The surveillance system under evaluation was designed to
contribute to injury prevention particularly in LMICs by providing
information identifying injury deaths and their circumstances and
monitoring injury trends and risk factors. The results of this
evaluation were useful in informing the revision of the codes for
the recommended data elements and the accompanying guidance
included in the final version of the Manual.
A more general conclusion on fatal injury surveillance is that
more extensive piloting is needed to better understand the extent
to which further training, particularly of forensic pathologists and
their staff who record the data, would overcome some of the
difficulties experienced at pilot sites.
In addition, the continuation and ongoing improvement of
mortuary based injury surveillance in LMICs, including rural
mortuaries, should be conducted and assessed. As was shown in a
similar Nigerian pilot study; mortuary based fatal injury surveillance
can provide more complete case capture than police data
[8]. It is likely, for example, that embedding the injury surveillance
into existing systems would decrease the associated additional
workload in mortuaries.
Demonstration of the usefulness of the data collected is well
recognised as an essential component of successful injury
surveillance and could be an important factor in attracting ongoing
The surveillance system under evaluation was designed tocontribute to injury prevention particularly in LMICs by providinginformation identifying injury deaths and their circumstances andmonitoring injury trends and risk factors. The results of thisevaluation were useful in informing the revision of the codes forthe recommended data elements and the accompanying guidanceincluded in the final version of the Manual.A more general conclusion on fatal injury surveillance is thatmore extensive piloting is needed to better understand the extentto which further training, particularly of forensic pathologists andtheir staff who record the data, would overcome some of thedifficulties experienced at pilot sites.In addition, the continuation and ongoing improvement ofmortuary based injury surveillance in LMICs, including ruralmortuaries, should be conducted and assessed. As was shown in asimilar Nigerian pilot study; mortuary based fatal injury surveillancecan provide more complete case capture than police data[8]. It is likely, for example, that embedding the injury surveillanceinto existing systems would decrease the associated additionalworkload in mortuaries.Demonstration of the usefulness of the data collected is wellrecognised as an essential component of successful injurysurveillance and could be an important factor in attracting ongoing
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