Using wearable proximity sensors to characterize social contact patterns in a village of rural Malawi

Measuring close proximity interactions between individuals can provide key information on social contacts in human communities. With the present study, we report the quantitative assessment of contact patterns in a village in rural Malawi, based on proximity sensors technology that allows for high-resolution measurements of social contacts. The system provided information on community structure of the village, on social relationships and social assortment between individuals, and on daily contacts activity within the village. Our findings revealed that the social network presented communities that were highly correlated with household membership, thus confirming the importance of family ties within the village. Contacts within households occur mainly between adults and children, and adults and adolescents. This result suggests that the principal role of adults within the family is the care for the youngest. Most of the inter-household interactions occurred among caregivers and among adolescents. We studied the tendency of participants to interact with individuals with whom they shared similar attributes (i.e., assortativity). Age and gender assortativity were observed in inter-household network, showing that individuals not belonging to the same family group prefer to interact with people with whom they share similar age and gender. Age disassortativity is observed in intra-household networks. Family members congregate in the early morning, during lunch time and dinner time. In contrast, individuals not belonging to the same household displayed a growing contact activity from the morning, reaching a maximum in the afternoon. The data collection infrastructure used in this study seems to be very effective to capture the dynamics of contacts by collecting high resolution temporal data and to give access to the level of information needed to understand the social context of the village.