Pre-PhD viva seminar: Development and assessment of systems for population-based measurement of neonatal and perinatal mortality in The Gambia

Presenter: Anne Rerimoi

Tuesday 4th December 2018, 1pm

LG6, Keppel Street, LSHTM

Accurate data on perinatal and neonatal mortality in sub-Saharan Africa are scarce as full-fledged civil registration and vital statistics systems remain deficient. Health and Demographic Surveillance Systems (HDSS) therefore serve as an important and widely used resource to track population-level demographic trends in low and middle income countries.

This thesis assesses existing data collection methods for the estimation of neonatal and perinatal mortality in The Gambia and proposes a new approach to improving the surveillance of pregnancies using HDSS as a platform. It compares the completeness of reporting of pregnancies using individually-matched pregnancy histories collected from women and routine surveillance in the HDSS, a first in sub-Saharan Africa as well as having the largest sample size relative to previous studies. It then introduces one approach to improving the capture of pregnancies in HDSS through record linkage with antenatal clinics and finally, it presents some explanations for under-reporting of neonatal deaths and stillbirths in The Gambia.

In this seminar I focus on the findings from two studies that collected primary data in the HDSS through a pregnancy history survey and record linkage with antenatal clinics.

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