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Queensland Health

Safe communities

Background

Safe Communities is a World Health Organisation (WHO) endorsed approach that originated in Sweden in the 1960s.

A Safe Community can be a country, city, local government area or a district focused on safety promotion, injury, violence and suicide prevention, covering all age groups, genders and areas and is a part of an international network of accredited programs [52].

“The Safe Community model aims to understand injury and intervene at a community level. By involving the community in finding its own solutions, it aims to be a catalyst for environmental, structural, sociological and political change that empowers the community, and ultimately the individuals within the community, to change their environment and their behaviours to reduce the risk of injury and increase the perception of safety” [53].

Designation

To become a designated Safe Community, communities need to meet the following six WHO Safe Community indicators, which can provide a useful guide for community action to prevent injury and promote safety. This can include reducing the number and severity of falls in older people.

The six WHO Safe Community indicators include:

  1. an infrastructure based on partnership and collaborations, governed by a cross-sectional group that is responsible for safety promotion in their community
  2. long-term, sustainable programs covering both genders and all ages, environments and situations
  3. programs that target high-risk groups (such as older people) and environments, and programs that promote safety for vulnerable groups
  4. programs that document the frequency and causes of injuries, such as falls
  5. evaluation measures to assess their programs, processes and the effects of change
  6. ongoing participation in national and international Safe Communities networks [51].

The Safe Community approach is more a process than a project/program and designation is more of a commitment to the ongoing process of becoming a Safe Community, than a statement of what the community has achieved at the time of designation [54].

Evidence of success

The WHO Safe Communities model for the prevention of injury in whole populations conducted in 2005 concluded that “evidence suggests the WHO Safe Communities model is effective in reducing injuries in whole populations. However, important methodological limitations exist in all studies from which evidence can be obtained. A lack of reported detail makes it unclear which factors facilitate or hinder a programme’s success” [54].

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Last Updated: 01 August 2008
Last Reviewed: 01 August 2008