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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/143460
Using Participatory Workshops to Assess Alignment or Tension in the Community for Minimally Invasive Tissue Sampling Prior to Start of Child Mortality Surveillance: Lessons From 5 Sites Across the CHAMPS Network
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The Child Health and Mortality Prevention Surveillance
(CHAMPS) program is a 7-country network (as of December 2018)
established by the Bill & Melinda Gates Foundation to
identify the causes of death in children in communities with
high rates of under-5 mortality. The program carries out both
mortality and pregnancy surveillance, and mortality surveillance
employs minimally invasive tissue sampling (MITS) to gather
small samples of body fluids and tissue from the bodies of
children who have died. While this method will lead to greater
knowledge of the specific causes of childhood mortality, the
procedure is in tension with cultural and religious norms in
many of the countries where CHAMPS works-Bangladesh, Ethiopia,
Kenya, Mali, Mozambique, Sierra Leone, and South Africa.
Participatory Inquiry Into Community Knowledge of Child Health
and Mortality Prevention (PICK-CHAMP) is a community entry
activity designed to introduce CHAMPS to communities and gather
initial perspectives on alignments and tensions between CHAMPS
activities and community perceptions and priorities.
Participants' responses revealed medium levels of overall
alignment in all sites (with the exception of South Africa,
where alignment was high) and medium levels of tension (with the
exception of Ethiopia, where tension was high). Alignment was
high and tension was low for pregnancy surveillance across all
sites, whereas Ethiopia reflected low alignment and high tension
for MITS. Participants across all sites indicated that support
for MITS was possible only if the procedure did not interfere
with burial practices and rituals.
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BLEVINS, John, O'MARA SAGE, Elizabeth, KONE, Ahoua, MAIXENCHS, Maria, RAGHUNATHAN, Pratima l., GUILAZE, Rui a., COSSA, Saquina, GIRMA, Zerihun, ZEGEYE, Yosef, ACKLEY, Caroline, HUSSAIN, Faruqe, ISLAM, Saiful, MYBURGH, Nellie d., NGWENYA, Noni, MADHI, Shabir a., OTIENO, Peter, OCHOLA, Kennedy, MUNGUAMBE, Khátia, BREIMAN, Robert f.. Using Participatory Workshops to Assess Alignment or Tension in
the Community for Minimally Invasive Tissue Sampling Prior to
Start of Child Mortality Surveillance: Lessons From 5 Sites
Across the CHAMPS Network. _Clinical Infectious Diseases_. 2019. Vol. 69, núm. 4, pàgs. S280–S290. [consulta: 22 de gener de 2026]. ISSN: 1058-4838. [Disponible a: https://hdl.handle.net/2445/143460]