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The Potential of the International Safe Communities’ Model to 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, 2008 Leif Svanström, Chair WHO CC Community Safety Promotion 1. Priorities of the national policy in Vietnam Traffic injuries Occupational Injuries Childhood 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 system Safe 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 Sonh 7,650 inh 106. Da Trach 5,188 inh 107. Dong Tien 6,000 inh 108. Xuan Dinh 23,124 inh 145. Duc Chinh (2008) 12,730 inh (two more in dec 2008) 104. Lang Co 11,868 inh Mr.Tinh- The head of Steering Committee of Injury 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 Sonh 7,650 inh • Childhood Injury prevention with intervention measures to reduce 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 106. Da Trach 5,188 inh Mr. Thuy- Head of communal health 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, food poisonings. 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; The Safe Communities Network Designated Members Norway Alvdal Bergen Fredrikstad Harstad Høyanger Klepp Kvam Larvik Os Rakkestad Sogn &Fjordane Ski Spydeberg Stovner Trondheim Vågå Årdal Sweden Arjeplog Borås Falköping Falun Katrineholm Krokom Lidköping Ludvika Mariestad Motala Nacka Skövde Smedjebacken Staffanstorp Tidaholm Töreboda Uddevalla Denmark Horsens Finland Hyvinkää Kouvola Estonia Rapla Netherlands Rotterdam Austria Vorarlberg Poland Tarnowskie Góry Serbia Backi Petrovac Czech Republic Kromeriz Bosnia (B&H) Konjic Iran Arsenjan Bardaskan Kashmar Israel Raanana South Africa Eldorado Park Broadlands Park & Nomzamo South Korea Jeju Canada Suwon Brampton Songpa Brockville Vietnam Calgary Da Trach Wood Buffalo Dong Tien Rainy River Duc Chinh Sault Ste. Marie Lang Co USA Japan Loc Sonh Anchorage Kameoka Xuan Dinh Peru Dallas Australia China San Borja Omaha Denmark Financial Sub-district Chile Springfield Hume City Hong'qiao Peñaflor Latrobe Huamu Mackay/Whitsunday Jianwai Manly Jing Ge Zhuang Melbourne Jing’an Mosman Kangjian Noarlunga Lu’an Northcott Maizidian Palmerston Qianjiaying Pittwater Wangjing Ryde Yayuncun Townsville Youth Park Warringah Yuetan New Zealand Alishan (Province of Taiwan) Christchurch Dungshr (Province of Taiwan) New Plymouth Fongbin (Province of Taiwan) North Shore Neihu (Province of Taiwan) Porirua Kwai Tsing (Hong Kong) Taurange Sham Shui Po (Hong Kong) Waimakariri Tuen Mun (Hong Kong) Waitakere Tai Po (Hong Kong) Wellington Tung Chung (Hong Kong) Whangarei Tsuen Wan (Hong Kong) Safe Communities have: 1. 2. An intersectoral approach; a long-term, sustained program covering everybody; 3. 4. but also targets on high-risk groups and environments; a documentation of injury incidence; 5. 6. evaluation measures; and participation in international networks. All 148 designated Safe Communities have: child injury prevention/safety promotion Most of them report incidence changes and program contents Some report in international scientific journals (See next!) Childhood injuries (Scandinavia) Falköping, Sweden (3 years) Roads, home and work: 27-28 %, (pre-school children: 45 %) decrease (control community unchanged) Motala, Sweden(5 years) 26% decrease - (control community unchanged) Lidköping, Sweden (27 years) 41% decrease (from 10.3 to 6.1/ 1000) Harstad, Norway (10 years) Burns and scalds decrease in iv areas (52% resp. 40%) and increase in the control area (18%) Traffic 59% decrease (control area 3% increase) ”0-14 group significantly decreased in injury admissions compared with controls” Safe Communities- A WHO Concept and a worldwide policy movement 1975- Falköping in Sweden starts 1980’s- WHO developed their Safe Community Concept. 1989- WHO establishes The Safe Community Program in Stockholm and The Collaborating Centre on Community Safety the Stockholm Manifesto on Safe Communities adopted Chair Co-ordinator Leif Svanström Moa Sundström