142nd APHA Annual Meeting and Exposition

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Assessment of local organizational efforts in Wake County, NC to prevent childhood injury and violence and their alignment with leading injury events

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Carolyn E. Crump, PhD , Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
Rachel Page, MPH , Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
Robert J. Letourneau, MPH , Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC
Anna E. Waller, ScD , Department of Emergency Medicine, Carolina Center for Health Informatics, University of North Carolina - Chapel Hill, Chapel Hil, NC
BACKGROUND/PURPOSE:  Injury/violence is a leading cause of childhood morbidity/mortality.  To enhance a local foundation’s technical assistance/funding efforts in Wake County, NC, we compared leading injury causes to survey results describing how organizations are addressing those causes.  METHODS:   Organizations conducting childhood injury/violence prevention (IVP) were surveyed for:  demographics/outreach; IVP focus; resources; capacity; and program approach.  We coded organizations (high, medium, low), using eight self-reported capacity indicators, and estimated public health impact of programs.  We explored the relationships among: 1) leading injury causes (from secondary analysis abstract #307348); 2) organizational capacity; 3) estimated program impact; and 4) interest in capacity building.   RESULTS:  Among 110 responding organizations (71%), more identified working in intentional injuries/violence than unintentional, although burden is greater for the latter.  Approximately 50% of organizations address 1st to 4th leading injury causes, however, only 17% of organizations address the 5th to 10th leading injury causes.  High capacity organizations were more likely to:  have a higher estimated program impact; use multiple data sources; and report program evaluation, research evidence, and communication/media as ‘very important’ to their organizational work focus.  Unintentional IVP programs were more likely to use higher impact strategies than intentional.  High/Medium Capacity organizations, in particular, expressed interest in six capacity building activities described in the survey.  CONCLUSIONS:  Comparing local secondary data and organization focus/capacity/impact allows for tailored technical assistance and funding to enhance local childhood injury/violence prevention efforts.  This approach can be replicated by others seeking to foster networking and capacity building among local-level organizations working to prevent childhood injury/violence.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe methods to assess local organizational efforts to prevent childhood injury and violence and steps to compare the burden of injury causes to the capacity and degree to which public health approaches are utilized.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Carolyn E. Crump, PhD, is a Research Associate Professor in the Department of Health Behavior at the University of North Carolina Gillings School of Global Public Health. Dr. Crump has been working within public health for the past 25 years, including injury and violence. She was the Principal Investigator for the project described in this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.