Health and Demographic Surveillance System Sites: Reflections on Global Health Research Ethics

Ghafur, Tehmina; Islam, M. Mufakharul; Alam, Nazmul; Hasan, Mohammad S

doi:10.25133/jpssv28n3.018

Cited by 5 publications

(4 citation statements)

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“…This program is very helpful for the community in accessing free health services. Attention to health in supporting public health nationally and globally (Ghafur et al, 2020) e. Compensation for death f. Free student transportation Free transportation for students is carried out regularly every year to reduce the community's burden and reduce the use of private vehicles to school to reduce accidents for school children on the road. This program revives transportation to school and is a new source of income for transport owners.…”

Section: Poor Scholarship Programmentioning

confidence: 99%

Strategy for Accelerating Poverty Reduction in Klungkung Regency, Bali

Sudipa¹,

Nurjani²

2021

J. Bina Praja

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Poverty is an illustration to determine a household’s ability to fulfill fundamental rights or the necessities of a decent and dignified life as measured by the poverty line. Klungkung Regency, in the last five years, has made efforts to accelerate poverty reduction through the macro side. It maintains economic growth, reduces inflation, increases investment, creates jobs, and the micro side, namely increasing income and reducing the burden on public spending. Through pro-poor, pro-employment, and pro-regional growth programs. This research aimed to determine the poverty conditions and the reduction in the percentage of poor people in the Klungkung. The research method used quantitative and qualitative approaches, using government data sources and narrated qualitatively. This research uses the theory of poverty culture, various innovative development programs, and poverty to reduce the percentage and number of poor people from year to year. In 2016 the percentage of poverty was 6.35%, or the number of poor people was 11,210. In 2017 the percentage of poor people was 6, 29%, or the number of poor people by 11,150. In 2018 the percentage of poor people was 5.86%, or the number of poor people was 10,430. In 2019, the percentage of poor people was 5.4%, or the number of poor people was 9,960 people. In 2020 the percentage of poor people was 4.87%, or the number of poor people is 8,760. It is expected that by the end of 2023, the percentage of poverty in Klungkung Regency will be 3%, according to the target of the National Medium‐Term Plan (RPJMN.

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Section: Poor Scholarship Programmentioning

confidence: 99%

Strategy for Accelerating Poverty Reduction in Klungkung Regency, Bali

Sudipa¹,

Nurjani²

2021

J. Bina Praja

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“…This evaluation highlights some of the potential tensions between routine (i.e., ministry of health-run) and enhanced (i.e., external non-host government funding) surveillance platforms [ 28 ]. Enhanced surveillance efforts, such as ViCo, bring additional staff, diagnostic resources, and more detailed design criteria than routine surveillance efforts.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

Jaramillo

Ning

Cadena³

et al. 2022

BMC Public Health

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Background The collaborative integrated surveillance system known as Vigilancia Integrada Comunitaria (ViCo) was implemented in 2007 to better understand and characterize the burden of diarrheal, respiratory and febrile illnesses in Guatemala. Methods To evaluate the usefulness of ViCo and inform a redesign of the system and new surveillance activities in the Central American region, personnel from the United States Centers for Disease Control and Prevention (CDC) conducted thirty-nine in-depth interviews from June—December 2018 with key stakeholders responsible for the design and implementation of ViCo in Guatemala. A semi-structured questionnaire adapted from the Updated CDC Guidelines for Evaluating Public Health Surveillance Systems was used for data collection. We used a grounded theory approach to explore stakeholder perceptions of ViCo and generate recommendations for improvement. Primary qualitative findings were organized based on thematic areas using ATLAS.ti version 8 software. Results Emergent themes relevant to the usefulness of ViCo were organized across strengths, weaknesses, and recommendations pertaining to the: (1) Size and Complexity of ViCo, (2) Stakeholder Expectations About the Objectives of ViCo, (3) Data Management and Structure of the Information System, (4) Local Control of Data, (5) Integration of ViCo within the Ministry of Health, and, (6) Improvement of the Operational and Design Aspects of ViCo across System, Process, and Output levels. Conclusions Stakeholders perceived ViCo to be useful. They recommended measures to improve system performance and quality, including simplifying the surveillance system, routine data analysis and feedback, and channeling efforts towards integrating surveillance data into the national health information system. To create a well-performing surveillance system and achieve the intended objective of surveillance for public health action, ongoing evaluation and assessment of surveillance activities are necessary.

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“…The long-term engagement with populations in HDSS does raise ethical challenges because of the burden for participants of repeated rounds of data collection, ancillary care responsibilities and the expectations of local and direct benefits to individuals and communities linked to long-term engagement [ 69 , 70 ]. In recent years there has been a heightened awareness of the importance of investment in community engagement and the need for attention to the costs and benefits of data collection to participants as well as data access and use [ 67 , 71 ].…”

Section: State Of the Artmentioning

confidence: 99%

Health and demographic surveillance systems in low- and middle-income countries: history, state of the art and future prospects

Herbst

Juvekar²,

Jasseh

et al. 2021

Global Health Action

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Health and Demographic Surveillance Systems (HDSS) have been developed in several low- and middle-income countries (LMICs) in Africa and Asia. This paper reviews their history, state of the art and future potential and highlights substantial areas of contribution by the late Professor Peter Byass. Historically, HDSS appeared in the second half of the twentieth century, responding to a dearth of accurate population data in poorly resourced settings to contextualise the study of interventions to improve health and well-being. The progress of the development of this network is described starting with Pholela, and progressing through Gwembe, Balabgarh, Niakhar, Matlab, Navrongo, Agincourt, Farafenni, and Butajira, and the emergence of the INDEPTH Network in the early 1990’s The paper describes the HDSS methodology, data, strengths, and limitations. The strengths are particularly their temporal coverage, detail, dense linkage, and the fact that they exist in chronically under-documented populations in LMICs where HDSS sites operate. The main limitations are generalisability to a national population and a potential Hawthorne effect, whereby the project itself may have changed characteristics of the population. The future will include advances in HDSS data harmonisation, accessibility, and protection. Key applications of the data are to validate and assess bias in other datasets. A strong collaboration between a national HDSS network and the national statistics office is modelled in South Africa and Sierra Leone, and it is possible that other low- to middle-income countries will see the benefit and take this approach.

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Health and Demographic Surveillance System Sites: Reflections on Global Health Research Ethics

Cited by 5 publications

References 0 publications

Strategy for Accelerating Poverty Reduction in Klungkung Regency, Bali

Strategy for Accelerating Poverty Reduction in Klungkung Regency, Bali

Evaluation of the collaborative integrated surveillance system (ViCo) in Guatemala: a qualitative study on lessons learned and future perspectives

Health and demographic surveillance systems in low- and middle-income countries: history, state of the art and future prospects

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