APPROACH AND METHODOLOGY
Through this commitment, the FIA Foundation will provide vital financial, technical, and policy support to encourage improvements in road user safety. Specifically, their investment will focus on increasing motorcycle helmet wearing and seat belt rates in developing countries through support for advocacy campaigns, improvements in technical standards, awareness-raising, and work with enforcement agencies.
As part of this commitment, substantial funding will be provided to the Global Helmet Vaccine Initiative (GHVI), a partnership led by the Asia Injury Prevention Foundation and including international partners: the US Centers for Disease Control, the Inter-American Development Bank, and the World Bank. Based on a successful model in Vietnam, GHVI will assist in the establishment of national 'Helmet Vaccine Coalitions' in countries with high motorcycle populations to develop holistic campaigns to drive up helmet usage.
Funding and in-kind support will also be provided for seat belt initiatives under the FIA Foundation's own new Global Seat Belt Vaccine Initiative (GSVI), which will catalyse seat belt programs by providing seed funding, and technical and policy advice to national seat belt campaigns. To qualify for funding, initiatives must demonstrate deliverable strategies for creating sustainable seat belt programs,including involving government and enforcement agencies.
IMPLEMENTATION, TIMELINE, AND DELIVERABLES
The FIA Foundation, working together with delivery partners, will establish at least two target countries for interventions in each year of the Decade, in addition to the countries listed below in which they are already working. In every case, the financial contribution by FIA Foundation is intended to catalyze additional funding, particularly in Year 2 and beyond; build momentum; and lead to a sustainable national framework for helmet or seat belt use; including standards, legislation, public awareness, and strategic enforcement. An indicative timeline for their proposed helmet campaign in Uganda is described below as a typical example of intervention design, implementation, and evaluation.
2010: Establish Uganda Helmet Vaccine Coalition; coordinated by NGOs AA Uganda, Arrive Alive Uganda, Global Helmet Vaccine Initiative, including government, police, civil society representatives.
Identify target area for awareness raising/enforcement intervention
2011: Baseline survey by US Centers for Disease Control and Prevention and Uganda Injury Control Centre (also responsible for ongoing evaluation).
Official (Ministerial) launch of Uganda Helmet Vaccine Initiative
Fieldwork- community outreach, helmet distribution, awareness raising, police training
Targeted police enforcement
Evaluation: percent injury reduction and percent increase in helmet use (specific targets will depend on local conditions)
2012: Advocacy campaign by UHVC for national helmet standard
Awareness raising campaign: pre- and post- evaluation of message awareness with target audience
Police training and community outreach
2013: Aim for Government support and implementation of national helmet standard, with plan for sustained helmet enforcement for all riders and passengers.
Establish non-profit helmet factory and distribution mechanism, if appropriate to market conditions.
2014: National helmet wearing enforcement strategy implemented by Government and Police
This plan is based on the experience of the Asia Injury Prevention Foundation in leading a successful helmet wearing coalition in Vietnam; resulting in a national helmet standard, national legislation, sustained enforcement, dramatically increased and sustained helmet use, and an annual reduction in road deaths of 12 percent, of serious injuries by 24 percent, and in economic losses of million. The lessons of this campaign are now being used to guide the Global Helmet Vaccine Initiative (GHVI), also led by Asia Injury Prevention Foundation.
The seat belt interventions planned will also follow good practice examples, notably the experience of the FIA Foundation in being part of the funding and implementing team for the Costa Rica seat belt campaign in 2003-4, which resulted in the introduction of new seat belt legislation and increased use rates by up to 60 percent. The seat belt initiative will be primarily working initially in Caucasus nations including Armenia, Georgia, and Moldova.
By 2020, global road deaths are forecast to increase from 1.3 million to nearly 2 million a year unless preventative action is taken (WHO). In response, the UN has announced the 'Decade of Action for Road Safety 2011-2020'. Each year hundreds of thousands of lives are lost and millions are disabled and injured because simple road safety behaviors, such as wearing a motorcycle helmet or a seat belt, are not being adopted. The problem is particularly serious in developing countries, where road death or injury to the breadwinner results in poverty for many families.
Non-use of seat belts and helmets are identified by the UN Road Safety Collaboration as key risk factors in road injury. In the US alone, seat belts are estimated to save around 15,000 lives per year, while non-use is a cause in more than 5000 deaths (UNRSC). Use of a seat belt in the front seat reduces risk of death by up to 50 percent, in the rear seat by between 25-75 percent, while wearing a crash helmet reduces risk of death by up to 40 percent and serious injury by up to 70 percent. These are proven live-savers.