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. 2019 Jun 26;64(6):909–920. doi: 10.1007/s00038-019-01241-0

Table 2.

Characteristics of surveillance systems

HDSS name Country Frequency of rounds Information collected relevant to birth outcomes Data collector Acceptable respondent Other information
Africa Centre South Africa Three update rounds a year All births, deaths, marriages and migrations, socio-economics, biometrics, HIV status and sexual behaviour Senior household member The data are stored in a single Microsoft SQL server database
Agincourt South Africa One annual round Migration, death, maternal history, pregnancy and outcome surveillance Four teams, one supervisor, eight fieldworkers Household head, spouse or adult member in the house The database is managed using Microsoft SQL servers
Ballabgarh India (Monthly) Pregnancy, gestational age, stillbirth outcomes and birthweight Migration, antenatal care, immunization, family planning, morbidity and verbal autopsy The database is handled in DBASE III and Microsoft SQL
Bandim Guinea-Bissau Monthly in the urban site and biannually in the rural site Vaccination and vitamin A supplementation Fieldworkers
Butajira Ethiopia (Quarterly) pregnancy surveillance: each household has been visited once per month from 1987 to 1999 and four times in year since 1999 Child health, mortality patterns, health systems and financing, verbal autopsy, malaria, nutrition status and domestic violence 21 Data collectors and 7 supervisors, 2 field coordinators Household head/spouse and adult member of the family The data are entered into the Household Registration System 2 (HRS2) and stored on the FoxPro server
Dabat Ethiopia (Biannually) pregnancy, gestational age, delivery and stillbirth outcomes Births, verbal autopsy, migrations, pregnancies and pregnancy outcomes Adult women or Mothers of the households Data are collected on paper and entered using Dabat database Household Registration System 2
Dodowa Ghana (Biannually) pregnancy, delivery, stillbirth outcomes, birthweight Verbal autopsy, migration and pregnancy, spatial data and outcome surveillance The data are entered into the Household Registration System 2 and store on the Microsoft SQL server
Farfenni Gambia (Quarterly) pregnancy, birthweight and neonatal morbidity Verbal autopsy, vaccination, migration, pregnancy registration and outcome and spatial data The data are entered into the Household Registration System 2 and store on the Microsoft SQL server
Gilgel Gibe Ethiopia Biannual population update, pregnancy outcome, death, migration, martial change among women, pregnancy observation. Yearly updates for education, marital status and occupation Maternal and child health, verbal autopsy Men and women who completed at least secondary education Household head, spouse or adult member in the house Household Registration System 2 database is used for data entry. Data are collection is paper-based and planned to be migrated to OpenHDSS. The HDSS site is owned and run by Jimma University
Ifakara Tanzania Three update rounds a year. With four months for each round starting at January, May and September Pregnancies, births deaths
Iganga-Mayuge Uganda Two update rounds per year with a round lasting about 2-3 months Births, deaths, migrations, pregnancy registration and outcome surveillance, vaccination, socio-economic characteristics and verbal autopsy Research assistants, scouts, Village Health Teams (VHT) members Adult member of the household The data are collected using paper-based system and is entered into the Household Registration System 2 and stored on the MySQL server. The site will migrate to OpenHDSS in 2017
Karonga Malawi Births and deaths are reported monthly and in-and-out migration is collected annually Migration, vaccination, verbal autopsy Fieldworkers Local “key informants” who may not be a member of that household or household member Data are collected on paper and I entered into a MS Access database
Kaya Burkina Faso (Biannually) pregnancy and stillbirth outcomes Births, verbal autopsy, marriage, migration, pregnancies and morbidity Member of the household Data are collected using personal digital assistants using the CSPro software and is saved on the MySQL–PHP database
Kersa Ethiopia (Quarterly) Pregnancy, gestational age, delivery, stillbirth outcomes, birthweight information, neonatal and under-five morbidity surveillance Maternal and child health and verbal autopsy Preferably head of the household, mother, if not children in the house who are older than 15 years Data are collected using paper, consistency and completeness check is done by resident supervisors and field coordinators. Once completed entered in HRS 2 software and Hardcopy archived
Kilifi Kenya (Three times per year) pregnancy, delivery, stillbirth outcomes, maternal outcomes Migration, verbal autopsy, births, pregnancy surveillance and vaccination The data are managed in a central server database which is specified in FileMaker Pro version 11
Kilte Awulaelo Ethiopia (Biannually) Pregnancy, gestational age, delivery and stillbirth outcomes
Kintampo Ghana (Biannually) pregnancy and stillbirth outcomes Micronutrient initiatives
Kombewa Kenya Demographic updates and surveillance is done twice a year (births, deaths and pregnancy outcomes) Birth registration, verbal autopsy, migration, pregnancy surveillance and morbidity Village team reporters Electronic data collection with PDAs/notebook PCs and the data are stored in the MySQL database
Kyamulimbwa Uganda Annual census, supplemented by real-time reporting from village health workers Pregnancy and outcomes, births and deaths Census team, village recorders Either the head of household or women of reproductive age Data are collected directly onto ultra-mobile personal computers. Pregnancy registration using mobile phone app (DoForm) by village health workers
Mbita Kenya Every 3 months in Mbita and 4 months in Kwale Vaccination, nutritional status of children, pregnancy surveillance (update pregnancy status, outcome, antenatal care and place of deliver), migration Electronic data collection with PDAs and the data are stored in the MySQL database
Nairobi Kenya Every 4 months Pregnancy registration, verbal autopsy pregnancy outcomes, migrations, spatial data and vaccines Team of trained fieldworkers from the HDSS area with a minimal of O level certificate of education. VAs are conducted by team supervisors with a minimum of Bachelor’s degree in Social sciences Household head or other adult member of household Data were collected using paper questionnaires until June 2015. Electronic data collection since July 2015
Nanoro Burkina Faso Three times a year (every four months) follow-up surveys are conducted Births, verbal autopsy migrations, pregnancies and pregnancy outcomes, vaccination, socio-economic characteristics and verbal autopsy Data are collected on paper and entered in the Household Registration System 2
Navrongo Ghana (Three times a year) Pregnancy, stillbirth outcomes, birthweight and neonatal morbidity Reproductive health, vaccination, impact assessment
Nouna Burkina Faso Data are collected on pocket PCs and stored on the SQL server pro
Ouagadougou Burkina Faso One round every 10 months Pregnancy registration, deaths, pregnancy outcomes, migrations, spatial data and vaccines Adult member of the household Data are collected on pocket PCs and stored on the MySQL server pro
Puworejo Indonesia Reproductive health and verbal autopsy
Rakai Uganda (Started 2015) Pregnancy surveillance and stillbirth outcomes Pregnancy and outcome surveillance, verbal autopsy, migration (of the mother), HIV status and HIV care of the mother, birth history information (including family planning use) and socio-economic status Research assistantsN (2015 1. Migration and socio-economic status: any eligible household member 2. Verbal autopsy: any closest caregiver 3. Pregnancy outcomes, birth history, HIV status: the woman Electronic data collection using laptops and stored in SQL database
Rufiji Tanzania (Three times a year) Pregnancy, stillbirth outcomes, birthweight and neonatal morbidity and maternal deaths Pregnancy and outcome surveillance, verbal autopsy, migration and socio-economic status Site uses OpenHDSS platform as the database since 2012
Siaya Kenya (Three times a year) Pregnancy outcomes, birthweight and neonatal morbidity and maternal deaths Migration, verbal autopsy and pregnancy surveillance Electronic data collection with PDAs/Notebook PCs using the mobile Household Registration System and stored on the MySQL database
Taabo Côte d’Ivoire Three times a year (every four months Births, pregnancies (probable date of conception, gestational age, course of pregnancy), migrations, epidemiology and verbal autopsy 12 Permanent enumerators and 6 supervisors Adult member of household The data are entered into the Household Registration System 2 and store on the MySQL server
Vadu India Biannually, births, deaths, marriages, migrations and pregnancy. Every reported death is subjected to a verbal autopsy Reproductive health, telemedicine, spatial data and verbal autopsy 12 Field research assistants Adult member of the household who can give information Electronic data capture on tablets using android application

The characteristics of the surveillance systems of the 31 Health and Demographic Surveillance Sites located in 13 countries for the period (2009–2014)