Profile: Manhica Health Research Centre (Manhica HDSS)

Sacoor, Charfudin; Nhacolo, Ariel; Nhalungo, Delino; Aponte, John J.; Bassat, Quique; Augusto, Orvalho; Mandomando, Inácio; Sacarlal, Jahit; Lauchande, Natu; Sigaùque, Betuel; Alonso, Pedro L.; Macete, Eusébio

doi:10.1093/ije/dyt148

Cited by 126 publications

(144 citation statements)

References 13 publications

Supporting

Mentioning

140

Contrasting

Order By: Relevance

“…The ODK software provides most of the functions that we required, but certain things, like being able to edit a form once it has been finalised, are currently not possible. Other research sites, including HDSSs, have developed their own software for such purposes [1,21,22], which was beyond our current capacity.…”

Section: Discussionmentioning

confidence: 99%

Implementing electronic data capture at a well-established health and demographic surveillance site in rural northern Malawi

McLean

Dube

Saul

et al. 2017

Global Health Action

View full text Add to dashboard Cite

This article aims to assess multiple issues of resources, staffing, local opinion, data quality, cost, and security while transitioning to electronic data collection (EDC) at a long-running community research site in northern Malawi. Levels of missing and error fields, delay from data collection to availability, and average number of interviews per day were compared between EDC and paper in a complex, repeated annual household survey. Three focus groups with field and data staff with experience using both methods, and in-depth interviews with participants were carried out. Cost for each method were estimated and compared. Missing data was more common on paper questionnaires than on EDC, and a similar number were carried out per day. Fieldworkers generally preferred EDC, but data staff feared for their employment. Most respondents had no strong preference for a method. The cost of the paper system was estimated to be higher than using EDC. The existing infrastructure and technical expertise could be adapted to using EDC, but changes have an impact on data processing jobs as fewer, and better qualified staff are required. EDC is cost-effective, and, for a long-running site, may offer further savings, as devices can be used in multiple studies and perform several other functions. EDC is accepted by fieldworkers and respondents, has good levels of quality and timeliness, and security can be maintained. EDC is well-suited for use in a well-established research site using and developing existing infrastructure and expertise.

show abstract

Section: Discussionmentioning

confidence: 99%

Implementing electronic data capture at a well-established health and demographic surveillance site in rural northern Malawi

McLean

Dube

Saul

et al. 2017

Global Health Action

View full text Add to dashboard Cite

show abstract

“…22 A detailed description of MDH, CISM, and the study area can be found elsewhere. 23 CISM provides personnel as well as valuable resources and laboratory diagnosis to MDH.…”

Section: Methodsmentioning

confidence: 99%

Hypoglycemia and Risk Factors for Death in 13 Years of Pediatric Admissions in Mozambique

Madrid¹,

Acácio²,

Nhampossa³

et al. 2016

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. Hypoglycemia is a life-threatening complication of several diseases in childhood. We describe the prevalence and incidence of hypoglycemia among admitted Mozambican children, establishing its associated risk factors. We retrospectively reviewed clinical data of 13 years collected through an ongoing systematic morbidity surveillance in Manhiça District Hospital in rural Mozambique. Logistic regression was used to identify risk factors for hypoglycemia and death. Minimum community-based incidence rates (MCBIRs) for hypoglycemia were calculated using data from the demographic surveillance system. Of 49,089 children < 15 years hospitalized in Manhiça District Hospital, 45,573 (92.8%) had a glycemia assessment on admission. A total of 1,478 children (3.2%) presented hypoglycemia (< 3 mmol/L), of which about two-thirds (972) were with levels < 2.5 mmol/L. Independent risk factors for hypoglycemia on admission and death among hypoglycemic children included prostration, unconsciousness, edema, malnutrition, and bacteremia. Hypoglycemic children were significantly more likely to die (odds ratio [OR] = 7.11; P < 0.001), with an associated case fatality rate (CFR) of 19.3% (245/1,267). Overall MCBIR of hypoglycemia was 1.57 episodes/1,000 child years at risk (CYAR), significantly decreasing throughout the study period. Newborns showed the highest incidences (9.47 episodes/1,000 CYAR, P < 0.001). Hypoglycemia remains a hazardous condition for African children. Symptoms and signs associated to hypoglycemia should trigger the verification of glycemia and the implementation of life-saving corrective measures.

show abstract

“…Since 1996, the Centro de Investigação em Saú de de Manhic¸a has conducted continuous demographic surveillance covering a population of approximately 95 000 inhabitants in an area of 500 km 2 [17]. Passive morbidity surveillance was established in parallel at the MDH and peripheral health posts in the area, whereby all pediatric hospital admissions and outpatient attendances are registered onto standardized questionnaires following standard procedures.…”

Section: Study Area and Populationmentioning

confidence: 99%

Maternal HIV infection is an important health determinant in non-HIV-infected infants

Rosario

González

Maculuve

et al. 2017

Aids

View full text Add to dashboard Cite

Objective: To assess morbidity and mortality in HIV-exposed uninfected (HEU) children to help guiding appropriate clinical care and effective preventive interventions.Design: This is a longitudinal study comparing two cohorts of children; one born to HIV-infected women and the other born to HIV-uninfected women. Methods:We have analyzed prospectively obtained information on nutritional status, morbidity and mortality from 966 HEU and 909 HIV-unexposed infants followed up until their first 18 months of life at a referral health facility in southern Mozambique. Determinants for adverse health outcomes in HEU children were also assessed using multivariate logistic regression.Results: Increased incidence of hospital admissions (P ¼ 0.0015), shorter survival in the first 18 months of life (P ¼ 0.0510) and moderate and severe malnutrition (P ¼ 0.0006 and 0.0014, respectively) were observed among HEU children compared with HIVunexposed children. Incidence of outpatient attendance in HEU children was associated with being men, older age and the mother being on antiretroviral treatment. Among HEU children, those who were never breastfed, or who were weaned or were partially breastfed, had an increased incidence of hospital admissions compared with children who were exclusively breastfed. Conclusion:Maternal HIV infection has important health consequences in non-HIVinfected children. As the prevalence of HIV-infected pregnant women is maintained and the proportion of HIV-infected children declines because of the scale-up of antiretroviral treatment during pregnancy and breastfeeding, more focus should be given to the health needs of HEU children to ensure that the post-2015 sustainable development goals are met.

show abstract

Profile: Manhica Health Research Centre (Manhica HDSS)

Cited by 126 publications

References 13 publications

Implementing electronic data capture at a well-established health and demographic surveillance site in rural northern Malawi

Implementing electronic data capture at a well-established health and demographic surveillance site in rural northern Malawi

Hypoglycemia and Risk Factors for Death in 13 Years of Pediatric Admissions in Mozambique

Maternal HIV infection is an important health determinant in non-HIV-infected infants

Contact Info

Product

Resources

About