Status of birth and pregnancy outcome capture in Health Demographic Surveillance Sites in 13 countries

Peter Waiswa, Joseph Akuze (), Cheryl Moyer, Doris Kwesiga, Samuelina Arthur, Osman Sankoh, Paul Welaga, Martin Bangha, Jacques Eminas, Sheru Muuo, Abdhalah Ziraba and Kate Kerber
Additional contact information
Peter Waiswa: INDEPTH Network Maternal Newborn and Child Health Working Group
Joseph Akuze: INDEPTH Network Maternal Newborn and Child Health Working Group
Cheryl Moyer: INDEPTH Network Maternal Newborn and Child Health Working Group
Doris Kwesiga: INDEPTH Network Maternal Newborn and Child Health Working Group
Samuelina Arthur: INDEPTH Network Maternal Newborn and Child Health Working Group
Osman Sankoh: INDEPTH Network Maternal Newborn and Child Health Working Group
Paul Welaga: INDEPTH Network Maternal Newborn and Child Health Working Group
Martin Bangha: INDEPTH Network Maternal Newborn and Child Health Working Group
Jacques Eminas: INDEPTH Network Maternal Newborn and Child Health Working Group
Sheru Muuo: INDEPTH Network Maternal Newborn and Child Health Working Group
Abdhalah Ziraba: INDEPTH Network Maternal Newborn and Child Health Working Group
Kate Kerber: INDEPTH Network Maternal Newborn and Child Health Working Group

International Journal of Public Health, 2019, vol. 64, issue 6, No 10, 909-920

Abstract: Abstract Objectives We compared pregnancy identification methods and outcome capture across 31 Health Demographic Surveillance System (HDSS) sites in 14 countries in sub-Saharan Africa and Asia. Methods From 2009 to 2014, details on the sites and surveillance systems including frequency of update rounds, characteristics of enumerators and interviewers, acceptable respondents were collected and compared across sites. Results The 31 HDSS had a combined population of over 2,905,602 with 165,820 births for the period. Stillbirth rate ranged from 1.9 to 42.6 deaths per 1000 total births and the neonatal mortality rate from 2.6 to 41.6 per 1000 live births. Three quarters (75.3%) of recorded neonatal deaths occurred in the first week of life. The proportion of infant deaths that occurred in the neonatal period ranged from 8 to 83%, with a median of 53%. Sites that registered pregnancies upon locating a live baby in the routine household surveillance round had lower recorded mortality rates. Conclusions Increased attention and standardization of pregnancy surveillance and the time of birth will improve data collection and provide platforms for evaluations and availability of data for decision-making with implications for national planning.

Keywords: INDEPTH Network; Maternal Newborn Child Health Working Group; Stillbirth; Neonatal; Mortality; Perinatal mortality; Demographic Surveillance Sites (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1007/s00038-019-01241-0

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