1. Dr. Magdalene Kuria April 2019 Kenya Pediatric Association Conference
CHAMPS Overview
Dr. Magdalene Kuria
April 2019
Kenya Pediatric Association Conference

2. Reducing Mortality Globally and in Kenya
Primary goal of our public health efforts is to reduce mortality
BUT, measurement of mortality is limited
Need to:
Accurately measure trends in mortality overall
Know how to measure cause-specific mortality
Measure, implement appropriate public health programs, determine impact of those programs, modify as needed

3. MIA has been identified as one mechanism to obtain better cause-specific mortality surveillance. This paper was published based on early work doing minimally invasive autopsies in Mozambique.

4. CHAMPS SITES

5. MIA has been identified as one mechanism to obtain better cause-specific mortality surveillance. This paper was published based on early work doing minimally invasive autopsies in Mozambique.

6. CHAMPS Catchment Areas and Collaborators
CHAMPs sites – Siaya and Kisumu Counties, western Kenya
Kisumu: Manyatta Health and Demographic Surveillance System (HDSS)
Urban informal settlements in Kisumu city
Population - ~61,000 (Baseline survey, 2017)
U5MR – 79/1000 (Kenya National Bureau of Statistics)
Siaya: Karemo HDSS
Rural setting in Siaya County
Population – 93,131 (2014)
U5MR -99/1000 (HDSS 2014)
First CHAMPS case enrolment: 24 May 2017
CHAMPS collaborators in Kenya:
US Centers for Disease Control and Prevention
Kenya MOH (National and County level)
Kenya Medical Research Institute (KEMRI)

7. Samples Collected

9. MIA has been identified as one mechanism to obtain better cause-specific mortality surveillance. This paper was published based on early work doing minimally invasive autopsies in Mozambique.

11. Recruitment and enrolment Flow
Transport company invited to carry body to morgue
Family members and neighbors accompany the body to the morgue
Body immediately stored under refrigeration
Hand over medical notes to the pathologist
Conduct MITS
Agree with the family when to take the body for burial
Death notification
Eligibility screening
Consenting
MITs/Non-MITs
Release of the body
Pre-screening

12. MIA has been identified as one mechanism to obtain better cause-specific mortality surveillance. This paper was published based on early work doing minimally invasive autopsies in Mozambique.

13. CHAMPS Data to Action Objective of CHAMPs data-to-action:
To generate valued data that can be used by key individual, community, national and global stakeholders for public health decision making
Family
Health Facility
Community
National
County and Sub-County

14. Kenya site CHAMPs Data to Action Flow Chart
DeCoDe team
CHAMPS staff
County health departments
National gov’t
Facility staff
Externals partners
NGOs, bilateral, multilateral partners
More!
DeCoDe COD
Review of findings
Public Health Actions
Programming/ Surveillance Updates/ Research
Evaluation

15. Conclusion CHAMPS can inform;
Leading cause of deaths and etiological agents
highlighting health system failures and patient health-seeking delays
CHAMPS Data-to-Action component could be more tightly coordinated with county health departments and health partners
Ensure greatest possible impact
Dissemination of lessons learned more broadly
Improve quality of care
Understand rate and causes of death in HIV-exposed but known negative infants