Data Management in Multicountry Consortium Studies: The Enterics For Global Health (EFGH) Shigella Surveillance Study Example

Background

Rigorous data management systems and planning are essential to successful research projects, especially for large, multicountry consortium studies involving partnerships across multiple institutions. Here we describe the development and implementation of data management systems and procedures for the Enterics For Global Health (EFGH) Shigella surveillance study-a 7-country diarrhea surveillance study that will conduct facility-based surveillance concurrent with population-based enumeration and a health care utilization survey to estimate the incidence of Shigella--associated diarrhea in children 6 to 35 months old.

Methods

The goals of EFGH data management are to utilize the knowledge and experience of consortium members to collect high-quality data and ensure equity in access and decision-making. During the planning phase before study initiation, a working group of representatives from each EFGH country site, the coordination team, and other partners met regularly to develop the data management systems for the study.

Results

This resulted in the Data Management Plan, which included selecting REDCap and SurveyCTO as the primary database systems. Consequently, we laid out procedures for data processing and storage, study monitoring and reporting, data quality control and assurance activities, and data access. The data management system and associated real-time visualizations allow for rapid data cleaning activities and progress monitoring and will enable quicker time to analysis.

Conclusions

Experiences from this study will contribute toward enriching the sparse landscape of data management methods publications and serve as a case study for future studies seeking to collect and manage data consistently and rigorously while maintaining equitable access to and control of data.

Anopheles gambiae resistance to pyrethroid-treated nets in cotton versus rice areas in Mali

The rise and spread of Anopheles gambiae s.l. (the major malaria vector sub-Saharan Africa) resistance to pyrethroids is of great concern owing to the predominant role of pyrethroid-treated nets in the WHO global strategy for malaria control. Use of pyrethroids for agricultural purposes may exert a strong selection pressure, favouring the emergence of insecticide resistance. The objective of this study was to evaluate the efficacy of alpha-cypermethrin treated nets in settings where insecticides are used against pests. This was assessed in two ways, i.e. under laboratory conditions using the WHO standard cones test technique and in experimental huts, on Anopheles gambiae s.l. collected in two Malian rural sites, Koumantou characterised by cotton crops and high insecticide use and Sélingué, a rice field area with low insecticide use. According to the WHO standard cones test technique, there was no difference between mosquitoes collected in the two sites; KD50 time was less than 3 min and the KD95 time below 30 min. Nevertheless, in the experimental huts with alpha-cypermethrin treated bed nets, the mosquito mortality rate was significantly lower in Koumantou (102/361, 28.2%) than in Sélingué (122/233, 52.3%) (RR: 0.65, 95%CI: 0.56-0.76) (p<0.001). In addition, in Koumantou the percentage of unfed mosquitoes found in the veranda was much lower in the huts with untreated (26.0%, 33/127) than in those with treated nets (92.2%, 118/128) (p<0.01) while in Sélingué there was no difference between huts with treated and untreated bed nets. Alpha-cypermethrin treated bed nets had a significant effect on mortality and repelling behaviour of Anopheles gambiae s.l. though in Koumantou treated bed nets were less efficacious, possibly due to the intense use of pesticide for agriculture.