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Hospital-based Injury Surveillance System (HBISS) in Nicaragua Julio Rocha Francisco Tercero

Hospital-based Injury Surveillance System (HBISS) in Nicaragua Julio Rocha Francisco Tercero CONTENT Background Process Results Evidence-based decision making Next steps and challenges BACKGROUND Epidemiology Transition in Nicaragua Before the Revolution: Infectious diseases

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Hospital-based Injury Surveillance System (HBISS) in Nicaragua Julio Rocha Francisco Tercero

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  1. Hospital-based Injury Surveillance System (HBISS) in Nicaragua Julio Rocha Francisco Tercero

  2. CONTENT • Background • Process • Results • Evidence-based decision making • Next steps and challenges

  3. 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

  4. 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.

  5. BACKGROUND Injury surveillance approaches in Leon, Nicaragua

  6. 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

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

  8. PROCESS Monitoring included: Capture of cases. Quality of data. Completeness and timeliness of case reports.

  9. RESULTS • Dissemination of injury data: • National and International publications. • International Conferences. • Training. • Feedback with local autorities.

  10. Results from the Hospital-based Injury Surveillance System, Nicaragua, 2003-2004

  11. Proportion of injuries by intent and sex. Nicaragua, 2003-2004.

  12. Proportion of injuries by intent and age. Nicaragua, 2003-2004.

  13. Proportion of injuries by mechanism and sex. Nicaragua, 2003-2004.

  14. Proportion of injuries by mechanism and age. Nicaragua, 2003-2004.

  15. Proportion of injuries by mechanism and intent. Nicaragua, 2003-2004.

  16. Proportion of injuries by intent and severity. Nicaragua, 2003-2004.

  17. Proportion of injuries by mechanism and severity. Nicaragua, 2003-2004.

  18. A broad evaluation of the HBISS in Nicaragua, 2003-2004.

  19. 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).

  20. 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.

  21. Acknowledgements To all members of the hospitals that are involved in the hospital-based injury surveillance systems.

  22. CONTACT US: • Julio Rocha • Email: injury12003@yahoo.com • Web site http://www.minsa.gob.ni • Francisco Tercero • Email: cidsft@yahoo.es • Web site http:// www.cids.edu.ni

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