Nairobi HDSS, Kenya Print E-mail


Nairobi HDSS, Nairobi Kenya


1.      Name of site:

Nairobi Urban Demographic Surveillance System

2.      City/Country:

Nairobi, Kenya

3.      Site Leader:

Alex Ezeh

4.      Site contact person for this programme:

Alex Ezeh
P. O. Box 230, Kilifi, Kenya
Phone +254 41 52Dr. Alex Ezeh
APHRC, Kenya
P.O.Box 10787, 00100, GPO, Nairobi
Tel : +254 20 2720400/1/2
Email : This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

5.      Short description of site:

Nairobi City typifies the phenomenon of rapid urbanization amidst growing urban poverty in African Cities. Its population grew from 120,000 in 1948 to 2.3 million in 1999 while over 60% of its population is estimated to languish live below the poverty line and reside in slum settlements characterized by poor housing and lack of basic essential services including education, health, and sanitation. The African Population and Health Research Center (APHRC) - in partnership with PATH, CARE, JHPIEGO, ITDG, and the Government of Kenya is implementing a program of research and action that seeks to determine and implement cost-effective strategies for improving the deteriorating health and livelihood conditions of the slum residents of Nairobi City. The immediate focus of this project – known as the Nairobi Urban Health and Poverty Project (NUHPP) - is to set up cost-effective health and livelihood interventions to reduce the high disease and mortality burden among slum children. The Nairobi Urban Demographic Surveillance System (NUDSS) was set up in 2000 in four of the city’s 30+ slums to monitor and evaluate the impact of health and livelihood interventions on health outcomes.


6.      Research objectives:

The NUDSS also serves as a general platform for studying linkages between urbanization, poverty and health. The NUDSS covers about 120,000 people in 44,000 households, and involves visits to all the households once every three months to continuously update information on pregnancies and pregnancy outcomes, migration, episodes of morbidity, health seeking behavior, mortality and causes of death, livelihood sources, vaccination coverage, marital status, and school attendance.

7.      Priority research areas:

Use of DSS for monitoring and evaluating the of impact of health and livelihood interventions in the urban setting
Poverty and health
Health Equity
Child and maternal health
Migration dynamics and health
Sexual networking and HIV/AIDS
Adult health and mortality
Burden of Disease
Schooling and school drop-out
The social context of ageing in the urban setting


8.      Sample publications in the last five years:

“The Influence of Alcohol, Drugs and Substance Abuse on Sexual Relationships and Perception of Risk to HIV Infection among Adolescents in the Informal Settlements of Nairobi”,
Mugisha, F. and Zulu, E.M.
Journal of Youth Studies, September 2004, 7(3):279-293.

“Child morbidity and health care utilization in the slums of Nairobi, Kenya”
Taffa, N., G. Chepngeno, and Amunyunzu-Nyamongo, M.
Journal of Tropical Pediatrics 2004

“The triad of poverty, environment and child health in Nairobi’s informal settlements”
Amuyunzu-Nyamongo, M. and Negussie Taffa.
Journal of Population and Health in developing countries. 2004.Pp. 1-14 (

The inequality of maternal health care in urban sub-Saharan Africa in the 1990s.
Magadi, M. Zulu, E. and Brockerhoff, M.
Population Studies 2003. 57(3): 347-366

“Alcohol, substance and drug use among urban slum adolescents in Nairobi Kenya”
Mugisha F, Arinaitwe-Mugisha J, & Hagembe B.O.N.
Cities 2003 20(4): 231-240

9.      Description of areas, or example of research questions site is interested in for which it will welcome collaboration from the university:


10.  Description of existing staff and competence in data analysis


11.  Period of time / length of time site can host a visiting researcher:


12.  Will your site welcome a PhD student (supervised by staff in the population programme) to work on available data to answer questions you are interested in?


13.  Any other issues you think are relevant to the programme / suggestions:




    For more information, please contact:                                                           


Dr. Osman Sankoh

Deputy Executive Director


Accra, Ghana

Email : This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Tel.: +233 21 519394