Enhancing the collection and

use of data on injuries and

violence

Dr. Mashyaneh Haddadi

Head of Injury Prevention & Safety Promotion

Department

Main Topics:

Injury surveillance system.

Road traffic reimbursement data bank.

Hospital information system.

National Injury Surveillance

System

Surveillance:

Public health surveillance is the ongoing, systematic

collection, analysis, interpretation & dissemination

of data regarding a health related event for use in

public health action to reduce the morbidity &

mortality and to improve health.

Injury surveillance is the continuing scrutiny of all

aspects of occurrence and patterns of injury that are

pertinent to effective prevention and control.

Reference: Injury Surveillance Guideline, WHO, 2001.

No Injury Mild Moderate Severe Fatal

Household (Community) Survey

Health Clinic Records

Emergency Department Records

Ward Admission

ICU Admission

Death Certificate

Potential Data Sources

Reference: TEACH-VIP

Strengths Weaknesses

Country wide

Information was limited to Emergency

Department.

Simple

The process was too long.

There were some misclassification.

There was no quality control.

No data on Risk factors

Road traffic Reimbursement

Data Bank

Based on the Law, to address the health inequity due to catastrophic medical care costs of RTI, the Ministry of Health & Medical Education became responsible for free of charge care to all road traffic injured in all public & private health care facilities within the country.

Regarding this article, 10% of the mandatory third party premium of all kind of motor vehicles is deposited to the Ministry of Health & Medical Education to compensate the costs of this free of charge care .

Road traffic reimbursement data bank:

Road traffic reimbursement data bank:

Demographic Characteristics

Injury characteristics

XX External causes of morbidity and mortality

XIX Injury, poisoning and certain other

consequences of external causes

Place of occurrence

Mode of Transport to the hospital

Final outcome

Medical coding

Financial bill

Strengths Weaknesses

Country wide No quality control.

Simple No data on Risk factors

Outcome is not limited to ED

Based on ICD-10

Cost

EMS Coverage

Hospital Information System

(National health profile)

Strengths weaknesses

Country wide No quality control

Simple No data on Risk factors

Based on ICD-10

Cost

Linked to ID number for

tracking a patient

Facilitate targeted injury prevention policies and programs

at country and provincial level.

Lesson Learned:

A surveillance system should be:

Simple

Acceptable

Practical & Cost benefit

Sustainable

Timely

Comparable

Thank You