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China Seat Belt Intervention

China Seat Belt Intervention. Dr. James Yu Research &Development, The George Institute for International Health, China. Overview. Background and rationale Project aims Design and implementation Results Conclusion. Background and Rationale.

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China Seat Belt Intervention

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  1. China Seat Belt Intervention Dr. James Yu Research &Development, The George Institute for International Health, China

  2. Overview • Background and rationale • Project aims • Design and implementation • Results • Conclusion

  3. Background and Rationale • Road traffic injury 6th leading cause of burden of disease in China（2001） • Official data showed nearly 100,000 die in road accidents annually.

  4. Background and Rationale • The trends: • Urban population in China has been increased rapidly from 17.9% to 45.7% in the past 30 years • China's auto sales to hit 11 million in 2009 • Declining pedestrian and cyclist mobility

  5. Background and Rationale • Seat belt use reduces risk of death by up to 60%, and serious injury to head, chest and extremities by 50%-80% • Despite the national legislation and effectiveness of seatbelt, reported seatbelt use in China were low.

  6. Aims • To implement an intervention targeting seat belt restraint use • To increase seat belt restraint use by 20% • To estimate the cost effectiveness of the intervention

  7. Steering Committee Chinese Government (reps from MPS, MOH, and Guangzhou Government), WHO, The George Institute and the Sponsor ( BP). Implementation Technical Assistance – The George Institute with assistance from BP Implementation Advisory Role – The World Health Organization Implementation Chinese Government, Ministry of Public Security, Ministry of Health, Guangzhou Municipality Project Audit The World Health Organization Dissemination of Findings By Steering Committee. Management Structure

  8. POST TEST Project Design Figure 1: Model for the Evaluation • Police Training • Enhanced Enforcement • Health Promotion Guangzhou Intervention Site Baseline Data Collection Nanning Comparison Site Apr May Aug Aug Sep Oct 05 05 05 06 06 06

  9. Launch ceremony

  10. Focus group study • Participants: taxi drivers, professional drivers, police officers • To identify the attitudes and behaviours related to seat belt use among drivers and passengers and to ascertain the barriers to enforcement.

  11. Project Methods: Intervention • Police Training • Good practice enforcement strategies • Police role in educating the community

  12. Project Methods: Intervention • Enhanced Enforcement • Operational plan • Audits • Supported by media campaigns

  13. Project Methods: Intervention • Health Promotion • Social Marketing • TV and radio programs • Billboards, road signage and posters, bus • Newspapers and internet websites

  14. Project Methods: Intervention • Health Promotion • Social Marketing • Health Education • Taxi company managers • Driver training teachers • Communities • Incentive for taxi drivers

  15. Enforcement

  16. Enforcement

  17. Social marketing • A comprehensive social marketing campaign- TV, Radio, Newspaper, Web, Billboard, Bus, printed materials, etc. • Take account of local circumstances when designing and making of social marketing materials

  18. Poster

  19. Brochure

  20. Sticker

  21. Bus advertisement

  22. TV commercial Guangzhou TV 34 channel(30’’) Guangzhou CATV Current Affairs Expressway(15’’)

  23. Radio Advertisement Audio 1 Seatbelt save lives 15” Audio 2 Father and son 15” Audio 3 Enforcement activity 15” Audio 4 Incentive activity 15’’ Guangzhou Radio Traffic Channel (FM 106.1)

  24. Website • http://www.gzjd.gov.cn

  25. Video for Taxi Company, driving school, communities

  26. Lecture for taxi drivers

  27. Incentive activity

  28. Roadside observation Project Results

  29. Drivers Passengers 15 % 10 % Change in % 5 % 0 % -5 % -10 % Intervention Comparison Project Results Overall Change in Prevalence Rates for Car Occupants

  30. Driver-Type of Road Intervention Comparison 30 % 20 % 10 % 0 % Change in % -10 % Local Roads Main Roads Expressways -20 % Project Results Overall Change in Prevalence Rates for Drivers by Road Type

  31. Project Results Overall Change in Prevalence Rates for Drivers by Gender 30 % Intervention Comparison 20 % Change in % 10 % 0 % -10 % -20 % Male Female

  32. Project Results Incremental Cost-Effectiveness Ratio (ICER) - ‘the base case’ and ‘the most likely’ - case scenarios

  33. Project Results Comparison of DALYs across a Range of Road Safety and Health Interventions

  34. Conclusion • First comprehensively implemented and evaluated road safety intervention in China • Developed strong working relationships with government and industry • Established sustainable solutions

  35. Thank you!

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