Urban Demograhic Health Surveillance System  2018-19 Urban Demograhic Health Surveillance 2018-19 - UDHSS 2018-19 Institutet icddr, b har ansökt om stöd, sammanlagt SEK 1 900 000 hos Sida för att finansiera och genomföra ""Urban Health and Demographic Surveillance System (UHDSS): Generating Evidence to Improve Health of Urban Poor of Bangladesh" i Dhaka (Nord och Syd) och Gazipur City Corporation, under perioden 2018–2019. Syftet med uppdraget är att fortsätta datainsamling genom systemet Urban Health and Demographic Surveillance System samt att genomföra fem studier.

Resultatet från studierna, genom användande av Urban Health and Demographic Surveillance System (UHDSS), formar en god grund för framtida undersökningar kring multidimensionell fattigdom i städer, kopplingar mellan människors hälsa och demografiska och andra socioekonomiska fakta. Resultaten kommer att underlätta utvärderingen av insatser för att förbättra villkoren för människor som lever i fattigdom i urbana miljöer. The institution icddr,b has applied to Sida for funding of SEK 1 900 000 to carry out the "Urban Health and Demographic Surveillance System: Generating Evidence to Improve Health of Urban Poor of Bangladesh" in of Dhaka (North & South) and Gazipur City Corporations, during the period 2018-2019. The aim of the assignment is to continue data collection of the Urban Health and Demographic Surveillance System, UHDSS, as well as to undertake five studies using the this sampling frame. 

The Urban Health and Demographic Surveillance System (UHDSS) will provide a platform for investigating linkages between multidimensional poverty in urban areas, health, and demographic and other socioeconomic outcomes and to facilitate the evaluation of interventions to improve the wellbeing of the urban poor. Bangladesh is one of the most densely populated countries in the world and rapid urbanization (5% annually) is one of its major challenges. Though it has made remarkable progress in primary health care however, the gains are not distributed evenly across the country. The health indicators in urban slums is even worse than the rural areas. There is also a scarcity of evidence on the contributors of maternal mortality, infant mortality, neonatal mortality in urban slums. The need for empirical evidence to formulate health interventions in urban areas of Bangladesh is critical, since reliable data is in short supply and is often based on indirect estimates.
As Bangladesh lacks effective vital registration systems Embassy decided to support small-scale Demographic and Health Surveillance Systems (DHSS) implemented by icddr,b to collect invaluable field data to understand fertility, mortality, morbidity patterns, and information related to risk factors of communicable and non-communicable diseases and how these information are related with poverty. DHSS provided a platform which enables effective and comprehensive data collection systems because they focus on clearly delineated geographic areas with identified population. The aim of the contribution was to establish the Urban Health and Demographic Surveillance System (UHDSS) as well as to undertake five studies/activities using the UHDSS sampling frame.The specific objectives of the project were:1. To continue UHDSS data collection through three-monthly household visits2. To analyze UHDSS data in a way that would help monitoring the progress of the health services provided by the NGOs and local bodies of UPHCSDP and to identify service gaps3. To study the determinants: infant and under-five mortality and fertility using UHDSS data as well as by collecting/updating additional data on pregnancy history, birth interval, birth wantedness and safe motherhood practice4. To collect/update data for measuring multi-dimensional poverty 5. To collect data on maternal mortality to understand causes of these death6. To map UHDSS households and to link with GIS coordinates with facility data.