We aim to disseminate field lessons gained from studying zoonotic diseases among children with diarrhea in the Nairobi Urban Health and Demographic Surveillance System. Despite the numerical importance of slums in sub-Saharan Africa, little is known on the practice of health surveillance in those resource-limited areas. Challenges and lessons gained concern sustaining community participation over the years, engaging with gatekeepers, hiring and training local fieldworkers, ensuring safety of employees and material, and offering clinical care to children with diarrhea in their households.
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