Health & Demographic Surveillance System Profile: The Magu Health and Demographic Surveillance System (Magu HDSS)

The Magu Health and Demographic Surveillance System (Magu HDSS) is part of Kisesa OpenCohort HIV Study located in a rural area of North-Western Tanzania. Since its establishment in 1994, information on pregnancies, births, marriages, migrations and deaths have been monitored and updated between one and three times a year by trained fieldworkers. Other research activities implemented in the cohort include: sero surveys which have been conducted every 2–3 years to collect socioeconomic data, HIV sero status and health knowledge attitude and behaviour in adults aged 15 years or more living in the area; verbal autopsy (VA) interviews conducted to establish cause of death in all deaths encountered in the area; Llnking data collected at health facilities to community-based data; monitoring voluntary counselling and testing (VCT); and assessing uptake of antiretroviral treatment (ART). In addition, within the community, qualitative studies have been conducted to address issues linked to HIV stigma, the perception of ART access and adherence. In 2014, the population was over 35 000 individuals. Magu HDSS has contributed to Tanzanian estimates of fertility and mortality, and is a member of the INDEPTH network. Demographic data for Magu HDSS are available via the INDEPTH Network’s Sharing and Accessing Repository (iSHARE) and applications to access HDSS data for collaborative analysis are encouraged.

[1]  B. Zaba,et al.  Using HIV-attributable mortality to assess the impact of antiretroviral therapy on adult mortality in rural Tanzania , 2014, Global health action.

[2]  B. Zaba,et al.  Does the Spectrum model accurately predict trends in adult mortality? Evaluation of model estimates using empirical data from a rural HIV community cohort study in north-western Tanzania , 2014, Global health action.

[3]  B. Zaba,et al.  Using HIV-attributable mortality to assess the impact of antiretroviral therapy on adult mortality in rural Tanzania. , 2014, Global health action.

[4]  D. Maher The ethics of feedback of HIV test results in population-based surveys of HIV infection. , 2013, Bulletin of the World Health Organization.

[5]  R. Peeling,et al.  The development and validation of dried blood spots for external quality assurance of syphilis serology , 2013, BMC Infectious Diseases.

[6]  P. Byass,et al.  InterVA-4 as a public health tool for measuring HIV/AIDS mortality: a validation study from five African countries. , 2013, Global health action.

[7]  J. Changalucha,et al.  Trends in the uptake of voluntary counselling and testing for HIV in rural Tanzania in the context of the scale up of antiretroviral therapy , 2012, Tropical medicine & international health : TM & IH.

[8]  A. Molesworth,et al.  Antiretroviral therapy uptake and coverage in four HIV community cohort studies in sub-Saharan Africa , 2012, Tropical medicine & international health : TM & IH.

[9]  T. Bärnighausen,et al.  The effect of antiretroviral therapy provision on all-cause, AIDS and non-AIDS mortality at the population level – a comparative analysis of data from four settings in Southern and East Africa , 2012, Tropical medicine & international health : TM & IH.

[10]  Nan Li,et al.  World Population Prospects, the 2010 Revision: Estimation and projection methodology , 2011 .

[11]  J. Busza,et al.  "Driving the devil away": qualitative insights into miraculous cures for AIDS in a rural Tanzanian ward , 2010, BMC public health.

[12]  W. Stones,et al.  Parent-child communication about sexual and reproductive health in rural Tanzania: Implications for young people's sexual health interventions , 2010, Reproductive health.

[13]  B. Zaba,et al.  Reproductive behaviour and HIV status of antenatal clients in northern Tanzania: opportunities for family planning and preventing mother-to-child transmission integration , 2009, AIDS.

[14]  T. Boerma,et al.  Verbal autopsy can consistently measure AIDS mortality: a validation study in Tanzania and Zimbabwe , 2009, Journal of Epidemiology & Community Health.

[15]  J. Busza,et al.  Doubts, denial and divine intervention: understanding delayed attendance and poor retention rates at a HIV treatment programme in rural Tanzania , 2009, AIDS care.

[16]  J. Busza,et al.  Barriers to sustaining antiretroviral treatment in Kisesa, Tanzania: a follow-up study to understand attrition from the antiretroviral program. , 2009, AIDS patient care and STDs.

[17]  J. Busza,et al.  Scaling up stigma? The effects of antiretroviral roll-out on stigma and HIV testing. Early evidence from rural Tanzania , 2008, Sexually Transmitted Infections.

[18]  J. Changalucha,et al.  Uptake of HIV voluntary counselling and testing services in rural Tanzania: implications for effective HIV prevention and equitable access to treatment , 2008, Tropical medicine & international health : TM & IH.

[19]  G. Mshana,et al.  Barriers to accessing antiretroviral therapy in Kisesa, Tanzania: a qualitative study of early rural referrals to the national program. , 2006, AIDS patient care and STDs.

[20]  T. Boerma,et al.  HIV prevalence and sexual behaviour changes measured in an antenatal clinic setting in northern Tanzania , 2006, Sexually Transmitted Infections.

[21]  J. Habbema,et al.  Mobility and HIV in Tanzanian couples: both mobile persons and their partners show increased risk , 2006, AIDS.

[22]  J. T. Boerma,et al.  The role of behavioral data in HIV surveillance , 2005, AIDS.

[23]  A. Crampin,et al.  HIV and Mortality of Mothers and Children: Evidence From Cohort Studies in Uganda, Tanzania, and Malawi , 2005, Epidemiology.

[24]  J. T. Boerma,et al.  Trends in HIV and sexual behaviour in a longitudinal study in a rural population in Tanzania, 1994–2000 , 2003, AIDS.

[25]  T. Boerma,et al.  HIV impact on mother and child mortality in rural Tanzania. , 2003, Journal of acquired immune deficiency syndromes.

[26]  J. T. Boerma,et al.  Community effects on the risk of HIV infection in rural Tanzania , 2002, Sexually transmitted infections.

[27]  J. T. Boerma,et al.  Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage , 2002, Sexually transmitted infections.

[28]  B Zaba,et al.  The impact of HIV/AIDS on mortality and household mobility in rural Tanzania , 2001, AIDS.

[29]  J. T. Boerma,et al.  Levels and causes of adult mortality in rural Tanzania with special reference to HIV / AIDS. , 1997 .