP TO 122)
NO 2

121. Why doesn't your household have any mosquito nets? CIRCLE ALL MENTIONED.

NO MOSQUITOES A (SKIP TO 201)
NOT AVAILABLE B (SKIP TO 201)
DON'T LIKE TO USE NETS C (SKIP TO 201)
TOO EXPENSIVE D (SKIP TO 201)
OTHER (SPECIFY) X (SKIP TO 201)

122. How many mosquito nets does your household have? IF 7 OR MORE NETS, RECORD '7'.

NUMBER OF NETS__

123. ASK RESPONDENT TO SHOW YOU THE NETS. IF MORE THAN 3, USE ADDITIONAL QUESTIONNAIRE(S).

OBSERVED, BUT HAS HOLES 1
OBSERVED, DOES NOT HAVE HOLES 2
NOT OBSERRVED 3

124. How many months ago did your household receive the mosquito net? IF LESS THAN ONE MONTH, WRITE '00'.

MONTHS AGO__
MORE THAN 36 MONTHS AGO 95
NOT SURE 98

125. Did you buy the net or was it given to you for free?

FREE 1
BOUGHT 2 (SKIP TO 127)
DON'T KNOW 8 (SKIP TO 129)

126. Where did you receive the free net?

EPI CAMPAIGN 1 (SKIP TO 129)
ANC VISIT 2 (SKIP TO 129)
UNHCR 3 (SKIP TO 129)
NGO DISTRIBUTION 4 (SKIP TO 129)
OTHER (SPECIFY) 6 (SKIP TO 129)
DON'T KNOW 8 (SKIP TO 129)

127. How much did you pay for the net? IF DON'T KNOW, WRITE '998'.

COST IN LIBERIAN DOLLARS__

128. Where did you buy the net?

PUBLIC SECTOR

GOVERNMENT HOSPITAL 11
GOVERNMENT HEATH CENTER 12
GOVERNMENT HEALTH POST 13
MOBILE CLINIC 14
OTHER PUBLIC SECTOR (SPECIFY) 16

PRIVATE MEDICAL SECTOR

PRIVATE HOSPITAL/CLINIC 21
PHARMACY 22
PRIVATE DOCTOR 23
MOBILE CLINIC 24
OTHER PRIVATE MEDICAL SECTOR (SPECIFY) 26

OTHER SOURCE

MEDICINE STORE 31
TRADITIONAL PRACTITIONER 32
MARKET 33

OTHER (SPECIFY) 36
DON'T KNOW 98

129. OBSERVE OR ASK THE BRAND/TYPE OF MOSQUITO NET. IF BRAND IS UNKNOWN AND YOU CAN NOT OBSERVE THE NET, SHOW PICTURES OF TYPICAL NETS/BRANDS TO THE RESPONDENT.

LONG-LASTING INSECTICIDE TREATED NET

OLYSET 11 (SKIP TO 133)
PERMANET 12 (SKIP TO 133)
BASF NET 13 (SKIP TO 133)
OTHER/DON'T KNOW BRAND BUT ITN 16 (SKIP TO 133)

OTHER BRAND 96
DON'T KNOW BRAND 98

130. When you got the net, was it already treated with insecticide to kill or repel/drive away mosquitoes?

YES 1
NO 2
NOT SURE 8

131. Since you got the mosquito net, was it ever soaked or dipped in a liquid to kill or repel/drive away mosquitoes?

YES 1
NO 2 (SKIP TO 133)
NOT SURE 8 (SKIP TO 133)

132. How many months ago was the net last soaked or dipped? IF LESS THAN ONE MONTH, WRITE '00'.

MONTHS AGO__
MORE THAN 24 MONTHS AGO 95
NOT SURE 98

133. Did anyone sleep under this mosquito net last night?

YES 1
NO 2 (SKIP TO 135)
NOT SURE 8 (SKIP TO 135)

134. Who slept under this mosquito net last night? RECORD THE PERSON'S NAME AND LINE NUMBER FROM THE HOUSEHOLD SCHEDULE.

NAME__
LINE NUMBER__

135. GO BACK TO 123 FOR NEXT NET; OR, IF NO MORE NETS, GO TO 201.

HEMOGLOBIN MEASUREMENT AND MALARIA TESTING FOR CHILDREN AGE 0-5

201. CHECK COLUMN 9 IN HOUSEHOLD SCHEDULE. RECORD THE LINE NUMBER AND NAME FOR ALL ELIGIBILE CHILDREN 0-5 YEARS IN QUESTION 202. IF MORE THAN SIX CHILDREN, USE ADDITIONAL QUESTIONNAIRE(S).

202. LINE NUMBER FROM COLUMN 9. NAME FROM COLUMN 2.

LINE NUMBER__
NAME__

203. IF MOTHER INTERVIEWED, COPY MONTH AND YEAR OF BIRTH FROM BIRTH HISTORY AND ASK DAY; IF MOTHER NOT INTERVIEWED, ASK: What is (NAME)'s birth date?

DAY__
MONTH__
YEAR__

204. CHECK 203: CHILD BORN IN JANUARY 2006 OR LATER?

YES 1
NO 2 (GO TO 203 FOR NEXT CHILD OR, IF NO MORE CHILDREN, END INTERVIEW)

205. CHECK 203: WAS CHILD BORN IN MONTH OF INTERVIEW OR FIVE PREVIOUS MONTHS?

YES 1
NO 2 (GO TO 203 FOR NEXT CHILD OR, IF NO MORE CHILDREN, END INTERVIEW)

206. LINE NUMBER OF PARENT/OTHER ADULT RESPONSIBLE FOR THE CHILD (FROM COLUMN 1 OF HOUSEHOLD SCHEDULE). RECORD '00' IF NOT LISTED.

LINE NUMBER__

207. ASK CONSENT FOR ANEMIA TEST FROM PARENT/OTHER ADULT IDENTIFIED IN 206 AS RESPONSIBLE FOR CHILD.

As part of this survey, we are asking children all over the country to take an anemia test. Anemia is a serious health problem that usually results from poor nutrition, infection, or chronic disease. This survey will assist the government to develop programs to prevent and treat anemia. We ask that all children born in 2006 or later take part in anemia testing in this survey and give a few drops of blood from a finger or heel. The equipment used to take the blood is clean and completely safe. It has never been used before and will be thrown away after each test. The blood will be tested for anemia immediately, and the result will be told to you right away. The result will be kept strictly confidential and will not be shared with anyone other than members of our survey team. Do you have any questions? You can say yes to the test, or you can say no. it is up to you to decide. Will you allow (NAME OF CHILD) to participate in the anemia test?

208. CIRCLE THE APPROPRIATE CODE AND SIGN YOUR NAME

GRANTED (SIGN) 1
REFUSED (SIGN) 2
NOT PRESENT 5
OTHER 6

209. ASK CONSENT FOR MALARIA TEST FROM PARENT/OTHER ADULT IDENTIFIED IN 206 AS RESPONSIBLE FOR CHILD.

As part of this survey, we are asking that children all over the country take a test to see if they have malaria. Malaria is a serious illness caused by a parasite transmitted by a mosquito bite. This survey will help the government to develop programs to prevent malaria. We ask that all children born in 2006 or later take part in malaria testing in this survey and give a few drops of blood from a finger or heel. The equipment used to take the blood is clean and completely safe. It has never been used before and will be thrown away after each test. (we will use blood from the same finger prick made for the anemia test). One blood drop will be tested for malaria immediately, and the result will be told to you right away. A few blood drops will be collected on a slide and taken to a laboratory for testing. You will not be told the results of the laboratory testing. All results will be kept strictly confidential and will not be shared with anyone other than members of our survey team. Do you have any questions? You can say yes to the test, or you can say no. it is up to you to decide. Will you allow (NAME OF CHILD) to participate in the malaria testing?

210. CIRCLE THE APPROPRIATE CODE AND SIGN YOUR NAME

GRANTED (SIGN) 1
REFUSED (SIGN) 2
NOT PRESENT 5
OTHER 6

211. PREPARE EQUIPMENT AND SUPPLIES ONLY FOR THE TEST(S) FOR WHICH CONSENT HAS BEEN OBTAINED AND PROCEED WITH THE TEST(S).

212. BAR CODE LABEL

PUT THE FIRST BAR CODE LABEL HERE___
NOT PRESENT 9994
REFUSED 9995
OTHER 9996
PUT THE 2ND BAR CODE LABEL ON THE SLIDE AND THE 3RD ON THE TRANSMITTAL FORM

213. RECORD HEMOGLOBIN LEVEL HERE AND IN THE ANEMIA AND MALARIA BROCHURE.

G/DL__
NOT PRESENT 994
REFUSED 995
OTHER 996

214. RECORD RESULT CODE OF THE MALARIA RDT

TESTED 1
NOT PRESENT 2 (SKIP TO 216)
REFUSED 3 (SKIP TO 216)
OTHER 6 (SKIP TO 216)

215. RECORD THE RESULT OF THE MALARIA RDT HERE AND IN THE ANEMIA AND MALARIA BROCHURE.

POSITIVE 1 (SKIP TO 218)
NEGATIVE 2
OTHER 6

216. CHECK 213 HEMOGLOBIN RESULT.

BELOW 8.0 G/DL, SEVERE ANEMIA 1
8.0 G/DL OR ABOVE 2 (SKIP TO 227)
NOT PRESENT 4 (SKIP TO 227)
REFUSED 5 (SKIP TO 227)
OTHER 6 (SKIP TO 227)

217. SEVERE ANEMIA REFERRAL STATEMENT

The anemia test shows that (NAME OF CHILD) has severe anemia. Your child is very ill and must be taken to a health facility immediately.

218. Has (NAME) suffered from the any of following sicknesses or symptoms in the past few days:

EXTREME WEAKNESS A
INABILITY TO EAT B
PALE OR COLD C
VOMITING D
HEART PROBLEMS E
LOSS OF CONSCIOUSNESS F
RAPID BREATHING G
SIEZURES H
BLEEDING I
JAUNDICE J
DARK URINE K
NO SYMPTOMS Y

219. CHECK 218. CODE A-K CIRCLED?

CODE Y CIRCLED 1
CODE A-K CIRCLED 2 (SKIP TO 222)

220. CHECK 213. HEMOGLOBIN RESULT

BELOW 8.0 G/DL, SEVERE ANEMIA 1 (SKIP TO 222)
8.0 G/DL OR ABOVE 2
NOT PRESENT 4
REFUSED 5
OTHER 6

221. In the past two weeks has (NAME) taken of is taking ACTs given by a doctor or health center to treat the malaria? VERIFY BY ASKING TO SEE TREATMENT.

YES 1 (SKIP TO 223)
NO 2 (SKIP TO 224)

222. SEVERE MALARIA REFERRAL STATEMENT

The malaria test shows that (NAME OF CHILD) has malaria. Your child also has symptoms of severe malaria. The malaria treatment I have will not help your child, and I cannot give you the medication. Your child is very ill and must be taken to a health facility right away. SKIP TO 226

223. ALREADY TAKING ACT REFERRAL STATEMENT

You told me that (NAME OF CHILD) has already received ACT for malaria. Therefore, I cannot give you additional ACT. However, the test shows that he/she is positive for malaria. If your child has a fever for two days after the last dose of ACT, you should take the child to the nearest health facility for further examination. SKIP TO 226.

224. READ INFORMATION FOR MALARIA TREATMENT AND CONSNT STATEMENT TO PARENT OR OTHER ADULT RESPONSIBLE FOR THE CHILD.

The malaria test shows that your child has malaria. We can give you free medicine. The medicine is called ACT. ACT is very effective and in a few days it should get rid of the fever and other symptoms. You do not have to give the child the medicine. This is up to you. Please tell me whether you accept the medicine or not.

225. CIRCLE THE APPROPRIATE CODE AND SIGN YOUR NAME.

ACCEPTED MEDICINE 1 (SIGN)
REFUSED 2
OTHER 6

226. RECORD THE RESULT CODE OF MALARIA TREATMENT OR REFERRAL.

MEDICATION GIVEN 1
MEDICATION REFUSED 2
SEVERE MALARIA REFERRAL 3
ALREADY TAKING ACTS REFERRAL 4
OTHER 6

227. GO BACK TO 203 IN NEXT COLUMN OF THIS QUESTIONNAIRE OR IN THE FIRST COLUMN OF THE NEXT PAGE; IF NO MORE CHILDREN, END INTERVIEW.

TREATMENT FOR CHILDREN WITH POSITIVE MALARIA TESTS

The malaria test shows that your child has malaria. We can give you free medicine. The medicine is called ACT. ACT is very effective and in a few days it should get rid of the fever and other symptoms. You do not have to give the child the medicine. Please tell me whether you accept the medicine or not.

TREATMENT WITH ACT (Artesunate (AS) and Amodiaquine (AQ))

Situation 1:
Weight (in kg) less than 4.5kgs
Age less than 6 months
Then treatment with ACT: nothing
Dosage: nothing

Situation 2:
Weight (in kg) 4.5 to less than 9kgs
Age 6 to 11 months
Then treatment: 25mg AS plus 67.5mg AQ
Dosage: 1 tablet once a day for 3 days

Situation 3
Weight (in kg) 9 to 18kgs
Age 1 to 5 years
Then treatment: 50mg AS plus 135mg AQ
Dosage: 1 tablet once a day for 3 days

Amodiaquine and Artesunate (ACT) are to be taken together once a day for 3 days. IF THE CHILD WEIGHS LESS THAN 4.5 KGS., DO NOT LEAVE DRUGS. TELL THE PARENT TO TAKE THE CHILD TO HEALTH FACILITY.

ALSO TELL THE PARENT/ADULT RESPONSIBLE FOR THE CHILD: If (NAME) has a fever for two days after completing the last dose of ACTs, you should take him/her to a health professional for treatment right away.

Data Cart

Your data extract

0	variables
0	samples