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Indepth Healthy Transition to Adulthood study

Indepth Healthy Transition to Adulthood study. The Kilifi – Dodowa Workshop. Evasius Bauni 27 th – 28 th May 2014. The Kemri-wellcome Trust Research Programme. DSS. 2013. 1989. 2000. Norbert Peshu Kevin Marsh Charles Newton Bob Snow. Malaria Bacterial disease Neurology Genetics

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Indepth Healthy Transition to Adulthood study

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  1. Indepth Healthy Transition to Adulthood study The Kilifi – Dodowa Workshop Evasius Bauni 27th – 28th May 2014

  2. The Kemri-wellcome Trust Research Programme DSS 2013 1989 2000 Norbert Peshu Kevin Marsh Charles Newton Bob Snow Malaria Bacterial disease Neurology Genetics Social science Public health Malaria Bacterial disease Neurology Genetics Social science Public health Resp disease HIV TB Malnutrition Sickle disease NCD

  3. The Kilifi HDSS

  4. Epidemiology Demography Department Kilifi HDSS Evasius Bauni Viral Epidemiology & Control James Nokes Cluster Support and management Tahreni Bwanaali Human Genetic Factors Tom Williams Invasive Bacterial Diseases Anthony Scott

  5. GPS Receivers

  6. Integrated Surveillance Systems Vital status/migration 270,000 population Home visits every 3-4 months Clinical case recording ~4,000 inpatients/y Integrated with DSS on admission Laboratory data From inpatient and research studies linked on DSS IDNO

  7. Kilifi IHTAS Staff • Evasius Bauni • George Mochamah • David Walumbe • Carolyne Ndila • Christopher Nyundo • David Amadi • Gideon Nyutu • Boniface Jibendi • Michael Kinuthia • Mark Otiende • Alex Mutuku • John Ojal • Jackline Wafula • Pauline Mwatsuma • Paul Musumba • Francis Kombe • Charles Syengo • Elina Kaulu

  8. IHTAS sub-studies • On-line stakeholders questionnaire • Stakeholders workshop • Focus –group discussions • Indepth-interviews with stakeholders • Systematic literature review (health intervetions) • Systematic literature review (health problems) • Systematic literature review (why young people do not use health services) • Mapping health facilities • Analysing existing data • Identifying pilot sites • IHTAS phase 2

  9. What is the problem? What health interventions are in place? What is the problem? Health Interventions Provision of health information (15) Screening HIV (5) TB (1) Child rights (2) Reproductive health services/YFS (4) Economic empowerment (3) Malaria control(1) • Substance abuse • Unprotected sex leading to unwanted pregnancies, abortion, STIs and HIV • Accidents and injuries, sexual violence, bullying • Early marriages and, homosexuality • Nutrition

  10. What is the problem? Systematic Literature Review

  11. Age-sex structure and population density • Population: 270,000 (2012-2013 r29) • 34,000 HH, 900km2 • Males: 47% • Children <5 years: 19% • Children 5 -14years: 30% • 10-24 years: 33% • Adults 15 – 49 years:39% • Elderly ≥50+: 12%

  12. What do we know? The 10-24 profile b) Health facility survey (n=80) c) Hospital admissions d) Causes of death

  13. Data collection Dec 2013 Jan-June 2014 Writing and submitting trial proposal Timelines Compiling results and writing July – December 2014 January-March 2015 Oct 2013 April – May 2015 Proposal to fill the gaps What we know What we want to know

  14. Acknowledgements • IHTAS Staff & Stakeholders Kilifi • Kemri-Wellcome Trust Research Programme • Ministry of health • Dodowa & LSHTM Collaborators • Hewlett Foundation www.kilifi-ihtas.com

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