The document discusses a multinational injury surveillance pilot project in Africa from 2006-2007 that aimed to collect injury data across multiple countries on factors like cause, context, and victim demographics. The project found that data collection completeness gradually increased over time. Interpersonal violence made up 64.5% of injuries and data showed details on factors like the age, sex, location and mechanisms of these violent incidents. The project demonstrates the value of injury surveillance systems for understanding problems and informing prevention strategies.

1. Surveillance Systems: Their Role in Identifying Risk and Resilience Factors Diego E Zavala, M.Sc., Ph.D. Associate Professor Public Health Program, Ponce School of Medicine Ponce, Puerto Rico IANSA Public Health Network 3 rd Biennial Meeting of States of the UN Programme of Action On Small Arms and Light Weapons July 14-18, 2008

2. Public Health Approach: Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What is the problem? 2. Risk Factor Identification: What is the cause?

3. Source: WHO Teach VIP

4. Injury pyramid Source: WHO Teach VIP Deaths Injuries resulting in hospitalization Injuries resulting in ambulatory and emergency treatment Injuries resulting in treatment in Primary care settings Injuries treated by paramedics only (school nurse, physiotherapist, first aid) Untreated injuries or injuries which were not reported

5. Injury Pyramid 145,655 Deaths 2,701,000 Hospitalizations 33,950,000 Emergency Department Visits 65,555,000 Visits to Office-based Physicians 59,550,000 Injuries Requiring Medical Attention or Time Off Work Source: National Center for Health Statistics 1:408 1:450 1:233 1:18

7. Public Health Approach Problem Response 3. Intervention Evaluation: What works? 4. Implementation: How do you do it? Source: WHO Teach VIP 1. Surveillance: What is the problem? 2. Risk Factor Identification: What is the cause?

10. Multinational Injury Surveillance Pilot Project in Africa 2006-2007

18. Multinational Injury Surveillance Project Interpersonal Violence - Mechanism

19. Multinational Injury Surveillance Project IPV: CONTEXT

20. Multinational Injury Surveillance Project IPV: Relationship

21. Multinational Injury Surveillance Project CLINICAL DATA: Anatomic site

22. Public Health Surveillance Problem Response Source: CDC Summaries Interpretations Recommendations Reports Analysis Health Agencies Health care providers and Policy makers Public