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EVALUATION OF A PUBLIC HEALTH
SURVEILLANCE SYSTEM – INJURIES
SURVEILANCE PILOT PROJECT IN THIKA
AND NAIVASHA.
LOISE CUSHNY
INTRODUCTION:
• All injuries account for 10% of the worlds deaths
with about 5.8 million deaths each year.
• Of these, 1.2 million deaths are due to road
traffic accidents.
• Road Traffic Accidents also account for more
than 50 million injuries and are among the
leading causes of death and disability in those
aged between 5-44 . It is the leading cause of
death and disability in those aged 15-29.
• Road traffic accidents are forecasted to rise by
67% by 2020, and in low and middle income
countries, deaths are expected to increase by
83%.
(WHO 2010 report)
• In Africa, in 2008, there were 687,000 deaths
due to violence and injuries.(equal to 7% of
the region). Of these, 167,000 deaths were
due to Road Traffic Accidents. (WHO 2010)
• As it stands, the fatality rate in Africa due to
Road Traffic crashes is 32 per 100,000.
• Kenya ranks 6th
highest in RTA deaths globally
with a fatality rate of 34.4 per 100,000.
• These deaths are preventable if the risk
factors that include excessive speeding,
driving under the influence of alcohol or
drugs, the none use of safety belts and
helmets are adressed. (WHO 2004)
A)Annual Accident Statistics (Countrywide):
2011 2012
Fatal Accidents 2772 2684
Serious Injuries 4045 3469
Slight Injuries 1376 800
Total number 8193 6917
B)Persons Killed and Injured:
2011 2012
Persons Killed 3302 3141
Seriously Injured 8647 7434
Slightly injured 7144 5037
PURPOSE OF THE SURVEILANCE
SYSTEM:
• A consortium of partners that include
Bloomberg Philanthropies, Global Road Safety
Partnership(GRSP), John Hopkins University
(JHU), Association for safe International Road
Travel(ASIRT) and WHO have partnered with
the governments of 10 focus countries (which
include Kenya) that account for nearly half of
the worlds Road Traffic Deaths.
• These partnerships are in support of the
Decade of Action For Road Safety that aims to
reduce deaths from Road Traffic Accidents by
2020 through enhancement of road safety,
improved trauma care and data system
strengthening.
• Consequently the government selected two
sites for the pilot project, situated in Thika (pop.
560,253) and Naivasha (pop. 189,000), which
was launched in March of 2011.
• These are points of data collection as regards
Road Traffic Accident injuries and other
injuries.
The goals of the surveillance system include:
1. Estimate and monitor incidence of RTAs and
related outcomes.
2. Identify risk factors and high risk areas to
inform prevention policies and programs
3. Evaluate programs aimed at preventing Road
Traffic Injuries
OPERATION OF THE SURVEILLANCE
SYSTEM:
• The surveillance system measures indices of
frequency such as incidence of deaths and
injuries resulting from RTAs with the following
case definitions:
1. Road Traffic Injury: Any person who has
sustained an injury as a result of a road traffic
crash presenting for the first time. (IDSR 2012)
2.Road Traffic Fatality: Any person killed
immediately or dying within 30 days as a result of
an injury or crash. (IDSR 2012)
Data collection, handling,
management, editing and storage.
Conclusion and recommendations:
• The surveillance system has been useful in
detecting injuries and has served as a basis for
formulation of policies and monitoring and
evaluating implemented policies.
• This has been particularly useful in prevention
of road accidents.
THANKYOU

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EVALUATION OF A PUBLIC HEALTH SURVEILLANCE SYSTEM –

  • 1. EVALUATION OF A PUBLIC HEALTH SURVEILLANCE SYSTEM – INJURIES SURVEILANCE PILOT PROJECT IN THIKA AND NAIVASHA. LOISE CUSHNY
  • 2. INTRODUCTION: • All injuries account for 10% of the worlds deaths with about 5.8 million deaths each year. • Of these, 1.2 million deaths are due to road traffic accidents. • Road Traffic Accidents also account for more than 50 million injuries and are among the leading causes of death and disability in those aged between 5-44 . It is the leading cause of death and disability in those aged 15-29. • Road traffic accidents are forecasted to rise by 67% by 2020, and in low and middle income countries, deaths are expected to increase by 83%. (WHO 2010 report)
  • 3. • In Africa, in 2008, there were 687,000 deaths due to violence and injuries.(equal to 7% of the region). Of these, 167,000 deaths were due to Road Traffic Accidents. (WHO 2010) • As it stands, the fatality rate in Africa due to Road Traffic crashes is 32 per 100,000. • Kenya ranks 6th highest in RTA deaths globally with a fatality rate of 34.4 per 100,000. • These deaths are preventable if the risk factors that include excessive speeding, driving under the influence of alcohol or drugs, the none use of safety belts and helmets are adressed. (WHO 2004)
  • 4. A)Annual Accident Statistics (Countrywide): 2011 2012 Fatal Accidents 2772 2684 Serious Injuries 4045 3469 Slight Injuries 1376 800 Total number 8193 6917 B)Persons Killed and Injured: 2011 2012 Persons Killed 3302 3141 Seriously Injured 8647 7434 Slightly injured 7144 5037
  • 5. PURPOSE OF THE SURVEILANCE SYSTEM: • A consortium of partners that include Bloomberg Philanthropies, Global Road Safety Partnership(GRSP), John Hopkins University (JHU), Association for safe International Road Travel(ASIRT) and WHO have partnered with the governments of 10 focus countries (which include Kenya) that account for nearly half of the worlds Road Traffic Deaths. • These partnerships are in support of the Decade of Action For Road Safety that aims to reduce deaths from Road Traffic Accidents by 2020 through enhancement of road safety, improved trauma care and data system strengthening.
  • 6. • Consequently the government selected two sites for the pilot project, situated in Thika (pop. 560,253) and Naivasha (pop. 189,000), which was launched in March of 2011. • These are points of data collection as regards Road Traffic Accident injuries and other injuries. The goals of the surveillance system include: 1. Estimate and monitor incidence of RTAs and related outcomes. 2. Identify risk factors and high risk areas to inform prevention policies and programs 3. Evaluate programs aimed at preventing Road Traffic Injuries
  • 7. OPERATION OF THE SURVEILLANCE SYSTEM: • The surveillance system measures indices of frequency such as incidence of deaths and injuries resulting from RTAs with the following case definitions: 1. Road Traffic Injury: Any person who has sustained an injury as a result of a road traffic crash presenting for the first time. (IDSR 2012) 2.Road Traffic Fatality: Any person killed immediately or dying within 30 days as a result of an injury or crash. (IDSR 2012)
  • 9. Conclusion and recommendations: • The surveillance system has been useful in detecting injuries and has served as a basis for formulation of policies and monitoring and evaluating implemented policies. • This has been particularly useful in prevention of road accidents.
  翻译: