The prevention of - and first response to - injuries in Nepal: a review of policies and legislation.
The prevention of - and first response to - injuries in Nepal: a review of policies and legislation.
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DOI：
10.1186/s12961-021-00686-1
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发表时间：
2021-04-14
影响因子：
4
通讯作者：
Joshi SK
中科院分区：
文献类型：
--
作者：
Pant PR;Mytton J;Dharel MR;Dangi A;Rai WB;Joshi SK
伤害是特定情况的可预见结果，每年在全世界造成约450万人死亡和更多人残疾。预防伤害的最有效方法之一是通过政策和立法。这项研究的目的是确定和严格审查尼泊尔所有有可能防止伤害的政策和立法。我们通过利益攸关方会议、网络和联系以及网站和电子资源确定了符合纳入标准的立法和政策。每一个包含的文件都经过严格审查，以确定优势领域和改进机会。我们将纳入的文件与世卫组织推荐的已知有效干预措施进行了比较。62份文件符合本次审查的纳入标准。其中，24份（38.7%）完全与道路伤害有关，11份（17.7%）与职业伤害有关，6份（9.7%）与家庭伤害有关，5份（8.1%）与学校伤害有关; 30份（48.4%）文件包括与伤害的第一反应有关的文本。世卫组织提出的127项战略建议提供了政策或立法重点领域，其中21项（16.5%）被尼泊尔的政策和立法充分满足，43项（33.9%）被认为部分满足，63项（49.6%）没有满足。我们从这一重要的政策审查中得出了五项结论，并提出了以下建议：扩大预防伤害的立法和政策的范围，以强调在家中或学校发生的伤害;解决伤害的原因，并促进行之有效的预防措施;更明确个人和机构的作用和责任;为决策提供可靠的数据和高质量的证据;在预防伤害和第一反应方面进行财政投资和加强能力。尼泊尔目前的联邦治理制度有可能在中央、省和地方各级加强伤害预防和第一反应。可通过10.1186/s12961-021-00686-1获取本文件。
Injuries, the cause of an estimated 4.5 million deaths annually and many more disabilities worldwide each year, are the predictable outcome of particular circumstances. One of the most effective ways to prevent injuries is through policy and legislation. The aim of this research study was to identify and critically review all policy and legislation in Nepal that had the potential to prevent injuries. We identified legislation and policy that met inclusion criteria through a stakeholder meeting, networks and contacts, and websites and electronic resources. Each included document was critically reviewed to identify areas of strength and opportunities for improvement. We compared the included documents against WHO’s recommendations of known effective interventions. Sixty-two documents met the inclusion criteria for this review. Of these, 24 (38.7%) were exclusively related to road injuries, 11 (17.7%) to occupational injuries, 6 (9.7%) to injuries in the home and 5 (8.1%) to injuries at school; 30 (48.4%) documents included text related to the first response to injuries. Of 127 strategic recommendations by WHO that provided an area for policy or legislative focus, 21 (16.5%) were considered adequately met by Nepali policy and legislation, 43 (33.9%) were considered partially met and 63 (49.6%) were not met. We drew five conclusions from this critical policy review, which we have related to recommendations as follows: widening the scope of legislation and policy for injury prevention to emphasize injuries occurring at home or school; addressing the causes of injuries and promoting proven preventive measures; greater clarity on both individual and institutional roles and responsibilities; trustworthy data and quality evidence to inform decision-making; and financial investment and capacity-strengthening for injury prevention and first response. The current system of federal governance in Nepal has potential for strengthening injury prevention and first response at the central, provincial and local levels. is available for this paper at 10.1186/s12961-021-00686-1.
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DOI：
10.1080/01900692.2012.661169
发表时间：
2012-01-01
影响因子：
1.8
作者：
Jamil, Ishtiaq;Panday, Pranab
通讯作者：
Panday, Pranab
影响因子：
4.1
作者：
Campos, Paola Abril;Reich, Michael R.
通讯作者：
Reich, Michael R.
影响因子：
4.4
作者：
MacKay, J. Morag;Vincenten, Joanne A.
通讯作者：
Vincenten, Joanne A.
DOI：
10.2471/blt.08.052290
发表时间：
2009-04-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Gosselin, Richard A;Spiegel, David A;Zirkle, Lewis G
通讯作者：
Zirkle, Lewis G
影响因子：
7.1
作者：
Conway, Kaitlin;Akseer, Nadia;Bhutta, Zulfiqar A.
通讯作者：
Bhutta, Zulfiqar A.