Chronic diseases and health promotion

The STEPS Instrument and Support Materials

THE STEPS INSTRUMENT

The tool used to collect data and measure noncommunicable disease (NCD) risk factors within the WHO STEPwise approach to surveillance is called the STEPS Instrument. The STEPS Instrument covers three different levels or 'steps' of risk factor assessment: Step 1 (questionnaire), Step 2 (physical measurements) and Step 3 (biochemical measurements).

The generic STEPS Instrument (version 3.1), which countries use to develop their own Instrument, contains:

  • CORE items (unshaded boxes)
  • EXPANDED items (shaded boxes)
  • Response options for Step 1, Step 2 and Step 3
  • Coding column, used to facilitate data management.

Note: For other language versions of the STEPS Instrument (version 3.1), please contact the STEPS team at steps@who.int.

QUESTION-BY-QUESTION GUIDE

The Question-by-Question (Q-by-Q) Guide provides background information to the interviewers and supervisors as to what is intended by each of the questions or measures on the generic STEPS Instrument. Interviewers can use this information when participants request clarification about specific questions or they do not know the answer.

Note: For other language versions of the Q-by-Q Guide 3.1, please contact the STEPS team at steps@who.int.

OPTIONAL MODULES

There are other modules available that can be added to the STEPS Instrument. Optional modules are available for Mental health / suicide, Oral health, Sexual health, Tobacco policy as well as Violence and injury.

RISK FACTOR SURVEILLANCE

STROKE SURVEILLANCE

GLOBAL SCHOOL-BASED STUDENT HEALTH SURVEY