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Malaria and children: Progress in intervention coverage - Unicef

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42<br />

spray<strong>in</strong>g rather than <strong>in</strong>secticide-treated nets, <strong>and</strong><br />

therefore national figures for <strong>in</strong>secticide-treated<br />

net use may be similarly masked.<br />

<strong>Progress</strong> <strong>in</strong> malaria <strong>in</strong>tervention <strong>coverage</strong> is generally<br />

monitored at the national level rather than<br />

among subnational at-risk populations. There are<br />

two important reasons for rely<strong>in</strong>g on national-level<br />

estimates of malaria <strong>in</strong>tervention <strong>coverage</strong>, as this<br />

report does. First, for many countries it is difficult<br />

to accurately def<strong>in</strong>e at-risk areas with<strong>in</strong> countries<br />

<strong>and</strong> subsequently identify households surveyed<br />

with<strong>in</strong> those areas s<strong>in</strong>ce surveys do not always<br />

geo-code the households or villages where survey<br />

<strong>in</strong>terviews occur. The figures presented <strong>in</strong> table<br />

A1 reflect estimates based on a climate model<br />

<strong>and</strong> have limited validity for some countries. Second,<br />

survey sample sizes must be large enough to<br />

offer mean<strong>in</strong>gful results for subnational malarious<br />

areas. This is often difficult, particularly for<br />

Demographic <strong>and</strong> Health Surveys <strong>and</strong> Multiple<br />

Indicator Cluster Surveys, because sample sizes<br />

have not been specifically designed to obta<strong>in</strong> estimates<br />

for populations at risk of malaria.<br />

Notes<br />

1. Roll Back <strong>Malaria</strong>, MEASURE Evaluation, WHO,<br />

<strong>and</strong> UNICEF 2006.<br />

2. Roll Back <strong>Malaria</strong>, MEASURE Evaluation, WHO,<br />

<strong>and</strong> UNICEF 2006.

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