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METHODOLOGY
Grais RF, Rose AM, Guthmann JP. Don't spin the pen: two alternative methods for
second-stage sampling in urban cluster surveys. Emerging Themes in
Epidemiology 4(8), 1-7, June 1, 2007.
In two-stage cluster surveys, the traditional method used
in second-stage sampling (in which the first household in a cluster is selected)
is time-consuming and may result in biased estimates of the indicator of
interest. Firstly, a random direction from the center of the cluster is
selected, usually by spinning a pen. The houses along that direction are then
counted out to the boundary of the cluster, and one is then selected at random
to be the first household surveyed. This process favors households towards the
center of the cluster, but it could easily be improved. During a recent
meningitis vaccination coverage survey in Maradi, Niger, we compared this method
of first household selection to two alternatives in urban zones: 1) using a
superimposed grid on the map of the cluster area and randomly selecting an
intersection; and 2) drawing the perimeter of the cluster area using a Global
Positioning System (GPS) and randomly selecting one point within the perimeter.
Although we only compared a limited number of clusters using each method, we
found the sampling grid method to be the fastest and easiest for field survey
teams, although it does require a map of the area. Selecting a random GPS point
was also found to be a good method, once adequate training can be provided.
Spinning the pen and counting households to the boundary was the most
complicated and time-consuming. The two methods tested here represent simpler,
quicker and potentially more robust alternatives to spinning the pen for cluster
surveys in urban areas. However, in rural areas, these alternatives would favor
initial household selection from lower density (or even potentially empty)
areas. Bearing in mind these limitations, as well as available resources and
feasibility, investigators should choose the most appropriate method for their
particular survey context.
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