Hospital-based Injury Surveillance System (HBISS)
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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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Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

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


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

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


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

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.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

BACKGROUND

Injury surveillance approaches in Leon, Nicaragua


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

  • 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


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

  • 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.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

PROCESS

Monitoring included:

Capture of cases.

Quality of data.

Completeness and timeliness of case reports.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

  • RESULTS

  • Dissemination of injury data:

  • National and International publications.

  • International Conferences.

  • Training.

  • Feedback with local autorities.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Results from the Hospital-based

Injury Surveillance System, Nicaragua, 2003-2004


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by intent and sex.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by intent and age.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by mechanism and sex.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by mechanism and age.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by mechanism and intent.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by intent and severity.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

Proportion of injuries by mechanism and severity.

Nicaragua, 2003-2004.


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

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


Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

  • 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).


  • Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

    • 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.


    Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

    Acknowledgements

    To all members of the hospitals that are involved in the

    hospital-based injury surveillance systems.


    Hospital based injury surveillance system hbiss in nicaragua julio rocha francisco tercero

    • CONTACT US:

    • Julio Rocha

    • Email: [email protected]

    • Web site http://www.minsa.gob.ni

    • Francisco Tercero

    • Email: [email protected]

    • Web site http:// www.cids.edu.ni


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