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The data and scientific capacity problems in resource-constrained countries. Reliable demographic and health data lacking in most developing countries Births, deaths, causes of death not always registered Health facility data only provide partial picture Policy-makers need more information
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The data and scientific capacity problems in resource-constrained countries • Reliable demographic and health data lacking in most developing countries • Births, deaths, causes of death not always registered • Health facility data only provide partial picture • Policy-makers need more information • Weak scientific capacity for data analysis INDEPTH Network
Rationale for coming together • Need for replication or multi-site studies/trials • Pooling of data facilitates extrapolation • Networking and sharing information/results • Real challenge to raise funds for their work • Lack of effective national registration systems • Need to create visibility INDEPTH Network
HDSS – A viable solution • Health and Demographic Surveillance System (HDSS) – provides a fuller picture • HDSS collects data from whole communities over time • Monitor new health threats • Track population changes • Assess policy interventions INDEPTH Network
INDEPTH International Network for the Demographic Evaluation of Populations and Their Health in Developing Countries INDEPTH Network
Stepping stones to a vital statistics system Quality ascertainment & adjustment Vital Statistics (births and deaths by age, sex and cause) 100% Full registration 90% Sample registration(SRS or SAVVY) Coverage routine civil registration Sentinel registration(urban/rural DSS) 0% Time Health Metrics Network