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Arthur Kiconco & Jennifer Namagembe School of Public Health, College of Health Sciences,

Distribution of Injury Related Deaths in Kampala Metropolitan Area: A Record Based Cross-Sectional Study. Arthur Kiconco & Jennifer Namagembe School of Public Health, College of Health Sciences, Makerere University. Background…1.

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Arthur Kiconco & Jennifer Namagembe School of Public Health, College of Health Sciences,

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  1. Distribution of Injury Related Deaths in Kampala Metropolitan Area: A Record Based Cross-Sectional Study Arthur Kiconco & Jennifer Namagembe School of Public Health, College of Health Sciences, Makerere University.

  2. Background…1 • Every 5 seconds one person dies due to injury and estimated >5 million deaths globally • 9% of world’s deaths annually; about 1.7 times deaths due to major infectious diseases • Disproportionately occurrence with 91% of unintentional injury deaths in LMICs • RTIs are the 7th leading cause of death in males in sub-Saharan Africa (SSA), • 13th leading cause of death in females and 18th globally • Injury deaths are highly unreported in LMICs especially Africa

  3. Background…2 • Successful injury prevention and control depends on comprehensive and contextual evidence • Most studies have focused on road traffic injuries, others also important • This study aimed at describing the distribution of injury deaths in Kampala Metropolitan Area using post-mortem data at Kampala City Mortuary.

  4. Methods • Study design: Register based cross-sectional study (January-December 2014 Data). • Data Collection: Checklist based on WHO Injury Surveillance Data Capture Form • Study population:All injury related deaths recorded in 2014. • Sample size: 1876 deaths. • Analysis: Descriptive statistics and non-parametric tests

  5. Results…1 Figure 1: Distribution of Injury Deaths by Sex 57% (1876/3290) of all deaths were injury related and 82% among males

  6. Results…2 Close to 90% (1674/1876) of the deaths were among adults

  7. Results…3 Figure 3: Distribution of Injury Deaths by Mechanism of Death and age category • RTIs were the leading cause of death (over 40%) • Burns led to 6.8% and 2nd leading among juveniles.

  8. Results…4 Mechanism of Injury Road traffic injuries were the leading cause of death (over 40%), Marjory among males

  9. Results…5 • Significantly different (p=.0001, χ2 =88.46) number of deaths across the months • Highest numbers 183 (9.7%) recorded in December and February 171 (9.1%)

  10. Results…3 Figure 6: Distribution of Injury Deaths by Place of Injury Occurrence Majority (24%) of the injury deaths occurred in Kampala Central.

  11. Discussion…1 • 57.02% of the deaths in the year 2014 due to injuries • on average, 5 people die daily as result of injuries. •  Bias in the data due to the nature of cases at the mortuary • Males dominated the injury deaths • Nature of jobs males do like motorcycle riding. • High numbers in December and April • December and April are festive seasons within which many people travel to country homes yet accidents also proliferate in the same seasons

  12. Discussion…2 • Sexual violence; only lead to death among female juveniles • females predominate the category of intentional violence injury related deaths. • Burns were the second leading cause of death among juveniles • burns mortality usually dominated by 0-13 year age group. • Kampala central • Concentration of automobiles • Overcrowding in most these areas due to heavy commercialization

  13. Conclusion • Injury related deaths led to > 50% of all deaths, males more affected. • Road traffic injuries, burns, strangulation, drowning, and firearms were the most common causes of death. • This burden of injury deaths calls for multi-sectoral and comprehensive approach to the development of injury control and prevention interventions.

  14. Recommendations • Multi-sectoral approach is necessary • Focus on upstream control and preventive measures • Evidence based research focused on: • Clarifying risk factors for injury occurrence • Practical preventive interventions

  15. Limitations • Limited information recorded on the deaths • Data collected for non research purposes

  16. Acknowledgements • Kampala Capital City Authority/Uganda Police Force • MakSPH TRIAD Mentors

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