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TARGETING CITIES AND COUNTRIES
REBECCA BAVINGER, MPA
SEPTEMBER 21, 2016
BLOOMBERG PHILANTHROPIES
PUBLIC HEALTH PROGRAMS
• Tobacco Control 2007-2016
• Road Safety 2007-2019
• Maternal and Reproductive Health 2007-2020
• Obesity Prevention 2012-2015
• Drowning Prevention 2012-2017
• Polio Eradication 2013-2018
• Data for Health 2015-2019
STRATEGY
1) Strengthen legislation in countries;
2) Improve vehicle standards in emerging markets;
3) In cities, use advocacy, training, and monitoring efforts to implement proven interventions:
Helmet Use
Seat-Belts Use
Drinking & Driving Prevention
Speed Reduction
Infrastructure Improvements
Sustainable Urban Transport
ROAD SAFETY COMMITMENT
5 YEARS: 2015-2019, $125M
GOAL
DECREASE ROAD TRAFFIC
DEATHS AND INJURIES
CITY COMPETITIONCompetitive Process Among 20 Cities:
• Low- and middle-income
• City Population > 2M
• Mayor in place through 2017
• Commitment to submit proposal of activities
• Politically stable/safe to conduct meaningful work
• In 10 biggest LMIC countries, consider only 3 biggest cities over 2M eligible
BOGOTA, COLOMBIA
SÃO PAULO, BRAZIL
SHANGHAI, CHINA
MUMBAI, INDIA
BANGKOK, THAILAND
HO CHI MINH CITY, VIET NAM
FORTALEZA, BRAZILBANDUNG, INDONESIA
ACCRA, GHANAADDIS ABABA, ETHIOPIA
OVER 5 MILLION POPULATION
2 - 5 MILLION POPULATION
BLOOMBERG INITIATIVE FOR GLOBAL ROAD SAFETY 2015-2019
10 CITIES SELECTED FOR INCLUSION IN THE ROAD SAFETY INITIATIVE
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COUNTRY SELECTIONCountry Selection:
• 24 LMIC countries with high burden of road traffic fatalities
• Opportunities to strengthen legislation
• Minimum security concerns to conduct work
• Letter of commitment from government to strengthen road safety legislation
PU
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CITY FOCUS
• Vital Strategies to work with respective city agencies to develop media campaigns
• Embedded staff person in city government to coordinate with Vital Strategies
• Cities responsible for supporting air time
• Coordination with GRSP on media campaigns followed by enhanced police enforcement
CREATING GRAPHIC MEDIA CAMPAIGNS
• Global Road Safety Partnership (GRSP) to train police on
enhanced enforcement
• Embedded staff person in city government to coordinate
with GRSP
• Prioritize police training on behavioral interventions:
1) Helmet Use
2) Seat-belt Use
3) Drinking and Driving Prevention
4) Speed Reduction
STRENGTHENING POLICE ENFORCEMENT
• Grants available through GRSP Grants Program to support local
organizations and municipal governments on advocacy for
policy change or support for implementation of evidence-based
interventions
• Global Health Advocacy Incubator to provide advocacy-related
technical support to grantees
• Round 10 of grants (June 2016) open to all cities/countries in
Bloomberg Philanthropies Initiative for Global Road Safety
INCREASING ROAD SAFETY ADVOCACY
• JHU Bloomberg School of Public Health to conduct monitoring and evaluation of behavioral interventions
• Vital Strategies, with technical support from JHU, to enhance hospital, transport and police surveillance systems
IMPROVING CITYWIDE DATA COLLECTION AND MONITORING
• EMBARQ, National Association of City
Transportation Officials (NACTO), World Bank
Global Road Safety Facility / iRAP to make
streets safer through road assessments and
support on street design
• Embedded staff person and city government
staff to coordinate with EMBARQ, NACTO and
World Bank GRSF / iRAP
CREATING SAFER STREETS AND SAFER MOBILITY
HOW TO COORDINATE SO MANY SSSM PARTNERS?• JOINT WORKSHOPS / SITE VISITS / PROJECTS
• JOINT SET OF RECOMMENDATIONS
HOW TO MOVE CITY TO IMPLEMENT SAFETY RECOMMENDATIONS?• REGULAR MEETINGS WITH CITY / REVIEW BUDGET OPPORTUNITIES
• DEMONSTRATE POSSIBILITIES
• IDENTIFY ISSUES AND SOLUTIONS
• SUPPORT IMPLEMENTATION
IRAP PROGRESS IN BIGRS CITIES
COUNTRY FOCUS
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• WHO analyzing road safety legislation and working
with Ministry of Health and other Ministries to
strengthen road safety legislation
• Designated staff persons in WHO country offices
(except India)
• EMBARQ and World Bank Global Road Safety
Facility supporting legislative efforts in India and
China
STRENGTHENING NATIONALROAD SAFETY LEGISLATION
• Global Status Report on Road Safety – 2015, 2017, 2019
• Grants available through GRSP Grants Program to
support advocacy for strengthening road safety
legislation
• Global Health Advocacy Incubator to provide advocacy-
related technical support to grantees
• New countries (China, India, Philippines, Thailand,
Tanzania) & legacy* countries from 2010-2014 program
eligible for grants
INCREASING NATIONAL LEVEL ROAD SAFETY ADVOCACY
*legacy countries – Brazil, Cambodia, Kenya, Mexico, Turkey, Vietnam; Russia and Egypt not eligible
IRAP PROGRESS IN BIGRS COUNTRIES
• Support crash tests in Asia, India and Latin America
• Advocate for safer cars and push automobile
manufacturers to comply
• Pilot new surveillance system that tracks vehicle
compliance with global standards
• Global Health Advocacy Incubator will work with
Global New Car Assessment Program to advocate for
improved vehicle standards
good
adequate
marginal
weak
poor
EUROPE: Frontal Impact 14,9 pts
LATIN AMERICA: Frontal Impact 0,0 pts
DRIVERPASSENGER
DRIVER PASSENGER
IMPROVING VEHICLE STANDARDS
1.6 Billion people in six countries covered by strengthened road safety laws
2015–2016by the numbers
7,978 PROFESSIONALS
19VEHICLES TESTEDin three regions and safety results released to the public
114 LAWYERS TRAINEDin five countries through the Legal Development Program
914 MILESof high-risk roads assessed and improvements recommended
46 STAFF
committed by governments to run mass media campaigns
3 COUNTRIES OR LOCALITIESpassed new or enhanced road safety policies
5 MASS MEDIA CAMPAIGNSimplemented in three countries on targeted road user risk factors
39GRANTSin 10 countries to enhance advocacy
7published in peer-reviewed journals
SCIENTIFIC ARTICLES
24MILESbus, bicycle, & pedestrian corridors assessed & improvements recommended
2.35MILLIONobservations made on drinking and driving, speed, and seat-belt & helmet use
$1.58MILLION
hired to work in cities to coordinate road safety interventions and surveillance
348 JOURNALISTStrained from five countries
trained on road safety interventions and advocacy
PROGRESS SINCE 2007
+20,500 police trained on effective road safety
enforcement
lives saved
by 2023
11,000 miles of high-risk roads assessed and improvements recommended
1.95 billion people covered by strengthened
road safety laws
19 vehicles crash tested
125,000+65 million people reached by mass
media campaigns in 11
countries