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The meeting provided an opportunity for training in all aspects of the survey and for resolution of problems and modifications to the questionnaire and survey process based on feedback from the investigators.
It is important to recognise the important advantages operating here in that the survey process was initiated and implemented from the senior levels of the Tigray Regional Health Bureau.
Independent reviews of the entire survey process were undertaken by technical advisors from USAID (through MEASURE Evaluation), DFID and WHO.
The survey process is also vulnerable to political manipulation from all sides.
During the survey process, we discussed the representation of sample data with officials from rural energy management offices from both Qin'an and Tongwei Counties.
By the time the survey process closed, over 26,263 survey responses were collected.
Figure 1 shows the survey process.
The final evaluation used a mixed-methods approach, including pre-post comparison of knowledge, practice, and coverage (KPC) surveys; process review data from project monitoring and the national health information system; qualitative methods (group and key informant interviews); and participatory engagement of the project team, including MOH staff.
Data from surveys, process evaluations and other sources, for example, reports may be either semiqualitative or quantitative or both.
However, it is still possible that the difference between households and businesses can be attributed to the different data collection process from different surveys.
It is recommended that there should be a shift in the accreditation inspection process from a scheduled to unscheduled survey which will result in a change from a survey preparation mindset to that of continual readiness.
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