{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:24:54Z","timestamp":1788909894693,"version":"build-2803163510"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"Supplement_4","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","award":["OPP1126780"],"award-info":[{"award-number":["OPP1126780"]}],"id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,10,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The Child Health and Mortality Prevention Surveillance (CHAMPS) program is a 7-country network (as of December 2018) established by the Bill &amp; Melinda Gates Foundation to identify the causes of death in children in communities with high rates of under-5 mortality. The program carries out both mortality and pregnancy surveillance, and mortality surveillance employs minimally invasive tissue sampling (MITS) to gather small samples of body fluids and tissue from the bodies of children who have died. While this method will lead to greater knowledge of the specific causes of childhood mortality, the procedure is in tension with cultural and religious norms in many of the countries where CHAMPS works\u2014Bangladesh, Ethiopia, Kenya, Mali, Mozambique, Sierra Leone, and South Africa. Participatory Inquiry Into Community Knowledge of Child Health and Mortality Prevention (PICK-CHAMP) is a community entry activity designed to introduce CHAMPS to communities and gather initial perspectives on alignments and tensions between CHAMPS activities and community perceptions and priorities. Participants\u2019 responses revealed medium levels of overall alignment in all sites (with the exception of South Africa, where alignment was high) and medium levels of tension (with the exception of Ethiopia, where tension was high). Alignment was high and tension was low for pregnancy surveillance across all sites, whereas Ethiopia reflected low alignment and high tension for MITS. Participants across all sites indicated that support for MITS was possible only if the procedure did not interfere with burial practices and rituals.<\/jats:p>","DOI":"10.1093\/cid\/ciz563","type":"journal-article","created":{"date-parts":[[2019,7,18]],"date-time":"2019-07-18T15:19:18Z","timestamp":1563463158000},"page":"S280-S290","source":"Crossref","is-referenced-by-count":27,"title":["Using Participatory Workshops to Assess Alignment or Tension in the Community for Minimally Invasive Tissue Sampling Prior to Start of Child Mortality Surveillance: Lessons From 5 Sites Across the CHAMPS Network"],"prefix":"10.1093","volume":"69","author":[{"given":"John","family":"Blevins","sequence":"first","affiliation":[{"name":"Emory Global Health Institute, Emory University, Atlanta, Georgia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"O\u2019Mara Sage","sequence":"additional","affiliation":[{"name":"Center for Global Health, Centers for Disease 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Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saquina","family":"Cossa","sequence":"additional","affiliation":[{"name":"Centro de Investigacao en Saude de Manhica (CISM), Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zerihun","family":"Girma","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosef","family":"Zegeye","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Ackley","sequence":"additional","affiliation":[{"name":"College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia"},{"name":"Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faruqe","family":"Hussain","sequence":"additional","affiliation":[{"name":"PEI, Infectious Disease Division, icddr,b, Dhaka, Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiful","family":"Islam","sequence":"additional","affiliation":[{"name":"PEI, Infectious Disease Division, icddr,b, Dhaka, Bangladesh"},{"name":"University of New South Wales, Syndey, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nellie","family":"Myburgh","sequence":"additional","affiliation":[{"name":"Medical Research Council, Respiratory and Meningeal Pathogens Research Unit, University of the Witwatersrand, Faculty of Health Sciences Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noni","family":"Ngwenya","sequence":"additional","affiliation":[{"name":"Medical Research Council, Respiratory and Meningeal Pathogens Research Unit, University of 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