Overview of the Health Research Centre NHRC’S Location

Kassena-Nankana NHRC districtlocation Kassena - Nankana District showing the major villages N

# # Manyoro # Kayoro

Upper West Region Navrongo # Kandiga #Y# Bolga District

# Chiana # Doba # Ketiu

# Nakong

Builsa District # Kologo

South Zone # Naga West Zone East Zone North Zone District Boundary -

Northern Region Characteristics of KND

•Area - 1674 sq.km. •Population - 150,000 (under surveillance) 82% Rural •Climate - One rainy season (June-Oct.) - Long dry season (Nov-May) •Vegetation - Savannah •People - Kassenas, Nankanis & Builsas NHRC’S MANDATE

•To research into priority health problems facing the developing world and inform policy decisions on feasible interventions Epidemiology of the Study population

Malaria is the major cause of morbidity and death

Diarrhoea and ARI also important causes of disease and death

Periodic outbreaks of CSM (meningitis) Research interest areas

Malaria

Diarrhoeal diseases

Respiratory Infections

Other communicable diseases

CSM, Schistosomiasis, Filariasis

Reproductive health issues Scientific staff of the NHRC •Epidemiologists • Statisticians • Biologists • Demographers • Social Scientists • Health Economists • Clinicians Completed Trials/Studies I Vitamin A Supplementation Trial

Bednet Trial

Malaria Attack Rate Studies

Etaquine Trial

Malarial Case Control Study

Artesunate Trial

IPTi & IPTp Completed Trials/Studies II CHFP FGM Maternal Health Study Azithromycin/Chloroquine Studies Meningitis Vaccine Trial IPTi Acceptability Malaria RDT Studies Rotateq Trial Ongoing Trials/Studies I Malarial epidemiological studies

Cerebrospinal Meningitis Surveillance

Human Rotavirus Vaccine Trial (RRV-TV)

ASRH

Schistosomiasis

Meningitis vaccine trial II

INESS

Normal Values Study On-going studies/Trials II

MoTech

Qualmat The Navrongo HDSS The Navrongo HDSS The success of all completed and ongoing projects is facilitated by the existence of the Navrongo HDSS.

Fieldworkers visit each household periodically to collect and update the socio-demographic information of each individual.

Information collected include births, deaths, pregnancies, migrations, vaccination, education, among others

Verbal autopsies are also conducted on all deaths to ascertain the probable causes of deaths of the people. Population levels and trend

Population continues to Population levels and trend grow though not consistent. 152000 150000 The growth rate has been 148000 146000 less than 1% over the years. 144000 142000

140000

This has been due to the Po138000 p u latio n 136000 high net out migration from 134000 the district 132000

7 8 2 3 6 7 /9 9 /00 /01 /0 0 /05 /0 0 /09 6 9 0 1 4 5 8 9 97/ 98/999 0 0 02/ 03/040 0 06/ 07/080

Years Neonatal, infant and child mortality rates

Levels and trend in mortality, 1996-2009

Trends in all three have 250 200 been on the decline. 150

100

The decline is prominent 50 Rate (per 1000) in the infant and under 0

7 8 9 3 4 5 6 7 8 9 /9 /9 0 0 0 0 /0 /0 6/ 7 8 2/ 3/ 4/ 5/ 6 7 five. 9 9 9 99/00 00/01 01/02 0 0 0 0 0 0 08/09

Year

Neonatal Infant Under five

Collaborations The Health Service

 District Health Management Team

Other HDSS sites

The INDEPTH Network

Chief, opinion leaders and community members

All our funders Thanks for your attention