Appendix A. Questions for use by facilitators

The following is a list of questions that can be used by facilitators to introduce each part of the slide set. The answers should be reviewed once each section has been completed.

Part 1. Epidemiology

· Does anyone keep any kind of records or statistics on measles cases seen in your facilities? Can you tell us how you use the information?

· Can anyone name a factor that increases a child's chances of getting measles? Are there any other factors? (Continue until there are no new responses.)

· What is your case definition of measles?

· How common is measles where you work/live?

· Which children get measles in this area?

Part 2. Natural history of measles

· Can you describe the last case of measles you saw? What was the illness like? How old was the patient?

· How would you describe the development of measles during the first week of the illness?

· Are there other illnesses in your area which can look similar to measles?

· What are the most common complications of measles you see in your clinic?

· Has anyone seen any other types of complications? (Continue until there are no new responses.)

· What happens to children with measles once they are better?

· How many children died from measles in your district last year?

Part 3. Case assessment and classification

· Is measles easy to diagnose? Why? Why not?

· What do you do when you see a child with measles in the clinic?

· How do you know whether the child has complicated or uncomplicated measles?

Part 4. Treating complications

· How do you treat children with complications?

· Which children do you refer to hospital?

· What urgent action must be taken for children with measles who need sending to hospital?

Part 5. General management

· How do you treat common symptoms of measles?

Part 6. Prevention

· What sort of immunization services do you provide in your clinic?

· What is the schedule of immunization for your clinic?

· What is the target for measles immunization in your district? What problems have you encountered in trying to reach that target?

· Who is responsible for immunization in your area?

· Can you immunize a child who is malnourished?

· Can you immunize a child with a cold?

· Does your clinic/hospital miss opportunities to immunize children?