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SAVVY started with baseline enumeration censuses in March 2011 and continued in phases until it reached the full scale of all 23 districts in March 2014.
Continuous monitoring of vital events and conducting verbal autopsy (VA) interviews in enumeration areas began shortly after commencement of baseline censuses and is done prospectively.
Follow-up questions were asked for female household members on number of children.
During baseline census, data on retrospective death events of the past 12 months were also collected.
The FBIS (Facility-Based Information System) collects routine national health management information system data.
These health service use data are collected monthly at all public and private health facilities in SPD districts, i.e. Both SAVVY and FBIS systems are capable of generating supplementary information from nested periodic surveys.
NBS used a two-stage Sampford’s probability with proportion to size sampling method on the 2002 Tanzania Population and Housing Census dataset [Tanzania’s National Bureau of Statistics (Ministry of Planning, Economy and Empowerment) Population and Housing Census 2002].
Data can be obtained by contacting the Director General by e-mail at: [[email protected]]. The 35% coverage of health facilities was based on the number of facilities in the SPD master list compared with the number of health facilities in Mainland Tanzania for 2010.
Overall, implementation of the SPD is led by IHI with support from NBS and NIMR and in close consultation with MOHSW.
Informed consent was elicited from interview participants during SAVVY censuses and verbal autopsy interviews.
Informed consent was not required for FBIS data from health facilities review as there was no direct contact with participants and data contained no identification of patients, as these were aggregated at district level. Health facilities: first round in 2010 followed by continuous repeated monthly surveys.
During initial setup of the SAVVY arm, baseline censuses were conducted in all districts enumerating all households within the selected enumeration areas, and captured a snapshot of the population.
Each household was visited and family structure data were collected including details of the head of household and each member’s name, gender, occupation and education.
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Both SAVVY and FBIS arms received ethical approval from the Tanzania’s National Institute for Medical Research.