# Presentation: 517936

## “EXTERNAL CAUSES MORTALITY SURVEILLANCE SYSTEM IN COLOMBIA: 

**“****EXTERNAL CAUSES MORTALITY SURVEILLANCE SYSTEM IN COLOMBIA: **
**A**** ****Successful Model****”**

**Maria Isabel Gutiérrez. M. MD., MSc., PhD**
**Rafael Espinosa del Vallin. MD., MSc.**
**Andrés Fandiño L. MD.**
**Edgar Muñoz St.**

## 1

**1**

## Standardization and Validation of Primary

- .

- 1990

- 1991

- 1992

- 1993

- 1994

- .

- 0

- 500

- 1000

- 1500

- 2000

- 2500

- Forensic Medicine

-     Police

-    Public Prosecution office

- Health Secretariat

- Number of cases

- Information Sources
- _External Causes of Deaths Surveillance System Committee in  Cali_

- Inadequate data for defining interventions

**2**

## Inadequate data for defining interventions

**2**

## 3

- Public Policies to Injury Prevention

**3**

## Objective

**To develop an instrument that enables local and state governments to deal with causes of urban violence and criminality, as well as with intentional and unintentional injuries, making possible the design and implementation  of effective public policies and programs aimed to contribute to safety and citizen coexistence.**

**Objective**

## Assumptions

***Political will from governments and local authorities*** for   using information about violence in decision making.
***Coordination of information source institutions (Police, Forensic Medicine, Public Prosecution Offfice, Public Health, others)*** contributing with data and integrating in inter-institutional operative and analysis committees
***Capacity Building and Follow-up with Local Developments *** (Software, information analysis, intervention strategies, strategy evaluations, Technological transfer, etc.).

**Assumptions**

## Methodology !!!

## Monthly meeting with primary information 

**sources to validate and complete data**

- ***Immediate**** Reaction Unit  (URI) & **
**the Technical Investigation Body (CTI)**

## Slide 10

## Systematization of information

| Epi data | Epi Info | Map Maker |
| --- | --- | --- |

- Homicides

- Suicides

- Traffic deaths

- Non-intentional deaths

- Statistical Analysis

- Geo-reference

- Bulletin production

**Systematization of information**

## Decision making and strategy definitions for Violence and Non-intentional Deaths Prevention and Control

## Results !!!

## Homicides according to day of the week 

- MON

- TUE

- WED

- THU

- FRI

- SAT

- SUN

- 0

- 5

- 10

- 15

- 20

- 25

- Homicides according to day of the week

- January - October 2004

**N = 62**

- Day of occurrence

**11%**

**15%**

**13%**

**8%**

**6%**

**34%**

- Source: Crime Surveillance, Police, Technical Investigation Body (CTI),
- Forensic Medicine, Judicial Police and Investigation Section (SIJIN)

- Crime Surveillance of Apartadó - Antioquia

**13%**

- Cases

## Slide 15

## Homicide according to day and time 

- January - October 2.004

- 7

- 9

- 8

- 5

- 4

- 8

- 21

- 0

- 5

- 10

- 15

- 20

- 25

- 00:00-05:59

- 06:00-11:59

- 12:00-17:59

- 18:00-23:59

- N = 62

**Hora**

- Cases

- Source: Crime Surveillance, Police, Technical Investigation Body (CTI),
- Forensic Medicine, Judicial Police and Investigation Section (SIJIN)

- Apartadó - Antioquia

- MON

- TUE

- WED

- THU

- FRI

- SAT

- SUN

## HOMICIDE DEATHS IN APARTADOJANUARY – OCTOBER  2004

**URBAN ZONE**
**MAP**

##   41% of the cases represents youth between 15 – 29 years (50 cases)  and an important percentage (39%)  represents adults between  35 – 49 years (47 cases). under 14 years  3 cases were registered.

## Characterization of homicides according to the comuna* of 

- occurrence

- Social Surveillance for Citizen Coexistence

- Ibagué  2003

- 1

- 2

- 3

- 4

- 5

- 6

- 7

- 8

- 9

- 10

- 11

- 12

- 13

- 0

- 5

- 10

- 15

- 20

- Comuna

- Number of cases

- N= 121

- Source: Inter-institutional Committee  (Police, SIJIN, CTI, Forensic Medicine, Health, Government, Traffic)

- (17)

- (5)

- (4)

- (3)

- (4)

- (12)

- (7)

- (8)

- (4)

- (3)

- (8)

- (7)

- (3)

**20%**

- 6%

- 5%

- 4%

- 5%

**14%**

- 8%

- 9%

- 5%

- 4%

- 9%

- 8%

- 4%

***comunas are delimited regions in municipalities represented by neighborhoods grouped together.**

## Social Surveillance for Citizen Coexistence 

- 33

- 8

- 12

- 12

- 4

- 2

- 4

- Pedestrian

- Automobile driver

- Motorcyclist driver

- Automobile passenger

- Motorcycle passenger

- Cyclist

- no data

- 0

- 5

- 10

- 15

- 20

- 25

- 30

- 35

- 40

- Cases

- Source: Inter-institutional Committee  (Police, SIJIN, CTI, Forensic Medicine, Health, Government, Traffic)

**44%**

**5%**

**5%**

**16%**

**16%**

**11%**

**22%**

**3%**

**n= 75**

**Social Surveillance for Citizen Coexistence **

** ****January - December 2003**

## January - December 2003

** ****OF THE VICTIM AND AGE **

- 7

- 6

- 1

- 3

- 22

- 14

- 4

- 5

- 4

- 8

- <14

- 15-19

- 20-24

- 25-29

- 30-34

- 35-39

- 40-44

- 45-49

- 50-54

- 60 y más

- 0

- 5

- 10

- 15

- 20

- 25

- Autom. Driver

-  Autom. passenger

- Motorcycle driver

- Mot. passenger

- Pedestrian

- Cyclist

- No Data

**86%**

- Source: Inter-institutional Committee  (Police, SIJIN, CTI, Forensic Medicine, Health, Government, Traffic)

**25%**

**38%**

**25%**

**100%**

**33%**

**40%**

**40%**

**5%**

**90%**

**50%**

**20%**

**25%**

**50%**

**25%**

**7%**

**7%**

**14%**

**26%**

**21%**

**21%**

**14%**

**n=75**

**January - December 2003**

## TRAFFIC DEATHS

**TRAFFIC DEATHS**

**MUNICIPALITY OF IBAGUE**

## HOMICIDE DISTRIBUTIONS ACCORDING TO PLACE OF OCCURRENCE

**HOMICIDE DISTRIBUTIONS ACCORDING TO PLACE OF OCCURRENCE**

- APARTADO

- TURBO

- CHIGORODO

- CAREPA

- 0%

- 20%

- 40%

- 60%

- 80%

- 100%

- Public road

- House

- Farm/Countryside

- Bar/Related

- Place of work

- Other

-  Departmental Crime Surveillance in Antioquia - 2004

**n= 70**

**n= 20**

**n= 49**

**n= 24**

**N= 157**

## HOMICIDE DISTRIBUTIONS ACCORDING TO TYPE OF WEAPON

- APARTADO

- TURBO

- CHIGORODO

- CAREPA

- 0%

- 20%

- 40%

- 60%

- 80%

- 100%

- FIREARM

- SHARP OBJECT

- BLUNT

- EXPLOSIVES

- OTHERS

**HOMICIDE DISTRIBUTIONS ACCORDING TO**** ****TYPE OF WEAPON**

- Departmental Crime Surveillance in** **Antioquia - 2004

- Source: Crime Surveillances of** **Apartadó, Chigorodó, Carepa, Turbo

**N= 157**

**n= 70**

**n= 20**

**n= 49**

**n= 24**

## HOMICIDE DISTRIBUTIONS ACCORDING TO TYPE OF CONTEXT 

- APARTADO

- TURBO

- CHIGORODO

- CAREPA

- 0%

- 20%

- 40%

- 60%

- 80%

- 100%

- Unknown

- Organized crime

- Armed conflict

- Interpersonal v.

- Legal intervention

- Other

**HOMICIDE DISTRIBUTIONS ACCORDING TO TYPE OF CONTEXT **

- Crime Observatory for Departament of Antioquia - 2004

- Source: Crime Surveillances of Apartadó, Chigorodó, Carepa, Turbo

**An intra-family violence case **

**in Turbo**

**N= 157**

**n= 70**

**n= 20**

**n= 49**

**n= 24**

## Slide 26

| Municipality | Total Homicides 2002 | Total Homicides 2003 | Total Homicides 2004 | Implemented policies and actions |  |
| --- | --- | --- | --- | --- | --- |
| POPAYAN | 174 | 89 | 97 | Use of  surveillance data (Security Council)
Team work Police, CTI, Public Prosecution Office and the army
Mobile brigade controls 
Firearm disarmament operations
Motorcycle circulation control 
Public facility controls (alcohol sell and consumption) |  |
|  |  |  |  |  |  |
| SANTANDER DE QUILICHAO | 89 | 59 | 55 | Use of the surveillance (Social Policy Councils)
Mobile road control brigade
Firearm disarmament operations 
Motorcycle circulation restriction
Facility controls (alcohol sell and consumption) |  |
| PITALITO | 208* | 120* | 70 | Use of the Surveillance (Analysis committee)
Joint work between Police, Public Prosecution Office, CTI and the army
Mobile road brigade Firearm disarmament operations
Motorcycle circulation restriction 
Facility controls (alcohol sell and consumption) |  |

## Slide 27

| Municipio | Total Traffic 2002* | Total Traffic 
2003 | 

Total Traffic 2004 | Implemented policies and actions |  |
| --- | --- | --- | --- | --- | --- |
|  |  |  |  |  |  |
| POPAYAN | 60 | 44 | 42 | Use of information in security council
“Black stars” campaign
Control of helmet and reflective wear use by motorcyclists
Special brigade controls in the city
Education campaigns for drivers and pedestrians
Drunkenness control
Control of satellite terminals in urban zones
Control to transport companies
Road signaling  |  |
| SANTANDER DE QUILICHAO | 21 | 27 | 19 | Use of information in Social Policy Council
“Black stars” campaign
Control of helmet and reflective wear use by motorcyclists
Special brigade controls in the city
Education campaigns for drivers and pedestrians
Special control measures to motorcycle drivers under age of majority 
Drunkenness control |  |

## Public Agenda

**Public Agenda**

## Slide 29

## Other applications, Domestic violence surveillance system

## DOMESTIC VIOLENCE SURVEILLANCE 

**IN LIBANO - TOLIMA**

- 162

- 75

- 68

- 40

- 68

- 61

- 57

- 18

- Physical

- Psychological

- Verbal

- Alimentary

- Sexual

- Neglect

-  Abandonment

- Other

- 0

- 50

- 100

- 150

- 200

- Number of cases

**DISTRIBUTION OF DV CASES**** ****ACCORDING TO TYPE **
**OF MALTREATMENT YEAR 2004**

**N = 298**

- Sources: FHN, Hospital, Colombian Institute for Family Welfare (ICBF), Legal Medicine, Police

- 11

- 56

- 56

- 27

- 9

- 16

- 9

- 4

- 3

- 3

- 1

- 2

- 2

- 1

- 11

- 9

- 32

- 28

- 6

- 0

- 1

- 0

- 1

- 1

- 0

- 0

- 0

- 0

- 3

- 6

** ****0-4  **

** ****5-9  **

**10-14**

**15-19 **

**20-24 **

**25-29 **

**30-34 **

**35-39 **

**40-44 **

**45-49 **

**50-54 **

**55-59 **

**60-64 **

** ****>65  **

**  ****S/D **

- 0

- 10

- 20

- 30

- 40

- 50

- 60

- 70

- Women 70.8%

- Men 29.2%

- Number of cases

- Age groups

**DISTRIBUTION OF DV CASES PER AGE AND **

**SEX GROUPS  YEAR 2004**

**N = 298**

- Sources: FHN, Hospital, Colombian Institute for Family Welfare (ICBF), Legal Medicine, Police

## DOMESTIC VIOLENCE IN LIBANO - TOLIMA

** ****MONTH OF OCCURENCE**

- 97

- 108

- 32

- 2

- 56

- 5

- 10

- 7

- 66

- 8

**Father**

**Mother**

**Step-father**

**Step-mother**

**Spouse or partner**

**Ex-partner**

**Brothers **

**Son**

**Other**

**No Data**

- 0

- 20

- 40

- 60

- 80

- 100

- 120

- Number of cases

**DISTRIBUTION OF DV CASES**** ****ACCORDING TO**
**TYPE OF PERPETRATOR**

**N = 298**

- Sources: FHN, Hospital, Colombian Institute for Family Welfare (ICBF), Legal Medicine, Police

**DOMESTIC VIOLENCE IN LIBANO - TOLIMA**

## DV CASES IN LIBANO 2004

**DV CASES IN LIBANO 2004**

**URBAN ZONE**

***Norte***

## DV SURVEILLANCE IN ESPINAL - TOLIMA

- FUENTE:  FAMILY POLICE STATION  - ICBF

- EX PARTNER

- Perpetrator

- 0

- 20

- 40

- 60

- 80

- Casos

**N=179**

**42%**

**4%**

**35%**

**13%**

- MOTHER

- FATHER

- STEP-FATHER

- SPOUSE OR PARTNER

- SON

- STEP-MOTHER

- BROTHERS

- OTHERS

- 0

- 20

- 40

- 60

- 80

- Cases

**N=179**

**42%**

**4%**

**35%**

**13%**

- –

- .

- 0

- -

- 4

- 5

- -

- 9

- 10

- -

- 14

- 15

- -

- 19

- 20

- -

- 24

- 25

- -

- 29

- 30

- -

- 34

- 35

- -

- 39

- 40

- -

- 44

- 45

- -

- 49

- 50

- -

- 54

- 55

- -

- 59

- 60

- -

- 64

- >65

- 0

- 5

- 10

- 15

- 20

- 25

- Casos

- Mujer      n=58

- Hombre  n=82

**N=140**

- –

- .

- 0

- -

- 4

- 5

- -

- 9

- 10

- -

- 14

- 15

- -

- 19

- 20

- -

- 24

- 25

- -

- 29

- 30

- -

- 34

- 35

- -

- 39

- 40

- -

- 44

- 45

- -

- 49

- 50

- -

- 54

- 55

- -

- 59

- 60

- -

- 64

- >65

- Age range

- 0

- 5

- 10

- 15

- 20

- 25

- Cases

- Mujer      n=58

- Hombre  n=82

**N=140**

- Sources: ICBF and Family Police Station

**DISTRIBUTION OF DV CASES PER AGE AND **

**SEX GROUPS 2004**

**DISTRIBUTION OFDV CASES**** ****ACCORDING TO**** **** **** **
**TYPE OF PERPETRATOR**

## GRACIAS

- Calle 19

- Calle 20

- Calle 21

- Carrera 9

- Carrera 8

- Carrera 7

- Carrera 6

- Carrera 5

- Carrera 4

- Carrera 3

- Carrera 2

- Molino Espinal

- Cocacola

- Bodega

- BARRIO SAN RAFAEL

- C E N T R O

- BARRIO RONDON

- BARRIO LIBERTADOR

- BARRIO STA. MARGARITA

- MARIA

- B/IO. CABALLERO

- Y GONGORA

- Plaza de

- Ferias

- B/IO. ISAIAS

- OLIVAR

- BARRIO BELEN

- Colegio

- Fatima

- Calle 22

- Carrera 7

- 1o. de MAYO

- Carrera 6

- Escuela

- Colegio

- El Rosario

- Parque

- Mitologico

- Parque

- Fedearroz

- Escuela

- Libertador

- GRASCO

- Calle 12

- Calle 14

- Colegio

- CARACOLI

- URBANIZACION

- VIA PUERTO PEÑON

- VIA HATO VIEJO

- Calle 8

**DV CASES IN ESPINAL 2004**

**URBAN ZONE**

***North***

## Web site:

- www. prevencionviolencia.org.co

## Thank you!!!