Professional Documents
Culture Documents
03
Violence and Injury Prevention Program
psychosocial support to the victims of violence and injury time for going to school/work and the time going home
to help them recover from the psychological trauma from school / work respectively
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
6. Engagement in surveillance and research to promote
evidence-based, substantial, scientific, and systematic
approach to VIPP.
Vehicular accidents
o More males (71.9%) were involved than females
(28.1%), disproving the myth that men are better drivers
than women. This is could be attributed to the drink-and-
drive attitude of men and their generally more aggressive
driving.
o Majority of the reported vehicular related injuries were
Figure. Injury cases reported by Age from Jan to March 2015 from the 20–59 age group (52.9%) mainly because
they are the ones who drive.
Majority of the total reported injury cases (56%) came from o As for the 0 – 19 age group, they account for 28.5%
the age group of 20 – 59. This could be because this is the and could be attributed to their careless behavior as
age group that are mainly engaged in occupational hazards and pedestrians, especially younger children.
vehicular accidents, being active in their everyday life. o Alcohol intoxication: major cause of risk factor for
Age group of 0 – 19 years old accounted for 36.7% of the vehicular accident-related injuries
total reported injury cases which could imply that there are a o Motorcycles: The most common mode of transport in
number of accidents involving younger children. These may these injuries (56%)
include cases of child abuse, unsuspecting vehicular accidents o Alarmingly, only 2.5% of these cases were wearing
or even bullying. protective helmet. Additionally, only 4.4% of the
January had the highest reported number of injury cases reported car accident cases were wearing seatbelt at the
(37.4%) of all cases mainly because of fireworks-related cases. time of incident. This implies the need for proper education
When it comes to time of occurrence, it varies with the external of motorists and drivers alike for the importance of
cause of injury. The most common causes of reported injuries precautionary measures while driving.
and their time of occurrence are the ff:
o Fall-related injuries 8:00–11:59 am POLICIES
o Assault and sharp object-related: 8:00–11:59 pm The issuance on Violence and Injury Prevention shall be guided
(could be attributed to more violence occurring during by the following policy statements:
night time) 1. The 1987 Philippine Constitution on Article II Section
o Vehicular accident-related injuries: 8:00–11:59 am & 15 states the right of the people to health protection and
4:00–7:59 pm, attributed to the rush hours during the promotion. Article 13 Section 11, on the other hand, states
the availability to the people of all essential goods, health and SCOPE
social services at affordable cost. This administrative order provides the action framework for the
2. The Aquino Health Agenda (AHA), through the the so-called effective implementation of Violence and Injury Prevention
Kalusugan Pangkalahatan (KP), aims to achieve universal Program in the Philippines. It covers all units and
health care for all Filipinos. The National Objectives for instrumentalities including attached agencies of the DOH. It also
Health (NOH) 2011-2016 aims to reduce morbidity and applies to all concerned national government agencies (NGAs),
mortality from accidents and injuries. local government units (LGUs), academe, civil society
3. Culture of safety shall be the essence of Violence and Injury organizations, faith-based organizations, community-based
Prevention Program organizations, private sectors, and other relevant multi-sectoral
4. The integrated, comprehensive, and sustainable multi- stakeholders.
sectoral approach to prevent violence and injury shall be
developed at the grassroots level in close collaboration with GENERAL GUIDELINES
committed multi-stakeholders. A. Evidence-based Research and Electronic Surveillance
5. Highly effective and sustainable strategies shall be developed System
to effect changes that would lead to a significant reduction in o Multi-disciplinary and multi-sectoral interventions shall be
mortality, morbidity and disability from violence and injuries. developed based on evidence-based research. DOH shall
6. Establishing an emergency medical service system at the establish and institutionalize a system of data reporting,
prehospital and hospital levels and ensuring the development recording, collection, management and analysis at the
of a sustainable mental health care after trauma-related national, regional, and local levels. An information system:
emergencies are of paramount significance to VIPP. Online National Electronic Injury Surveillance System
(ONEISS) and Philippine Network for Injury Data
OBJECTIVES Management System (PNIDMS) shall be fully
General Objective: To reduce mortality, morbidity, and operationalized for this purpose
disability due to violence and injuries.
Specific Objectives: B. Networking and Alliance Building
1. Promote a culture of safety in key settings such as home, o DOH shall promote partnerships with and among
schools, workplaces, and communities; stakeholders to build alliance and networks and to
2. Enhance the capacity of Regional Offices, Local Government generate resources for activities related to VIPP.
Units (LGUs), and other stakeholders as well as strengthen
collaboration with them in the prevention of violence and C. Capacity Building and Community Participation
injury o DOH shall develop and enhance the violence and injury
3. Develop and implement evidence-based policies, standards prevention capabilities of a wide range of sectors and
and guidelines stakeholders at the national, regional and local levels.
4. Ensure reliable, timely, and complete data and researches
related to violence and injury prevention D. Advocacy
o DOH shall advocate to LGUs for ordinance development
NATIONAL OBJECTIVES OF HEALTH FOR ACCIDENTS and lobby to Congress for enactment of laws.
AND INJURIES
OBJECTIVE 1: E. Equitable Health Financing Package
Mortality secondary to accidents and injuries is reduced. o DOH, in collaboration with various stakeholders, shall
Indicator Target Baseline advocate to health financing institutions and financial
Mortality rate from intermediaries, i.e. the Philippine Health Insurance
accidents and 35 deaths by 39.1 Corporation (PHIC) and insurance companies, the
injuries per 2016 (2011) development and implementation of policies that would be
100,000 population beneficial for the victims of all forms of violence and injury.
Mortality rate from
transport accidents 17.5 deaths 21.1 F. Service Delivery
per 100,000 By 2016 (2011) o In collaboration with stakeholders, DOH shall
population institutionalize systems and procedures for the integration
and provision of services at the community level. In
OBJECTIVE 2: collaboration with various stakeholders, DOH shall
Database for accidents and injuries is established. undertake advocacy, information and education, political
Indicator Target Baseline support, and multi-sectoral action on violence and injury
National Database prevention shall be crucially provided.
Database
for Specific
established by None G. Six (6) E’s.
Accidents and
2010 o Strategies shall utilize the concept of the six E’s in the
Injuries
prevention of violence and injuries.
a. Education entails wide dissemination of information
RISK REDUCTION OBJECTIVES
and communication related to violence and injury
1. Increase the use of safety belts among motor vehicle
prevention
occupants by at least 75%
b. Enactment / Enforcement of laws and policies
2. Increase the use of helmets among motorcyclists by at least
related to violence and injury prevention
50%
c. Empowerment of all stakeholders in the
3. Encourage the use of protective gears among cyclists and
implementation of VIPP. This also covers the
skaters by at least 50%
provision of psychosocial support to the victims of
4. Reduce the use of firecrackers during festivities by at least
violence and injury to help them recover from the
50%
psychological trauma
5. Increase the level of awareness on common causes and
d. Engineering control provides the most effective way
preventive measures of accidents and suffocation or foreign
of reducing the cause and impact of violence and
bodies
injuries. This also involves the improvement of
facilities and infrastructures to promote safe
SERVICES AND PROTECTION OBJECTIVES
environments
1. Increase the number of regional hospitals and medical centers e. Emergency Medical Services prior to hospital
with Burn and Trauma Unit. care. This is vital in providing pre-hospital trauma life
2. Develop and institutionalize the Injury Prevention and Control support to the injured on site at the soonest possible
program and surveillance network in all regional and time so as to prevent needless mortality or long-term
provincial health facilities. morbidity or permanent disability
3. Develop and disseminate information campaign materials on f. Engagement in surveillance and research to
injury prevention and control. promote evidence-based, substantial, scientific, and
4. Increase the number of surgeons in regional hospitals and systematic approach to VIPP.
medical centers trained on burn and trauma management
5. Increase the number of regional health personnel trained on H. Monitoring and Evaluation
the epidemiology, prevention and control of accidents and o DOH, together with various stakeholders, shall identify
injuries indicators, targets and milestones for program monitoring
and evaluation purposes. There shall be a regular audit o Interpersonal Violence-Related Injuries including
and feedback mechanism of all VIPP-related strategies and Violence Against Women and Children (VAWC),
activities Bullying and Torture
o Animal Bites and Stings
SPECIFIC GUIDELINES o Self-Harm/ Suicide
A. Public policies shall be developed and will include legislation, o Occupational and Work-Rekated Injuries
administrative issuances, fiscal measures and organizational o Poisoning and Drug Toxicity
constitution and bylaws that would effect changes towards 3. To ensure a more comprehensive and integrated approach,
creating safe environments and promoting safety-first PMC shall collaborate with other programs from the Family
mentality and behavior. Supportive environments for the Health Office and other concerned offices
actual implementation of those public policies and the 4. The Undersecretary/ Assistant Secretary of Health who
provision of infrastructure where safety is the primary concern has the direct supervision over the Degenerative Disease
shall be made available. Safety-first behaviors are also Office shall designate a National Program Coordinator
encouraged and promoted at all ages. who shall be working together with the National Focal
B. Community-based interventions to be implemented shall Person (Program Manager)
not be limited to capacity-building at the grassroots level that
would make available well-trained, competent and gender- PROGRAM MANAGEMENT COMMITTEE
sensitive first responders. Interventions shall also include the Provide direction and technical support on policies and plans
provision of community-based mental health, rehabilitative pertaining to the prevention of violence and injury
and palliative care. The pre-hospital care or pre-hospital Provide the forum for coordinating all aspects of the
trauma life support shall ensure the availability and implementation of the program
accessibility of well-trained and competent first responders Chaired by the Director IV of the Disease Prevention and
and/or emergency medical technicians in times of trauma- Control Bureau (DPCB) with the following members:
related emergencies. o Chief of the Essential Non-Communicable Disease Division
C. Hospital Care Rehabilitation shall include preventing o National Focal Person (Program Manager) of VIPP
further the complications of those trauma-related o Representatives from CHED, DepEd, DOTC, DPWH, DOLE,
emergencies and to lessen the burden of disability due to DSWD, DILG, MMDA, and Philippine National Police.
violence and injury. o Representatives from specialty societies and other agencies
D. Advocacy activities shall include information drive, education / organizations which can greatly contribute to the various
and communication campaign geared towards promotion of aspects of violence and injury prevention.
safety and hence, prevention of injuries. Subdivided into sub-committees to undertake more specific
E. All stakeholders shall be enjoined and encouraged to policy interventions and activities in relation to each area of
participate in the surveillance system and to contribute to concern. Each sub-committee shall have an inter-disciplinary
the research agenda to further the strategies in composition.
implementing the VIPP. PMC Functions:
F. The formation of the Violence and Injury Prevention o Recommend to the Secretary of Health VIPP-related plans,
Alliance (VIPA) shall make more stakeholders involved in programs, strategies and activities
the promotion of safety and prevention of violence and injury. o Ensure the implementation of integrated, comprehensive,
G. Health Systems Strengthening shall be done to provide sustainable and gender-responsive community-based VIPP
sustainable community-based health services such as but not o Ensure the collection and analysis of violence- and injury-
limited to emergency medical services at the hospital and related data
hospital levels, mental health care after trauma-related o Empower and engage all the stakeholders to participate in
emergencies and rehabilitative care. the VIPP thru Violence and Injury Prevention Alliance
H. Monitoring and evaluation of VIPP based on key result areas (VIPA)
and key performance indicators shall be done regularly to o Monitor and evaluate the VIPP regularly through program
gauge the status and progress of VIPP. implementation review
o Initiate and undertake inter-agency collaboration through
formal and informal modes
o Endorse support of researches in the clinical,
epidemiological, public health and knowledge management
areas as well as evaluate them
o Others that may be identified and approved by the Secretary
of Health
PMC Sub-committee Functions:
o Align their plans and programs to the goals and objectives of
VIPP
o Implement their strategies and activities in close
collaboration with PMC
o Contribute to the electronic surveillance system and
research agenda of DOH
IMPLEMENTING GUIDELINES o Develop key result areas and key performance
1. The DOH shall be the focal agency responsible for designing, indicators to monitor and evaluate the program
coordinating and integrating plans, programs, strategies and o Provide technical assistance and much needed support for
activities of various stakeholders into an effective and efficient the success of VIPP
system geared towards violence and injury prevention. o Recommend creative and innovative approaches in the
VIPP is hereby institutionalized as one of the core VIPP implementation
programs of the National Center for Disease o Issue relevant and up-to-date standards and guidelines
Prevention and Control (NCDPC). duly approved by various concerned stakeholders
2. The Program Management Committee (PMC) shall be
organized to oversee the implementation, monitoring and PHILIPPINE NETWORK FOR INJURY DATA MANAGEMENT
evaluation of the program and to ensure its sustainability. SYSTEM (PNIDMS)
PMC Sub-committees according to following key areas of Multi-sectoral organization which intends to establish and
concern: maintain a coordinated data management system that can
o Road Traffic Injuries link, integrate, or combine injury data from various sources or
o Burns and Fireworks-related Injuries systems
o Drowning Provide an overall picture for policy makers and decision
o Falls makers at the national, regional and local level
o Sports and Recreational Injuries