From: Development of a data collection and management system in West Africa: challenges and sustainability
CRF # and Title | Information obtained | Treatment, Other Data |
---|---|---|
CRF 1: Screening and enrollment of cohort participants | Village, Age, Physical Exam, Thick Blood Smear, House # | Chronic Illness with Current Medications, Informed Consent |
CRF 2: Passive case detection for malarial disease | Census or Study ID #, Date of Visit, Symptoms, Smear | Smear and HRP2-based RDT, Treatment provided for Positives |
CRF 3: Microscopy: thick and thin blood smears | Census or Study ID #, Slide Number, Visit Date | Slide Readings and Dates, Microscopist’s Initials |
CRF 4: Household and malaria control questionnaire | Census, Household ID #, Questionnaire Responses | Recent IRS, # of Bed Nets, use of Nets and People in the House |
CRF 4a: Household questionnaire subform nets | Census, Household ID #, Net Type, Number of ITNs | Net Source, Cost and dipping, Persons sleeping under net(s) |
CRF 5: Adult questionnaire | Census, Household ID #, Knowledge about Malaria | Education, Occupation, Malaria Prevention Strategies used |
CRF 5a: Adult fever questionnaire subform fever | When did the illness occur? Diagnosis, Treatment | Response to Treatment, Hx of Travel and Bed Net use |
CRF 6: Mothers with children < 5 years of age | Census, Household ID #, Hx of Malaria in pregnancy | Treatment of Malaria during previous pregnancies, |
CRF 6a: Mothers with children < 5 years of age who have had fever | Mother, Child Census ID #, Diagnosis, Treatment dates | Treatment prescribed, Time to treatment and dosing |
CRF 7: Study termination | Reason for Termination: withdrawal, completion, loss | Losses to follow-up: moving, refusals, treatment failure |
CRF 8: Chemistry (EDTA) tube tracking for lab testing | Was venous blood obtained for laboratory studies? | Red cell pellet, plasma samples obtained, tested and stored |
CRF 9: Twice-yearly follow-up of participants in the longitudinal cohort Study | Census and Study ID #, Hx of malarial illness with a positive smear or RDT, | Diagnosis and treatment: RDT and smear results, clinical response to treatment |