The Potential of the International Safe Communities’

Modelto prevent childhood injuries

Successful approaches and strategies for child injury prevention

Presentation at the launch of the WHO Child Report

”FROM VIETNAM TO THE WORLD”

Ha Noi, Vietnam Dec 10, 2008Leif Svanström,

Chair WHO CC Community Safety Promotion

1. Priorities of the national policy in VietnamTraffic injuries

Occupational InjuriesChildhood injuries

Other Injuries in community

2. Role of health sector Standing agency of National Steering Committee

Advocacy and raise awareness for community on injury prevention;

Injury surveillance systemSafe community development

Prehospital care and trauma care in health facilities

Communities in Vietnam designated in 2006 and 2008

104. Lang Co 11,868 inh

105. Loc Sonh7,650 inh

106. Da Trach5,188 inh

107. Dong Tien 6,000 inh

108. Xuan Dinh 23,124 inh

145. Duc Chinh (2008)12,730 inh

104. Lang Co 11,868 inh

Mr.Tinh- The head of Steering Committee ofInjury Prevention/Safe Community Development

Child Safety

The most common injuries of children in the town are drowning and falls during the daily life activities.

104. Lang Co 11,868 inh

Achievements

There is a Steering Committee with 23 members representing different branches, sections and

organizations. Ten working groups meet regularly.

Up to the end of 2005, 72% of households achieved the Safe Home standards; 70% of schools achieved the Safe School standards.

The number of injury has been annually reduced by 10% since 2003. The injury risks have been minimized by 83% in 2005 compared to that of

2003.

105. Loc Sonh7,650 inh

• Childhood Injury prevention with intervention measures toreduce the incidence of drowning, falls, burn, poisoning, choking, traffic

injury in children- since 2004.

• Providing information on safety for parents, child care givers, teachers,volunteers as well as the children through materials, education,

household visits by volunteers …

• Building kindergartens for children under 5 years old

105. Loc Sonh7,650 inh

A study conducted in Loc Sonh during 2003-2005 showed that of on average per year 565 injured 246 were children

under 18 years of age- 44%.

106. Da Trach 5,188 inh

Mr. Thuy- Head of communalhealth station

Steering Committee with 15 members

Implementation of Safe Home and Safe School:• Provide information, education and

communication materials for young mothers having children

under 5 years old and • among children, such as

falls, burns, drowning, electrocution, foodpoisonings.

Injury recording book 1998-2005

Injury interview by health collaborator

Based on the injury surveillance system covering the whole community, all of injury cases and other information are collected and analyzed by the health staff following the ICD 10 and reported to the district level.

107. Dong Tien 6000 inh

Safe home and school programs have been launched on such as drowning, falling, burn, food poisoning, electric stroke.

The activities of the program are also through exhibition of home and school

safety as well as encouragement and support of the use of safe devices such as children resistance

containers.

108. Xuan Dinh 26,124 inh

• Provide information for young mothers and teachers on the prevention of falls, burns, drowning, electrocutions, poisonings and traffic injuries by health workers, health

volunteers;

• Disseminate the checklist of safe home and safe school

• integrate the safe promotion concept into the school subjects such as road safety,

drowning prevention and poisoning control, etc;

108. Xuan Dinh 26,124 inh

Fencing ponds to prevent deviated dives from the roads

Mr. Thanh- The head of SteeringCommittee of Injury Prevention/Safe

Community Development

Steering Committee with 15 members

Indicators for International Safe Communities

Safe Communities have:

1. An infrastructure based on partnership and collaborations, governed by a cross-sectional group that is responsible for safety promotion in their community;

2. Long-term, sustainable programs covering both genders, all ages, environments, and situations;

3. Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;

4. Programs that document the frequency and causes of injuries;

5. Evaluation measures to assess their programs, processes and the effects of change;

6. Ongoing participation in national and international Safe Communities networks.

Stockholm May 2002WHO Collaborating Centre on Community Safety Promotion

Duc Chinh (145)Safe Community DesignationNov 2, 2008

Indicators for International Safe Communities

Safe Communities have:

1. An infrastructure based on partnership and collaborations, governed by a cross-sectional group that is responsible for safety promotion in their community;

2. Long-term, sustainable programs covering both genders, all ages, environments, and situations;

3. Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;

4. Programs that document the frequency and causes of injuries;

5. Evaluation measures to assess their programs, processes and the effects of change;

6. Ongoing participation in national and international Safe Communities networks.

Stockholm May 2002WHO Collaborating Centre on Community Safety Promotion

Indicators for International Safe Communities

Safe Communities have:

1. An infrastructure based on partnership and collaborations, governed by a cross-sectional group that is responsible for safety promotion in their community;

2. Long-term, sustainable programs covering both genders, all ages, environments, and situations;

3. Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;

4. Programs that document the frequency and causes of injuries;

5. Evaluation measures to assess their programs, processes and the effects of change;

6. Ongoing participation in national and international Safe Communities networks.

Stockholm May 2002WHO Collaborating Centre on Community Safety Promotion

Indicators for International Safe Communities

Safe Communities have:

1. An infrastructure based on partnership and collaborations, governed by a cross-sectional group that is responsible for safety promotion in their community;

2. Long-term, sustainable programs covering both genders, all ages, environments, and situations;

3. Programs that target high-risk groups and environments, and programs that promote safety for vulnerable groups;

4. Programs that document the frequency and causes of injuries;

5. Evaluation measures to assess their programs, processes and the effects of change;

6. Ongoing participation in national and international Safe Communities networks.

Stockholm May 2002WHO Collaborating Centre on Community Safety Promotion

Hong Kong1. Kwai Tsing2. Sham Shui

Po3. Tai Po4. Tsuen Wan5. Tuen Mun6. Tung Chung

Canada1. Brampton2. Brockville3. Calgary4. Rainy River Valley5. Sault Ste. Marie6. Wood Buffalo

Vietnam1.Da Trach2.Dong Tien3.Lang Co4.Loc Sonh5.Xuan Dinh6. Duc Chinh

Australia1.Denmark2.Hume City3.Latrobe4.Mackay/Whitsunday5.Melbourne6.Noarlunga7.Northcott8.Palmerston9.Ryde10.SHOROC11.Townsville

AustriaState of Vorarlberg

Bosnia and HerzegovinaKonjic

ChilePeñaflor

IsraelRaanana

China (Province of Taiwan)1.Alishan2.Dungshr3.Fongbin4.Neihu

Czech RepublicKromeriz

DenmarkHorsens

EstoniaRapla

Finland1.Hyvinkää2.Kouvola

Iran1.Arsanjan2.Bardaskan3.Kashmar

JapanKameoka

Korea1.Jeju2.Songpa3.Suwon

South Africa1.Eldorado Park2.Nomzamo–Broadlands Park

New Zealand1. Christchurch2. New

Plymouth3. North Shore4. Porirua5. Tauranga6. Waimakariri7. Waitakere8. Wellington9. Whangarei

USA1.Dallas2.Anchorage3.Omaha4.Springfield

PeruSan Borja (Lima) Sp.

PolandTarnowskie GóryThe

NetherlandsRotterdam

Sweden1.Arjeplog2.Borås3.Falköping4.Falun5.Katrineholm6.Krokom7.Lidköping8.Ludvika9.Mariestad10.Motala11.Nacka12.Skövde13.Smedjebacken 14.Staffanstorp15.Tidaholm16.Töreboda17.Uddevalla

Republic of SerbiaBacki Petrovac

Norway1.Alvdal2.Årdal3.Bergen4.Fredrikstad5.Harstad6.Høyanger 7.Klepp 8.Kvam9.Larvik10.Os11.Rakkestad12.Ski13.Sogn and Fjordane14.Spydeberg15.Stovner16.Trondheim17.Vågå

China1.Hong'qiao2.Huamu3.Jianwai Community4.Jing Ge Zhuang, Kailuan5.Jing’an6.Kangjian 7.Lu´an Community8.Maizidian 9.Qianjiaying, Kailuan 10.Wangjing11.Xicheng District, Beijing12.Yayuncun13.Youth Park Community14.Yuetan, Beijing

Updated to 2nd Nov 2008

Countries with designated Safe CommunitiesCountries with designated Safe Communities

In total: 120/145 in 26 countries5 and more

1-4

Safe Communities have:

1. An intersectoral approach

2. a long-term, sustained program covering everybody

3. but also targets on high-risk groups and environments

4. a documentation of injury incidence;

5. evaluation measures

6. participation in international networks.

All designated Safe Communities have:

child injury prevention/safety promotion

Most of them report incidence changes and program contents

Some report in international scientific journals

Falköping, Sweden

2 - 2 1/2 years program showeddecrease of injuries

on roads, at home and at work 27-28 %

pre-school children 45 % decrease other injuries 1 %(controls with no

programs)

Lidköping, Sweden

Showed a similar decrease as Falköping in the beginning, but can

now show a long-term decrease even after 20 years of intervention for child

injuries.

Motala, Sweden

Childhood injuries decreased by 26% in Motala and remained unchanged in the

control community.

Harstad, Norway

“Burns and scalds in children decreased in the iv.-area and increased in the control

area”.

VAEROY, NORWAY

1982-83 30% Reduction

1982-90 58% Reduction

VAEROY, NORWAY

1982-83 30% Reduction

1982-90 58% Reduction

”0-14 group significantly decreased in injury admissions compared with controls”

Safe CommunitiesA WHO Concept and a worldwide

policy movement

Safe CommunitiesA WHO Concept and a

worldwide policy movement(1)

1975- the first ”comprehensive” local community accident prevention program (Falköping in Sweden) starts

1980- The worldwide ”movement” starts slowly

1980’s- WHO developed their Safe Community Concept.

1986- The first joint contacts between WHO and the movement- Leuven in Belgium.

1987 Toulose meeting. The first agreement.

Safe CommunitiesA WHO Concept and a

worldwide policy movement

1989- WHO establishes The Safe Community Program in Stockholm at

the first World Conference of Injury Prevention and Safety Promotion

The Collaborating Centre on Community Safety

Promotion is officially established and

the Stockholm Manifesto on Safe Communities adopted.

Sweden•Swedish Association for Safe Communities (SCCC)

Czech RebublicCentre for Injury Prevention (ASCSC)

South AfricaCentre for Peace Action (ASCSC) (SCCC)

Canada• Safe Communities Canada (SCCC)

USA• National Safety Council (ASCSC)• Peaceful Resources Center (ASCSC)• Injury Prevention Research Center (ASCSC)

Colombia• Instituto CISALVA (SCCC)

China• China Occupational Safety & Health Association (ASCSC) • Occupational Safety and Health Council, Hong Kong (ASCSC)

South Korea• Center for Injury Prevention and Community Safety Promotion (ASCSC) (SCCC)

Bangladesh• Centre for Injury Prevention and Research (ASCSC)

Australia• Royal Children´s Hospital Safety Centre (ASCSC)• Australian Safe Communities Foundation (SCCC)

New Zealand• Safe Communities Foundation (ASCSC) (SCCC)

The Affiliate Safe Community Support Centres (ASCSC) and The Safe Community Certifying Centres (SCCC)

These Affiliate Centres are supporting the WHO CC in the development of the Safe Communities Program and providing advice and assistance in the field of injury prevention and safety promotion to the communities in their country and internationally. The Certifying Centres also take care of the certifying function of the WHO CC.

Chair

Leif Svanström

Co-ordinator

Moa Sundström