Health & Demographic Surveillance System Profile: The Magu Health and Demographic Surveillance System (Magu HDSS)

Abstract

The Magu Health and Demographic Surveillance System (Magu HDSS) is part of Kisesa OpenCohort HIV Study located in a rural area of North-Western Tanzania. Since its establishment in 1994, information on pregnancies, births, marriages, migrations and deaths have been monitored and updated between one and three times a year by trained fieldworkers. Other research activities implemented in the cohort include: sero surveys which have been conducted every 2-3 years to collect socioeconomic data, HIV sero status and health knowledge attitude and behaviour in adults aged 15 years or more living in the area; verbal autopsy (VA) interviews conducted to establish cause of death in all deaths encountered in the area; Llnking data collected at health facilities to community-based data; monitoring voluntary counselling and testing (VCT); and assessing uptake of antiretroviral treatment (ART). In addition, within the community, qualitative studies have been conducted to address issues linked to HIV stigma, the perception of ART access and adherence.In 2014, the population was over 35 000 individuals. Magu HDSS has contributed to Tanzanian estimates of fertility and mortality, and is a member of the INDEPTH network. Demographic data for Magu HDSS are available via the INDEPTH Network's Sharing and Accessing Repository (iSHARE) and applications to access HDSS data for collaborative analysis are encouraged.

Keywords: Demography; INDEPTH network; Magu; Tanzania; fertility; migration; mortality; sero survey; verbal autopsy.

Figure 1.

Map showing the Magu Health and Demographic Surveillance area.

Figure 2.

Photoes showing tools used for updating HDSS information.

Figure 3.

Study timelines and frequency for Magu HDSS Kisesa.

Figure 4.

Population pyramid for Magu HDSS.

Figure 5.

Total fertility rate trends between years 1994 and 2013.

Figure 6.

Child mortality by mother’s HIV status at birth.

Figure 7.

Distribution of major causes of death (all age groups). ARI & COP, acute respiratory infection and chronic obstructive pulmonary disease; NCD, non-communicable disease.