A successful model of Road Traffic Injury surveillance in a developing country: process and lessons learnt.
A successful model of Road Traffic Injury surveillance in a developing country: process and lessons learnt.
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DOI：
10.1186/1471-2458-12-357
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发表时间：
2012-05-16
影响因子：
4.5
通讯作者：
Jooma R
中科院分区：
文献类型：
--
作者：
Razzak JA;Shamim MS;Mehmood A;Hussain SA;Ali MS;Jooma R
道路交通伤害（RTI）是全球死亡和残疾的主要原因之一，全球90%的死亡率集中在低收入和中等收入国家。建议进行生殖道感染监测，以确定负担，识别高危人群，计划干预措施并监测其影响。尽管在文献中陈述了持续监测系统的重要性，但低收入国家报告的持续监测系统的例子很少。本文分享了在巴基斯坦卡拉奇的五家主要医院急诊科建立城市RTI监测项目的经验。我们描述了建立监测系统的过程，包括组建一个多机构研究小组，制定数据收集方法，进行数据收集和分析，并向相关利益攸关方传播信息。在没有道路安全机构的情况下，监督系统需要与工业、警察、市政府、媒体和许多其他利益攸关方建立单独的伙伴关系。监测的影响体现在当地创伤系统的一些举措和道路设计的改进，以减少危害。我们证明，一个功能RTI监测计划可以建立，并有效地管理在发展中国家，尽管缺乏基础设施和资源的限制。在政府内部缺乏明确的道路安全基础设施的情况下，数据的利用是一个挑战。运输和卫生部门通过道路安全审计和创伤登记进行深入分析的能力有限，妨碍了采取更有效的行动。
Road Traffic Injuries (RTIs) are one of the leading causes of death and disability worldwide with 90% of global mortality concentrated in the low and middle income countries. RTI surveillance is recommended to define the burden, identify high risk groups, plan intervention and monitor their impact. Despite its stated importance in the literature, very few examples of sustained surveillance systems are reported from low income countries. This paper shares the experience of setting up an urban RTI surveillance program in the emergency departments of five major hospitals in Karachi, Pakistan. We describe the process of establishing a surveillance system including assembling a multi-institution research group, developing a data collection methodology, carrying out data collection and analysis and dissemination of information to the relevant stakeholders. In the absence of a road safety agency, the surveillance system required developing individual partnerships with industry, police, city government, media and many other stakeholders. Impact of the surveillance is demonstrated by some initiatives in the local trauma system and improvements in road design to effect hazard reduction. We demonstrated that a functional RTI surveillance program can be established, and effectively managed in a developing country, despite lack of infrastructure and limitation of resources. Data utilization in the absence of well defined road safety infrastructure within the government is a challenge. More effective actions are hampered by the limited capacity in the transport and health sectors to do in-depth analysis through road safety audits and trauma registries.
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影响因子：
168.9
作者：
Lopez, Alan D.;Mathers, Colin D.;Murray, Christopher J. L.
通讯作者：
Murray, Christopher J. L.
影响因子：
5.2
作者：
Ghaffar, A;Hyder, AA;Masud, TI
通讯作者：
Masud, TI
影响因子：
7.7
作者：
Razzak, JA;Luby, SP
通讯作者：
Luby, SP
DOI：
10.1080/10903120590962049
发表时间：
2005-07-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Razzak, Junaid Abdul;Laflamme, Lucie
通讯作者：
Laflamme, Lucie