Mortality Surveillance Methods to Identify and Characterize Deaths in Child Health and Mortality Prevention Surveillance Network Sites

Child Health and Mortality Prevention Surveillance (CHAMPS) Methods Consortium

Research output: Contribution to journalArticle

Abstract

Despite reductions over the past 2 decades, childhood mortality remains high in low- and middle-income countries in sub-Saharan Africa and South Asia. In these settings, children often die at home, without contact with the health system, and are neither accounted for, nor attributed with a cause of death. In addition, when cause of death determinations occur, they often use nonspecific methods. Consequently, findings from models currently utilized to build national and global estimates of causes of death are associated with substantial uncertainty. Higher-quality data would enable stakeholders to effectively target interventions for the leading causes of childhood mortality, a critical component to achieving the Sustainable Development Goals by eliminating preventable perinatal and childhood deaths. The Child Health and Mortality Prevention Surveillance (CHAMPS) Network tracks the causes of under-5 mortality and stillbirths at sites in sub-Saharan Africa and South Asia through comprehensive mortality surveillance, utilizing minimally invasive tissue sampling (MITS), postmortem laboratory and pathology testing, verbal autopsy, and clinical and demographic data. CHAMPS sites have established facility- and community-based mortality notification systems, which aim to report potentially eligible deaths, defined as under-5 deaths and stillbirths within a defined catchment area, within 24-36 hours so that MITS can be conducted quickly after death. Where MITS has been conducted, a final cause of death is determined by an expert review panel. Data on cause of death will be provided to local, national, and global stakeholders to inform strategies to reduce perinatal and childhood mortality in sub-Saharan Africa and South Asia.

Original languageEnglish (US)
Pages (from-to)S262-S273
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America
Volume69
Issue number4
DOIs
StatePublished - Oct 9 2019

Fingerprint

Child Mortality
Cause of Death
Africa South of the Sahara
Mortality
Stillbirth
Perinatal Mortality
Conservation of Natural Resources
Uncertainty
Autopsy
Demography
Child Health
Pathology
Health

Keywords

  • CHAMPS
  • child mortality
  • global health
  • surveillance

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Mortality Surveillance Methods to Identify and Characterize Deaths in Child Health and Mortality Prevention Surveillance Network Sites. / Child Health and Mortality Prevention Surveillance (CHAMPS) Methods Consortium .

In: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, Vol. 69, No. 4, 09.10.2019, p. S262-S273.

Research output: Contribution to journalArticle

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