Joanne Vincenten, Child Safety Alliance, United Kingdom
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This document discusses strategies for improving child safety that have demonstrated effectiveness across multiple areas. It notes that strategies like rear-facing car seats, bicycle helmets, and pool fencing have shown significant reductions in injuries. The document advocates for a multi-sectoral approach to child safety that brings together groups like health, transportation, and education. It presents examples of cross-cutting strategies like bicycle helmet promotion that can improve health, safety, and the environment simultaneously. The key messages are that child injuries are a major problem, proven solutions exist but require coordinated, multi-sectoral implementation, and injury prevention is a prime example of an issue that benefits from a "Health in All Policies" approach.
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Joanne Vincenten, Child Safety Alliance, United Kingdom
- 1. The Cross Cutting Nature of Child Safety Joanne Vincenten and Morag MacKay European Child Safety Alliance 8th Global Conference on Health Promotion Helsinki, June 13, 2013
- 3. Examples of effective strategies… Strategy Demonstrated effectiveness Rear facing child passenger restraint systems 90-95% reduction in injuries Forward facing child passenger restraint systems 60% reduction in injuries Introduction of 32 kph speed limit zones 70% reduction in deaths Correctly fitted bicycle helmets 63-88% reduction in head and brain injuries Barrier fencing (4-sided) around private pools 95% more protection against drowning Window bars 35% reduction in deaths Child-resistant packaging for chemicals 50% reduction in hospital admissions Regulating flammability of children’s sleepwear 75% reduction in sleepwear related hospital admissions
- 4. €1 spent on smoke alarms saves €69 €1 spent on bicycle helmets saves €29 €1 spent on child safety seats saves €32 €1 spent on road safety improvements saves €3 €1 spent on prevention counselling by paediatricians saves €10 €1 spent on poison control saves €7 Adapted from: Centres for Disease Control, 2000 Not only is injury preventable but profitable!
- 5. To be more effective we need to put more of the right pieces together
- 6. A public report card looking at ‘action indicators’
- 7. 1. Nine areas of safety relevant to children and adolescents • moped/motor scooter safety • passenger/driver safety • pedestrian safety • cycling safety • water safety/drowning prevention • fall prevention • poisoning prevention • burn/scald prevention • choking/strangulation prevention 1. Three areas looking at strategies to support child safety efforts • leadership • infrastructure • capacity Overall safety grades
- 8. Child Safety Report Cards Implemented with 18 countries in 2007, 26 countries in 2009 and 31 countries in 2012, they: •encouraged uptake of evidence based practices to prevent unintentional child injury •provided a user-friendly advocacy tool to increase awareness, knowledge and drive policy action towards what we know works •allowed benchmarking and monitoring progress within and across countries •encouraged the creation of National Child Safety Strategies
- 9. Country example – multi-sectoral partnerships Government of the Czech Republic – National Action Plan of Child Accident Prevention -Ministry of Health -Ministry of Transport -Ministry of the Interior -Ministry of Education, Youth and Sports -Ministry of Labour and Social Affairs -Ministry of Industry and Trade -and national institutes, universities, medical centers
- 10. Cross cutting approaches with multiple benefits • Bicycling and helmet use • Cross cutting approaches - Education - Engineering - Enforcement • With multiple outcomes Reduced head injuries Increased physical activity Reduced obesity Reduced road traffic and environmental pollution
- 11. Take home messages • Child injury is a leading cause of death, disability, burden and inequity • Evidence-based cost effective solutions exist • Effective implementation of solutions is only possible with the work of multiple sectors • Injury provides an excellent example for countries of both the benefits and the needs for HiAP approach www.childsafetyeurope.org
Notes de l'éditeur
- Child injury is a leading cause of death, disability, burden and inequity for children in the Europe and world wide.
- Evidence- based solutions exist, but are not all are adopted, implemented and enforced in European Countries.
- Prevention has also been show to be cost effective with financial returns to the health system... As well as to other sectors including children and their families. Yet there can still be resistance. Competing priorities Lack leadership and infrastructure Lack of capacity Willingness to change Ineffective actions can be transferred easier than effective ones
- Cross sector partnerships are needed to implement child safety strategies. T he cross cutting nature of child injury to health, environment, education, employment, finance, justice, transport, tourism, rescue services, consumer protection, sport and housing that links to issues such as obesity, quality of life, inequities, alcohol, violence, climate change , consumer protection, mental health, wellbeing and children’s rights
- Child Safety Report Cards assess a countries’ level of safety through ‘action indicators’ measuring the adoption and implementation/enforcement of evidence-based national level policies to reduce childhood unintentional injuries. The indicator-based Report Cards identify strengths and weaknesses in current measures of child safety in each country, detail gaps and make recommendations to address gaps
- Also working on VAC RC which includes the areas of child abuse, maltreatment, neglect, peer to peer violence and suicide and self harm.
- Applying the report card concept and methodology to other areas of injury Conducting more detailed investigation of single policy areas Investigating report card application beyond national levels of influence to regional and local settings