Abstract

Background: In Indonesia, births and deaths are seldom recorded, making basic health indices such as causes and rates of death difficult to know with any real degree of certainty. However, basic data available from National Institute of Health Research and Development-Ministry of Health Indonesia that namely Health National Survey (SURKESNAS) shows thirty three percent of people 12-24 years and thirteen percent of people 5-14 years are death due to injury, probability peoples 5-24 year of injury in male is five times from injury female. From this survey the risk factor and hazard of injury did not know. Drowning survey conducted (2003) in 0--5 years (balita) shows 0. 7 per 1000 population in rural area and 2.6 per 1000 population in urban area. Knowmg the environmental hazard and risk factor is important thing to make the preventive and awareness of safety and risk avoidance. This survey is conducting on two district in East Java, Probolinggoand Tulung Agung. Research methodology: Two districts was selected according UNICEF project area, namely Tulung Agung District and Probolinggo District. Estimation of total sample was 10,000 HH in each District. Using cluster Proportional Probability to Size (PPS) sampling were randomly sub-district and village in rural and urban area. All house hold was in the selected village was selected for sample. A house hold member was defined as a member living in the same house, sharing meal and information, for six month, including domestic helpers, long-term guest etch. Results: In the survey a total number of 784 deaths were identified in the preceding three years, in Tulung Agung District were 411 deaths and 373 in Probolinggo District. In the survey a total number of 304 deaths were identified in the preceding one year. In TulungAgung District were 163 deaths and 139 in Probolinggo District. In this survey, injury accounted for 21% of all classifiable deaths in children aged 1-17 years. Injury caused 5% of infant deaths, 11% of children (0--17 years) deaths drowning was the major cause of fatal injury (16/100,000) in children. The fatal injury rate from falls was 5/100,000,  drowning was occur in 1-4 age groups (24/100,000) and in 10--14 age groups (40/100,000). The fatal injury from falls was occur in infant age group (104/100,000). RTA (Road Transportation Accident) was the most cause non-fatal injury in aged 5-17 years old. The Second rank for leading causes non-fatal injury was fall. The other causes were electrocution, poisoining, and injury by mach me. All the children in aged 10--14 years had severe injury. While non-fatal injury rate in aged 15-17 years was highest but all cases had moderate severity.Key words: fatal injury, pilot study, east java