Long-term evaluation of Safe Community Program in Taiwan

Taiwanese Injury Prevention and Safety Promotion Association

http://www.tipspa.org.tw

Long-term evaluation of Safe Community Program in Taiwan 2015/11/24 1

Long-term evaluation of

Safe Community Program

in Taiwan November 23 (Mon.) 13:30-15:00

Morakot Room, Dhevaraj Hotel, Nan Province, Thailand

Chi-Hsiang Chung*, Lu Pai, Jayce Lee,

Yu-Ting Wei, Chun-Ling Yang




(WHO Collaborating Centre on Community Safety Promotion, 2015)

Background

19 Safe Communities

Northern Taiwan #094 Neihu (Re-designated in 2010)

#146 Zhongzheng (Re-designated in 2013)

#218 Wenshan #219 Nangang

#220 Datong #221 Xinyi

#255 Sioufong #321 Hsinchu East District

Middle Taiwan

#148 Shihkang #175 Heping, Taichung County

Southern Taiwan #093 Alishan (Re-designated in 2012)

#173 Zouying, Kaohsiung City

#174 Hsin-Kang, Chiayi County

#215 Jinhwa

Eastern Taiwan #091 Fengbin (Re-designated in 2010)

#147 Shoufeng #176 Dongshan

#216 Suao #217 Toucheng




Objectives

Previously, there were only few SC program

evaluation studies in Taiwan focusing on short-

term changes of safety KAP among residents.

With more than 10 years of experience, now we

are able to see the effect of the Safe Community

program by long-term evaluation.

Using long-term change of injury mortality

rate to evaluate the effect of Safe Community

program in Taiwan.




Methods Death Statistics Statistical Yearbook

of Interior

Injury mortality

populations Mid-year population Injury mortality rate

(per 105 populations)

Comparing the trends of designated international

safe communities before and after designation.

Comparing the injury mortality rates of 6 districts of

designated ISC with the other 6 districts that

haven’t launched the SC program yet in Taipei City.




SC

SC

SC

SC

SC

SC

6 Safe communities

in Taipei City

Nehui

Zhongzheng

Datong

Wenshan

Nangang

Xinyi




Before designated After designated

Injury mortality rate (P-value: 0.011) 42.53 37.20

Change (%) -19.30 -19.65

Average change(%) -3.86 -3.93

P value <0.001 <0.001

Results Safe Community Started Designated Before designated After designated

Fengbin 2002 2005, 2010 2000-2004 2005-2010

Alishan 2002 2005, 2012 2000-2004 2005-2010

Neihu 2002 2005, 2010 2000-2004 2005-2010

Zhongzheng 2005 2008, 2013 2003-2007 2008-2012

Shoufeng 2005 2008 2003-2007 2008-2012

Shihkang 2004 2008 2003-2007 2008-2012

Zouying, Kaohsiung City 2006 2009 2004-2008 2009-2013

Hsin-Kang, Chiayi County 2006 2009 2004-2008 2009-2013

Heping, Taichung County 2006 2009 2004-2008 2009-2013

Dongshan 2006 2009 2004-2008 2009-2013




Neihu started

Zhongzheng started

Neihu designated

Wenshan, Nangang, Datong, Xinyi started

Zhongzheng designated

Wenshan, Nangang, Datong, Xinyi designated

Neihu Re-designated

Zhongzheng Re-designated

-●- 6 Safe Communities - × - 6 General Communities


change(%) -34.85 -21.50


Trend test P value <0.001 <0.001






change(%) -54.25 -14.87


Trend test P value <0.001 0.006

Neihu started


Zhongzheng started

Neihu designated




Neihu Re-designated





Neihu Re-designated




Zhongzheng started

Neihu designated

Neihu started



change(%) -51.61 -29.56


Trend test P value 0.187 0.130




Neihu started

Zhongzheng started

Neihu designated




Neihu Re-designated




change(%) 6.46 -5.66

Average change(%) 0.46 -0.40





Neihu started

Zhongzheng started

Neihu designated




Neihu Re-designated




change(%) -55.64 -82.63


Trend test P value 0.001 <0.001




Neihu started

Zhongzheng started

Neihu designated




Neihu Re-designated




change(%) -41.93 -70.03






Neihu started

Zhongzheng started

Neihu designated




Neihu Re-designated




change(%) 8.88 1.31

Average change(%) 0.63 0.09





Conclusions

The effect of safe community program on

reducing injury mortality may not be shown in

short-term period. It could be shown in the long

run as long as we keep the program sustainably.




Thanks for your attention

E-mail: [email protected]

http://www.tipspa.org.tw/‎

http://www.safecommunities.org.tw/‎

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Long-term evaluation of Safe Community Program in Taiwan