Evolving Directions & Initiatives Secwepemc Nation Injury Surveillance & Prevention Program Mary...
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Transcript of Evolving Directions & Initiatives Secwepemc Nation Injury Surveillance & Prevention Program Mary...
Evolving Directions & InitiativesSecwepemc NationInjury Surveillance & Prevention Program
Mary McCulloughThree Corners Health Services SocietyWilliams Lake
BC Injury Research and Prevention Unit Teleconferencing Series – Thursday, July 16, 2009
• The Secwepemc Nation• Our Beginning / Our
Vision• Injury Surveillance Cycle• ACCISS Background• OCAP• Project Phases• Years 1-2-3• Outcomes To Date• Project evaluation• Evolving Directions
-1Year
-2Year
-3Year
OurBeginning
Information Overview
• Recognition of the limitations associated with regional, provincial and national level health data
• Driven by an interest to collect and manage our own health data
• Injury surveillance viewed as a means to address a significant health issue while providing a means to build our capacity to manage our health data.
OurBeginning
Our Beginning - 2003
COMMUNITYCENTERED
SYSTEM CHARACTERISTICS
Aboriginal
Community
Centered
Injury
Surveillance
System
(ACCISS)
SYSTEM CHARACTERISTICS
COMMUNITY CENTERED • Uses a minimal
dataset approach• Tailored data management
processes • (based on individual
community needs)• Both ‘paper-based’ &
‘electronic’
Aboriginal
Community
Centered
Injury
Surveillance
System
(ACCISS)
Minimal Dataset Approach
WHO
is getting injured?
WHENdo injuries happen?
WHATare the
circumstances leading to an
injury?
HOW & WHYare injuries happening?
WHERE
are the injuries happening?
AgeDate of Birth
GenderCommunity of Injury
Community of ResidenceDate of Injury
Time of Injury () box
Minimal Dataset Approach (other data variables)
Additionalcircumstances
Cause of injury
Intent of injury
Nature & type of injury
Outcome
OCAP Principles - pulls together key principles advocated by Aboriginal people for years
• Ownership-a community owns information collectively in the same way as an individual owns his/her personal information (cultural knowledge/information/data
• Control-First Nations are within their rights in seeking control over all aspects of research & information management processes that impact them
• Access-First Nations must have access to information/data about themselves & their communities regardless of where it is currently held
• Possession-identifies the relationship between a people & their information (possession or stewardship)
Emerged in 1998 as OCA - by the National Steering Committee of the First Nations and Inuit Regional Longitudinal Health Survey
Secwepemc Injury Surveillance Project Cycle
Collecting
Analyzing
Sharing &Using
Interpreting
Year - 3
Year - 1
Year - 2Year - 3
injury prevention training & action
planning
ACCISS user manual
advisory input-health data reports
& projectsknowledge transfer
opportunities
project evaluation
best-better practices
integration project
Growing & Evolving Capacity Building Opportunities
Phase Three(Broadening the Scope of the Project)
Year-1Develop data access protocolsFacilitate inter-jurisdictional access to services
Year-2Conduct feasibility testing
Year-3Enhance comprehensivenessof injury dataIncrease knowledge re: health data management Develop model (inter-jurisdictional data management & planning)
Challenges and Roadblocks
Role adaptation for community health practitioners
Start-up dates
Geographic diversity of project communities
Sustainability
Population sensitivities
Data collection points
Stagesof
Learning
AWARENESS
with awareness
comes reasoning
UNDERSTANDING
with understanding
comes accountability
KNOWLEDGE
with knowledge
comes courage
Elder:
Mark Philips
Peterborough ON, Turtle Clan
WISDOM
with wisdom
comes responsibility
1. To identify key implementation barriers & facilitating factors
2. To gain insights about key project learnings & promising practices
3. To identify factors related to community readiness to begin implementation of ACCISS
4. To identify & describe project outcomes
5. To explore external partnership interests
6. To explore from a community-based perspective, ACCISS database capabilities & usefulness
Secwepemc Injury Surveillance ProjectEvaluation Objectives
CAPACITY BUILDINGVISION: to reduce the burden of injury in our Nation
ACHIEVED OUTCOMES (2004-2007)
• (initiated) increased awareness in communities about injuries
• increased commitment to injury prevention
• effective data collection
• sharing & use of data
SHORT(1-2 yrs)
• ongoing programming initiated
• knowledge-based planning using injury data
• enhanced analysis & report generation skills
• community development activities in evidence
INTERMEDIATE (3-5 yrs)
• ongoing programming
• active community engagement
•policy development
•inter-connected initiatives
• community-based & Secwepemc program planning established
LONG(6-10 yrs)
• emerging culture of safety•Injury trends actively monitored to evaluate injury prevention strategies & activities•continued impact on the burden of injury• transferred skill sets contributing to improving health, safety & well-being