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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Presentation Transcript

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

  • (Before 1979)

  • During the Revolution: War-related injuries

  • (1979-1990)

  • After the Revolution: Noncommunicable and

  • (1990-Present) Injuries


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.


BACKGROUND

Injury surveillance approaches in Leon, Nicaragua


  • 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


  • 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.


PROCESS

Monitoring included:

Capture of cases.

Quality of data.

Completeness and timeliness of case reports.


  • RESULTS

  • Dissemination of injury data:

  • National and International publications.

  • International Conferences.

  • Training.

  • Feedback with local autorities.


Results from the Hospital-based

Injury Surveillance System, Nicaragua, 2003-2004










  • 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).


    • 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.


    Acknowledgements

    To all members of the hospitals that are involved in the

    hospital-based injury surveillance systems.


    • 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