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Using community-based reporting of vital events to monitor child mortality: Lessons from rural Ghana

Author

Listed:
  • Stephane Helleringer
  • Daniel Arhinful
  • Benjamin Abuaku
  • Michael Humes
  • Emily Wilson
  • Andrew Marsh
  • Adrienne Clermont
  • Robert E Black
  • Jennifer Bryce
  • Agbessi Amouzou

Abstract

Background: Reducing neonatal and child mortality is a key component of the health-related sustainable development goal (SDG), but most low and middle income countries lack data to monitor child mortality on an annual basis. We tested a mortality monitoring system based on the continuous recording of pregnancies, births and deaths by trained community-based volunteers (CBV). Methods and findings: This project was implemented in 96 clusters located in three districts of the Northern Region of Ghana. Community-based volunteers (CBVs) were selected from these clusters and were trained in recording all pregnancies, births, and deaths among children under 5 in their catchment areas. Data collection lasted from January 2012 through September 2013. All CBVs transmitted tallies of recorded births and deaths to the Ghana Birth and deaths registry each month, except in one of the study districts (approximately 80% reporting). Some events were reported only several months after they had occurred. We assessed the completeness and accuracy of CBV data by comparing them to retrospective full pregnancy histories (FPH) collected during a census of the same clusters conducted in October-December 2013. We conducted all analyses separately by district, as well as for the combined sample of all districts. During the 21-month implementation period, the CBVs reported a total of 2,819 births and 137 under-five deaths. Among the latter, there were 84 infant deaths (55 neonatal deaths and 29 post-neonatal deaths). Comparison of the CBV data with FPH data suggested that CBVs significantly under-estimated child mortality: the estimated under-5 mortality rate according to CBV data was only 2/3 of the rate estimated from FPH data (95% Confidence Interval for the ratio of the two rates = 51.7 to 81.4). The discrepancies between the CBV and FPH estimates of infant and neonatal mortality were more limited, but varied significantly across districts. Conclusions: In northern Ghana, a community-based data collection systems relying on volunteers did not yield accurate estimates of child mortality rates. Additional implementation research is needed to improve the timeliness, completeness and accuracy of such systems. Enhancing pregnancy monitoring, in particular, may be an essential step to improve the measurement of neonatal mortality.

Suggested Citation

  • Stephane Helleringer & Daniel Arhinful & Benjamin Abuaku & Michael Humes & Emily Wilson & Andrew Marsh & Adrienne Clermont & Robert E Black & Jennifer Bryce & Agbessi Amouzou, 2018. "Using community-based reporting of vital events to monitor child mortality: Lessons from rural Ghana," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-18, January.
    • Handle: RePEc:plo:pone00:0192034
    DOI: 10.1371/journal.pone.0192034
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    References listed on IDEAS

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    1. Central Bureau for Health Intelligence (CBHI), 2015. "The National Health Profile 2015," Working Papers id:7552, eSocialSciences.
    2. Kenneth Hill & Yoonjoung Choi, 2006. "Neonatal mortality in the developing world," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 14(18), pages 429-452.
    3. Mariano Sana & Guy Stecklov & Alexander A. Weinreb, 2016. "A test of the stranger-interviewer norm in the Dominican Republic," Population Studies, Taylor & Francis Journals, vol. 70(1), pages 73-92, March.
    4. Stéphane Helleringer & Gilles Pison & Almamy Kanté & Géraldine Duthé & Armelle Andro, 2014. "Reporting Errors in Siblings’ Survival Histories and Their Impact on Adult Mortality Estimates: Results From a Record Linkage Study in Senegal," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 387-411, April.
    5. John Sandberg, 2005. "The influence of network mortality experience on nonnumeric response concerning expected family size: Evidence from a Nepalese mountain village," Demography, Springer;Population Association of America (PAA), vol. 42(4), pages 737-756, November.
    6. Andrea Verhulst, 2016. "Child mortality estimation: An assessment of summary birth history methods using microsimulation," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 34(39), pages 1075-1128.
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    1. Helleringer, Stephane & Liu, Li & Chu, Yue & Rodrigues, Amabelia & Fisker, Ane Baerent, 2020. "Biases in Survey Estimates of Neonatal Mortality: Results from a Validation Study in Urban Areas of Guinea-Bissau," SocArXiv qx2kn, Center for Open Science.
    2. Stéphane Helleringer & Li Liu & Yue Chu & Amabelia Rodrigues & Ane Barent Fisker, 2020. "Biases in Survey Estimates of Neonatal Mortality: Results From a Validation Study in Urban Areas of Guinea-Bissau," Demography, Springer;Population Association of America (PAA), vol. 57(5), pages 1705-1726, October.

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