Evaluation of a village-informant driven demographic surveillance system in Karonga, Northern Malawi

Authors:
  • AJAndreas Jahn
    Andreas Jahn
  • ACAmelia C Crampin
    Amelia C Crampin
  • JGJudith R. Glynn
    Judith R. Glynn
  • VMVenance Mwinuka
    Venance Mwinuka
  • EMElenaus Mwaiyeghele
    Elenaus Mwaiyeghele
  • JMJohnbosco Mwafilaso
    Johnbosco Mwafilaso
  • KBKeith Branson
    Keith Branson
  • PFPaul Em Fine
    Paul Em Fine
  • BZBasia Zaba
    Basia Zaba

Abstract
This paper describes and evaluates the first demographic surveillance system (DSS) in Malawi, covering a rural population of 30,000. Unlike others, the Karonga DSS relies on trained village informants using formatted registers for the primary notification of vital events and migrations. Seven project enumerators subsequently collect detailed data on events notified by the village informants, using stringent identification procedures for households and individuals. Internal movements are traced systematically to augment event registration and data quality. Continuous evaluation of data collection is built into the methods. A re-census conducted after 2 years indicated that the routine system had registered 97% of 1,588 births, 99% of 521 deaths and 92% of 13,168 movements.