Preventing Injuries and Violence:

Setting up comprehensive Prevention programmes

Etienne Krug, MD, MPHDirector, Violence and Injury Prevention and Disability

WHO

Preventing Injuries and Violence:

Setting up comprehensive Prevention programmes

Etienne Krug, MD, MPHDirector, Violence and Injury Prevention and Disability

WHO

Health

Trans

port

Interior

Police

Road

trafficFallsBurns Drowning Suicide

Inter -

personal

violence

War

Health

Trans

port

Interior

Police

Road

trafficFallsBurns Drowning Suicide

Inter -

personal

violence

War

Abuse of alcohol and drugs, Gender and social inequalities,

Firearm avialibility, Social norms, Law enforcement, economy

Role of the media, Urban planning, etc

Road

Design,

Helmets,

Seat

belts,

etc

Swim-

ming,

fencing,

etc

Housing,

Sports,

etc

Norms,

Person-

ality,

stress

etc

Person-

ality,

Design,

etc

Stoves,

fuel,

Clothes,

etc

Geo

politics,

etc

Road

trafficFallsBurns Drowning War

Inter -

personal

violence

Suicide

Health

Trans

port

Interior

Police

Data collection

Research

Policies, legislation

Prevention and evaluation

Health and social services

Advocacy

Health

Trans

port

Interior

Police

Health

Trans

port

Interior

Police

Health

Welfare

Interior

Police

Health

Interior

Police Health

Health

Justice

Interior

Police

Health

Diplo

macy

Defense

Health

Welfare

Police

Road

trafficFallsBurns Drowning Suicide

Inter -

personal

violence

War

PoliciesPolicies

National public health plan

- Infectious diseases

- NCDs

- Injuries and violence

- etc

PoliciesPolicies

National public health plan

- Infectious diseases

- NCDs

- Injuries and violence

- etc

National plan for injuries

and violence prevention

Data

Prevention

Services

etc

Links with other sectors

PoliciesPolicies

National public health plan

- Infectious diseases

- NCDs

- Injuries and violence

- etc

National plan for injuries

and violence prevention

Data

Prevention

Services

etc

Links with other sectors

National plan for Prevention of violence

National Road Safety Strategy

National plan for burns prevention

LegislationLegislation

Science basedScience based

• Data on the magnitude

0% 20% 40% 60% 80% 100%

WPRO (HIC)

WPRO (MIC)

WPRO (LIC)

EURO (HIC)

EURO (MIC)

EURO (LIC)

EMRO (HIC)

EMRO (MIC)

EMRO (LIC)

SEARO (MIC)

SEARO (LIC)

AMRO (HIC)

AMRO (MIC)

AFRO (MIC)

AFRO (LIC)

VRU

Car occupants

Others

Science basedScience based

• Data on the magnitude

0% 20% 40% 60% 80% 100%

WPRO (HIC)

WPRO (MIC)

WPRO (LIC)

EURO (HIC)

EURO (MIC)

EURO (LIC)

EMRO (HIC)

EMRO (MIC)

EMRO (LIC)

SEARO (MIC)

SEARO (LIC)

AMRO (HIC)

AMRO (MIC)

AFRO (MIC)

AFRO (LIC)

VRU

Car occupants

Others

Science based: evaluationScience based: evaluation

EncourageDiscourage

Prevention

Evaluation

Prevention: examples of effective interventionsPrevention: examples of effective interventions

All injuries Reduce alcohol

availibility

Interpersonal violence Home visitation

Training for parents

Life skills training

Preschool enrichment

School based programmes to prevent dating violence

Suicidal behaviour Restrict access to means

Treat depression

Prevention: examples of effective interventions (2)Prevention: examples of effective interventions (2)

Road traffic injuries Introduce and enforce legislation on BAC

Graduated driver licensing

Introduce and enforce legislation on seatbelts

Introduce and enforce legislation on motor cycle helmets

Burns Banning fireworks

Smoke alarms

Drowning Introduce and enforce legislation on pool fencing

Teach how to swim

ServicesServices

• Emergency trauma care and rehabilitation services

• Integrated services:

• mental health support

• social services

• legal support, etc

Building capacityBuilding capacity