Violence and Injury Prevention Program

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Background

The first global study on premature deaths in 2009 (WHO Report) revealed that road crashes, suicide and violence were among the main causes of death worldwide for people aged 10 to 24 years. In 2011 (WHO Report), injuries were reported to be responsible for 9% of all deaths with road traffic injuries claiming nearly 3,500 lives each day, making it among the 10 leading causes of mortality globally. In response to the foregoing, WHO called upon Member States to develop measures to prevent road traffic injuries and violence. WHO recommended that such policies, strategies and plans of action be concrete and contain objectives, priorities, timetables and mechanisms for evaluation.

In the Western Pacific, WHO called on its Member States to take firmer action to reduce the region's more than 600 suicides per day. At the September 2011 Fifth Milestones in a Global Campaign for Violence Prevention (GCVP) Meeting in South Africa, the Violence Prevention Alliance (VPA) developed the plan of action geared towards increasing the priority of evidence-informed violence prevention, building the foundations for violence prevention, and implementing violence prevention strategies. Likewise, the United Nations General Assembly adopted Resolution 64/255 proclaiming 2011–2020 to be a Decade of Action for Road Safety to stabilize and reduce global road traffic fatalities by 2020.

The Global Burden of Diseases, Injuries, and Risk Factors Study conducted in 2010  showed that interpersonal violence, road injury, drowning, and self-harm (suicide) ranked sixth, 11th, 17th, and 27th, respectively, on the leading causes of premature deaths in the Philippines. Accidents are the fifth leading cause of mortality for the period of 2005-2010 as reported in the Philippine Health Statistics of the National Epidemiology Center. The Online National Electronic Injury Surveillance System (ONEISS) Fact Sheet for 2010-2012 revealed that transport or vehicular crash was the leading cause of unintentional injuries and interpersonal violence (mauling/assault, contact with sharp objects, and gunshot) was the leading cause of intentional injuries.

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 plans, projects and activities of various stakeholders into a more effective and efficient system geared towards violence and injury prevention. The Violence and Injury Prevention Program has been institutionalized as one of the programs of the Disease Prevention and Control Bureau (DPCB) formerly, National Center for Disease Prevention and Control (NCDPC).

The program was the offshoot of Administrative Order No. 2007-0010 National Policy on Violence and Injury Prevention which was issued in 2007. After seven years in January 2014, said AO was further enhanced thru the issuance of AO 2014-0002 Revised National Policy on Violence and Injury Prevention which serves as the overarching Administrative Order of different policies concerning violence and injuries and shall include the service delivery mechanism and the well-defined roles and responsibilities of the Department of Health and other major players. The program aims to reduce mortality, morbidity and disability due to the following intentional and unintentional injuries:

1)            road traffic injuries

2)            interpersonal violence including bullying, torture and violence against women and children 

3)            falls

4)            occupational and work-related injuries

5)            burns and fireworks-related injuries

6)            drowning

7)            poisoning and drug toxicity

8)            animal bites and stings    

9)            self-harm / suicide

10)          sports and recreational injuries

 

For a comprehensive approach, the program shall coordinate with other programs like the Child Injury Prevention Program, Violence Against Women and Children Program and other DOH Offices such as the Health Facility Development Bureau, Health Emergency and Management Bureau, among others, solicit active representation from public and private stakeholders that are involved in violence and injury prevention.

 

VIP Program Objectives

 

1.                   To reduce the number of deaths from violence and injuries

2.                   To reduce disability caused by violence and injury

3.                   To enhance capacity of CHDs and other stakeholders in the prevention of violence and injury

4.                   To develop & implement evidence-based policies, standards and guidelines in the prevention of violence and injury

5.                   To strengthen collaboration with stakeholders in the prevention violence and injury

6.                   To ensure reliable, timely, and complete data and researches on violence and injury

7.                   To advocate for alternative health financing schemes for trauma care

 

VIPP Program Strategies

A.            Evidence-Based Research and Electronic Surveillance System – Multi-disciplinary and multi-sectoral interventions shall be developed based on evidence-based research. DOH shall establish and institutionalize a system of data reporting, recording, collection, management and analysis at the national, regional, and local levels. An information system, that is, Online National Electronic Injury Surveillance System (ONEISS) and Philippine Network for Injury Data Management System (PNIDMS), shall be fully operationalized for this purpose.

B.             Networking and Alliance Building – DOH shall promote partnerships with and among stakeholders to build alliance and networks and to generate resources for activities related to VIPP.

C.             Capacity Building and Community Participation - DOH shall develop and enhance the violence and injury prevention capabilities of a wide range of sectors and stakeholders at the national, regional and local levels.

D.            Advocacy – DOH shall advocate to LGUs for ordinance development and lobby to Congress for enactment of laws.

E.             Equitable Health Financing Package – DOH, in collaboration with various stakeholders, shall advocate to health financing institutions and financial intermediaries, i.e. the Philippine Health Insurance Corporation (PHIC) and insurance companies, the development and implementation of policies that would be beneficial for the victims of all forms of violence and injury.

F.             Service Delivery – In collaboration with stakeholders, DOH shall institutionalize systems and procedures for the integration and provision of services at the community level. In collaboration with various stakeholders, DOH shall undertake advocacy, information and education, political support, and multi-sectoral action on violence and injury prevention. Appropriate interventions at all levels of prevention shall be crucially provided.

G.            Six (6) E’s. Strategies shall utilize the concept of the six E’s (Education, Enactment / Enforcement, Empowerment, Engineering, Emergency Medical Service, and Engagement in surveillance and research) in the prevention of violence and injuries.

1.             Education entails wide dissemination of information and communication related to violence and injury prevention;

2.             Enactment / Enforcement of laws and policies related to violence and injury     prevention;

3.             Empowerment of all stakeholders in the implementation of VIPP. This also covers the provision of psychosocial support to the victims of violence and injury to help them recover from the psychological trauma;

4.             Engineering control provides the most effective way of reducing the cause and impact of violence and injuries. This involves the improvement of facilities and infrastructures to promote safe environments;

5.             Emergency Medical Services prior to hospital care. This is vital in providing pre-hospital trauma life support to the injured on site at the soonest possible time so as to prevent needless mortality or long-term morbidity or permanent disability; and

6.             Engagement in surveillance and research to promote evidence-based, substantial, scientific, and systematic approach to VIPP.

 

H. Monitoring and Evaluation – DOH, together with various stakeholders, shall identify indicators, targets and milestones for program monitoring and evaluation purposes. There shall be a regular audit and feedback mechanism of all VIPP-related strategies and activities. 

ONEISS

As a nationwide undertaking, the DOH requires all health facilities to adhere to all national policies and guidelines on injury reporting. The DPCB 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 DPCB has no regulatory power over the health facilities, it does have indirect power thru the Health Facilities and Services Regulatory Bureau (HFSRB). The DPCB as the highest policy making body can make recommendations to the HFSRB for appropriate actions on erring health facilities.

The general objective of Online National Electronic Injury Surveillance System (ONEISS) is to make efficient and effective the current systems and procedures of reporting injury-related data. Specifically, ONEISS aims to:

1.       Promote efficiency to maximize time and effort in data collection, processing, validation, analysis and dissemination of injury-related data;

2.       Improve accuracy, reliability, integrity and timeliness of injury-related data;

3.       Implement the most reliable and effective technology solution to interconnect with the different agencies and/or beneficiaries/stakeholders of the injury related data; and

4.       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 violence and injury. ONEISS is the information system being implemented by the DOH in support of the Injury Program.

PNIDMS

The Philippine Network for Injury Data Management System (PNIDMS) is a multi-sectoral organization 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. Presently, its members include more than twenty inter-agencies and multi-sectoral organizations.

Program Management Committee (PMC)

The PMC shall provide direction and technical support on policies and plans pertaining to the prevention of violence and injury. It shall also provide the forum for coordinating all aspects of the implementation of the program. It shall be chaired by the Director IV of the Disease Prevention and Control Bureau (DPCB) with the following members:

a)             Chief of the Essential Non-Communicable Disease Division

b)            National Focal Person (Program Manager) of VIPP

c)             Representatives from CHED, DepEd, DOTC, DPWH, DOLE, DSWD, DILG, MMDA, and

              Philippine National Police.

d)            Representatives from specialty societies and other agencies / organizations which can

              greatly contribute to the various aspects of violence and injury prevention.

PMC members shall be nominated by the agency / organization that they represent. Their membership to the PMC shall be on annual basis. Renewal or replacement of membership shall be the exclusive prerogative of the represented agency / organization.

PMC shall be subdivided into Sub-Committees to undertake more specific policy interventions and activities in relation to each area of concern. Each Sub-Committee shall have an inter-disciplinary composition.

The composition of PMC shall be provided in pertinent Department issuances in addition to written agreements such as Memorandum of Agreement (MOA) or Memorandum of Understanding (MOU) with the involved agencies and stakeholders.

PMC shall have the following functions:

a)             Recommend to the Secretary of Health VIPP-related plans, programs, strategies and

              activities

b)            Ensure the implementation of integrated, comprehensive, sustainable and gender-

              responsive community-based VIPP

c)             Ensure the collection and analysis of violence- and injury-related data

d)            Empower and engage all the stakeholders to participate in the VIPP thru Violence and

              Injury Prevention Alliance (VIPA)

e)            Monitor and evaluate the VIPP regularly through program implementation review

f)             Initiate and undertake inter-agency collaboration through formal and informal modes

g)             Endorse support of researches in the clinical, epidemiological, public health and

              knowledge management areas as well as evaluate them

h)            Others that may be identified and approved by the Secretary of Health

 

National Focal Person / Program Manager

Dr. Clarito U. Cairo, Jr.

Department of Health - Disease Prevention and Control Bureau (DOH-DPCB)

Contact Number: 651 – 7800 loc. 1750, 1752, 1754 / 732-2493 (direct line)

Email: dokclar@yahoo.com

Links

Updated data on the incidence of accidents and injury cases is available quarterly at the DOH Website:

http://uhmis1.doh.gov.ph/unifiedhmis

http://uhmis2.doh.gov.ph/pnidms

 

Links:

1.  Administrative Order No. 2014-0002 -  Revised National Policy on Violence and Injury Prevention
2.  Admiistrative Order No. 2014-0007 - National Policy on the Establishment of Prehospital Emergency  Medical Service System
3.  APEC Concept Note
4.  Dissecting the Anti-Drunk and Drugged Driving Act of 2013
5.  Road Safety Forum 2014
6.  Statistics on Orthopedic-Related Injuries
7.  Pillar 1: Improve Road Safety Management