EVALUATING THE COMPLETENESS OF DEMOGRAPHIC SURVEILLANCE OF CHILDREN LESS THAN FIVE YEARS OLD IN WESTERN KENYA: A CAPTURE-RECAPTURE APPROACH

THOMAS P. EISELE Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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KIM A. LINDBLADE Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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DANIEL H. ROSEN Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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FRANK ODHIAMBO Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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JOHN M. VULULE Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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LAURENCE SLUTSKER Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Department of International Health and Development, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana; Center for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya

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We evaluated the completeness and differential ascertainment of vital events in children less than five years old registered in two rounds of a demographic surveillance system (DSS) in western Kenya using a two-sample capture-recapture. The primary lists consisted of births and child deaths identified by two rounds of the DSS conducted in October 2000 and August 2001. The secondary lists consisted of births and child deaths identified independently from two surveys of 5,000 randomly selected households conducted immediately after each DSS round, covering the same population over the same time period. Analysis of the overlap between lists yielded the following sensitivities for the two DSS rounds: 62% and 49%, respectively, for identifying neonatal deaths (<1 month); 72% and 78%, respectively, for post-neonatal child deaths (1–59 months); and 88% and 78%, respectively, for identifying newborns. Female deaths were less likely to be reported than male deaths. The primary limitation of using capture-recapture in this setting was difficulty in matching between lists due to inconsistent dates of birth and death and variability in spelling of names. Assuming limitations of current methods are sufficiently addressed, capture-recapture appears to be a useful tool in evaluating DSS completeness and differential ascertainment of vital events.

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