<p>CHILILAB HDSS, VIETNAM THE HANOI SCHOOL OF PUBLIC HEALTH</p><p>Site Map</p><p>VIET NAM HAI DUONG CHI LINH</p><p>Hai Duong Chi Linh Province District</p><p>Brief Introduction to CHILILAB HDSS CHILILAB DSS is a field laboratory attached to the Hanoi School of Public Health in Vietnam. It is located in Chi Linh district of Hai Duong province in the northern part of Vietnam and is about 60 km northeast of Hanoi. The population base for this surveillance system is approximately 65,000 inhabitants who live in 3 townships and 4 communes across a land area of 137.5 square kilometers which are under rapid process of urbanization. Adolescents and young adults aged between 15-24 years account for approximately 20% of the total district population. The CHILILAB was formally established in early 2003. The pilot of the system was conducted between May 2003 to April 2004, within two communities in urban and rural areas of the district, with a total population of 2824 households (9540 inhabitants). In June 2004, the surveillance system was expanded to cover 3 townships and 4 communes, with the population of 16980 households (64500 inhabitants). </p><p>Objectives  To identify patterns and trends in morbidity and mortality in the district population periodically and longitudinally.  To identify socio-economic patterns in the population and the influence of these variables on population health.  To provide specific data on adolescent health (reproductive health, STI and HIV/AIDS, injury, mental health), as well as risk and protective behaviors  To implement community health intervention strategies in order to form a basis for developing health policies in the locality and elsewhere. </p><p>-1-  To improve procedures for data collection, analysis and application at the community level in a reliable and effective manner.  To strengthen the capacity of public health professionals by implementing public health researches conducted by PhD students. </p><p>Priority Research Areas The three main priority areas for the foreseeable future are;  Trends in general mortality and morbidity under socio-economic changes.  Trends in health of adolescents and young adults (reproductive health, STD, HIV/AIDS, injuries) and risk and protective factors influencing their health and health behaviors.  Trends in non-communicable disease in response to changes in the socio-economic status of the population. </p><p>Completed Key Projects</p><p>Project name Funder Grand Period Piloting the use of DALYs indicator in Vietnam MOH 2003 measurement of burden of diseases in -2005 Vietnam. A case study Situation analysis and sustainable resource Ford Foundation 2004 mobilization for health care activities at the -2005 grassroots level in Vietnam: A case study. Relationship between father involvement and Rockefeller Foundation 2004 child development (PhD dissertation) -2005 Ectopic pregnancy and risk factors Netherlands Embassy 2005 NCD risk factors surveillance using WHO INDEPTH Network 2005 stepwise approach Exploring sexual experience of menopause Atlantic Philanthropies 2005 women Utilization of prenatal and delivery care Hanoi School of Public 2006 services in CHILILAB area:current situation and Health related factors Study on household health service utilization China Medical Board 2006 KAP of poultry product users and poultry Atlantic Philanthropies 2006 farmers regarding avian flue prevention Sex ratio at birth and related factors in the Hanoi School of Public 2006 CHILILAB Health Intervention on increasing early diagnosis of Netherlands Embassy 2006 ectopic pregnancy -2007 The pattern of disability and its relating factors China Medical Board 2005- in DESS population at Chi Linh District, Hai 2008 Duong Province.</p><p>-2- Ongoing Key Project</p><p>Project name Funder Grand Period Establishment of surveillance system on Ford Foundation 2006- adolescent health: 2009 Module 1:Survey on basic Adolescent health and behavior Module 2: Risk & Protective factors for Adolescent health Module 3: Parent connectedness</p><p>HIV/AIDS Risks and Risk Environment among China Medical Board 2007- injection drug users in an urbanizing province 2009 in Vietnam: a situation assessment Incidence of Neonatal Hyperbilirubinemia, Risk Pacific Rim Graduate 2008- Factors, and Barriers to Newborn Follow-up Fellowship 2010 Care </p><p>Human Resource at the site</p><p>Categories Number Research Scientists 6 Statisticians/ Bio -Statisticians 2 Filed Supervisors 9 Database and ICT 4 Field Workers 50 Administrative staff 3</p><p>Funders  China Medical Board of New York  INDEPTH Network  Ford Foundation  Atlantic Philanthropies  Netherlands Embassy</p><p>Collaborators  John Hopkins Bloomberg School of Public Health, USA  Tulane University – School of Public Health and Tropical Medicine, USA</p><p>-3- Minimum Dataset</p><p>Minimum requirements CHILILAB_2006 from sites</p><p>Mortality Person Deaths Basic vital statistics Years Age Both Male Female Both Male Female Rates sexes sexes <1 807 415 392 7 3 4 Crude birth rate 14.23657%o 1-4 3369 1736 1633 2 1 1 Total fertility rate 1.82%o 5-9 4392 2293 2099 2 1 1 Crude death rate 5.327688%o 10-14 5171 2721 2450 5 4 1 Neonatal mortality 4.956629%o rate 15-19 5620 2854 2766 5 4 1 Post neonatal 3.717472%o mortality rate 20-24 4114 1854 2260 9 6 3 Infant mortality 8.674102%o 25-29 4111 1903 2208 13 11 2 Child mortality 2.478315%o rate(1-4) per 1000 live birth 30-34 4192 2078 2114 14 10 4 Underfive mortality 11.15242%o per 1000 live birth 35-39 3718 1801 1917 8 6 2 Crude rate of 0.89%o natural increase 40-44 4545 2212 2333 16 13 3 In-migration rate 4.60%o 45-49 5099 2396 2703 18 12 6 Outmigration rate 6.00%o 50-54 3382 1611 1771 16 11 5 Growth rate -0.51%o 55-59 2367 1048 1319 18 12 6 60-64 1379 663 716 12 9 3 65-69 1547 727 820 20 11 9 70-74 1145 507 638 32 19 13 75-79 918 375 543 30 19 11 80-84 502 175 327 41 14 27 85+ 307 80 227 34 11 23 Total 56685 27449 29236 302 177 125</p><p>Cause of death by broad age group (From HDSS data not classified by Verbal Autopsy method yet) Age group Cause <1 1-4 5-14 15-44 45- 65-84 85+ Total 64 Infectious diseases 2 0 1 14 16 22 3 58</p><p>-4- noncommunicable 3 1 3 21 39 96 31 194 diseases injuries 2 1 3 30 9 5 0 50 Total 7 2 7 65 64 123 34 302</p><p>Fertility ASFR %o Age Women Births (both) Male Female sexes 15-19 2766 52 23 29 18.7997108 20-24 2260 284 140 144 125.663717 25-29 2208 272 134 138 123.188406 30-34 2114 124 66 58 58.6565752 35-39 1917 57 25 32 29.7339593 40-44 2333 16 13 3 6.85812259 45-49 2703 2 2 0.73991861 Total 16301 807 403 404 363.640409</p><p>Key Publications</p><p>2008</p><p>1. Nguyen, Nghị V; Lê, Linh C. The characteristics of puberty, knowledge of sex and unwanted pregnancy prevention of adolescents and youths: initial findings of youth and adolescent health in Chi Linh district – Hai Duong. ( Vietnam Prevention Health Magazine, No 6 (98): 25-37, 2008) (in Vietnamese). </p><p>2. Le Cu Linh, Nguyen Thanh Nga, Nguyen Duc Thanh, Dao Hoang Bach. The real situation of adolescent and youth health in Chi Linh district, Hai Duong province: preliminary findings from Demographic Epidemiologic Surveillance System in Chililab. (Vietnam Journal of Public Health, No 10, 6/2008) (in Vietnamese).</p><p>3. Le Thi Vui, Le Cu Linh, Pham Viet Cuong. Demographic Epidemiologic Surveillance System in Chi Linh (CHILILAB): Preliminary Findings from 7/2004-6/2005. Vietnam Journal of Public Health. Vol. 7: 08-13, Jan 2007 (in Vietnamese).</p><p>4 Hoang Van Huynh, Le Cu Linh. The real situation and factors related to alcohol use of youths and adolescents in Chi Linh district, Hai Duong province, 2006. (Vietnam Prevention Health Magazine, Vol. 18, No 2 (94): 39-44, 2008) (in Vietnamese).</p><p>5. Hoang Van Huynh, Le Thi Vui. Sex ratio at birth and related factors in Chi Linh site, Hai Duong, 2005. ( Vietnam Public Health Journal, No 9, 12/2007) (in Vietnamese).</p><p>-5- 6. Bich Huu Tran. Relationship between paternal involvement and child malnutrition in a rural area of Viet Nam. Food and Nutrition Bulletin, vol. 29, no.1, 2008. United Nations university.</p><p>7. Nguyen Thi Minh Thuy, Dang Sy Duy, Hoang Van Huynh, Quach Ngoc Quyen, Micheal Palmer. Disability rate in Chi Linh, 2007. Medicine Research Magazine, No 4, 2008, Medicine Publisher. (in Vietnamese)</p><p>8. Nguyen Thi Minh Thuy. The assistance and support needs of people with disabilities in Chi Linh district, Hai Duong province. (Medicine Research magazine, No 4, 2008, Medicine Publisher.</p><p>9. Nguyen Thi Minh Thuy, Quach Ngoc Quyen, Hoang Van Huynh, Dang Sy Duy, Micheal Palmer. Disability’s characteristics. ( Medicine Research Magazine, No 5, 2008, Medicine Publisher) (in Vietnamese).</p><p>10. Bui Thi Thu Ha, Le Minh Thi, Vu Hung Hieu, Dương Kim Tuan (2007). Finding of baseline survey on ectopic pregnancy in Chilinh district, Haiduong province. (Vietnam journal of Public health, No8, August,2007,p22-28) (in Vietnamese).</p><p>11.Nguyen Duc Hung, Bui Thi Thu Ha (2007). Risk factors related to ectopic pregnancy among women visiting Chilinh district health center. Vietnam journal of Public health. No 7, Jan, 2007,p32-37 (in Vietnamese).</p><p>12. (being process with editor on Journal of health education and Behavior) Bui Thi Thu Ha, Le Minh Thi (2008). Community based intervention for early diagnosis of ectopic pregnancy in rural district of Vietnam . Manuscript number: HEB-D-09-00001.</p><p>SITE CONTACT DETAILS Site Coordinator: Le Thi Vui Site Leader: Tran Huu Bích Tel: 84-4-2662331 Deputy Dean of The Hanoi School of Public Fax: 84-4-2662385 Health Email: [email protected] 138 Giang Vo Str Fax: 84-4-2662385 Ba Dinh – Hanoi Tel: 84-4-2662390 Fax: 84-4-2662385 Email: [email protected] Web: http://www.hsph.edu.vn</p><p>-6- -7-</p>