Iodine Deficiency

Disorder Control
Program
The Survey
The Survey
(based on 30 cluster sampling technique)
Step 1- Data required from districts
State IDD Cell requires the following data in the
format provided by districts for identifying clusters
as per sampling technique. Census data preferred.

Total Population of district.

Block/Village wise population
Urban - ward wise population in urban city area.

Data provided by Hoshiarpur, SBS Nagar &

Faridkot.
A total of 30 clusters will be selected in a district
for survey.
 Step 2- Cluster identification (SBS Nagar)
S.No. Block Sub Centre Village Population
1 Khanpur Sadhpur 1027
2 Larroya Jhingran 2697
3 Mukandpur Garh Padhana Dudhala 1030

4 Khurd Nawan Burj 401

5 Ballowal Lidhar kalan 1044
6 Dosanjh Khurd BHARO MAJARA 1793
7
8
9
Sujjon
Khamachon
Hamirowal
Masoodpur
KHAMACHON
HAMIROWAL
SOONDH
1397
435
1130
30 clusters
10

11
Jasso Majra
Khothran
MAHANT GURBACHAN DASS NAGAR

KHOTHHRAN
996
4976
identified based
12
13
Dopalpur
Mahallon
Mandala
Bhangal Kalan
128
2109 on PPS Sampling
14 Ghari F Khan Saidpur 545
15
16
Muzzafarpur
Punnu Mazara
Barnal Kalan
Punnu Mazara
Jethu Mazara
1484
1420
Technique
17
18
Sahlon
Sahungra
Sakohpur
Bakapur
1329
1060
(Probability
19 Saroya Bachhauri Khandupur 516
20
21
Katwara
Rail Majra
Katwara Khurd
Rail
705
1576
Proportionate to
22
23 Balachaur
Barthala
Behrari
Dubhali
Nighi
300
907
Size Sampling) .
24 Thopia Roohno+Bung Nangli 105
25 Mehatpur Mehatpur 2490
26 Banga Ward No.5 1508
27 Ward No.2 3160
Nawanshahar
28 Ward No.11 2328
29 Rahon Ward No.5 1173
30 Balachaur Ward No.5 2179
Step 3- Cluster identification & Previsit

Once 30 clusters are identified state shares with

the district.
Following this, a meeting will be held at State
Headquarters to explain methodology/logistic
requirement
After this, a pre visit will be made by state officials
to the concerned district
Pre visit : Meeting with CS/DHO/Epidemiologist/School
Health Officer/DPM/Data entry operator
 District preparation

District to make 3 teams to carry out survey in

district
Each team 4 members + 1 ASHA/Link Worker
from identified cluster
10 clusters per team
Deadline 3 weeks from date of State Level
Training.
Budget from State will be forwarded to Districts .
Honorarium/ Mobility budget will be provided for
each team separately
Capacity Building of District Teams
A 3 day Training of identified District Staff by State team

Day 1
State Level Meeting with 3 survey teams from district
Hoshiarpur, Faridkot, SBS Nagar and Shri Muktsar Sahib to
explain IDD Survey methodology.
Day 2
- One State team move to districts
- Field Demonstration to identified district teams in an
identified cluster by State team.
Day 3
- Survey by 3 teams in identified clusters separately.
 Team
composition DHO/CS
Team 1 Team2 Team3
School Health Epidemiologist Medical Officer
Cat A

officer officer ( Distt Identified)

RMO / MO RMO / MO RMO / MO
BEE/SI BEE/SI BEE/SI
Cat B

LHV/ANM LHV/ANM LHV/ANM

+ + +
ASHA/ Link ASHA/ Link ASHA/ Link
Cat C

Worker Worker Worker

Support for 10 ASHAs Support for 10 ASHAs Support for 10 ASHAs
1 from each identified 1 from each identified 1 from each identified
cluster cluster cluster
 Team
composition DHO/CS
Team 1 Team2 Team3
School Health Epidemiologist Medical Officer
Cat A

officer
Rs 350officer
per day X 5 days ( Distt Identified)
RMO / MO Rs 1750
RMO /per
MO person RMO / MO
BEE/SI BEE/SI BEE/SI
Rs 225 per day X 5 days
Cat B

LHV/ANM LHV/ANM LHV/ANM

Rs 1125 per person
+ + +
ASHA/ Link ASHA/ Link ASHA/ Link
Cat C

Worker Worker Worker

Support for 10 ASHAs
Rs 100 per
Supportcluster
for 10 ASHAsper ASHA
Support for 10 ASHAs
1 from each identified
cluster
Rs 1000
cluster
per 10
cluster
1 from each identified 1 from each identified
cluster
 Total Budget for survey for teams
Team members Total per team

Rs 350 per day X 5 days Rs 1750 X2

1. Category A Rs 1750 per person Rs 3500

Total Funds
2. Category B Rs 225
for all per day
3 teams inXdistrict
5 days for maxRs51125
daysX2
(3500X3) + (2250X3)Rs+(100X30)
1125 per person Rs 2250
+(3000 X 3)+(200)+(150)=
3. Category C Rs 100 per
Rs cluster
29600 per ASHA Rs 1000
Rs 1000 per 10 clusters
4. Per Team
Rs 600 per team per day X 5 days
mobility
Rs 3000
5. Data Entry Rs 200 per district for 30 clusters data entry
Operator

6. Messenger Rs 150 per district for messenger bringing

Support samples to State IDD Lab
 State Support
Funds for district
For 3 teams (max 5 days including mobility)
Rs 29600 per district.

Necessary Logistics ( Urine & Salt Kits/

LRF/labels/ Stickers/ formats) will be
provided by State
 SOE/ UC- Deadline
Distt to send to State IDD cell
within 3 days of
activity completion
State to GoI timeline
within 7 days of activity
 What is to be done in IDD Survey
Clusters to be surveyed per district 30

In 1 cluster children to be surveyed 90

Children to be surveyed in district 2700

Urine samples to be collected in 1 cluster 9

Total Urine samples to be collected in district 270

Salt samples to be collected in 1 cluster 18

Total Salt samples to be collected in district 540

 Formulas for calculation

IDD Survey to be conducted by PPS

(Probability Proportionate to Size
Sampling) Technique.
Sample Size
30 clusters (wards & villages)
Sampling Interval (SI)
Total Population/30=SI.
 Selection of 30 Clusters
First Random Sample will be = RS

Second Random Sample will be = RS+SI

Third Random Sample will be = R+2SI

Fourth Random Sample will be =RS+3SI

Fifth Random Sample will be =RS+4SI & so on

30th Random Sample will be = R+29SI

 Hypothetical Example

Suppose in district Saharanpur ,

Total population: 38820

Sampling Size: 30
Sampling Interval (SI): 38820/30
=1294
 PPS SAMPLING
S.No Name of Population Cumulative Population Cluster
village
1 550 550

2 300 850 (RS)

3 500 1350

4 600 1950

5 345 2295 2

6 400 2695

7 799 3494 3

8 800 4294
 What to do after identification of clusters

After identification of 30 clusters,

From each cluster, sample size of 90 children (45

boys & 45 girls) of age group 6-12 years from
school and community to be taken.
Goiter examination in every child surveyed i.e 30
clusters x 90 children= 2700
Salt sample collection from every 5th child
Urine sample collection from every 10th child.
Criteria for Selection of children

Literacy Literacy
Rate Female Rate Male

SBS Nagar 81% 86%

Source- Census 2011-12

Criteria for of Samples Selection.

District Girls Boys

School 81*100/45 86*100/45
= 33 =39
SBS Nagar From =32
12 6
Community
Total 45 45
Introduction to Thyroid Gland for Goiter Examination

Goiter Examination based on

inspection & palpation of
neck.
The examination may palpate
from front side or back side of
neck.
The examiner palpate the
isthmus & lobes with two
thumbs/two fingers/fingers of
both hands being separated
around lateral side of neck.
 CLASSIFICATION OF GOITER
Three types of Goiter:-

Grade 0:- No palpation or visible goiter /no goiter

Grade 1:- Mass in neck consistent with

enlarged thyroid.
Palpation is not visible when neck is in
normal position it moves upward in the
neck as the individual swallows.

Nodular alteration can occur even without

enlargement of thyroid.
 CLASSIFICATION OF GOITRE

Grade II:- The swelling in neck is visible when the neck

is in normal position and is consistent with
enlarged thyroid when it is palpated
 Instructions to Survey teams

Deadline for completion of survey in identified

district is three weeks from date of State/District
level training.
IDD Survey in all 4 districts should be completed by
31st March, 2013

Prior information to the Principal or the Head of

the school before visit to identified School in a
cluster.
 Instructions contd

Salt & Urine samples collected from district

should reach State immediately (within one or
two) after completion of survey.
Report of funds utilized should reach the State by
end of each week.
Follow up of children identified with Grade 2
Goiter. (School Health Officer to follow up)
 Role of MO/RMOs

Identification of 90 children of 6-12 yrs age

group from School & community in a cluster.

Goiter Examination in each identified child.

 Selection of 90 Children from a Cluster
District : SBS Nagar

District Male Literacy rate 86% District Female Literacy rate 81%
Boys to be examined Girls to be examined
From School 39 From School 33
From Community 6 From Community 12
Total 45 Total 45

Age Group Male Female

From School From Community From School From Community
6 yr 5 0 4 1
7 yr 5 1 4 1
8 5 1 5 2
9 6 1 5 2
10 6 1 5 2
11 6 1 5 2
12 6 1 5 2
Total 39 6 33 12
 Selection of 90 Children from a Cluster
District : Hoshiarpur

District Male Literacy rate 90% District Female Literacy rate 81%
Boys to be examined Girls to be examined
From School 40 From School 36
From Community 5 From Community 9
Total 45 Total 45

Age Group Male Female

From School From Community From School From Community
6 yr 5 0 5 1
7 yr 5 0 5 1
8 6 1 5 1
9 6 1 5 1
10 6 1 5 1
11 6 1 5 2
12 6 1 6 2
Total 40 5 36 9
 Selection of 90 Children from a Cluster
District : Shri Muktsar Sahib

District Male Literacy rate

0
73% District Female Literacy rate 60%
Boys to be examined Girls to be examined
From School 33 From School 27
From Community 12 From Community 18
Total 45 Total 45

Age Group Male Female

From School From Community From School From Community
6 yr 4 1 3 2
7 yr 4 1 4 2
8 5 1 4 2
9 5 2 4 3
10 5 2 4 3
11 5 2 4 3
12 5 2 4 3
 Selection of 90 Children from a Cluster
District : Faridkot

District Male Literacy rate

0
76% District Female Literacy rate 65%
Boys to be examined Girls to be examined
From School 34 From School 29
From Community 11 From Community 16
Total 45 Total 45

Age Group Male Female

From School From Community From School From Community
6 yr 4 1 4 2
7 yr 5 1 4 2
8 5 2 4 2
9 5 2 4 2
10 5 2 4 2
11 5 2 4 3
12 5 2 5 3
Total 34 11 29 16
 Role of BEE/SI & ANM/LHV

BEE/SI & ANM/LHV to ensure that

Salt sample collected from every 5th identified
Child in a cluster.
Urine sample from every 10th identified Child in a
cluster.
Required information of children surveyed from
each cluster entered in GOI Performa.
 Role of ASHA in each cluster

Every cluster will have ASHA of that area.

Identified ASHA will support Survey in

community.

In community, ASHA from each cluster will

Identify children of 6-12 years from community.
In urban area, where ASHA is not here, LHV will be
identified.
Thank You