Developing a National Injury Surveillance System ARGENTINA ICE

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

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

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

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

Developing a national injury surveillance system Health Care System Public Health Authority Reporting HEALTH EVENT Data 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

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

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

Developing a national injury surveillance system Health Care System Public Health Authority CASE DEFINITION Any person who demands assistance to Sentinel Unit Data 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 Intervention Information

Developing a national injury surveillance system Health Care System Event Public Health Authority Reporting frequency Data Immediate Web-based system Intervention Information

Developing a national injury surveillance system: Data flow Peripheral level Health care system Sentinel Units Central level Ministry of Health and Environment

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

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

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

Challenges !! : SWOT MATRIX strength government support national coverage sentinel approach reliable and valid data on line system opportunity voluntary entry motivated recorders weakness measure trends must define different unit profiles not easy to do extrapolations threat lack of human resources work overload