8/29/20151 POPULATION STUDIES AND RESEARCH INSTITUTE (PSRI) UNIVERSITY OF NAIROBI, KENYA RUSINGA DSS ON THURSDAY 12 TH MARCH 2015
PRESENTATION OUTLINE Background to the Rusinga DSS Objectives Design Activities Potential uses Next steps 8/29/20152
Background The Island covers an area of 44 sq km stretching 10km East-West and 4 km North-South The site is divided into: Two locations, six sub locations and 42 EAs (Clusters) 8/29/20153
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Rationale and Establishment Area had adverse health outcomes based on previous data sets such as censuses Examples- high mortality and fertility - high HIV prevalence The site was established in 2001 baseline household survey which provided the baseline data for the DSS 8/29/20156
Objectives Provide training to PSRI students on research methodology Provide data for an institutional based research program Provide insights into demographic processes for interventions, development planning and evaluation Provide a unique data set for understanding socio-economic and demographic phenomenon To help community address their own problems 8/29/20157
Design The site is designed to update the baseline household population on a continuous basis by undertaking regular registration of births, deaths, movements and marriages Link the household data with GIS locations for each household Conduct studies to explain the observed changes The site is community based meaning that there is community involvement in data collection 8/29/20158
Data Collection Routine longitudinal data collection - Collection is undertaken by 13 Research Assistants who are drawn from the clusters they are assigned Continuous registration data is collected using six forms each for a particular event on a monthly basis followed by Verbal Autopsy to capture causes of death at end of every round 8/29/20159
Dissemination Community County National 8/29/201510
Training of Students 8/29/ Field trips
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Data collection 8/29/ Research Assistants conducting household interviews in a household
Data collection 8/29/ Research Assistants conducting household interviews in a household
Updates 21 rounds undertaken since 2001 21 st Round - November /29/201515
Some Results Population and household changes rate of occurrence of events- births, deaths, migration family formation – occurrence of marriages, Rate of formation and dissolution of households 8/29/201516
Household and Population Trends July 2001 (Baseline) March 2006Feb 2009 Oct 2014 No of Households4,1614,8625, Population17,55120,40722, Household growth rate 3 %1.3 %5 % Population growth rate 3 % 8 % 8/29/201517
Key Characteristics Population in early stages of demographic transition: high fertility, mortality and youthful HH conditions are reflective of majority of population being of low socio-economic status High school drop out rates particularly for girls in the initial stages Prevalence of early marriage High orphan hood rates Unsafe drinking water Deaths concentrated in only a few households 8/29/201518
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Major Causes of Death TB HIV/AIDS Malaria Pneumonia 8/29/201520
Potential Uses Trends on population growth and household growth rates are useful for planning – Such as future school going population, heath facility needs, provision of services such as safe water, electricity etc 8/29/201521
Potential Uses Interventions – for example the high mortality in the region and fact that most deaths occur in only a few households calls for targeted interventions testing extent to which services are utilized – school age population not attending school, health personnel per population Determination of Proportion of children without birth certificates 8/29/201522
Next steps – Proposed survey After baseline in 2001, what has changed in the Community in terms of: household living conditions (amenities) – what is the impact of development activities in the lives of people in the region? 8/29/201523
Next steps – Proposed survey Involvement of GOK (8 th Country programme) – Rusinga is part of Homabay county which is designated as having high burden of maternal mortality – what is the level of mortality and extent of utilization of services in the region? 8/29/201524
Next steps – Proposed survey PSRI plans to monitor use of MNCH to inform interventions on MNCH and identify potential interventions. To monitor extent of birth death registration and track why low levels of registration still occur 8/29/201525