Lessons from the Road Safety in 10 Countries Project in the Russian Federation АBSTRACT
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The WHO Regional Offi ce for Europe The World Health Organization (WHO) is a specialized agency of the United Practical steps Nations created in 1948 with the primary in enhancing road safety responsibility for international health matters and public health. The WHO Lessons from the Road safety Regional Offi ce for Europe is one of six regional offi ces throughout the world, in 10 countries project in the each with its own programme geared Russian Federation to the particular health conditions of the countries it serves. Member States Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Finland France Georgia Germany Greece Hungary Iceland Ireland Israel Italy Kazakhstan © WHO Kyrgyzstan Latvia Lithuania Luxembourg Malta Monaco Montenegro Netherlands Norway Poland Portugal Republic of Moldova Romania © WHO/ Pavel Polurotov © WHO/ Pavel Polurotov © WHO/ Ekaterina Bolshakova Russian Federation San Marino Serbia Slovakia Slovenia Spain Practical steps Sweden Switzerland Tajikistan The former Yugoslav in enhancing road safety Republic of Macedonia Turkey Turkmenistan Lessons from the Road safety in 10 countries Ukraine United Kingdom World Health Organization Uzbekistan project in the Russian Federation Regional Offi ce for Europe UN City, Marmorvej 51, DK-2100 Copenhagen Ø, Denmark Tel.: +45 45 33 70 00 Fax: +45 45 33 70 01 Email: [email protected] Website: www.euro.who.int Practical steps in enhancing road safety Lessons from the Road safety in 10 countries project in the Russian Federation АBSTRACT This report describes an intersectoral road safety project implemented in two regions of the Russian Federation, Lipetsk and Ivanovo, between 2010 and 2014. Best practices identifi ed from the global literature were used to target behaviour change in road users with regard to three main factors which infl uence outcomes in road traffi c accidents – speed, wearing seat-belts and use of child restraints. The activities comprised social marketing, coupled with enhanced enforcement, and resulted in increases in the use of seat-belts and child restraints by 25–41 and 33–69 percentage points respectively and reduced speeding by 8–17 percentage points, as assessed by regular roadside measurements. Capacity- building workshops were held for traffi c police and administrators and fi rst aid training was provided for traffi c police and at driving schools. The project structure, main achievements and lessons learned are discussed. The experience from this project, and in particular the social marketing, evaluation and train- ing materials developed, would be valuable for road safety authorities, regional road safety managers and local authorities that would like to implement similar activities. Materials developed in the Russian language are available on the project website. Key words ACCIDENTS, TRAFFIC – prevention and control SAFETY PROGRAMME EVALUATION PUBLIC POLICY RUSSIAN FEDERATION Address requests about publications of the WHO Regional Offi ce for Europe to: Publications WHO Regional Offi ce for Europe UN City, Marmorvej 51 DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Offi ce website (http://www.euro.who.int/pubrequest). © World Health Organization 2015 All rights reserved. The Regional Offi ce for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specifi c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. The views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the World Health Organization. ii CONTRIBUTORS Elena Yurasova World Health Organization Country Offi ce, Moscow, Russian Federation Victor Kondratiev Ministry of Internal Affairs, Moscow, Russian Federation Vitaly Shikin Lipetsk Regional Administration, Lipetsk, Russian Federation Vladimir Grishin Ivanovo Regional Duma, Ivanovo, Russian Federation Dinesh Sethi World Health Organization Regional Offi ce for Europe, Copenhagen, Denmark Margie Peden World Health Organization headquarters, Geneva, Switzerland Vladimir Parakhin Lipetsk Regional State Inspectorate for Road Safety, Lipetsk, Russian Federation Evgeny Vlasov Master Media, Lipetsk, Russian Federation Pavel Polurotov Master Media, Lipetsk, Russian Federation Larissa Usachiova Lipetsk Regional Administration, Lipetsk, Russian Federation Sergei Orlov Romir Research Holding, Lipetsk, Russian Federation Dave Elseroad Global Road Safety Partnership, Geneva, Switzerland Maria Chernova Global Road Safety Partnership, Moscow, Russian Federation Ekaterina Romanova Ivanovo Regional Duma, Ivanovo, Russian Federation Andrei Kuzmichiov Iv Media Travel, Ivanovo, Russian Federation Vladimir Klyavin Lipetsk State Technical University, Lipetsk, Russian Federation Nino Paichadze The Johns Hopkins International Injury Research Unit, Baltimore, United States of America iii Shivam Gupta The Johns Hopkins International Injury Research Unit, Baltimore, United States of America Lilia Chibisenkova Russian Red Cross, Moscow, Russian Federation Natalia Konovalova World Health Organization Country Offi ce, Moscow, Russian Federation Leonid Dezhurny Central Research Institute for Public Health Organization and Information, Moscow, Russian Federation Gennady Neudakhin Central Research Institute for Public Health Organization and Information, Moscow, Russian Federation Evelyn Murphy World Health Organization headquarters, Geneva, Switzerland The World Health Organization wishes to thank the following people for their invaluable support for the project: Viktor Kyrianov, Deputy Minister of Internal Affairs, Moscow; Viktor Nilov, Head of the State Inspectorate for Road Safety of the Russian Federation, Moscow; Sergey Muraviev, Head of Department for International Cooperation, Ministry of Health of the Russian Federation, Moscow; Alexander Fomin, Vice-Governor of Ivanovo Region, Ivanovo; Sergey Korolyov, Governor of the Lipetsk Region, Lipetsk; Andrei Panasovich, Head of Lipetsk Regional State Inspectorate for Road Safety, Lipetsk; Dmitry Kosterin, Head of Ivanovo Regional State Inspectorate for Road Safety, Ivanovo. The authors are grateful to the following World Health Organization staff for their support: Luigi Migliorini (former Country Representative and Head of Country Offi ce, Russian Federation), Francesco Zambon (Technical Offi cer, Regional Offi ce for Europe), and Elena Altieri (Communications Offi cer, WHO headquarters, Geneva). The following World Health Organization staff also provided valuable peer review comments: Meleckidzedeck Khayesi, Technical Offi cer, WHO headquarters, Geneva; and Josephine Jackisch, Technical Offi cer, Regional Offi ce for Europe, Copenhagen. Finally, the World Health Organization wishes to thank Bloomberg Philanthropies for its generous fi nancial support for the Road safety in 10 countries (RS10) project. iv CONTENTS Abbreviations .........................................................................................................................................vi Executive summary .............................................................................................................................. vii Chapter 1. The problem of RTI, project goals and objectives .............................................................. 1 Chapter 2. Project coordination ............................................................................................................ 4 Chapter 3. Improving road safety legislation ........................................................................................ 6 Chapter 4. Social marketing ............................................................................................................... 10 Chapter 5. Cooperation with the media .............................................................................................. 28 Chapter 6. The role of enforcement in RTI prevention ....................................................................... 32 Chapter 7. Post-crash care................................................................................................................. 37 Chapter 8. Discrete projects and equipment .....................................................................................