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100 miles of monitoring – The GiveWell Weblog

We’re crossposting a weblog put up by New Incentives, considered one of our grantee organizations and High Charities. New Incentives promotes vaccination in Northern Nigeria by offering money incentives to folks and caregivers. Just lately, considered one of New Incentives’ area officers wrote about his expertise amassing program information.

GiveWell asks all of our High Charities to share detailed monitoring data, which we assessment to evaluate the standard of program implementation and the variety of kids reached. We additionally use this information as a part of our cost-effectiveness analyses, that are the premise of our funding choices.

We’re sharing this put up to offer a firsthand account of how that monitoring information is collected. We acknowledge that particular person tales a couple of program will be deceptive, as they will typically spotlight the most effective examples fairly than typical instances. Nonetheless, we hope Sanusi’s expertise opens one small window into the efforts our High Charities take to make sure high-quality implementation; for extra rigorous details about the extent of New Incentives’ monitoring and analysis efforts, see this part of our assessment of this system.

You possibly can learn the unique put up on New Incentives’ web site, and join New Incentives’ e mail e-newsletter right here.


Boats, Motorbikes, and Vaccines: My Travels to Arduous-to-Attain Areas of Nigeria to Gather Excessive-High quality Information

Sanusi Bala Sanusi, January 25, 2024

As a area officer conducting fast assessments, my job entails touring to distant, hard-to-reach communities to interview caregivers and acquire information on immunization protection of their neighborhood. Together with both a neighborhood chief or somebody they assign to assist, I work to acquire dependable, evidenced-based, and actionable information from the caregivers for correct planning and interventions by New Incentives in northern Nigeria.

A photo of a dirt road extending into the distance, with palm trees and vegetation along the side

Fast assessments are protection monitoring surveys that usually happen each six months to measure the proportion of vaccinated kids in a given geographic space, together with different associated indicators, giving the group an estimate of its ongoing impression on vaccination protection. (Be taught extra about this information.)

Earlier than beginning an preliminary screening, I get verbal and written consent to proceed with the survey. I clarify to caregivers that our discussions are strictly confidential and solely to be used by New Incentives – All Infants Are Equal (NI-ABAE—that is how the group is referred to in Nigeria) for inside decision-making processes and future interventions, additionally noting that general outcomes will likely be shared with the state.

Within the preliminary screening, I examine to see if any kids aged six to 12 months stay within the family (and have been residing in the identical space for at the very least six months). If the kid’s caregiver is out there and prepared to be interviewed, I conduct the routine immunization survey.

The survey takes round 45 minutes and covers numerous family traits, the kid’s immunization standing, and different healthcare-seeking behaviors of the family. Throughout the interviews, I make sure that to ask the appropriate inquiries to get correct responses. One factor that was at all times strengthened in our coaching and by my supervisor is that consistency is vital; questions that I ask to at least one caregiver needs to be the identical as what my colleague is asking one other caregiver.

Three photos side by side. The center image is from a boat in a river. The images on each side are selfies of New Incentives field officer Sanusi

Some neighborhood members inform me that they’re completely happy and thank NI-ABAE for remembering them; they’ve advised me that workers from different organizations generally don’t present up for appointments and conferences locally, however NI-ABAE by no means fails to indicate up.

I additionally generally conduct back-checks after a surveyor finishes their information assortment. That signifies that I’m despatched to the identical homes the earlier surveyor visited to gather information and ask the contributors the identical questions, that are later in comparison with uncover whether or not the appropriate questions have been requested or whether or not there was a breach by the primary surveyor. I additionally generally conduct spot-checks for brand new colleagues whereas they’re administering surveys to ensure they’re following organizational protocols.

I generally should journey very far distances over tough terrain to succeed in respondents. In September, I took a seven-hour journey to Dampar, a neighborhood in Ibbi LGA, in Taraba State, first touring by automobile for over 100 kilometers after which hiring a motorcycle to navigate by means of tough and muddy terrain for over 37 kilometers to succeed in the banks of the Benue River. After that, I boarded a canoe to journey a brief distance earlier than berthing on the settlement. In October, I traveled for about 70 km by boat from Ibbi, which may take as much as 12 hours on an area boat utilized by native retailers shopping for grains and different objects, however when you’re fortunate, and a high-speed boat is out there, it takes two hours.

Three photos side by side. The center image is shows a boat along a riverbank, with a grassy area behind it. The image on the left is of New Incentives field officer Sanusi standing on a muddy road. The image on the right is a selfie of Sanusi with a river and grassy area behind him.

I’m a graduate of Science Laboratory Know-how, with a serious in microbiology. Throughout my remaining 12 months venture for the completion of my bachelor’s diploma, I participated within the assortment of fruit samples from completely different distributors. This concerned interviewing distributors to find out the explanations for fruit spoilage earlier than taking samples for laboratory evaluation and tradition. This fieldwork helped put together me for all types of area actions and information assortment assessments. As well as, I’ve taken programs in public well being and epidemiology, which ready me to hold out completely different information assortment strategies, together with key informant interviews, focus group discussions, and questionnaires associated to public well being.

‍To spice up vaccination charges for infants, New Incentives continues to interact its area officers within the disbursement of small money transfers as incentives to encourage moms to deliver their infants for immunization towards lethal ailments that vaccines can forestall, thereby lowering Nigeria’s greater than 2.2 million zero-dose infants, a big proportion of whom reside within the northern elements of the nation.

Working with New Incentives as a area officer has made me perceive the significance of high-quality information. At New Incentives, hard-to-reach communities with tough terrain should not uncared for. So long as an space is inhabited and secure, we are going to go there, interview the caregivers, and get the appropriate information.

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