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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The Cross Cutting Nature of Child Safety: Effective Strategies Across Sectors
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
2.
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
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
Hinweis der Redaktion
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