Table 3.

Select indicators and survey questions included in the malaria elimination readiness score by domain for MERA survey

Categories of indicators	Questions included
Domain 1: Resource availability
Diagnostic capacity	Malaria RDTs in stocka Able to diagnose P. vivaxb
Essential medicines	Either ACT or oral quinine in stocka Either injectable artesunate or quinine in stocka Primaquine in stocka
Other commodities	Thermometer availablea Infant weighing scale availablea Stand-on scale availablea
Guidelines	Copy of National Malaria Guidelines availablea
CHV testing and diagnosis	Thermometer availablec RDT currently availablec ACT currently availablec No stock-outs in past 3 monthsc
Stock management system	Stock management system being useda,c
Domain 2: Case management
CHV patient population	CHV treats children ≤ 5 years with feverc
Identifying criteria for testing for malaria	HP identifies criteria for testing for malariab CHV identifies criteria for testing for malariac HP elicits fever complaintd HP takes patient’s temperatured HP performs RDT in patient with fever complaintd
Test and treating practices	RDTs performed for reported fever in absence of current feverc,d Patients not treated without testingb ACT given for positive RDTc
Management of uncomplicated malaria	HPs use appropriate anti-malarialsb CHVs follow-up with patients after treatmentc
Accessing high risk populations	CHVs assess travel history and encourage pregnant women to seek carec
SBC activities	Malaria education is performed in the communitya,c
Domain 3: Data management and use
Data reporting	Case data records are maintainedc Data are reported to HFsc
Data analysis	Standard operating procedures (SOP) available for data analysisa Data reviewed monthlya Data used to make decisionsa Case location can be mapped geographicallya
Data quality	Cases classified as confirmed or clinicala Cases can be followed across registersa Data quality measures in placea,c Data quality is monitoreda Monthly summary reports are maintainedc
Epidemic response	Actions are undertaken in the event of increase in cases above expecteda,c
Domain 4: Training, supervision and technical assistance
Training	HFs and CHVs report receiving training on various malaria activities and data managementa,b,c
Supervision	HFs and CHVs report receiving supervision visit in the last 6 monthsa,c
Feedback	HFs and CHVs report receiving feedback on dataa,c
Technical assistance	HFs and CHVs report receiving technical assistance from higher level if requesteda,c HFs and CHVs report receiving guidance on malaria outbreak responsea,c

^aHealth Facility (HF) assessment

^bHealthcare Provider (HP) interview

^cCommunity Health Volunteer (CHV) interview

^dPatient observation