1. 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

2. 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

3. Communities in Vietnam designated in 2006 and 2008 104. Lang CoLang Co 11,868 inh 105. Loc SonhLoc Sonh 7,650 inh 106. Da TrachDa Trach 5,188 inh 107. Dong TienDong Tien 6,000 inh 108. Xuan DinhXuan Dinh 23,124 inh 145. Duc Chinh (2008) 12,730 inh

4. 104. Lang CoLang 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.

5. 104. Lang CoLang 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.

6. 105. Loc Sonh 7,650 inhLoc Sonh 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

7. 105. Loc SonhLoc Sonh 7,650 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%.

8. 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.

9. 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.

10. 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.

11. 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;

12. 108. Xuan Dinh 26,124 inh Fencing ponds to prevent deviated dives from the roads Mr. Thanh- The head of Steering Committee of Injury Prevention/Safe Community Development Steering Committee with 15 members

13. 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 2002 WHO Collaborating Centre on Community Safety Promotion Duc Chinh (145) Safe Community Designation Nov 2, 2008

14. 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 2002 WHO Collaborating Centre on Community Safety Promotion

17. Safe Community concept and networks introduced on location Spreading the Safe Communities concept 1989-2008

18. Hong Kong 1.Kwai Tsing 2.Sham Shui Po 3.Tai Po 4.Tsuen Wan 5.Tuen Mun 6.Tung Chung Canada 1.Brampton 2.Brockville 3.Calgary 4.Rainy River Valley 5.Sault Ste. Marie 6.Wood Buffalo Vietnam 1.Da Trach 2.Dong Tien 3.Lang Co 4.Loc Sonh 5.Xuan Dinh 6. Duc Chinh Australia 1.Denmark 2.Hume City 3.Latrobe 4.Mackay/Whitsunday 5.Melbourne 6.Noarlunga 7.Northcott 8.Palmerston 9.Ryde 10.SHOROC 11.Townsville Austria State of Vorarlberg Bosnia and Herzegovina Konjic Chile Peñaflor Israel Raanana China (Province of Taiwan) 1.Alishan 2.Dungshr 3.Fongbin 4.Neihu Czech Republic Kromeriz Denmark Horsens Estonia Rapla Finland 1.Hyvinkää 2.Kouvola Iran 1.Arsanjan 2.Bardaskan 3.Kashmar Japan Kameoka Korea 1.Jeju 2.Songpa 3.Suwon South Africa 1.Eldorado Park 2.Nomzamo–Broadlands Park New Zealand 1.Christchurch 2.New Plymouth 3.North Shore 4.Porirua 5.Tauranga 6.Waimakariri 7.Waitakere 8.Wellington 9.Whangarei USA 1.Dallas 2.Anchorage 3.Omaha 4.Springfield Peru San Borja (Lima) Sp. Poland Tarnowskie Góry The Netherlands Rotterdam Sweden 1.Arjeplog 2.Borås 3.Falköping 4.Falun 5.Katrineholm 6.Krokom 7.Lidköping 8.Ludvika 9.Mariestad 10.Motala 11.Nacka 12.Skövde 13.Smedjebacken 14.Staffanstorp 15.Tidaholm 16.Töreboda 17.Uddevalla Republic of Serbia Backi Petrovac Norway 1.Alvdal 2.Årdal 3.Bergen 4.Fredrikstad 5.Harstad 6.Høyanger 7.Klepp 8.Kvam 9.Larvik 10.Os 11.Rakkestad 12.Ski 13.Sogn and Fjordane 14.Spydeberg 15.Stovner 16.Trondheim 17.Vågå China 1.Hong'qiao 2.Huamu 3.Jianwai Community 4.Jing Ge Zhuang, Kailuan 5.Jing’an 6.Kangjian 7.Lu´an Community 8.Maizidian 9.Qianjiaying, Kailuan 10.Wangjing 11.Xicheng District, Beijing 12.Yayuncun 13.Youth Park Community 14.Yuetan, Beijing Updated to 2nd Nov 2008 Countries with designated Safe Communities In total: 120/145 in 26 countries 5 and more 1-4

19. 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.

20. 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

21. Falk ö ping, Sweden 2 - 2 1/2 years program showed decrease of injuries on roads, at home and at work 27-28 % pre-school children 45 % decrease other injuries 1 %(controls with no programs)

22. Lidk ö ping, 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.

23. Motala, Sweden Childhood injuries decreased by 26% in Motala and remained unchanged in the control community.

24. Harstad, Norway “Burns and scalds in children decreased in the iv.-area and increased in the control area”.

25. VAEROY, NORWAY 1982-83 30% Reduction 1982-9058% Reduction

26. VAEROY, NORWAY 1982-83 30% Reduction 1982-9058% Reduction

27. ”0-14 group significantly decreased in injury admissions compared with controls”

28. Safe Communities A WHO Concept and a worldwide policy movement

29. Safe Communities A 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.

30. Safe Communities A 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.

31. Sweden Swedish Association for Safe Communities (SCCC) Czech Rebublic Centre for Injury Prevention (ASCSC) South Africa Centre 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.

32. Chair Leif Svanström Co-ordinator Moa Sundström