Data and global violence prevention:
WHO's perspective
Dr Christopher Mikton
Violence and Injury Prevention and Disability...
1.Define &
describe
What is the
Problem?
2.Identify risk
What are the risk
factors and causes?
4. Scaling up and
cost-effe...
Determinants of political priority of global public health
problems (Schiffman and Smith, 2007)
Description Factors shapin...
1.6
1.5
1.3
1.1
0.8
0 0.5 1 1.5 2
Millions of deaths per year
Malaria
Road traffic
Violence
Tuberculosis
HIV/AIDS
Source: ...
35%35%
11%11%
54%54%
Data on violence: non-fatal violence – global estimates
Consequences of non-fatal violence (severity)
• Behavioural changes
• smoking
• alcohol
• drugs
Cancer
Cardio-vascular dis...
Credible indicators?
Many gaps in the data:
•Fatalities
• WHO cause of death registration data for 79/157 countries
• UNOD...
Effective interventions
• Few widely tested;
• Limited evidence for
cost-effectiveness;
•Most involve complex
change;
•Gun...
WHO's response: recent WHO resolution
• Urges Member States to
• Collect more data
• Increase prevention
• Strengthen serv...
Global status report on violence prevention
• Baseline information on
national responses
• data collection
• prevention (l...
Global information system on violence prevention
• Database & user-friendly web-site
• Integrated in GHO
Child
maltreatmen...
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Christopher Mikton, World Health Organization (WHO)

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"From data collection to action: what data is needed for global policies?"
Regional Review Conference on the Geneva Declaration on Armed Violence and Development
Geneva, Switzerland | 8-9 July 2014

Published in: Government & Nonprofit
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Christopher Mikton, World Health Organization (WHO)

  1. 1. Data and global violence prevention: WHO's perspective Dr Christopher Mikton Violence and Injury Prevention and Disability World Health Organization
  2. 2. 1.Define & describe What is the Problem? 2.Identify risk What are the risk factors and causes? 4. Scaling up and cost-effectiveness Implement on large- scale & cost 3.Develop and evaluate interventions What works and for whom? Data at heart of the public health approach
  3. 3. Determinants of political priority of global public health problems (Schiffman and Smith, 2007) Description Factors shaping political priority Actor power Strength of individuals and organizations Policy community cohesion Leadership Guiding institutions Civil society mobilization Ideas How the issue is understood and portrayed Internal frame External frame Political contexts Environments in which actors operate Policy windows Global governance structure Issue characteristics Features of the problem Credible indicators Severity Effective interventions
  4. 4. 1.6 1.5 1.3 1.1 0.8 0 0.5 1 1.5 2 Millions of deaths per year Malaria Road traffic Violence Tuberculosis HIV/AIDS Source: WHO Global Burden of Disease estimates, 2011 update. Data on violence: Fatal violence
  5. 5. 35%35% 11%11% 54%54%
  6. 6. Data on violence: non-fatal violence – global estimates
  7. 7. Consequences of non-fatal violence (severity) • Behavioural changes • smoking • alcohol • drugs Cancer Cardio-vascular diseases Other NCDs Mental health effects • Depression • Anxiety, insomnia, etc • Injuries • HIV and other STDs • Unwanted pregnancies Abortion + consequences • Disability Suicidal behaviour
  8. 8. Credible indicators? Many gaps in the data: •Fatalities • WHO cause of death registration data for 79/157 countries • UNODC Crime Trends Survey data: 50% countries in world • GSRVP: Similar gaps (fewest data on "armed violence"). •Non-fatal • Few countries have reliable data on non-fatal violence • More surveys are being done • GSRVP: huge gaps •Difficult to set baselines or measure prevention progress
  9. 9. Effective interventions • Few widely tested; • Limited evidence for cost-effectiveness; •Most involve complex change; •Gun control politically sensitive; •Strategies to impact social determinants poorly developed; •But field is young & there is lots of emerging evidence
  10. 10. WHO's response: recent WHO resolution • Urges Member States to • Collect more data • Increase prevention • Strengthen services • Requests WHO to • Deliver Global status report on violence prevention • Develop global plan of action • Enhance data collection, collation, synthesis ad reporting • Strengthen support for prevention and services
  11. 11. Global status report on violence prevention • Baseline information on national responses • data collection • prevention (laws, programmes) • services • Joint WHO/UNDP/UNODC publication • Input to global plan of action • Likely to be repeated every four years
  12. 12. Global information system on violence prevention • Database & user-friendly web-site • Integrated in GHO Child maltreatment Youth violence Intimate partner violence Sexual violence Elder maltreatment Homicide (cross-cutting) 1. Definitions 2. Main survey instruments 3 Prevalence 4. Consequences 5. Risk factors 6. Prevention and response strategies and programmes 7. Evidence-based programmes that have been scaled-up 8. Measures countries are taking to prevent and respond to violence

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