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Violence and Injury Prevention Program

Submitted by april2011 on October 15, 2011 - 10:44 Accidents consistently remain one of the leading causes of morbidity and mortality in the country. The Philippine Health Statistics from 1975 to 2002 revealed that there has been increasing trend of mortality due to accidents per 100,000 populations. Mortality rate increased from 19.1/100,000 population in 1975 to 42.3/100,000 populations in 2002 corresponding to 33,617 deaths, majority of which is caused by assaults (13,276); transport accidents (6,131); accidental drowning and submersion (2,871); and accidental falls (1,536). Accidents ranked 8th in 1975, 7th in 1985 and 6th in 1995 and 5th in 2002 among the 10 leading causes of death. The Department of Health (DOH) shall serve as the focal agency with respect to violence and injury prevention. As such, it shall design, coordinate and integrate activities, plans, and programs of various stakeholders into an effective and efficient system. The Violence and Injury Prevention Program is hereby institutionalized as one of the programs of the National Center for Disease Prevention and Control (NCDPC). To ensure coordination and sustainability of the program, a Program Management Committee (PMC) shall be organized. The Committee shall then be subdivided into Sub-Committees according to the areas of concern: road traffic injuries, thermal injuries (burns and scalds), drowning, physical injuries (fall, violence), and chemical injuries (poisoning, etc.). For a comprehensive approach, the Program shall coordinate with other programs like the Maternal and Child Health and other DOH Offices such as the National Center for Health Facility Development, Health Emergency and Management Services, among others, solicit active representation from public and private stakeholders that are involved in violence and injury prevention. The 4 Es. Strategies shall utilize the concept of the 4 Es, Education, Enforcement (in addition to Enactment), Engineering, and Economic incentives, in the prevention and control of injuries. Education entails dissemination of information related to injury prevention. Strategies and programs can be targeted at the risk group indentified in the populations. Enforcement and enactment of strategies indentify opportunities for injury prevention policy development and implementation. Engineering provides and effective way of reducing the impact of injury causes through application of energy transmission designs. Economic incentives can be instrumental in pursuing injury prevention policies. Goals and Objectives:

To establish a national policy and strategic framework for injury prevention activities for DOH and other government agencies, local government units (LGUs), non-government organizations (NGOs), communities, and individuals. Program Strategies: The program and action plan that are to be developed for each classification of injuries shall consider the following principles: 1. Health Promotion DOH, in collaboration with other stakeholders, shall undertake advocacy, information and education, political support, and inter-sectoral collaboration on accidents/injury prevention and patterns and factors associated with incidence of accidents/injury to policy makers, government agencies, civil societies, peoples organizations, the general public and other stakeholders. 2. Developing Institutional Arrangement and Capacity DOH, and partnership with other stakeholders, shall develop and enhance the violence and injury prevention capabilities of a wide range of sectors and stakeholders at the local and national levels. Training programs shall be made available and accessible to policy implementers at the national, regional, and local levels. 3. Injury Surveillance System DOH shall establish and institutionalize a system of data recording, reporting, analysis at the national, regional and local levels. An information system shall be developed for this purpose. The system shall record injuries, patterns and factors that may have cause the injury as well as the available services, health status needs and circumstances of injured person. DOH shall advocate to various stakeholders involved in the management of different types of injuries through cooperated reporting, archiving and linking of new and existing databases for a more comprehensive picture. 4. Networking and Resource Mobilization DOH shall promote partnership with among various stakeholders to build coalitions and networks and generate resources for activities related to violence and injury prevention. In the process, the department shall initiate coalition building through formal and informal instruments with stakeholders in order to ascertain their commitment in implementing defined action plans and programs and in mobilizing all available resources. Sharing of responsibilities and allocation of resources to address the problem to achieve maximum results shall be explored. 5. Monitoring and Evaluation DOH, in consultation with various stakeholders, shall identify indicators and targets for program monitoring and evaluation purposes. 6. Equitable Health Financing Package DOH in collaboration with various stakeholders, shall advocate to health financing institutions and financial intermediaries, insurance companies, the development and implementation of policies that would be beneficial to victims of violence and injury.

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Research and Development DOH shall promote the conduct of multi-disciplinary and multi-sectoral solutions and researches for purposes of developing national and local competence in injury prevention, health care services and for other purposes that may be necessary.

8.

Service Delivery In collaboration with stakeholders, DOH shall institutionalize systems and procedures for the integration and provisions of services at the community level. Information shall be utilized for continued public health information and education, planning and implementation, and policy revision. Appropriate primary prevention, care and rehabilitation of injured people shall also be crucially provided.

9.

Community Participation DOH shall aim for a successful community based violence and injury prevention to anchor upon a community-wide sense of ownership and empowerment to accomplish tasks. This is to ensure that all patients receive quality services at the appropriate levels of health care delivery system. Successful community-based programs also revolve around the formation of new partnerships between a diverse group of constituents who have vested interest in violence and injury control, including representatives of public safety, law enforcement, fire, local governments, schools, business, community groups, and health care provider. All rural health units should be linked to a referral center specific and appropriate to the type of injury sustained.

10. Policy Advocacy DOH shall advocate for the necessary policy instruments, such as laws, executive orders, administrative orders, and ordinances to the Congress, other national agencies and LGUs, respectively. This approach shall ensure sectoral and community-based interventions to propel action on violence ad injury. Major Activities and its Guidelines: In line with the effort to reduce the incidence of firecracker - related injuries during the Holiday Season and in consonance with its present strategy, the Department of Health embarks on the project, Kontra Paputok which promotes information and awareness on the dangers of firecrackers and the prevention of firecrackers and fireworks- related injuries. In this regard, all Center for Health Development Directors and Chiefs of DOH Hospitals are hereby directed to mobilize their respective offices and hospitals to undertake the following activities: 1. Public Information Campaign

All Centers for Health Development should take the lead and shall implement a public information campaign in their respective Region or catchments area for Kontra Paputok Activities. They should coordinate with their local radio and TV Network and assign a pool of speakers to promote the prevention of firecracker injuries, especially informing the public on the dangers of using prohibited firecrackers and watusi. As per Memorandum of the Firearms and Explosives Division-Philippine National Police (FEDPNP) dated 17 January 2002, WATUSI IS ALREADY BANNED FROM THE MARKET and no longer authorized the sale of the said firecracker. Streamers and posters should be posted in strategic and public places. The slogan for this year's campaign is "Walang Batang Magpapaputok" See the Prototypes of the streamer and poster at the DOH website.

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Emergency Room Preparedness and Responsiveness

All DOH Hospitals are hereby declared on CODE WHITE ALERT on December 24, 25, 31, 2010 and January 1, 2011 to prepare their emergency units and ensure the provision of prompt emergency services to injured patients during the Holiday. 3. Nationwide Registry Injuries

All DOH Sentinel Hospitals shall report to the Online National Electronic Surveillance System Registry (ONEISS) of the Department of Health. The surveillance period for fireworks related injuries, stray bullets and watusi ingestion victims shall commence at 6:00 am of December 21, 2010 and will end at 5:59 am of January 5, 2011. Reporting should be done daily and strict observance of time is required. 4. Tetanus Surveillance

The surveillance period for fireworks-related tetanus victim shall commence on December 21, 2010 and shall end on January 21, 2011. Fireworks related tetanus cases hospitalized even after the surveillance period must be reported. Availability/stocks of Tetanus Toxoid/Vaccine in hospitals should be ensured. 5. Networking with Other Government Agencies

The strategy for this year's campaign is advocating the use of safe and alternative ways of celebrating the New Year with a Healthy Bang such as street parties, concerts, amateur contests, Ati-Atihan, designation of identified area for fireworks display and other ways of noise-making like using pots and pans and torotot. And in the light of the devolution, provision of technical assistance and close coordination with the Local Government Units (LGUs) should be enhanced wherein the Local Government Executives (LGEs) should enforce strictly the Republic Act 7183 (Firecracker Law) and spread the safe and alternative celebration of the New Year in their respective areas. Coordination among the Regional Offices of various Agencies Philippine National Police, Armed Forces of the Philippines, Department of Education, Department of Trade and Industry, Department of Interior and Local Government, Department of Labor and Employment, Philippine Information Agency, Bureau of Fire Protection, National Police Commission, Department of Environment and Natural Resources, Department of Science and Technology, different Leagues of the Philippines (Provincial, Cities, Municipalities, and Barangay) and non-government agencies strengthen public information campaign and other advocacy activities especially against the use of Watusi and illegal Firecrackers, which is prohibited under Republic Act 7183 or the Firecracker Law. 6. Firecracker Ban on all DOH Facilities

All offices, hospitals of the DOH and its attached agencies are hereby declared a FIRECRACKER FREE ZONE. Moreover, SELLING OF FIRECRACKERS IS STRICTLY PROHIBITED within the premises of the Department of Health Facilities. All Heads of Agencies are hereby instructed to disseminate these guidelines to their respective personnel. Status of the Program: As a nationwide undertaking, the NCDPC requires health facilities to adhere to all national policies and guidelines on injury reporting. The NCDPC is the central coordinating body for the evaluation, processing, monitoring, and dissemination of data or information. Each health facility is required to report on a daily

basis all injury related cases through the Online National Electronic Injury Surveillance System. While the NCDPC has no regulatory power over the health facilities, it does have indirect power thru the Bureau of Health Facilities and Services. The NCDPC as the highest policy making body can make recommendations to the BHFS for appropriate actions on erring health facilities. The general objective of National Electronic Injury Surveillance System (NEISSE) is to make efficient and effective the current systems and procedures of reporting injury-related data. Specifically, NEISS aims to: Promote efficiency to maximize time and effort in data collection, processing, validation, analysis and dissemination of injury-related data; Improve accuracy, reliability, integrity and timeliness of injury-related data; Implement the most reliable and effective technology solution to interconnect with the different agencies and/or beneficiaries/stakeholders of the injury related data; and Enforce standards on inputs, processes and outputs on injury-related data collection, analysis, report generation and feedback. ONEISS shall be the standard reporting system for the collection, storage, analysis and reporting of data pertaining to injury. ONEISS is the information system being implemented by the DOH in support of the Injury Program. The PNIDMS The Philippine Network for Injury Data Management System (PNIDMS) is a multi-sectoral organization composed of the World Health Organization, United Nations Children's Fund, Department of Health, Department of Transportation and Communication, Department of Public Works and Highway, Philippine National Police - Highway Patrol Group, Metro Manila Development Authority, Land Transportation Office and Safe Kids Philippines, which aims to establish and maintain a coordinated data management system that can link, integrate, or combine injury data from various sources or systems to provide an overall picture for policy makers and decision makers at the national, regional and local levels.

Partner Organizations/Agencies: The program management committee (PMC) shall be chaired by the director IV of the National Center for Disease Prevention and Control with the following as members: Division chief of the Degenerative Disease Program: National focal person (Program Manager) for violence and injury prevention program; and representatives from DOTC, DPWH, DILG/League of municipalities. Specialty Societies and other agencies/organizations are to be identified by the committee itself. Experts in the various aspects of violence and injury prevention shall also be involved to ensure a comprehensive program approach. The following institutions/agencies partake in the achievement of the program goals: Department of Transportation and Communication (DOTC) Philippine National Police (PNP) Department of Interior and Local Government (DILG) Department of Public Works and Highways (DPWH) Department of Education (DepEd) Metro Manila Development Authority (MMDA) Department of Social Welfare and Development (DSWD) Bureau of Fire Protection (BFP) Safe Kids Philippines, Inc. Automobile Association of the Philippines Safety Organization of the Philippines, Inc. Philippine National Red Cross Motorcycle Development Participants Association Ford Road Safety Youth Council Project CARES

Trauma Centers: o Philippine Orthopedic Hospital o East Avenue Medical Center o Las Pi?as General Hospital and Satellite Trauma Center o UP-Philippine General Hospital o Vicente Sotto Memorial Medical Center Program Manager: Dr. Franklin Diza Department of Health-National Center for Disease Prevention and Control (DOH-NCDPC) Contact Number: 651-78-00 local 1751 Links: Updated data on the incidence of accidents and injury cases is available quarterly at the DOH Website: http://uhmis1.doh.gov.ph/unifiedhmis/ Copyright Department of Health All Rights Reserved

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