Injury Surveillance System in Bangladesh: A New Approach

Sheikh M. Giashuddin, Center for Injury Prevention and Research, Bangladesh (CIPRB)
Aminur Rahman, Center for Injury Prevention and Research, Bangladesh (CIPRB)
AKM Fazlur Rahman, Center for Injury Prevention and Research, Bangladesh (CIPRB)

The objective of the Injury Surveillance System (ISS) is to identify groups at risk for injury-related deaths, illnesses, hospitalization and cost due to injury. Three sub-district are chosen for the ISS. The data collector collects data every month from each household on a fixed schedule 60-70 households on their assigned block. The surveillance system comprises a total of 132,256 households with 573,740 populations. The overall crude birth rate and death rate is about 20.3 and 6.6 per thousand populations. Injury accounted for 6.4 percent of all deaths. Among 1-4 years children, 23% death accounted for injury and the rate was 72.3 per 100000 children. Drowning, road traffic accident, violence and suicide are the main causes of injury death after infancy. Almost 4% of injured ill patient admitted to hospital whereas only 1.5% of non-injury patient admitted to hospital. The proportion of hospital admission was significantly (p<0.001) higher due to injury after first year of life.