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Indepth Healthy Transition to Adulthood study. The Kilifi – Dodowa Workshop. Evasius Bauni 27 th – 28 th May 2014. The Kemri-wellcome Trust Research Programme. DSS. 2013. 1989. 2000. Norbert Peshu Kevin Marsh Charles Newton Bob Snow. Malaria Bacterial disease Neurology Genetics

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Indepth healthy transition to adulthood study

Indepth Healthy Transition to Adulthood study

The Kilifi – Dodowa Workshop

Evasius Bauni

27th – 28th May 2014


The Kemri-wellcome Trust Research Programme

DSS

2013

1989

2000

Norbert Peshu

Kevin Marsh

Charles Newton

Bob Snow

Malaria

Bacterial disease

Neurology

Genetics

Social science

Public health

Malaria

Bacterial disease

Neurology

Genetics

Social science

Public health

Resp disease

HIV

TB

Malnutrition

Sickle disease

NCD


The Kilifi HDSS


Epidemiology demography department
Epidemiology Demography Department

Kilifi HDSS

Evasius Bauni

Viral Epidemiology & Control

James Nokes

Cluster Support and management

Tahreni Bwanaali

Human Genetic Factors

Tom Williams

Invasive Bacterial Diseases

Anthony Scott



Integrated surveillance systems
Integrated Surveillance Systems

Vital status/migration 270,000 population

Home visits every

3-4 months

Clinical case recording

~4,000 inpatients/y

Integrated with DSS on admission

Laboratory data

From inpatient and research studies linked on DSS IDNO


Kilifi ihtas staff
Kilifi IHTAS Staff

  • Evasius Bauni

  • George Mochamah

  • David Walumbe

  • Carolyne Ndila

  • Christopher Nyundo

  • David Amadi

  • Gideon Nyutu

  • Boniface Jibendi

  • Michael Kinuthia

  • Mark Otiende

  • Alex Mutuku

  • John Ojal

  • Jackline Wafula

  • Pauline Mwatsuma

  • Paul Musumba

  • Francis Kombe

  • Charles Syengo

  • Elina Kaulu


Ihtas sub studies
IHTAS sub-studies

  • On-line stakeholders questionnaire

  • Stakeholders workshop

  • Focus –group discussions

  • Indepth-interviews with stakeholders

  • Systematic literature review (health intervetions)

  • Systematic literature review (health problems)

  • Systematic literature review (why young people do not use health services)

  • Mapping health facilities

  • Analysing existing data

  • Identifying pilot sites

  • IHTAS phase 2


What is the problem what health interventions are in place
What is the problem? What health interventions are in place?

What is the problem?

Health Interventions

Provision of health information (15)

Screening HIV (5) TB (1)

Child rights (2)

Reproductive health services/YFS (4)

Economic empowerment (3)

Malaria control(1)

  • Substance abuse

  • Unprotected sex leading to unwanted pregnancies, abortion, STIs and HIV

  • Accidents and injuries, sexual violence, bullying

  • Early marriages and, homosexuality

  • Nutrition



Age sex structure and population density
Age-sex structure and population density

  • Population: 270,000 (2012-2013 r29)

    • 34,000 HH, 900km2

    • Males: 47%

    • Children <5 years: 19%

    • Children 5 -14years: 30%

    • 10-24 years: 33%

    • Adults 15 – 49 years:39%

    • Elderly ≥50+: 12%


What do we know the 10 24 profile
What do we know? The 10-24 profile

b) Health facility survey (n=80)

c) Hospital admissions

d) Causes of death


Timelines

Data collection

Dec

2013

Jan-June

2014

Writing and submitting trial proposal

Timelines

Compiling results and writing

July – December

2014

January-March

2015

Oct

2013

April – May 2015

Proposal to fill the gaps

What we know

What we want to know


Acknowledgements
Acknowledgements

  • IHTAS Staff & Stakeholders Kilifi

  • Kemri-Wellcome Trust Research Programme

  • Ministry of health

  • Dodowa & LSHTM Collaborators

  • Hewlett Foundation

    www.kilifi-ihtas.com


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