BC Injury Prevention Strategy Working Paper for Discussion.

BC Injury Prevention Strategy

Working Paper for Discussion

Purpose

• To establish a framework for the injury prevention activities of government, crown corporations, NGOs, communities and individuals

• To establish clear direction for reducing the societal and economic burden of injury among all age groups in British Columbia

Development of the Strategy

• Follows an extensive process of consultation and collaboration with members of the injury prevention community in British Columbia which resulted in a comprehensive discussion paper

• Received the endorsement and support of the BC Injury Prevention Leadership Network, as well as the larger community of injury prevention professionals and practitioners in the province

Strategy Stakeholders

• Government and non-government organizations with an involvement in injury prevention

• Government will apply the Strategy across government portfolio areas

• Includes municipal government, non-government agencies, businesses, communities, families and individuals

Challenges

• Fragmentation of effort• Gaps in injury prevention activity• Injury Prevention Professionals and

Practitioners• Quality of, access to, and dissemination of

injury information• Injury Burden among First Nations and

Aboriginal Peoples (attending to TCA)

Elements

• Vision• Three Over-arching Goals• Six Strategic Objectives• Thirteen Strategic ActionsActing on

• Seven Key Injury IssuesUtilizing a Population Health Approach within a framework of

• Nine Principles

Population Health Approach

• Understand Risk and protective factors

• Identify Intervention point (host, agent, environment)

• Design Prevention Intervention (education, engineering, enforcement)

INTERVENTION

PREVENTION

RISK / PROTECTIVE FACTORS

CommunitySocialRelationshipIndividual

ECOLOGIC MODEL (including Social Determinants of Health)

Physical & Social Environment Agent Host

HADDON’S MATRIX

EngineeringEnforcementEducation

3 E’s of PREVENTION

SPECTRUM OF PREVENTION

APPLICATION TO: •Program and Policy Development •Tool Development •Program and Policy Evaluation•Gap Analysis

Evidence-based Approach

• addresses the multiple risk and protective factors that contribute to injury

• encourages environmental, social and behavioral change

• engages the people who are most at risk• involves action across multiple sectors

(e.g. health, police, education)• is sustained and reinforced over time

Principles

• Coordination and Collaboration• Relationship with First Nations• Shared Responsibility and Collective Action• Personal skills and responsibility• Safe Environments• High Quality, Comprehensive Injury Data• Effective Evidence-based decision-making• Integration• Anticipate and respond to change

Vision

Toward being The Best Place on Earth,British Columbia has the lowest injury rate of

any jurisdiction in the world

Over-arching Goals

• Achieve a positive safety culture– A positive safety culture is a shared set of beliefs,

attitudes, values and ways of behaving that support the prevention of injury, including improved safety and preventive skills

• Create safe, supportive environments– Safe, supportive environments are social and physical

surroundings or conditions that promote and support the prevention of injury

• Ensure supportive infrastructure– Supportive infrastructure includes the availability of

relevant injury prevention products and knowledge, in a timely manner to those who need them

Strategic Objectives

• Leadership, Planning and Priority Setting– To align stakeholders and optimize efficiency and

effectiveness

• Advocacy and Public Policy– To enable government, institution and organization

action to reduce the risk of injury in home, school, work, transport and recreational environments

• Community Capacity Development – To enable communities to design, implement, evaluate

and communicate information on injury prevention activity

Strategic Objectives

• Knowledge Transfer and Public Education– To increase awareness that most injuries are predictable

and preventable, and to enable people to reduce their risk of injury at home, school, work and play, and while traveling between these

• Engineering and Enforcement– To build in injury prevention and enable public and

organizational compliance with legislated safety requirements and organizational policy

• Research, Surveillance and Evaluation– To enable the development and dissemination of

relevant injury prevention products and knowledge, in a timely manner to those who need them

Injury Prevention Priority Areas

• Motor Vehicle Traffic Crashes (including bicycle and pedestrian injuries)

• Falls• Unintentional Poisoning• Violence and Abuse• Occupational and vocational (including

Sport and Recreation) injuries• Drowning and near drowning• Fire, Flames and Hot Substances

Falls

Motor Vehicle Crashes

Unintentional Poisoning

Violence and Abuse

Occupational & vocational

Drowning and near drowning

Fire, Flames and Hot Substances

Inju

ry P

reve

ntion

Pri

ority

Are

as

Con

ceptu

al F

ram

ewor

kfo

r In

jury

Pre

vent

ion

Pop

ula

tion

Hea

lth

Appro

ach

Com

munity

Cap

acity

Dev

elop

men

t

Advo

cacy

and

Publ

ic P

olic

y

Lea

der

ship

, Pla

nnin

g an

d P

rior

ity

Sett

ing

Know

ledge

Tra

nsfe

r an

d P

ubl

ic E

duca

tion

Eng

inee

ring

and

Enf

orce

men

t

Res

earc

h, S

urv

eilla

nce

and E

valu

atio

n

Strategic Objectives

Falls

Motor Vehicle Crashes

Unintentional Poisoning

Violence and Abuse

Occupational & vocational

Drowning and near drowning

Fire, Flames and Hot Substances

Inju

ry P

reve

ntion

Pri

ority

Are

as

Con

ceptu

al F

ram

ewor

kfo

r In

jury

Pre

vent

ion

Pop

ula

tion

Hea

lth

Appro

ach

Com

munity

Cap

acity

Dev

elop

men

t

Advo

cacy

and

Publ

ic P

olic

y

Lea

der

ship

, Pla

nnin

g an

d P

rior

ity

Sett

ing

Know

ledge

Tra

nsfe

r an

d P

ubl

ic E

duca

tion

Eng

inee

ring

and

Enf

orce

men

t

Res

earc

h, S

urv

eilla

nce

and E

valu

atio

n

Falls

Motor Vehicle Crashes

Unintentional Poisoning

Violence and Abuse

Occupational & vocational

Drowning and near drowning

Fire, Flames and Hot Substances

Inju

ry P

reve

ntion

Pri

ority

Are

as

Con

ceptu

al F

ram

ewor

kfo

r In

jury

Pre

vent

ion

Pop

ula

tion

Hea

lth

Appro

ach

Con

ceptu

al F

ram

ewor

kfo

r In

jury

Pre

vent

ion

Pop

ula

tion

Hea

lth

Appro

ach

Com

munity

Cap

acity

Dev

elop

men

t

Advo

cacy

and

Publ

ic P

olic

y

Lea

der

ship

, Pla

nnin

g an

d P

rior

ity

Sett

ing

Know

ledge

Tra

nsfe

r an

d P

ubl

ic E

duca

tion

Eng

inee

ring

and

Enf

orce

men

t

Res

earc

h, S

urv

eilla

nce

and E

valu

atio

n

Strategic Objectives

VISION

Toward being The Best Place on Earth,British Columbia has the lowest injury rate of any jurisdiction in the world

GOALS

Achieve a positive safety culture Create safe, supportive environments Ensure supportive infrastructure

STRATEGIC OBJECTIVES AND ACTIONS

Leadership, Planning and Priority Setting• Foster leadership in injury prevention• Develop, implement and monitor provincial injury

prevention strategies for priority areas• Ensure appropriate resource levels for injury preventionAdvocacy and Public Policy• Maintain and enhance the legislative and policy framework

supporting injury preventionCommunity Capacity Development• Raise community awareness and commitment to injury

prevention• Develop and implement effective community injury

prevention interventionsKnowledge Transfer and Public Education• Increase awareness and understanding of injury

prevention• Strengthen injury prevention knowledge and skillEngineering and Enforcement• Design and develop safe environments, systems and

products• Enforce compliance with legislated safety requirementsResearch, Surveillance and Evaluation • Improve and maintain an ongoing system of injury

surveillance in BC• Compile, analyze and report on the trends and patterns of

injury in BC• Ensure injury research that contributes to the body of

knowledge and guides the development and implementation of evidence-based injury prevention in BC

PRINCIPLES

Coordination and Collaboration

Relationship with First Nations

Shared Responsibility and Collective Action

Personal skills and responsibility

Safe Environments

High Quality, Comprehensive Injury Data

Effective Evidence-based decision-making

Integration

Anticipate and respond to change

Next Steps

• Review and provide input and guidance to subsequent drafts

• Consider Implementation Plan and structure (leads, collaborators)

• Timing?