Faculty of Health and Applied Sciences, School of Health and Social Wellbeing, University of the West of England, Bristol BS16 1QY, UK.
Nepal Injury Research Centre, Department of Community Medicine, Kathmandu Medical College, Kathmandu P.O. Box 21266, Nepal.
Int J Environ Res Public Health. 2021 Aug 24;18(17):8912. doi: 10.3390/ijerph18178912.
Almost 10% of global deaths are secondary to injuries, yet in the absence of routine injury surveillance and with few studies of injury mortality, the number and cause of injury deaths in many countries are not well understood. This study aimed to develop and evaluate the feasibility of a method to identify injury deaths in rural Nepal. Working with local government authorities, health post staff and female community health volunteers (FCHVs), we developed a two-stage community fatal injury surveillance approach. In stage one, all deaths from any cause were identified. In stage two, an interview with a relative or friend gathered information about the deceased and the injury event. The feasibility of the method was evaluated prospectively between February 2019 and January 2020 in two rural communities in Makwanpur district. The data collection tools were developed and evaluated with 108 FCHVs, 23 health post staff and two data collectors. Of 457 deaths notified over one year, 67 (14.7%) fatal injury events were identified, and interviews completed. Our method suggests that it is feasible to collect data on trauma-related deaths from rural areas in Nepal. These data may allow the development of injury prevention interventions and policy.
全球近 10%的死亡是由伤害导致的，但由于缺乏常规的伤害监测，且对伤害死亡率的研究较少，许多国家的伤害死亡人数和原因都不为人所知。本研究旨在开发并评估一种在尼泊尔农村地区识别伤害死亡的方法的可行性。我们与地方政府当局、卫生所工作人员和女性社区卫生志愿者（FCHVs）合作，制定了一种两阶段的社区致命伤害监测方法。在第一阶段，确定了所有原因导致的死亡。在第二阶段，通过与死者的亲属或朋友进行访谈，收集有关死者和伤害事件的信息。该方法的可行性在 2019 年 2 月至 2020 年 1 月期间在马坎普尔区的两个农村社区进行了前瞻性评估。数据收集工具是在 108 名 FCHVs、23 名卫生所工作人员和两名数据收集员的帮助下开发和评估的。在一年多的时间里，共报告了 457 例死亡，其中 67 例（14.7%）为致命伤害事件，并完成了访谈。我们的方法表明，在尼泊尔农村地区收集与创伤相关的死亡数据是可行的。这些数据可能有助于制定伤害预防干预措施和政策。
