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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. 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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Presentation Transcript
slide1

Hospital-based Injury Surveillance System (HBISS)

in Nicaragua

Julio Rocha

Francisco Tercero

slide2

CONTENT

  • Background
  • Process
  • Results
  • Evidence-based decision making
  • Next steps and challenges
slide3

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
slide4

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.
slide5

BACKGROUND

Injury surveillance approaches in Leon, Nicaragua

slide6

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 user’s 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.

slide9

RESULTS

  • Dissemination of injury data:
  • National and International publications.
  • International Conferences.
  • Training.
  • Feedback with local autorities.
slide10

Results from the Hospital-based

Injury Surveillance System, Nicaragua, 2003-2004

slide19

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).
slide20

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.
slide21

Acknowledgements

To all members of the hospitals that are involved in the

hospital-based injury surveillance systems.

slide22

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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