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
Joanne Vincenten, Child Safety Alliance, United Kingdom
The Cross Cutting Nature ofChild SafetyJoanne Vincenten and Morag MacKayEuropean Child Safety Alliance8thGlobal Conference on Health PromotionHelsinki, June 13, 2013
Examples of effective strategies…Strategy Demonstrated effectivenessRear facing child passengerrestraint systems90-95% reduction in injuriesForward facing child passengerrestraint systems60% reduction in injuriesIntroduction of 32 kph speed limitzones70% reduction in deathsCorrectly fitted bicycle helmets63-88% reduction in head andbrain injuriesBarrier fencing (4-sided) aroundprivate pools95% more protection againstdrowningWindow bars 35% reduction in deathsChild-resistant packaging forchemicals50% reduction in hospitaladmissionsRegulating flammability ofchildren’s sleepwear75% reduction in sleepwearrelated hospital admissions
€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 improvementssaves €3 €1 spent on prevention counselling bypaediatricians saves €10 €1 spent on poison control saves €7Adapted from: Centres for Disease Control, 2000Not only is injury preventablebut profitable!
To be more effectivewe need to put moreof the right piecestogether
A public report card looking at ‘action indicators’
1. Nine areas of safety relevant tochildren 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 prevention1. Three areas looking at strategies tosupport child safety efforts• leadership• infrastructure• capacityOverall safety grades
Child Safety Report CardsImplemented with 18 countries in 2007, 26 countriesin 2009 and 31 countries in 2012, they:•encouraged uptake of evidence based practices toprevent unintentional child injury•provided a user-friendly advocacy tool to increaseawareness, knowledge and drive policy actiontowards what we know works•allowed benchmarking and monitoring progresswithin and across countries•encouraged the creation of National Child SafetyStrategies
Country example –multi-sectoral partnershipsGovernment of the Czech Republic –National Action Plan of Child Accident Prevention-Ministry of Health-Ministry of Transport-Ministry of the Interior-Ministry of Education, Youthand Sports-Ministry of Labour and Social Affairs-Ministry of Industry and Trade-and national institutes, universities,medical centers
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 onlypossible with the work of multiple sectors• Injury provides an excellent example forcountries of both the benefits and the needsfor HiAP approachwww.childsafetyeurope.org