UNICEF East Asia and Pacific Regional Office, Bangkok, Thailand.
Inj Prev. 2011 Apr;17(2):74-8. doi: 10.1136/ip.2010.026443. Epub 2010 Oct 30.
To provide feedback to guide injury prevention interventions and to test the feasibility of integrating injury surveillance into the existing primary healthcare service for children under 6 years of age.
This surveillance system was integrated into existing primary healthcare services at the community primary healthcare centre (PHC) and community kindergartens. Parents reported injury incidents during their child's routine health services at scheduled intervals. Kindergarten nurses registered injury incidents at the absentee recording system. A total of 8358 children annually were included into the surveillance in 2006-07. Setting Two urban communities and three rural communities in Beijing, China.
The coverage rates were 93.7% in PHCs and 98% in kindergartens. The injury incidence rates in year 1 and year 2 were 2.7% and 1.9% respectively. The leading causes were falls, being hit by blunt object, and animal injury. Major causes of injury were different between urban and rural children. Over the two-year surveillance period, injury incidence rates declined significantly from 2.7% to 1.7% in urban communities. No significant decrease was seen in rural communities.
Surveillance through the primary healthcare system in Beijing was useful in child injury prevention as data collected allowed managers to design targeted interventions that resulted in decreased injury. In comparison with hospital based surveillance, PHC based surveillance demonstrated an advantage in wide access to children and allowed calculation of injury incidence rates to monitor trends over time. PHC based surveillance can serve as a useful venue to collect child injury data.
提供反馈以指导伤害预防干预，并测试将伤害监测纳入现有 6 岁以下儿童基本医疗保健服务的可行性。
该监测系统整合到社区基层医疗中心（PHC）和社区幼儿园现有的基本医疗保健服务中。父母在定期预约的儿童常规健康服务期间报告伤害事件。2006-07 年，共有 8358 名儿童每年纳入监测。地点：中国北京的两个城市社区和三个农村社区。
PHC 的覆盖率为 93.7%，幼儿园为 98%。第 1 年和第 2 年的伤害发生率分别为 2.7%和 1.9%。主要原因是跌倒、钝器伤和动物伤。城市和农村儿童的主要伤害原因不同。在两年的监测期间，城市社区的伤害发生率从 2.7%显著下降到 1.7%。农村社区没有明显下降。
通过北京基本医疗体系进行监测有助于预防儿童伤害，因为收集的数据使管理者能够设计有针对性的干预措施，从而减少伤害。与基于医院的监测相比，基于 PHC 的监测具有广泛接触儿童的优势，并能够计算伤害发生率以监测随时间推移的趋势。基于 PHC 的监测可以作为收集儿童伤害数据的有用场所。
