Docstoc

Can Effective Collaboration Improve Road Safety in Kenya Final

Document Sample
Can Effective Collaboration Improve Road Safety in Kenya Final Powered By Docstoc
					  Can Effective Collaboration
Improve Road Safety in Kenya?

   The Ministry of Health and The Task Force for
                   Global Health
          Nairobi, Kenya--May 29, 2009
             Basic Assumptions
• We know what to do but we have trouble
  implementing it
• The trouble with implementation is the result of a
  lack of capacity
  – Lack resources: human, knowledge, and financial
  – Lack political will
• It is possible to build capacity and effectively
  implement road safety measures that make a
  difference
• We have a lot to learn from the people in Kenya
 There is a long history of road safety initiatives
                     in Kenya
• 1979—National road safety project implemented with funding
  from Finnish government
• 1982—National Road Safety Council established—
  interventions included driver training, education, accident
  investigation; number of traffic crashes decreased
• 1991—Kenya/Finnish program abruptly ended
• 2000--SIDA program Kenya
• 2003—Minister of Transport called for an “Integrated National
  Transport Policy” covering all modes of transport



                                                              3
 There is a long history of road safety initiatives
                     in Kenya
• 2004(Jan)—Implementation of seat belts and speed
  governors for matatus; enforcement led to drop in
  crashes—strict enforcement lasted only a few
  months
• 2004(Feb)—Integrated National Transport Policy
  given to then Minister of Transport, led to National
  Road Safety Plan
• 2004 (April)—World Report on Road Traffic Injury
  Prevention

                                                         4
           Recommendations of the World
                 Report (2004)
      Lead agency
      Data--Assessment of problem, policies and
       institutional settings.
      Plan--National road safety strategy and plan of action.
      Resources--Allocation of financial and human
       resources.
      Interventions--Implement specific actions: speed,
       impaired driving, seatbelts, helmets, and roadway
       design.
      Collaboration--International cooperation.



Source: The World Report on Road Traffic Injury Prevention       5
              The World Report Recommends that Kenya
              should have a lead agency for road safety

                                                                       education
                    Academia
   Hospital

                                                     Education
                                        health



Development
  Agency                       police         Lead           Finance
                                             agency
                     Auto
                     Club

                                 transport                  urban
                                                           Planning
                                                 Roads
     And the lead agency for road safety should have
                   these components

                                                                 education
              Academia
   Hospital

                                               Education
                                  health


                                                                             •Plan
Development
  Agency                 police         Lead           Finance
                                                                             •Resources
                                                                             •Data
                                       agency
               Auto                                                          •Actions
               Club
                                                                             •Collaboration
                           transport                  urban
                                                     Planning
                                           Roads
    Kenya Developed A National Road
       Safety Action Plan in 2005
• Developed by the Ministry of Transport with support by the
  Government of Kenya/SIDA Roads 2000 Project
• Supported by the Ministries of Roads & Public Transport,
  Health, Education, Local Government, and the Police
  Department
• Many other non-government agencies supported this and
  contributed
• Covered 14 separate sectors from road safety coordination
  and management through emergency services and
  rehabilitation


                                                               8
     The Kenyan National Road Safety Plan calls for a
          lead agency with these components

                                                                     education
                  Academia
  Hospital

                                                   Education
                                      health
       Kenyan
       National                                                                  •Plan
Development
       Road
  Agency                     police         Lead           Finance
                                                                                 •Resources
       Safety                                                                    •Data
                                           agency
       Plan        Auto                                                          •Actions
                   Club
                                                                                 •Collaboration
                               transport                  urban
                                                         Planning
                                               Roads
The Kenyan National Road Safety Plan calls for a
   lead agency…but it has not been created
                                                              education
           Academia
Hospital

                                            Education
                               health

Kenyan
National                                                                  •Plan
Road                  police         Lead           Finance
                                                                          •Resources
                                                                          •Data
Safety                              agency
            Auto                                                          •Actions
Plan        Club
                                                                          •Collaboration
                        transport                  urban
                                                  Planning
                                        Roads
              What is the bottleneck blocking
                     implementation?
                                                                      education
                   Academia
   Hospital

                                                    Education
                                       health

 Kenyan
                                                                                  •Plan
 National
Development
  Agency                      police         Lead                                 •Resources
 Road                                                       Finance
                                                                                  •Data
 Safety                                     agency
                    Auto                                                          •Actions
 Plan               Club
                                                                                  •Collaboration
                                transport                  urban
                                                          Planning
                                                Roads
 Implementation is the Challenge


“Knowing is not enough; we must apply. Willing is not
enough; we must do.”

                                Goethe




   With thanks to Don Berwick
                                                 12
    What is the bottleneck blocking
           implementation?

Hypotheses:
• Creating a lead agency requires political will
• Creating a lead agency requires resources
• Collaboration is difficult
• Multi-sectoral collaboration is even more
  difficult
Multi-sectoral Collaboration is Not
               Easy
– A coalition is like a marriage: it is very easy to get into it but very
  hard to make it work
    • Stakeholders speak different languages, have different cultures and
      every organization has its standard operating procedures
    • There is competition for credit, power, and funding.
    • Obstacles (and opportunities) occur at every level: global,
      multinational agencies, regions, countries, communities.
– Each sector thinks it is not their responsibility.
    • Diffusion of agency responsibility—Inter-sectoral challenges can be
      particularly difficult
    • Stakeholders all have different “day jobs”
    • Each is already too busy with its own set of crises
– Road Safety is an underfunded area
    • No one is eager to control it or be responsible or accountable.
    • Funding is uncertain, short-term.
         Road Safety: What Effective Collaboration has
                          Achieved

•   Framing road safety as a multi-sectoral issue has:
     –   Made the point that this is a devastating epidemic with extraordinarily high levels of injuries and
         deaths
     –   Brought rigorous scientific attention to the prevention, treatment, and rehabilitation of injuries
     –   Focused on the important contributions needed from transportation, police, health, finance, urban
         planning, education, and environmental protection.
•   This multi-sectoral approach has been reflected in the composition of
     –   the Commission for Global Road Safety
     –   various stakeholder forums,
     –   the Regional Committee for Road Safety in Latin America and the Caribbean.
•   The health sector has played a role in convening multi-sectoral coalitions
     –    that effectively brought the issue to the attention of the UN with the World Bank, FIA Foundation,
         WHO, GRSP, UNICEF, and non-profits all playing an important role
     –   that convened the regional actor for road safety for Latin America and the Caribbean.
•   The multi-sectoral systems approach will also play a key role in the Global
    Ministerial Conference in Moscow, November 2009.
     –   Opportunity to bring additional attention to Kenya’s problems and needs
     –   Opportunity to work together on crafting and getting support for solutions
 Question: Can non-government organizations
     help to build government capacity?

• What are the key capacity gaps that limit the
  country’s ability to deliver road safety programs?
• What is the road traffic injury (RTI) information and
  RTI surveillance capacity?
• Who might be the potential stakeholders who should
  participate?
• What problems and what solutions might be unique
  to developing road safety capacity in large, poor,
  urban settings?
      Can non-government organizations help to build
             the capacity of the lead agency?

                                                       health

                   Acade     Academia                              Education
    Hospital
         Auto       -mia     Bilateral
                                Aid
          Club               Organiza        police
                                tion
                                                        Lead
                                                                         Finance
                                 Advoca-               agency
     Hospital
Development                        cy
  Agency                          NGO
                                           transport
                                                                      urban
         Vehicle             Insur-
                               Auto
                                                                     Planning
         Drivers               Club
                              ance
                   Private                              Roads
                   Sector



                                                                •Plan
                                                                •Resources
                                                                •Data
                                                                •Actions
                                                                •Collaboration
  If non-governmental organizations can help,
         how should they be organized?

• Option 1: as a separate supporting
  organization?

• Option 2: integrated into the lead agency
  organization

• Option 3: another structure
       Option 1: As a separate supporting organization

                                                       health

                   Acade     Academia                              Education
    Hospital
         Auto       -mia     Bilateral
                                Aid
          Club               Organiza        police
                                tion
                                                        Lead
                                                                         Finance
                                 Advoca-               agency
     Hospital
Development                        cy
  Agency                          NGO
                                           transport
                                                                      urban
         Vehicle             Insur-
                               Auto
                                                                     Planning
         Drivers               Club
                              ance
                   Private                              Roads
                   Sector



                                                                •Plan
                                                                •Resources
                                                                •Data
                                                                •Actions
                                                                •Collaboration
              Option 2: integrated into the lead agency
                            organization
                                                    Acade
                                                     -mia
                                                                          Bilateral
                    Academia                                                 Aid
                                                            Education     Organiza
   Hospital                                health
                                                                             tion

                               Hospital                                                         •Plan
                                                                         Finance
                                                                                                •Resources
Development                                          Lead                                       •Data
                                      police
  Agency
                                                    agency
                                                                                      Advoca-   •Actions
                                                                                        cy
                                                                                       NGO      •Collaboration
                     Auto   Vehicle
                     Club                                                urban
                            Drivers
                                                                        Planning
                                      transport
                                                       Roads
                                          Private
                                                                        Insur-
                                          Sector                         ance
                                                       Auto
                                                       Club
           Framework for Creating Successful
                   Collaborations
Our framework, derived from the common elements of successful
collaborations, provides a pathway for meeting challenging goals.


           Genesis                             First
                                               Mile
                                                                          The Journey
      Coming Together                                                                                           Last
                                  Getting Started                                                               Mile
      Compl ex Problem that a                                      Progressing Along the Way
                                     Cl ea r and Compelling Goal
       Lea der Identifies to be                                                                         Wrapping Things Up
       Addressed                     Robust Strategy                  Sha red Leadership
      Core Group                    Orga ni zational Structure       Conducive Culture and            Goa l Achieved
      Prel i minary Pl anning       Synergi stic Membership           Rel ationships                   Project Compl etion
                                                                       Effecti ve Project Management    Les sons Learned




Collaborative partnerships have the best chance for success when members
lay the foundation in the first mile for the last mile success and take mutual
responsibility along the journey for leadership, management, and culture
within the partnership
               Building Capacity
• What are the key capacity gaps that limit the
  country’s ability to deliver road safety programs?
• What is the road traffic injury (RTI) information and
  RTI surveillance capacity?
• Who might be the potential stakeholders who should
  participate?
• What problems and what solutions might be unique
  to developing road safety capacity in large, poor,
  urban settings?
         What kind of ancestors will we be?
 We must work quickly:
   In AIDS, the public health community failed to respond to the
    problem as it was growing rapidly in developing nations. As a
    result, we ended up with the worst public health disaster the
    world has seen.
 We must work together:
   “The biggest single failure in the fight against AIDS in the first 15
    years of the pandemic was the failure to collaborate.”
                          Dr. Michael Merson, former Dean, Yale School of Public Health
 We cannot make the same mistake again:
   Road crash fatalities in developing countries are expected to
    increase 83% between 2000 and 2020, and we must get ahead of
    the curve now—before the predicted explosion takes place.
   Unfortunately, the international community and the developed
    nations have still not responded adequately to this emerging crisis.
   We desperately need your support in this fight against the new
    global epidemic of road traffic injuries.
                                                                                          23
                Contact Information
Mark L. Rosenberg, MD, MPP
404-687-5635
mrosenberg@taskforce.org


Lisa Hayes, MBA
404-592-1471
lhayes@taskforce.org


Center for Global Health Collaboration
www.globalroadsafety.org
The Task Force for Global Health
www.taskforce.org

                                         24

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:5
posted:2/15/2012
language:
pages:24