Health & Demographic Surveillance System Profile: The Rufiji Health and Demographic Surveillance System (RUFIJI HDSS)

Sigilbert Mrema, Almamy M. Kante, Francis Levira, Amaniel Mono, Kahema Irema, Don De Savigny, Honorati Masanja

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


The Rufiji Health and Demographic Surveillance System (HDSS) was established in October 1998 to evaluate the impact on burden of disease of health system reforms based on locally generated data, prioritization, resource allocation and planning for essential health interventions. The Rufiji HDSS collects detailed information on health and survival and provides a framework for population-based health research of relevance to local and national health priorities. In December 2012 the population under surveillance was about 105 503 people, residing in 19 315 households. Monitoring of households and members within households is undertaken in regular 6-month cycles known as 'rounds'. Self reported information is collected on demographic, household, socioeconomic and geographical characteristics. Verbal autopsy is conducted using standardized questionnaires, to determine probable causes of death. In conjunction with core HDSS activities, the ongoing studies in Rufiji HDSS focus on maternal and new-born health, evaluation of safety of artemether-lumefantrine (AL) exposure in early pregnancy and the clinical safety of a fixed dose of dihydroartemisinin-piperaquine (DHA-PQP) in the community. Findings of studies conducted in Rufiji HDSS can be accessed at

Original languageEnglish (US)
Pages (from-to)472-483
Number of pages12
JournalInternational journal of epidemiology
Issue number2
StatePublished - May 27 2015
Externally publishedYes


  • Cause of death
  • Demography
  • Fertility
  • INDEPTH net-work
  • Migration
  • Mortality
  • Rufiji
  • Tanzania
  • Verbal autopsy

ASJC Scopus subject areas

  • Epidemiology


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