Motorcycle helmet wearing in Viet Nam..... is the job done? Jonathon Passmore Technical Officer,...


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Transcript of Motorcycle helmet wearing in Viet Nam..... is the job done? Jonathon Passmore Technical Officer,...

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Motorcycle helmet wearing in Viet Nam..... is the job done? Jonathon Passmore Technical Officer, Road Safety and Injury Prevention, WHO Viet Nam Slide 2 This presentation UPDATE Overview road traffic injuries in Viet Nam Motorisation in Viet Nam Prevalence of major risk factors Road safety enforcement WHO support to road safety in Viet Nam Slide 3 RTI as leading cause of death Source : VINE Project 2008 Slide 4 Source : WHO GBD 2004 Slide 5 Disability Adjusted Life Years (DALYs) Source : VINE Project 2008 Slide 6 Years of Life Lost (YLL) Source : VINE Project 2008 Slide 7 Road safety management PRIME MINISTER National Traffic Safety Committee DEPUTY PRIME MINISTER Standing Office Secretariat 63 Provincial TSCs Public private partners National Mass Organisations International Organizations Minister of TransportVice Minister Public Security Slide 8 Road trauma in Viet Nam NTSC/MPSMOH Road traffic deaths (2009)11,09415,012 Road traffic injuries (2010)10,306435,181 Mortality rate12.9/100K17.4/100K Slide 9 Road traffic injury mortality by province, 2008 Large variation in mortality rates Anecdotally associated with major transport hubs (national/international roads) 30+ 20-29 10-19 0-9 Slide 10 Motorization in Viet Nam 33.2 million vehicles in Viet Nam (2010) 95% motorcycles > 8,000 new motorcycles per day > 500 new cars per day Slide 11 History of helmet legislation in Viet Nam 1995 Decree 36 2010 Decree 34 (penalties) Wearing for children 1997 NTSC formed 2001 TCVN helmet standards for adults & children RS Law MOT Circ Decree 39 (penalty) 2007 Resolution 32 Mandatory helmet wearing 1998-2000 TCVN helmet standards for adults & children RS Law 2009 Revised RS law Helmet wearing full law Fastening 2008 QCVN standards revised Single standard covering adults & children Slide 12 National helmet law Pre law Post law 15 December 2007: Helmet Law + Enforcement + Education Slide 13 What contributed to the success this time? Political support Highest level (Prime Ministers Office & the Party) Whole of Government approach (NTSC coordinated) Demonstrated effectiveness of helmets Confidence a helmet law could be successful if implemented correctly Implemented in effective manner Strict penalties (10 fold increase) Advance social marketing and public education Civil service role models 4 million citizens, plus members of the armed forces Stringent and consistent enforcement high perception of being caught Reduced confusion of coverage all roads, all times, all riders and passengers Availability of affordable, climatically appropriate helmets Slide 14 Roles for individual members of NTSC Ministry of Transport Coordinated development of legislation; instructing other members of the NTSC, and the 63 PTSC on implementation of the law Ministry of Public Security nationwide instruction to all police to ensure that enforcement was thoroughly implemented Ministry of Health hospital based surveillance system for road traffic injuries Ministry of Education and Training School based education on the benefits of helmet wearing Ministry of Communication and Information Delivery of mass media social marketing campaign through official channels including daily road safety programming on national TV Slide 15 Social marketing NTSC commenced SM campaigns in 1998 In 2007, partnerships with AIPF commenced targeted campaigns TV, Cinema, Posters, Billboards, bus shelters etc Slide 16 Social marketing Slide 17 Slide 18 Slide 19 Enforcement for road safety 10 fold increase in penalties for not wearing helmet from 20-40K VND (USD 1-2) (2005) to 100-200K VND (USD 6- 12) per offence Total traffic infringements 5,431,191 682,789 (13%) for not wearing helmets No reliable data available for 2007 Ongoing challenge Human resources Maintaining the high levels of enforcement necessary Slide 20 Infringements All infringements vs helmets only Slide 21 Motorcycle helmet wearing long term trend Slide 22 Helmet wearing has increased substantial since the 2007 helmet law and high wearing rates have been maintained since BUT Issues of low helmet quality and not wearing helmets correctly have the potential to seriously impact the injury prevention potential of this legislation and the fact that the majority of motorcycle riders and passengers are wearing helmets Slide 23 Slide 24 Slide 25 Wearing rates in Hanoi Slide 26 Pre/post law impact Very limited information on impact of helmet law Data on all road users, no breakdown for MC riders and passengers only 2008 vs 2007 1,557 death 2,495 serious injuries 2009 vs 2008 149 death 212 serious injury 2010 vs 2009 65 death 2747 serious injury DeathsSerious injuries 200712,80011,097 200811,2437,771 200911,0947,559 201011,02910,306 2011*8,9038,055 * Jan-Oct Slide 27 Pre/post law impact Health data National injury surveillance system in operation Commenced 2008 No pre law data Declining reporting since 2008 - 92/100 hospitals 2009 84/100 hospitals 2010 - 43/100 hospitals 200820092010 Road traffic injuries183,058143,940117,317 % of RTI with head injuries27.1%25.3%17.8% Slide 28 Hospital records - Head injuries Slide 29 Pre/post law impact Health data % changeRR95% CI All injuries2007 vs 2008-1.04%0.98*0.97-0.99 2007 vs 2010-5.82%0.88*0.87-0.89 Road traffic injuries2007 vs 2008-3.16%0.95*0.94-0.96 2007 vs 2010-1.68%0.89*0.87-0.91 RT patients with head injuries2007 vs 2008-0.64%0.980.96-1.01 2007 vs 2010-7.69%0.78*0.76-0.81 RT fatalities2007 vs 2008-0.16%0.76*0.59-0.99 2007 vs 20100.32%1.250.99-1.56 * P