Setting up child health and mortality prevention surveillance in Ethiopia

Gates Open Research

article

Anna C. Seale¹  Nega Assefa¹  Lola Madrid¹  Stefanie Wittmann¹  Hanan Abdurahman²  Nardos Teferi²  Letta Gedefa²  Alexander Mohamed²  Natnael Debela²  Tseyon Tesfaye²  Tigistu Samuel²  Mehret Dubale¹  Hiwot Yigzaw²  Eyoel Taye²  Workalemahu Bekele²  Caroline Ackley¹  Gutema Imana Keno²  Yosef Zegeye²  Zerihun Girma²  Ketema Degefa²  Berhanu Damisse²  Adugna Tadesse²  Mohammed Aliyi²  Gurmu Feyissa²  Yenenesh Tilahun²  Getahun Wakwaya²  Bizunesh Sintayehu²  Getamesay Abayneh²  Addisu Alemu²  Emmanuel Azore¹  Joe Oundo¹  Zelalem T Mariam²  Dadi Marami²  Mulu Berihun²  Mussie Berhanu²  Mahlet Mekonnen²  Andualem Alemayehu²  Nana Sarkodie-Mensah¹  Shirine Voller¹  Boniface Jibendi¹  Abraham Aseffa⁴  Taye Balcha⁴  Robert F. Breiman⁵  Scott F Dowell⁶  Asnake Worku⁷  Tsigereda Kifle⁷  Ebba Abate⁷  Yadeta Dessie²  J. Anthony G. Scott¹ 

[1] Epidemiology and Population Health, London School of Hygiene & Tropical Medicine;Haramaya University;KEMRI-Wellcome Trust Research Programme;Armauer Hansen Research Institute;Emory Global Health Institute, Emory University;Bill & Melinda Gates Foundation;Ethiopian Public Health Institute

关键词: surveillance;    Ethiopia;    mortality;    deaths;    child;    infant;    stillbirth;    partnership;   

DOI  :  10.12688/gatesopenres.13395.2

学科分类：电子与电气工程

来源: American Journal Of Pharmtech Research

【 摘 要 】

Background: 100 deaths/1000 live-births in Kersa) had limited previous surveillance capacity, weak infrastructure and political instability. Here we describe site development, from conception in 2015 to the end of the first year of recruitment. Methods: We formed a collaboration between Haramaya University and the London School of Hygiene & Tropical Medicine and engaged community, national and international partners to support a new CHAMPS programme. We developed laboratory infrastructure and recruited and trained staff. We established project specific procedures to implement CHAMPS network protocols including; death notifications, clinical and demographic data collection, post-mortem minimally invasive tissue sampling, microbiology and pathology testing, and verbal autopsy. We convened an expert local panel to determine cause-of-death. In partnership with the Ethiopian Public Health Institute we developed strategies to improve child and maternal health. Results: Despite considerable challenge, with financial support, personal commitment, and effective partnership, we successfully initiated CHAMPS. One year into recruitment (February 2020), we had received 1173 unique death notifications, investigated 59/99 MITS-eligible cases within the demographic surveillance site, and assigned an underlying and immediate cause of death to 53 children. Conclusions: The most valuable data for global health policy are from high-mortality settings, but initiating CHAMPS has required considerable resource. To further leverage this investment, we need strong, sustained, local research leadership, and to broaden the scientific remit. To support this, we have set up a new collaboration, the “Hararghe Health Research Partnership”.

【 授权许可】

CC BY