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Appendix 6

Child Injury Prevention meeting, WHO, Geneva, 31 March - 1 April 2005

unicef

Child Injury Prevention: What have we achieved

andWhere are we?

Dr. Huan LinnanUNICEF East Asia and Pacific Regional Office

unicef

Organizational StrengthsWorking in 158 countries with field programs

Work with multiple sectors:HealthEducationWomen’s and children’s affairs Child protectionSocial policy and welfare

unicef

Milestones on Child Injury• Innocenti Research Center study (2001)• “Child Deaths by Injury in Rich Nations”

• Injury was the principal cause of child deaths• in every single industrialized country

•Almost 40 % of deaths in 1-14 age group

• Injury deaths have been reduced • substantially over the past 50 years

unicef

Milestones on Child Injury

UN General Assembly held a Special Session on Children (2002)

“A World Fit for Children” – adopted a set of goals for children and youth

“Reduce child injuries due to accidents or other causes through the development and implementation of appropriate preventive measures”

unicef

Milestones on Child InjuryEast Asia and Pacific Region and South Asian Region offices have undertaken child injury prevention activities (2000)

Potentially covers almost 2/3 of the children in the developing world

unicef

Strategic ApproachesKnowledge guides interventions

Multi-sector collaboration

Integration – use existing program platforms/service delivery personnel

Community mobilization / Child participation

Communication for behavior change

Leverage resource for interventions

Adopt developed countries experience (3 Es)

Appendix 6


unicef

Injury Surveys (National and mega city)Collaboration with Governments and TASC

Vietnam 2001 128,000

Bangladesh 2003 698,000

China (Beijing) 2003 87,000

Philippines 2003 418,552

Thailand 2003 470,000

Indonesia (drowning) 2003 104,000

unicef

EAPRO Regional Activities• Advocacy - National and international leaders• Coordination and technical support • Capacity Building for CO and counterparts• Research, program design and implementation• Developing region-wide initiative• e.g. Integrate drowning prevention into child

survival activities

unicef

Vietnam (since 2000)

1. Vietnam National Injury Survey (VMIS) provided the evidence base for advocacy to policy makers, donors, NGOs

•• 2. Multi-sectoral collaboration

1. 3. Raise public awareness through mass media

2. 4. Model demonstration sites

unicef

Vietnam -- Model Sites in 6 Provinces

Multi-sector steering committee

Community mobilizationEducation - parents, care takers, students

Environment modification - home, school, kindergarten, community

unicef

Vietnam (cont’d)

• 5. Strengthen MOH • surveillance • 6. Support EMS• 7. Capacity

building• 8. Landmine /UXO • awareness and • education

unicef

Bangladesh – 2004/5Completed National Injury Survey, risk factor and

qualitative research as evidence base

Pilot project in 3 districts covering almost 1 million

Test efficacy/cost effectiveness of interventions

Child Safe Homes, Schoolsand Communities

Care taking behavior

Adult supervision

Appendix 6


unicef

Bangladesh – 2006/10

Advocacy, policy change

Mass Communication

Community mobilization

and participation

Skill based safety curriculum at schools

Reach out of school children and adolescents

unicef

ChinaTwo-prong approach began with Beijing Injury Survey to provide evidence base for Beijing

Beijing pilot child injury prevention program in both urban and rural districts (2005-2008) with multi-sector participation

Conduct next injury survey in other regions

Integrate child injury prevention into next country program

unicef

China (cont’d)

Government Action:

Set targets for decreasing child injury in Beijing Plan of Action for Children (2006 - 2010)

Integrate injury into school health surveillance system

Promote and enforce relevant safety policy and regulations in the city of the Beijing

unicef

Philippines- Use National Injury Survey as evidence base for advocacy/interventions

- Build partnership with GOP and NGO- Work with private sector on communication interventions on RTA

Thailand- Use National Injury Survey as evidence base for advocacy/interventions

- Government committed to RTA prevention - Advocate to include other causes of child injury in the national agenda

unicef

Indonesia

Conduct provincial pilot for the national injury survey

Malaysia

Child injury is one of the three priority programsConduct national survey

unicef

Other RegionsCentral and Eastern Europe / NIS child injury study (1998)- Child and adolescent injuries are a major unrecognized problem in CEE and NIS countries. The leading cause is drowning

The Americas /Caribbean - Initiated small scale interventions in RTA, child labor and violence

Gulf states – will develop a major initiative in research, communication and interventions

Appendix 6


unicef

The Way ForwardAddressing child injury to achieve the MDGs

Position child injury prevention in the organizational Medium Term Strategic Plan (MTSP) and child survival strategy

Integrate injury prevention into relevant sectors and programs

unicef

UNICEF is the driving force that helps build a world where the

rights of every child are realized

A childhood free from injury is every child’s right

Appendix 6


ian scott child - who · • e.g. integrate drowning prevention into child survival activities...

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