Evidence map›Paper›PMID 40275318›Full record

ArticleBMC medicine2025

When health data go dark: the importance of the DHS Program and imagining its future.

Jessie Jane Khaki, Jil Molenaar, Sulata Karki, Emmanuel Olal, Manuela Straneo, Marie Alice Mosuse, Jovanny Tsuala Fouogue, Bernadette Hensen, Adama Baguiya, Angèle Musau Nkola and 20 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors.

Jessie Jane KhakiKamuzu University of Health Sciences, Blantyre, Malawi.
Jil MolenaarInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Sulata KarkiHERD International, Lalitpur, Nepal.
Emmanuel OlalAdroit Consult International, Kampala, Uganda.
Manuela StraneoInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Marie Alice MosuseVrije Universiteit Brussel, Brussel, Belgium.
Jovanny Tsuala FouogueDepartment of Gynaecology, Obstetrics and maternal health, University of Dschang, Dschang, Cameroon.
Bernadette HensenInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Adama BaguiyaInstitut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina Faso.
Angèle Musau NkolaEcole de Sante Publique, University of Lubumbashi, Lubumbashi, Democratic Republic of the Congo.
Kerry L M WongIndependent researcher, London, UK.
Oumar Aly BaGeoHealth group, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Amani KikulaInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Fassou Mathias GrovoguiAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT), Gamal Abdel Nasser University, Conakry, Republic of Guinea.
Aline SemaanInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Anteneh AsefaInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Peter M MachariaInstitute of Tropical Medicine Antwerp, Antwerp, Belgium. pmacharia@itg.be.ORCID http://orcid.org/0000-0003-3410-1881
Chido Dziva ChikwariBiomedical Research and Training Institute, Harare, Zimbabwe.
Mariame Oumar OuédraogoDalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Aliki ChristouInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.
Emelda A OkiroPopulation & Health Impact Surveillance Group, Kenya Medical Research Institute-Wellcome Trust Research Programme, Nairobi, Kenya.
Martin Kavao MutuaAfrican Population and Health Research Centre, Dakar, Senegal.
Abioye AmoduIndependent researcher, Lagos, Nigeria.
Mwelwa Phiri, Zambart, Lusaka, Zambia.
Rukundo AthanaseMinistry of Health, Kigali, Rwanda.
David Lagoro KitaraGulu University, Faculty of Medicine, Gulu, Uganda.
Onikepe OwolabiGuttmacher Institute, New York, USA.
Andrea B PembeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Bosede B AfolabiFaculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria.
Lenka BeňováInstitute of Tropical Medicine Antwerp, Antwerp, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe suspension and/or termination of many programmes funded through the United States Agency for International Development (USAID) by the new US administration has severe short- and long-term negative impacts on the health of people worldwide. We draw attention to the termination of the Demographic and Health Surveys (DHS) Program, which includes nationally representative surveys of households, DHS, Malaria Indicator Surveys [MIS]) and health facilities (Service Provision Assessments [SPA]) in over 90 low- and middle-income countries. USAID co-funding and provision of technical support for these surveys has been shut down. MAIN BODY: The impact of these disruptions will reverberate across local, regional, national, and global levels and severely impact the ability to understand the levels and changes in population health outcomes and behaviours. We highlight three key impacts on (1) ongoing data collection and data processing activities; (2) future data collection and consequent lack of population-level health indicators; and (3) access to existing data and lack of support for its use.

conclusionsWe call for immediate action on multiple fronts. In the short term, universal access to existing data and survey materials should be restored, and surveys which were planned or in progress should be completed. In the long term, this crisis should serve as a tipping point for transforming these vital surveys. We call on national governments, regional organisations, and international partners to develop sustainable alternatives that preserve the principles (standardised questionnaires, backward compatibility, open access data with rigorous documentation) which made the DHS Program an invaluable global health resource.

Indexed as

DemographyHealth SurveysDeveloping CountriesGlobal HealthHumansMalariaUnited StatesDemographic and Health SurveyDemographic dataDHS ProgramFundingHealth dataLow- and middle-income countriesPopulation surveysService Provision AssessmentUSAID

Identifiers

PMID40275318
PMCPMC12023666

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.