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Developing a National Injury Surveillance System

Developing a National Injury Surveillance System. ARGENTINA. ICE on Injury Statistics Meeting Cuernavaca, Mexico. 1-2 June 2005 . Dr. Marta Vacchino. MSc Epidemiology ANLIS-National Institute of Epidemiology Dr Juan H. Jara. Ministry of Health and Environment.

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Developing a National Injury Surveillance System

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  1. Developing a National Injury Surveillance System ARGENTINA ICE on Injury Statistics Meeting Cuernavaca, Mexico. 1-2 June 2005 Dr. Marta Vacchino. MSc Epidemiology ANLIS-National Institute of Epidemiology Dr Juan H. Jara. Ministry of Health and Environment e-mail: vacchino@mdp.edu.ar investigacion@ine.gov.ar

  2. Injury Surveillance System: Sistema de Vigilancia de Lesiones por Causa Externa. (S.I.V.I.L.E) Started: September 2003 System design and piloting: until March 2004 System entry and training: from April 2004 Working units: from October 2004 Evaluation: from June 2005

  3. Injuries in the World, America and Argentina TRAINING WORKSHOPS Descriptive epidemiology Time, place, person APPLICATION EXERCISES What is a surveillance system? Presentation: Instrument for data collection PROPOSAL OF SENTINEL UNITS

  4. Recall: Elements of a Surveillance System. Health Care System Public Health Authority Reporting Data Event Expected changes Analysis & Interpretation Decision Information Intervention (Feedback)

  5. Developing a national injurysurveillance system Health Care System Public Health Authority Reporting Data • HEALTH EVENT • Injuries: the physical damage • that results when a human body is suddenly subjected to intolerable levels of energy. • bodily lesion resulting from acute exposure to energy in amounts that exceed the threshold of physiological tolerance • or impairment of function resulting from a lack of one or more vital elements. • time between exposure and injury is short Information

  6. Developing a national injury surveillance system Health Care System Public Health Authority • DATA SOURCE • Selected sites (sentinel approach) • Emergency Medical Services, pre-hospital emergency • Hospital emergency departments, hospital inpatient services • Mostly public sector. Voluntary entry Data Information Intervention

  7. Sentinel Units. Components Actions: filling questionnaire, injury diagnosis and treatment Clinical Epidemiological Statistic Actions: data entry, help in data analysis and local result dissemination Actions: local data analysis and interpretation, local dissemination

  8. Developing a national injury surveillance system Health Care System Public Health Authority • CASE DEFINITION • Any person who demands assistance to Sentinel Unit • for any type of injury, intentional or unintentional, • for all age groups, • first visit for treatment of that injury. • I.D.C-10 and ICECI recommendations Data Information Intervention

  9. Developing a national injurysurveillance system Health Care System Public Health Authority Reporting frequency Data Event • Immediate • Web-based system Information Intervention

  10. Ministry of Health and Environment Developing a national injurysurveillance system:Data flow Peripheral level Health care system Sentinel Units Central level

  11. Developing a national injury surveillance system Health Care System Public Health Authority • Data Analysis • It is automated • Data characteristics • Basic descriptive analysis, tables and graphs Event Intervention

  12. Developing a national injurysurveillance system Health Care System Public Health Authority System Evaluation Event Acceptability. Reliability (sensitivity and positive predictive value). Sustainability. Timeliness. Intervention

  13. Where we are today!!! Sentinel Units: 52 República Argentina. May 2005 REFERENCES Some Jurisdictions Province of Buenos Aires and Buenos Aires City Phase 0– No proposal Phase I – Some proposal Phase II - Received formative assessment Phase III - Proof / PC/ Connection Phase IV – System working

  14. Challenges !! : SWOT MATRIX

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