Health & Demographic Surveillance System Profile: Farafenni Health and Demographic Surveillance System in The Gambia

Health & Demographic Surveillance System Profile: Farafenni Health and Demographic Surveillance System in The Gambia
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DOI:
10.1093/ije/dyv049
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发表时间:
2015-06-01
影响因子:
7.7
通讯作者:
D'Alessandro, Umberto
D'Alessandro, Umberto
中科院分区:
医学1区
文献类型:
--
作者:
Jasseh, Momodou;Gomez, Pierre;D'Alessandro, Umberto

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Farafenni健康和人口监测系统(Farafenni HDSS)位于冈比亚河以北的冈比亚农村地区,距离海岸170公里。它是由联合王国医学研究理事会实验室于1981年设立的,目的是为评价40个村庄的以村为基础的初级保健方案提供所需的人口和健康信息。随后每4个月定期更新一次人口统计事件和居住状况。2002年,监测区域扩大到包括Farafenni镇及周边村庄,以支持随机对照试验。通过30多年的前瞻性监测和具体的科学调查,该平台(人口约5万人)产生了以下数据:儿童和妊娠期间疟疾的发病率和死亡率;成人非传染性疾病;生殖健康;儿童和孕产妇死亡率的水平和趋势。常规收集的其他信息包括死因推断和家庭社会经济指标。该平台目前的工作包括跟踪冈比亚农村地区实现千年发展目标4的情况和确定死亡原因。
The Farafenni Health and Demographic Surveillance System (Farafenni HDSS) is located 170km from the coast in a rural area of The Gambia, north of the River Gambia. It was set up in 1981 by the UK Medical Research Council Laboratories to generate demographic and health information required for the evaluation of a village-based, primary health care programme in 40 villages. Regular updates of demographic events and residency status have subsequently been conducted every 4 months. The surveillance area was extended in 2002 to include Farafenni Town and surrounding villages to support randomized, controlled trials. With over three decades of prospective surveillance, and through specific scientific investigations, the platform (population approximate to 50 000) has generated data on: morbidity and mortality due to malaria in children and during pregnancy; non-communicable disease among adults; reproductive health; and levels and trends in childhood and maternal mortality. Other information routinely collected includes causes of death through verbal autopsy, and household socioeconomic indicators. The current portfolio of the platform includes tracking Millennium Development Goal 4 (MDG4) attainments in rural Gambia and cause-of-death determination.