TARGETING CITIES AND COUNTRIES

REBECCA BAVINGER, MPA

SEPTEMBER 21, 2016

BLOOMBERG PHILANTHROPIES

PUBLIC HEALTH PROGRAMS

• Tobacco Control 2007-2016

• Road Safety 2007-2019

• Maternal and Reproductive Health 2007-2020

• Obesity Prevention 2012-2015

• Drowning Prevention 2012-2017

• Polio Eradication 2013-2018

• Data for Health 2015-2019

STRATEGY

1) Strengthen legislation in countries;

2) Improve vehicle standards in emerging markets;

3) In cities, use advocacy, training, and monitoring efforts to implement proven interventions:

Helmet Use

Seat-Belts Use

Drinking & Driving Prevention

Speed Reduction

Infrastructure Improvements

Sustainable Urban Transport

ROAD SAFETY COMMITMENT

5 YEARS: 2015-2019, $125M

GOAL

DECREASE ROAD TRAFFIC

DEATHS AND INJURIES

CITY COMPETITIONCompetitive Process Among 20 Cities:

• Low- and middle-income

• City Population > 2M

• Mayor in place through 2017

• Commitment to submit proposal of activities

• Politically stable/safe to conduct meaningful work

• In 10 biggest LMIC countries, consider only 3 biggest cities over 2M eligible

BOGOTA, COLOMBIA

SÃO PAULO, BRAZIL

SHANGHAI, CHINA

MUMBAI, INDIA

BANGKOK, THAILAND

HO CHI MINH CITY, VIET NAM

FORTALEZA, BRAZILBANDUNG, INDONESIA

ACCRA, GHANAADDIS ABABA, ETHIOPIA

OVER 5 MILLION POPULATION

2 - 5 MILLION POPULATION

BLOOMBERG INITIATIVE FOR GLOBAL ROAD SAFETY 2015-2019

10 CITIES SELECTED FOR INCLUSION IN THE ROAD SAFETY INITIATIVE

6

COUNTRY SELECTIONCountry Selection:

• 24 LMIC countries with high burden of road traffic fatalities

• Opportunities to strengthen legislation

• Minimum security concerns to conduct work

• Letter of commitment from government to strengthen road safety legislation

PU

BL

IC H

EA

LT

H

88

CITY FOCUS

• Vital Strategies to work with respective city agencies to develop media campaigns

• Embedded staff person in city government to coordinate with Vital Strategies

• Cities responsible for supporting air time

• Coordination with GRSP on media campaigns followed by enhanced police enforcement

CREATING GRAPHIC MEDIA CAMPAIGNS

• Global Road Safety Partnership (GRSP) to train police on

enhanced enforcement

• Embedded staff person in city government to coordinate

with GRSP

• Prioritize police training on behavioral interventions:

1) Helmet Use

2) Seat-belt Use

3) Drinking and Driving Prevention

4) Speed Reduction

STRENGTHENING POLICE ENFORCEMENT

• Grants available through GRSP Grants Program to support local

organizations and municipal governments on advocacy for

policy change or support for implementation of evidence-based

interventions

• Global Health Advocacy Incubator to provide advocacy-related

technical support to grantees

• Round 10 of grants (June 2016) open to all cities/countries in

Bloomberg Philanthropies Initiative for Global Road Safety

INCREASING ROAD SAFETY ADVOCACY

• JHU Bloomberg School of Public Health to conduct monitoring and evaluation of behavioral interventions

• Vital Strategies, with technical support from JHU, to enhance hospital, transport and police surveillance systems

IMPROVING CITYWIDE DATA COLLECTION AND MONITORING

• EMBARQ, National Association of City

Transportation Officials (NACTO), World Bank

Global Road Safety Facility / iRAP to make

streets safer through road assessments and

support on street design

• Embedded staff person and city government

staff to coordinate with EMBARQ, NACTO and

World Bank GRSF / iRAP

CREATING SAFER STREETS AND SAFER MOBILITY

HOW TO COORDINATE SO MANY SSSM PARTNERS?• JOINT WORKSHOPS / SITE VISITS / PROJECTS

• JOINT SET OF RECOMMENDATIONS

HOW TO MOVE CITY TO IMPLEMENT SAFETY RECOMMENDATIONS?• REGULAR MEETINGS WITH CITY / REVIEW BUDGET OPPORTUNITIES

• DEMONSTRATE POSSIBILITIES

• IDENTIFY ISSUES AND SOLUTIONS

• SUPPORT IMPLEMENTATION

IRAP PROGRESS IN BIGRS CITIES

COUNTRY FOCUS

PU

BL

IC H

EA

LT

H

1818

• WHO analyzing road safety legislation and working

with Ministry of Health and other Ministries to

strengthen road safety legislation

• Designated staff persons in WHO country offices

(except India)

• EMBARQ and World Bank Global Road Safety

Facility supporting legislative efforts in India and

China

STRENGTHENING NATIONALROAD SAFETY LEGISLATION

• Global Status Report on Road Safety – 2015, 2017, 2019

• Grants available through GRSP Grants Program to

support advocacy for strengthening road safety

legislation

• Global Health Advocacy Incubator to provide advocacy-

related technical support to grantees

• New countries (China, India, Philippines, Thailand,

Tanzania) & legacy* countries from 2010-2014 program

eligible for grants

INCREASING NATIONAL LEVEL ROAD SAFETY ADVOCACY

*legacy countries – Brazil, Cambodia, Kenya, Mexico, Turkey, Vietnam; Russia and Egypt not eligible

IRAP PROGRESS IN BIGRS COUNTRIES

• Support crash tests in Asia, India and Latin America

• Advocate for safer cars and push automobile

manufacturers to comply

• Pilot new surveillance system that tracks vehicle

compliance with global standards

• Global Health Advocacy Incubator will work with

Global New Car Assessment Program to advocate for

improved vehicle standards

good

adequate

marginal

weak

poor

EUROPE: Frontal Impact 14,9 pts

LATIN AMERICA: Frontal Impact 0,0 pts

DRIVERPASSENGER

DRIVER PASSENGER

IMPROVING VEHICLE STANDARDS

1.6 Billion people in six countries covered by strengthened road safety laws

2015–2016by the numbers

7,978 PROFESSIONALS

19VEHICLES TESTEDin three regions and safety results released to the public

114 LAWYERS TRAINEDin five countries through the Legal Development Program

914 MILESof high-risk roads assessed and improvements recommended

46 STAFF

committed by governments to run mass media campaigns

3 COUNTRIES OR LOCALITIESpassed new or enhanced road safety policies

5 MASS MEDIA CAMPAIGNSimplemented in three countries on targeted road user risk factors

39GRANTSin 10 countries to enhance advocacy

7published in peer-reviewed journals

SCIENTIFIC ARTICLES

24MILESbus, bicycle, & pedestrian corridors assessed & improvements recommended

2.35MILLIONobservations made on drinking and driving, speed, and seat-belt & helmet use

$1.58MILLION

hired to work in cities to coordinate road safety interventions and surveillance

348 JOURNALISTStrained from five countries

trained on road safety interventions and advocacy

PROGRESS SINCE 2007

+20,500 police trained on effective road safety

enforcement

lives saved

by 2023

11,000 miles of high-risk roads assessed and improvements recommended

1.95 billion people covered by strengthened

road safety laws

19 vehicles crash tested

125,000+65 million people reached by mass

media campaigns in 11

countries

THANK YOU!

REBECCA@BLOOMBERG.ORG

212-205-0387