BC Injury Prevention Strategy

1. BC Injury Prevention Strategy Working Paper for Discussion

2. 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

3. 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

4. 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

5. 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)

6. Elements • Vision • Three Over-arching Goals • Six Strategic Objectives • Thirteen Strategic Actions Acting on • Seven Key Injury Issues Utilizing a Population Health Approach within a framework of • Nine Principles

7. Population Health Approach • Understand Risk and protective factors • Identify Intervention point (host, agent, environment) • Design Prevention Intervention (education, engineering, enforcement)

8. RISK / PROTECTIVE FACTORS ECOLOGIC MODEL (including Social Determinants of Health) Individual Relationship Social Community INTERVENTION HADDON’S MATRIX Host Agent Physical & Social Environment SPECTRUM OF PREVENTION PREVENTION 3 E’s of PREVENTION Education Enforcement Engineering • APPLICATION TO: • Program and Policy Development • Tool Development • Program and Policy Evaluation • Gap Analysis

9. 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

10. 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

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

12. 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

13. 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

14. 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

15. 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

17. 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 prevention • Advocacy and Public Policy • Maintain and enhance the legislative and policy framework supporting injury prevention • Community Capacity Development • Raise community awareness and commitment to injury prevention • Develop and implement effective community injury prevention interventions • Knowledge Transfer and Public Education • Increase awareness and understanding of injury prevention • Strengthen injury prevention knowledge and skill • Engineering and Enforcement • Design and develop safe environments, systems and products • Enforce compliance with legislated safety requirements • Research, 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

18. Next Steps • Review and provide input and guidance to subsequent drafts • Consider Implementation Plan and structure (leads, collaborators) • Timing?