1 / 24

Enhancing Fatal Injury Surveillance in South Africa

An overview of the National Injury Mortality Surveillance System in South Africa, covering its history, coverage, strengths, weaknesses, and future plans. The system captures non-natural mortality data, demographics, external causes of deaths, and more. Strengths include data quality and coverage, while challenges include sustainability and data comparability. The strategic challenges involve competing interests, funding limitations, and the need for a city-focused approach.

jlebeau
Download Presentation

Enhancing Fatal Injury Surveillance in South Africa

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. An overview of fatal injury surveillance in South Africa Cuernavaca, Mexico, 1-2 June 2005 Richard Matzopoulos CRIME, VIOLENCE AND INJURY LEAD PROGRAMME Medical Research Council University of South Africa Institute for Social and Health Sciences Centre for Peace Action

  2. National Injury Mortality Surveillance System (NIMSS) • strengths and weaknesses • strategic challenges • future plans for the NIMSS

  3. history • 1993 –1995 Cape Town • 1998 – 2 years of DACST funding • national pilot – Gauteng, Durban, CT • 1999 – 1st annual report – Kimberley, PE, EL • 10 mortuaries, 5 provinces • 2000 – 2nd report – Gauteng, PE • 15 mortuaries, 5 provinces • 2001 – 3rd report – Durban, EL, Mpumalanga • 32 mortuaries, 6 provinces

  4. Coverage Non-natural mortality 68 930 (MRC Burden of Disease, 2000) 12 to 15 %of all mortality NIMSS 24 600 / 68930 = 36% Rural: 5-6%, Urban: 55-64%

  5. Coverage • Mainly urban • Metros - Johannesburg, Durban, Cape Town, Pretoria, Port Elizabeth, Erkhuruleni • Cities – East London/KWT/Bisho, Kimberley • Rural towns • Mpumalanga, Stellenbosch, Potchefstroom, Kroonstad, Nelspruit • 7 out of 9 provinces represented • Warehoused at MRC • Report- generating software

  6. External cause Firearm Sharp force Hanging Drowning Demographics Age Population group Sex Forensic info Event Place Blood alcohol

  7. External cause of death (N = 22 248)

  8. External cause of death among males (N = 17 932)

  9. External cause of death among females (N = 4076)

  10. Overall apparent manner of death (N = 22 248) Source: National Injury Mortality Surveillance System, 2003

  11. Fatal injury rates / 100 000 population

  12. Transport User by BAC (n=2953) Transport User by BAC, NIMSS, 2003

  13. National Injury Mortality Surveillance System (NIMSS) • strengths and weaknesses • strategic challenges • future plans for the NIMSS

  14. strengths and weaknesses • Data quality and coverage  Detailed info on who, what, when, where  Mortuary catchment and population data questionable  (minimised by city coverage)  No gold std for apparent manner of death  Resource for specialised studies Mainly urban - complete datasets for major cities Rural sites difficult to establish and maintain  Representivity  Comparability (correlates with ICD coding) • Sustainability  Standardised (manuals, procedures, storage, reporting)  Cost < $80 000 p.a. (incl staff, reports, media, etc)  widely used / generates considerable publicity – protective factors

  15. National Injury Mortality Surveillance System (NIMSS) • strengths and weaknesses • strategic challenges • future plans for the NIMSS

  16. strategic challenges • Competing data and interests • StatsSA – national (90%), 16+ yrs, no manner / external CoD • police – national, underreporting, criminal justice, form-based • transport – national, reliant on police, detailed info, substantial underreporting • Sensationalism vs rationalism • Media focus on high rates and not public health utility • DoH and other govt depts feel threatened • Sustainability • Limited funding prevents expansion • Relocation of mortuaries from police to health (turf ?) • Data to action • 3 tiers of government • City focus for 2010 world cup

  17. National Injury Mortality Surveillance System (NIMSS) • strengths and weaknesses • strategic challenges • future plans for the NIMSS

  18. Focus on cities • city infrastructure • accessible • responsive • well established and centralised documentation of strategies and challenges • coordinated information systems • amenable to personal and consultative interaction • 2003 annual report initial commitment to city focus • National injury profile • City specific rates (Jhb, Durb, CT, Pret) • Separate city-reports (chapters 3-6) • transfer to DoH?

  19. Health Facility Regional Home Affairs Office National Home Affairs Office Statistics South Africa Doctor NIMSS data set NIMSS (MRC/UNISA and DoH) DoH Regional co-ordinator Data entry at site / regional? NIMSS resp. in job description MRC/UNISA Data warehouse Report-generation Analytic research City-level prevention Headman NIMSS collection at all mortuaries sites Mortuary Mortuary-specific reports sites City reports National violence and injury prevention NIMSS annual report Safe city initiatives Proposed future location of NIMSS

  20. Thank You

  21. 8th World Conference onInjury Prevention &Safety Promotion Data to Action - Securing Safety as a right ICC, Durban, South Africa 2 - 5 April 2006 www.safety2006.info

  22. Conference Profile:2000 Participants from 131 Countries350 Oral presentations1500 Posters100 Exhibitors Sponsor Co-hosts WorldHealthOrganization Data to Action - Securing Safety as a right

  23. Conference Objectives:Translate injury data into prevention actions- Critical review of approachesFoster exchanges in all fields of injury prevention and safety promotionExamine critical applications of injury prevention and safety promotion practices for different regions of the worldStimulate/strengthen injury prevention and safety promotion as central to national, continental & international public health policies and programmesCreate opportunities for multidisciplinary and cross-sectoral dialogue Highlight international injury prevention milestones and possibilities for innovation Data to Action - Securing Safety as a right

  24. Data to Action - Securing Safety as a right For more information visit www.safety2006.info See you at ICC, Durban, South Africa from 2 - 5 April 2006

More Related