Taller Internacional Sistema Vigilancia Lesiones Resultados preliminares

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Hospital-based Injury Surveillance System (HBISS)
in Nicaragua Julio Rocha Francisco Tercero
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• CONTENT
• Background
• Process
• Results
• Evidence-based decision making
• Next steps and challenges

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BACKGROUND

• Epidemiology Transition in Nicaragua
• Before the Revolution Infectious diseases
• (Before 1979)
• During the Revolution War-related injuries
• (1979-1990)
• After the Revolution Noncommunicable and
  
• (1990-Present) Injuries

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BACKGROUND

• Technical Support on Injury Surveillance
• During 1990-1995 (only in Leon)
• Social Medicine, KI (SAREC)
• Academic but not institutional support.
• During 2000-2005 (National level)
• CDC, PAHO, with SAREM support.
• Aimed to strengthen the Ministry of Health
  capacity
• buildings.

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BACKGROUND
Injury surveillance approaches in Leon, Nicaragua
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• PROCESS
• Advocacy for interdisciplinary support
• for Injury Prevention and Control
• Minister and vice-Minister of Health
• Forensic Institute
• Mayors
• NGOs Networking with woman and young people.
• University
• Police

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• PROCESS
• The Training Program included
• A users manual on HBISS.
• Series of workshops on injury registration and
• data analysis (External trainers).
• Epi Info training to data entry and
  Epidemiologist.

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PROCESS Monitoring included Capture of
cases. Quality of data. Completeness and
timeliness of case reports.
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• RESULTS
• Dissemination of injury data
• National and International publications.
• International Conferences.
• Training.
• Feedback with local autorities.

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Results from the Hospital-based Injury
Surveillance System, Nicaragua, 2003-2004
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Proportion of injuries by intent and
sex. Nicaragua, 2003-2004.
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Proportion of injuries by intent and
age. Nicaragua, 2003-2004.
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Proportion of injuries by mechanism and
sex. Nicaragua, 2003-2004.
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Proportion of injuries by mechanism and
age. Nicaragua, 2003-2004.
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Proportion of injuries by mechanism and
intent. Nicaragua, 2003-2004.
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Proportion of injuries by intent and
severity. Nicaragua, 2003-2004.
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Proportion of injuries by mechanism and
severity. Nicaragua, 2003-2004.
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A broad evaluation of the HBISS in Nicaragua,
2003-2004.
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• Evidence-Based Decision Making
• Injuries were included in the National Plan of
  Health (2004-2015)
• The notification of injuries are compulsory
  (2005).
• Injury prevention in the agenda of three
  municipalities
• Violence
• Suicide
• Traffic
• To calculate injury cost to measure the burden of
  injuries (2003).

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• Next steps and challenges
• To improve the quality of the HBISS.
• To standardize injury severity indicators to
  monitor
• properly the impact of intervention measures.
• To guarantee the sustainability of the HBISS.
• The needs to institutionalize within the Ministry
  of
• Health a National Injury Prevention Program.

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Acknowledgements To all members of the
hospitals that are involved in the hospital-based
injury surveillance systems.
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• CONTACT US
• Julio Rocha
• Email injury12003_at_yahoo.com
• Web site http//www.minsa.gob.ni
• Francisco Tercero
• Email cidsft_at_yahoo.es
• Web site http// www.cids.edu.ni