Preventing Injuries and Violence:
Setting up comprehensive
Prevention programmes
Etienne Krug, MD, MPH
Director, Violence and Injury Prevention and Disability
WHO
Road
traffic
Burns Drowning
Health
Trans
port
Police
Interior
Falls
Inter personal
violence
Suicide War
Road
traffic
Burns Drowning
Falls
Inter personal
violence
Suicide War
Health
Abuse of alcohol and drugs, Gender and social inequalities,
Trans
Firearm avialibility,
Social norms, Law enforcement, economy
port
Role of the media, Urban planning, etc
Road
Design,
Helmets,
Seat
belts,
etc
Police
Norms, PersonStoves, SwimGeo
Housing, Person- ality,
fuel,
ming,
Interior
Sports,
ality, Design, politics,
Clothes, fencing,
etc
etc
stress
etc
etc
etc
etc
Road
traffic
Burns Drowning
Falls
Health
Data collection
Trans
port
Research
Inter personal
violence
Policies, legislation
Police
Prevention and evaluation
Interior
Health and social services
Advocacy
War
Suicide
Road
traffic
Health
Burns Drowning
Falls
Health
Inter personal
violence
Suicide War
Health
Health
Justice
Diplo
macy
Health
Trans
port
Police
Health
Trans
port
Police
Welfare
Police
Police
Health
Police
Interior
Police
Defense
Interior
Interior
Health
Interior
Welfare
Policies
National public health plan
- Infectious diseases
- NCDs
- Injuries and violence
- etc
Policies
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
Policies
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
Legislation
Science based
• Data on the magnitude
A FRO (LIC)
A FRO (MIC)
A MRO (MIC)
A MRO (HIC)
SEA RO (LIC)
SEA RO (MIC)
EMRO (LIC)
V RU
EMRO (MIC)
Car occupants
Others
EMRO (HIC)
EURO (LIC)
EURO (MIC)
EURO (HIC)
WPRO (LIC)
WPRO (MIC)
WPRO (HIC)
0%
20%
40%
60%
80%
100%
Science based
• Data on the magnitude
A FRO (LIC)
A FRO (MIC)
A MRO (MIC)
A MRO (HIC)
SEA RO (LIC)
SEA RO (MIC)
EMRO (LIC)
V RU
EMRO (MIC)
Car occupants
Others
EMRO (HIC)
EURO (LIC)
EURO (MIC)
EURO (HIC)
WPRO (LIC)
WPRO (MIC)
WPRO (HIC)
0%
20%
40%
60%
80%
100%
Science based: evaluation
Prevention
Evaluation
Discourage
Encourage
Prevention: 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)
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
Services
• Emergency trauma care and rehabilitation services
• Integrated services:
• mental health support
• social services
• legal support, etc
Building capacity