PA 11-5-2154 Shifting of injury death pattern in 12 years in bangladesh: findings from two national health and injury survey

Due to the overall socio-economic development, the burden and pattern of injury changes over time. It is important to acquaint policy makers and professionals the changing situation of health and social impact of injury to address the issue appropriately. This study aims to identify the changing pattern and burden of injury in Bangladesh over 12 years’ time period. The data on the injury burden and mechanism are extracted from Bangladesh Health and Injury Survey 2003 (BHIS 1) and 2016 (BHIS 2). These are the two nationally representative cross-sectional survey conducted under the leadership of Director General of Health Services. A total 8 19 429 and 2 99 216 population were interviewed to collect injury related information in BHIS 1 and BHIS 2 respectively. The injury occurrence in 2002 and 2015 are extracted to analyse the incidence of injury deaths by mechanism to depict the changing picture of injury burden in Bangladesh. Although not significant, the overall injury death rate has been increased by 14.2% as injury death rate in 2002 and 2015 was 48.6 per 1 00 000 and 55.5/100,000 respectively. Injury death rate/100,000 in children under 15 years remained almost same (53.9 vs 59.0), which, however, in productive age group (15 years to 34 years) has been increased significantly (38.9 vs 63.0). Drowning death rate has been decreased by 13.6%, but suicide rate has been increased by 82.6%. There is also a decreasing trend in RTIs, Burn and Animal injuries. There are three types of shifting of injury death pattern over 12 years periods in Bangladesh: i) overall injury death rate increased; ii) changes of injury burden from younger group to youth one; iii) Suicide supersedes RTIs in injury death ranks. Policy makers should adapt injury prevention policy and strategy according to the changed scenario in Bangladesh and other similar developing countries.