Potential of using existing injury information for injury surveillance at the local level in developing countries:: experiences from Bangladesh
Potential of using existing injury information for injury surveillance at the local level in developing countries:: experiences from Bangladesh
复制标题
DOI：
10.1016/s0033-3506(00)00322-x
复制
发表时间：
2000-03-01
期刊：
影响因子：
5.2
通讯作者：
Svanström, L
中科院分区：
文献类型：
--
作者：
Rahman, F;Andersson, R;Svanström, L
尽管与世界上其他低收入国家一样，伤害是孟加拉国的一个主要公共卫生问题，但它几乎没有得到政策制定者甚至卫生专业人员的关注，主要是因为这些国家缺乏有效的伤害信息。为了解决伤害问题，迫切需要根据现有的获取伤害信息的潜在兴趣来源，开展伤害监测活动。这项研究是从预防导向代表性的角度对现有伤害数据来源进行评估。以及在孟加拉国地方一级使用这些来源进行伤害监测方面的可持续性。这项研究中经常使用的伤害信息来源包括医院记录、尸检报告、报纸报道和警方报告。此外，对该地区代表不同类别的60名卫生从业者进行了问卷调查，并对另外10名卫生从业者参与伤害监测系统的意见进行了深入访谈。随后对这些信息来源进行了评估，以确定其纳入监测系统的潜力。现有的伤害信息来源均存在代表性不强、预防针对性低、可持续性差等不足。尸检报告和警方报告被发现是死亡数据的潜在来源，但不是发病率数据。医院病历可被视为伤害发病率数据的潜在可持续来源，但存在预防针对性和代表性低的问题。伤害信息从一个来源到另一个来源并不一致，无法描述该地区伤害的真实情况。为了开发一个伤害监测系统，需要将从多个不同来源获得的数据组合在一起，以弥补个别来源的不足，并提高系统的整体可用性。是否更新了电子代码？出院记录可用于伤害发病率监测，最新的警察和尸检数据可用于发展中国家地方一级伤害监测系统的死亡率数据。
Although injury is a major public health problem in Bangladesh, as in other low income countries in the world, it has gained very little attention from policy makers, or even health professionals, mainly due to the lack of valid injury information in these countries. To address the injury problem, there is an urgent need to develop injury surveillance activities, based on existing sources of potential interest for obtaining injury information. This study is an evaluation of existing injury data sources in terms of prevention orientation representativeness. and sustainability with respect to the use of these sources in injury surveillance at the local level in Bangladesh. The regular injury information sources that have been used in this study include hospital records, post-mortem reports, newspaper reports, and police reports. In addition, 60 health practitioners in the area, representing various categories, were interviewed according to questionnaire, and ten others were interviewed in-depth about their opinions regarding their participation in the injury surveillance system. The information sources were then assessed for their potential to be included in the surveillance system. The validity was estimated by means of comparisons of the different sources.All the existing sources of injury information suffer from certain deficiencies such as, lack of representativeness, low prevention orientation and poor sustainability. Post-mortem reports and police reports have been found to be potential sources of mortality data but not morbidity data. Hospital records can be seen as potential sustainable sources of injury morbidity data but suffer fr om low prevention orientation and representativeness. The injury information was not consistent from source to source and failed to depict the true picture of injury in the area.To develop an injury surveillance system, a combination of data obtained from several different sources is necessary to compensate for inadequacies in the individual sources and to improve the overall usefulness of the system. Updated with E-codes? hospital discharge records could be used for injury morbidity surveillance, and updated police and postmortem data can be used for mortality data in injury surveillance systems at the local level in developing countries.