1. Vadu – what lies ahead? Siddhivinayak Hirve Director Vadu Rural Health Program KEM Hospital, Pune, INDIA INDEPTH AGM 2009 26 th October, 2009 Pune, INDIA

2. Vadu Rural Health Program Shirdi Saibaba Rural Hospital, Vadu Outreach Health Program Research Health & Demographic Surveillance Health & Demographic Surveillance

3. In utero Birth, infancy Adolescent Adult Elderly Health care Morbidity, Mortality Life Cycle approach to HDSS Pregnancy care Birth details, Birth wt, Immunization Birth details, Birth wt, Immunization Research Surveillance – demographic, risk factors, disease, GIS, SES, support systems etc.

4. Data levels at Vadu  Population level data – trends  DSS, SES  NCD Risk Factors  Person level data – broad research tracks  Maternal and Child Health  Reproductive / women’s health  Micro-nutrients – iron, vitamin B12  Adult Health & Aging ▪ Fetal origins of adult onset diseases ▪ SAGE, COPD  Communicable diseases  Influenza, Measles  Vaccines – MenPsA-TT, HIB, Aerosol Measles  Service level data  Primary health care information – Immunization, contraceptive use, Integrated Disease Surveillance  Hospital records

5. Data sets at Vadu

6. Linking datasets through DSS

7. DSS platform for research tracks

8. Bench  Bedside The COPD example Translational Research Epidemiological / Clinical studies (KEM – CRF) Microbiome studies (NCCS) Intervention research (KEM – CRF) Genome studies (IGIB)

9. Vadu (2002)

10. Vadu (2009)

11. Partners in Science (2008-09) Pediatrics, Diabetes, KEM Hospital Research Center, Pune Chest Research Foundation, Pune I2IT, Pune National Institute of Virology, Pune National AIDS Research Institute, Pune Geo-informatics, University of Pune Serum Institute of India, Pune District Health Services, Pune Institute of Genomics & Integrative Biology, Delhi AllMS, Delhi Dept of Biotechnology, GoI CMC, Vellore CDC, Atlanta, US WHO IVR – PATH Vanderbilt University, Alabama INDEPTH Network