Questions to be answered by the community Ques tions to be answ ered by … · 2018. 1. 23. · nærings- og regional utvikling. Det er både statlige og egne fylkeskommunale midler

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Oppdatert 23.4.14. Søknad Safe communities

Column 1 Column 2

Questions to be answered by the community Questions to be answered by the certifiers

Section A

Community Overview

Are the descriptions sufficient? ¤ yes ¤ no If no! What is missing:

A.1 Briefly describe the community and its historical development. 150 Troms county has 160.418 inhabitants (as of 1.jan 2013). The county stretches over 26 000 square kilometers, includes 24 municipalities and 4 regions. It is one of three counties in North Norway at the altitude of 68 °-70° north. Troms is characterized by a varied landscape with open sea, small islands, deep valleys and mountains with 20 peaks reaching over 1500 m above sea level, plains and woods; glaciers, rivers, lakes and fjords. Troms is known for its rich and varied outdoor life, but it is also urban and has a vibrant cultural life. In Troms, three different cultures meet: the Norwegian, Sami and Kven Culture. The region has some relations with Russia. In years to come, the escalation of commitment in the Northern areas within fields such as technology, aquaculture and petroleum will further strengthen Troms as a center within the Barents co-operation. In the cities Tromsø, Harstad and Finnsnes almost 70% of the population lives. Tromsø is the administration center with almost 70 000 inhabitants and is the largest Nordic city north of the Arctic Circle. The city contains the world’s northernmost university- The Arctic University of Norway, which, together with other institutes of education attracts thousands of students to the city and adds a youthful dynamic to the urban community. Harstad has claimed the status of a cultural centre in the North due to the annual festival of

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North Norway. Also several oil companies have offices in Harstad, and the city was the first municipality in Norway as a designated Safe community in 1994. Finnsnes is the youngest city in central Troms and is called the “Gateway to Senja”, and Senja is the second largest island in Norway.

A.2 Describe the strategy, ambitions, objectives and work in the community in regard to safety. It must be a higher level of safety than average for a community in the country or region. 200 Troms county has two main approaches in safety prevention. The first is the Public Health Law and the principle of "health in all policies" which means that entire county authority is responsible for health promotion in all sectors. The systematic public health work requirements to have a health overview and impact factors that may affect the region. A summary of factors affecting accidents and injuries is a part of this responsibility according to the supervisor from the Norwegian ministry of health. Challenges that are identified will form the basis for planning and action (according to the Planning and Building act) The second approach is Troms county council decision in 2007 to start a process to become a safe community. The decision led to initiate the project "Troms county-safe and accessible" and took place from 2009 to 2011. The aim of the project was to anchor intersectoral injury prevention and safety promotion work in the organization of the county council through an action plan. Employees from different sectors, and the user councils for elderly and disabled participated in the project. Youth County Council was consulted along the way. Injury Registry by UNN/Harstad has contributed injury data. The actionplan "Safety county-action plan for injury prevention and safety promotion work 2012-2015" was adopted by the county parlament in autumn 2012, and presents a number of measures based on the seven indicators to become a Safe Communities. According to the regional planning strategy, the main elements of the plan will be incorporated into regional health promotion plan ( 2014-2025). Safe community model requirements for an infrastructure of a cross-sector cooperation and participation. In addition, one should be able to document the frequency and causes, and then prioritize measures that are evidence-based. This notion agrees well with the statutory systematic health promotion work. *********************************************************************** KOMMENTARER FRA GULDBRAND ETTER SITE VISIT: Beskriv tydeligere vår rolle som regional utviklingsaktør, og vår rolle som regional tjenesteyter ( tannhelse og VGS) Hva vil man oppnå når? Beskrive målene her i A2. Ev klipp ut fra B8?


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Hvordan kan et regionalt nivå/modell agere for å støtte kommunene i forebyggende sikkerhetsarbeid? Fylkeskommunen tar seg av oppgaver som er for store til at hver kommune kan klare dem alene, eller saker som går på tvers av kommunene.

Fylkeskommunen arbeider for at hele regionen vil være et attraktivt og godt sted å bo, arbeide og leve i, og at det også vil være et trivelig og spennende reisemål. Økt verdiskaping og bærekraftig utvikling er nøkkelord i denne sammenheng.

Fylkeskommunen har bl.a. ansvaret for regional utvikling, videregående utdanning, fylkesveier og offentlig transport inklusiv skoleskyss, offentlig tannhelsetjeneste, kulturminnevern, fylkesbibliotek, folkehelse, friluftsliv, fordeling av tippemidler og støtte til næringslivet.

Fylkestinget vedtok i 2003 at Troms fylkeskommune skal ha parlamentarisk styringsform, dvs. at administrasjonen ledes av fylkesrådet. Fylkesrådet utnevnes av fylkestinget og har en tilsvarende funksjon i forhold til fylkestinget som Regjeringen har i forhold til Stortinget. Fylkesrådslederen er den øverste administrative lederen i Fylkeskommunen.

De største arbeidsområdene som det ytes tjenester for er videregående utdanning og offentlig tannhelsetjeneste.

Troms fylkeskommune har følgende etater:

Stabssjefen- Stabssjefen har overordnet ansvar for viktige politikkområder i regionen: Nordområdepolitikk, regionalisering, internasjonal politikk og forsvarspolitikk. Enheten har også som hovedoppgave samordning og koordinering mellom fylkesrådet og administrasjonen, samt kommunikasjon utad og innad i fylkeskommunen.

Planavdelinga inngår i stabssjefens etat og avdelingen har ansvaret for koordinering av den overordnede planleggingen i fylkeskommunen herunder regional planlegging, tverrfaglig planarbeid og bistand til annet planarbeid i organisasjonen. Avdelingen har også ansvar for å veilede og bistå kommunene i deres planleggingsoppgaver. Kulturetaten- Etaten har ansvar for folkehelse, idrett og friluftsliv, fylkesbibliotek, kulturarv, kultur i Troms(musikere) og kunst- og kulturformidling.

Avdeling folkehelse, idrett og friluftsliv følger opp fylkeskommunens oppgaver i henhold til folkehelseloven, som er en del av samhandlingsreformen. Ansvaret for å følge opp trygt lokalsamfunn er lagt til avdelingen. Fylkeskommunen skal:

• Fremme folkehelse innen egen tjenesteyting- det vil si i videregående opplæring, i tannhelsetjenesten og i samferdselssektoren • Være en regional pådriver og samordne folkehelsearbeidet i regionen- bidra med utvikling i kommunene, herunder skadeforebyggende arbeid • Holde oversikt over helsetilstanden i fylket – herunder skader og ulykker • Stimulere og motivere til friluftsliv • Sikring og ivaretakelse av attraktive friluftsområder • Forvaltning og drift av statlige sikra friluftsområder

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• Tilrettelegge for jakt og fiske • Forvalte høstbare vilt og fiskearter • Forvalte spillemidler til anlegg for idrett og fysisk aktivitet og kulturbygg Avdelinga forvalter flere tilskuddsordninger innen folkehelse, idrett og friluftsliv. Troms fylkeskommune har ambisjoner om å være en ledende utviklingsaktør når det gjelder folkehelse, inkludert arbeid med idrett og friluftsliv. Det er fylkesplanen og regionale planer, (herunder handlingsplan om skadeforebyggende arbeid) på området som er førende for fylkeskommunens arbeid med fagområdene.

Næringsetaten- Etaten har ansvar for utarbeidelse av årlig Regionalt Utviklingsprogram (RUP), og administrerer en rekke virkemiddelordninger til finansiering av utviklingsprosjekter innen nærings- og regional utvikling. Det er både statlige og egne fylkeskommunale midler.

Fylkeskommunen har gitt en betydelig støtte til Norsafety AS i Harstad for å implementere et kompetanseprogram om skadeforebyggende arbeid i kommunene. Dette ble iverksatt gjennom prosjektet «Troms fylke trygt og tilgjengelig» som ble gjennomført i 2009-2011. Det har blant annet resultert i:

o 18 kommuner i fylket har iverksatt aktivitet på området o det har vært avholdt en større konferanse om temaet o planlegging og iverksetting av «Eldresikkerhetsprosjektet i Troms» startet opp i

2012.

På ovennevnte måten kan et regionalt nivå/en regional modell støtte kommunene i forebyggende sikkerhetsarbeid, og følge opp intensjonene i folkehelseloven. Se også informasjon under B 11.

Samferdsel og miljøetaten- Fylkeskommunen har ansvar for lokal og regional kollektivtransport med buss, båt og ferge. l tilknytning til kollektivtransporten organiserer og investerer fylkeskommunen i terminalfunksjoner, bygging og vedlikehold av kaier for båter og ferger.

Fylkeskommunen har ansvar for alle fylkesveier i Troms, med tilhørende bruer, tunneler og fergekaier. Statens vegvesen er fylkeskommunens fagorgan i fylkesvegsaker. Det er ca. 2980 km. fylkesveger i Troms, inkludert 1180 km. som Troms fylkeskommune overtok fra staten i 2010. Troms fylke hadde 939 km gang- og sykkelanlegg pr. 1.januar 2010, og 82,1 km ligger i tilknytning til fylkesveier.

Det gjennomføres mange prosjekter på vei og kollektiv, ofte i samarbeid med kommuner og Statens vegvesen.

Videre har fylkeskommunen ansvar for trafikksikkerhetsarbeid og transporttjeneste for funksjonshemmede.

Tannhelseetaten- Tannhelseloven pålegger fylkeskommunen å sørge for at tannhelsetjenester, herunder spesialisttjenester, i rimelig grad er tilgjengelig for alle som bor eller midlertidig oppholder seg i fylket.

Den offentlige tannhelsetjenesten skal organisere forebyggende tiltak for hele befolkningen,

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og gi regelmessig oppsøkende tilbud til visse prioriterte grupper, blant annet barn og ungdom, psykisk utviklingshemmede, eldre, langtidssyke og uføre i institusjon. Det skal i tillegg gis tilbud til ungdom som fyller 19 eller 20 år i behandlingsåret, samt andre grupper som fylkeskommunen har vedtatt å prioritere.

I tillegg til de prioriterte gruppene kan Den offentlige tannhelsetjenesten yte tjenester til voksent betalende klientell etter fylkeskommunens bestemmelser.

Utdanningsetaten- Utdanningssektoren har ansvar for: 14 videregående skoler med ca. 6200 elever pr. år og omlag 1500 tilsatte. Fagopplæring i arbeidslivet med ca. 1250 lærlinger. Opplæring av ca. 900 voksne pr. år. Opplæring av barn og ungdom som er på behandling på sosiale og medisinske institusjoner. Opplæring av innsatte i fengsel. Egen fylkeskommunal psykologisk tjeneste. Oppfølgingstjenesten med ansvar for å gi tilbud til ungdom som ikke bruker sin rett til videregående opplæring. Fagskolen som gir yrkesrettede utdanninger som bygger på videregående opplæring.

Fellestjenester er organisert i 4 forskjellige sentra: Økonomisenteret, Drift- og utbyggingssenteret, Personal- og organisasjonssenteret og IT-senteret.

Fylkeskommunen ønsker å skape en bevissthet og en handlingsberedskap i fylkeskommunens arbeid med å skape et trygt og sikkert fylke for alle. På bakgrunn av et vedtak i fylkestinget i 2007 om at man ønsker å oppnå status som et trygt lokalsamfunn har man utarbeidet en tverrsektoriell handlingsplan: «Trygt fylke- handlingsplan 2012-2015 skadeforebyggende og sikkerhetsfremmende arbeid». Planen beskriver

a) sektorovergripende mål og tiltak, og b) sektor- eller målgrupperettede tiltak

Alle målene er beskrevet under B8. Alle tiltakene er samlet i en oversikt og er beskrevet under B4. Handlingsplanen er ikke oversatt til engelsk, og vi har derfor valgt å ikke laste den opp som vedlegg i søknaden. Den norske versjonen er imidlertid send til Guldbrand Skjønberg via e-post.

Beskrive noe om balansen mellom våre passive (miljøinrettede ) og aktive tiltak, lovregulering? Fylkeskommunen har valgt å innarbeide det skadeforebyggende arbeidet som en del av folkehelsearbeidet, og det er folkehelseloven som regulerer både statens, fylkeskommunenes og kommunenes ansvar. Fylkeskommunen har ikke noen myndighet til å lage egne lover eller forskrifter. § 20. Fylkeskommunes ansvar for folkehelsearbeid: Fylkeskommunen skal fremme folkehelse innen de oppgaver og med de virkemidler som

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fylkeskommunen er tillagt. Dette skal skje gjennom regional utvikling og planlegging, forvaltning og tjenesteyting og tiltak som kan møte folkehelseutfordringene i fylket. Fylkeskommunen skal understøtte folkehelsearbeidet i kommunene, være pådriver for og samordne folkehelsearbeidet i fylket. § 21. Oversikt over helsetilstand og påvirkningsfaktorer: Fylkeskommunen skal ha nødvendig oversikt over helsetilstanden i fylket og de positive og negative faktorer som kan virke inn på denne. Oversikten skal være skriftlig og identifisere folkehelseutfordringene i fylket, herunder vurdere konsekvenser og årsaksforhold. Oversikten skal inngå som grunnlag for arbeidet med fylkeskommunens planstrategi i henhold til plan-‐og bygningsloven. Oversikt over forhold som påvirker ulykker og personskader er en del av dette ansvaret. Fylkeskommunen har som nevnt fattet vedtak om 23 ulike tiltak i handlingsplanen Trygt fylke. Det er en hovedvekt på de passive tiltakene i forhold til de aktive. Eksempel passivt tiltak: Mål: Transportpolitikken (2010-‐2019) skal bygge på null-‐visjonen om ingen drepte og ingen hardt skadde i trafikken, og at transportsystemet skal være universelt utformet. Tiltak: Man skal bygges trygge gang-‐/sykkelstier til skoler innom en avstand på 2-‐4 km. Man skal gjennomføre holdningsskapende trafikkopplæring i de videregående skolene i Troms.( se B4 og vedlegg pkt 13+14) Fylkestinget har i oktober 2013 fattet vedtak om en strategi for universell utforming av kollektivsystemet i Troms. Vedtaket sier at et universelt utformet kollektivsystem vil redusere faren for eneulykker, f.eks. fall, og bedre trafikksikkerheten og er dermed en del av fylkestingets ivaretagelse av det utvidete folkehelseansvaret. Eksempel 2: Mål: Det skal tilrettelegges tilgjengelige og trafikksikre adkomster og parkeringsmuligheter til viktige tur-‐ og utfartsområder. Aktivt tiltak: Fylkeskommunen kartlegger og verdivurderer friluftsområder i Troms. Det er fem områder som har høy besøksfrekvens men dårlig sikkerhet og tilgjengelighet som skal sikres for god sikkerhet. ( se B4 og vedlegg pkt 16) Eksempel på andre tiltak som fylkeskommunen gjør for å bygge inn sikkerhet i ulike miljøer er:

o utdeling av skolesekk med refleks til alle førsteklassinger i hele fylket o utdeling av sykkelhjelm til alle fjerdeklassinger som har fått godkjent en

sykkelprøve

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o kampanjen «trygt hjem for en 50-‐lapp» som gjør at ungdom kan komme seg trygt hjem for 50 kr med drosje i helgene

Beskrive at noen av målene styrs av økonomi eks. Hvordan styrer vi idretten mot mer sikkerhet? Fylkeskommune forvalter statlige tippemidler som skal gå til idrettsanlegg og nærmiljøanlegg. Kommuner som søker om midler må følge nasjonale retningslinjer og kriterier, og søknadene må oppfylle de byggnadstekniske forskriftene i henhold til idrettsanlegg. Det er kommunene som har ansvar for å følge opp gjeldende sikkerhetsforskrifter i f.eks badeanlegg. I tillegg forvalter fylkeskommunen andre statlige midler og egne fylkeskommunale midler som for eksempel til friluftsliv. Et større prosjekt går på at kommunene skal merke og skilte løyper etter en nasjonal standard for blant annet å øke sikkerheten og tryggheten ute i naturen. Kommunene som søker må oppfylle vedtatte kriterier for å få støtte. Fylkeskommunens andel er 1 million kr årlig. Turskiltprosjektet formål er: «gjennom informasjon, skilting og merking bidra til økt og trygg friluftsferdsel der folk bor og oppholder seg» Det presiseres at det nevnes flere tiltak og strategier i denne søknaden enn det som er vedtatt i handlingsplanen Trygt fylke. Beskrive at vi har noe kunnskapsstyrning feks: Høgskolen i Harstad, skaderegisteret, Beskriv tydeligere hvordan vi bruker det unike skaderegisteret i Harstad. Skaderegisteret ved UNN Harstad har siden midten på 80-tallet registrert skadeomfanget i Sør-Tromsregionen. I perioden 2001-200 er det her blitt registrert over 34 000 skadetilfeller. Harstad sykehus inngikk i perioden 2000-2001 i et nasjonalt prosjekt for beregning av nasjonale skadedata som var en del av personskaderegisteret ved Folkehelseinstituttet. Troms fylkeskommune har brukt tallene fra registeret ved Harstad sykehus og utfra disse beregnet (estimert) ulykker og personskader i Troms. Se B4 og vedlegg tabell 1. Fylkeskommunen har også fått hjelp av Harstad sykehus til å beregne skadetyper og alvorlighetsgrad i ulike aldersgrupper som det vises til under indicator 3:2. Når det gjelder oversikt over spesielt skadeutsatte grupper vises det til tre figurer i handlingsplanen Trygt fylke s.21, hvor kilden er skaderegisteret ved UNN Harstad fra 2010. Troms fylkeskommune er også en pådriver for å få UNN Tromsø til å begynne skaderegistreringen som de er pålagt til å gjøre etter forskrift. Det nasjonale datasettet som ønskes brukt av statlige myndigheter, FMDS, er ikke like detaljert som «Harstad-modellen». Det vil imidlertid være en god begynnelse for å få mer detaljerte data i Troms kommunene som ikke hører til Harstad-området. Det er et godt samarbeid mellom fylkeskommunen og ansatte ved skaderegisteret UNN Harstad, og dermed enkelt att få utarbeidet flere rapporter og oversikter for inneværende

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planperiode. Kommuner som har deltatt i utviklingsprosjektet «Troms fylke trygt og tilgjengelig» (2009-2011)har også utarbeidet lokale skadeoversikter med hjelp av UNN Harstad. Dette vil kunne brukes aktivt i oversiktsarbeidet om helsetilstand og påvirkningsfaktorer som er pålagt både kommuner og fylkeskommuner til å ha. Et oversiktsdokument skal foreligge både som et fireårsdokument med kobling til plan-og bygningsloven, og som et løpende oversiktsarbeid hvert år. Troms fylkeskommune vil med hjelp av den unike og langvarige skaderegistreringen i Harstad kunne bidra til god regional og lokal oversikt om skader og ulykker. Fylkeskommune har også innledet et samarbeid med Høgskolen i Harstad for å forske på effekten av kurs og seminarer i kommunene om skadeforebyggende arbeid knyttet til implementering av nye tema. Det er et mål om oppstart i 2014. Beskriv tydeligere det tverrsektorielle i to nivå:

- Intersektoriellt samarbeid. Vise til arbeidsgruppen. - Cross sector samarbeid mellom offentlig, privat, og frivillig sektor. Vise til TFTU,

TIK. Fylkeskommunens tverrsektorielle arbeid for å følge opp det skadeforebyggende og sikkerhetsfremmende arbeidet, (som en del av folkehelsearbeidet) kan deles opp i to nivåer. Det intersektorielle arbeidet foregår i den fylkeskommunale arbeidsgruppen som er nedsatt, og som har sin forankring i fylkesrådet. Ansatte fra alle etater og brukerutvalgene deltar i gruppen. Fylkeskommunens tverrsektorielle samarbeid mellom frivillig og/eller privat sektor foregår blant annet i fylkeskommunens trafiksikkkerhetsutvalg (TFTU). Utvalget består av medlemmer fra fylkeskommunen, frivillig sektor som Trygg trafikk, politiet, drosjenæringen og Fylkesmannen. Som tidligere nevnt bruker TFTU blant annet 5 millioner årlig til sykkeltilrettelegging gjennom Troms fylkes plan for gang- og sykkeltilrettlegging. I tillegg har fylkeskommunen et utstrakt samarbeid med Troms idrettskrets(TIK) som får støtte til prosjektet «inkludering i idrett» som foregår i kommunene Lenvik, Harstad og Tromsø. Se mer under B11. A.3 How are the mayor (or similar function of the community) and the executive committee, involved? Who is chairing the Cross-sector group? 50 According to the action plan "Safe county" the county council has appointed an cross-sector working group at the administrative level. Members of the cross-sector group is from every department in the county organization: employees of dental health, culture, business development, education, transport, chief of staff with planning section. Also the county council for the elderly, for disabled and for youth are members of the group. The cross-sector group reports to Executive Councillor for Business, Culture and Health development which reports to Chair of Troms County Government. It is the department of cultural, public health section who has the administrative responsibility for supervising the

Are the descriptions sufficient? Is the mayor involved? ¤ yes

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work of the safe communities. ¤ no Is the executive committee involved? ¤ yes ¤ no Who is chairing the cross –sectional group? ¤ …………

A.4 Describe the injury risk-‐panorama in the county. 200 Injury Registration at the local hospital in Harstad has since the mid-‐1980s recorded data in the region of south Troms. The region has 35.868 inhabitants in 7 municipalities ( as of 1. jan 2012). Between 2001-‐2010, it has been registered over 34,000 injuries, where 20 percent were admitted to hospital. The most serious injuries were 23 fatalities and more than half of them died as a result of traffic injury. Each year, about 10 percent of the population get medical treatment as a result of accidental injury. The hospital in Harstad has calculated accidents and personal injuries from a population of approximately 158,000 people in Troms (representing about 3% of the population in Norway ). Based on empirical data from accident registration at Harstad hospital is it calculated a number of just over 16,000 injuries per year in Troms county. Traffic accidents is a big load to the society both directly and indirectly. There is recorded approximately 350 casualties and fatalities in Troms, and the measurable economic costs in Troms is about 900 million nok/year. See uploaded document-‐ Extent and consequences of accidents, Norway and Troms county.

Upload A4: Table 1: Extent and consequences of accidents, Norway and Troms county

Is the risk-‐panorama sufficiently described? ¤ yes ¤ no If no! What is missing:

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Injured / dead - type of accident /

injury Norway Troms 0-‐14

yrs 15-‐24 yrs

25-‐64 yrs

65-‐ yrs

Injuries in all 500 000 16 054 4640 3448 5826 2140 Permanent injury due to accidents

36 000 1 080

Disability due to accident 1 300 40 Deaths due to accidents 1 800 54 Deaths, people older than 65 years

1 100 32

Traffic Injuries 50 000 1 575 Deaths in road accidents 170 15 Work Injuries 70 000 2 100 Hip fracture 10 000 320 Percentage of home accidents 35 % 5 500 Percentage of sports injuries 17 % 2 700 Admitted to hospital 10 -‐ 15

% 2 360

Sources: Statistics Norway, The Norwegian Institute of Public Health and Hospital Harstad

Section B Structure of the community B.1 Describe the demographic structure of the community. 200 Troms had 160,418 inhabitants ( january 2013) and has had a relatively stable population growth, with an increase in population of nearly 30,000 inhabitants from 1961 to 2011. Population growth is -‐ by comparison -‐ 23% lower than the population growth in the whole country. Population projections calculate with 175,000 inhabitants in Troms in 2030. This increase comes against the background of immigration from abroad and births in the period. It is also expected a significant increase in the number of elderly in the years up to 2030 (from 10.2 percent to account for 15.7 percent of the population). Within the county, growth has been uneven and Tromsø municipality have had an increase in population which is higher than the county in total. There has been a significant internal centralization, where 65 percent of residents living in the three largest municipalities: Tromsø, Harstad and Lenvik. Ten municipalities have less than 2,000 inhabitants each. Population growth, especially in the cities, and the increase of elderly in the period up to 2030, will increase demands on public services, increased accessibility and universal design. According to the Regional Transportation Plan will this result in increased costs for the operation of public transport. See uploaded document figure 1. Upload B1-

Is the demographic structure and the

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Figure 1: Population projection 1970-2030

Source: Statistics Norway

different risks Sufficient described? ¤ yes ¤ no If no! What is msing

Are the descript

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ions sufficient? ¤ yes ¤ no If no! Whais missing:

B.2 Describe the SC/IP at present and the plans for the future. 300 In 2007 the County parlament made a proposal to qualify the county as a Safe Community. It was this decision that laid the foundation for the project "Troms county safe and accessible." The project was completed in 2012 and ended up that the county parlament adopted the action plan “Safety county-2012-2015, injury prevention and safety promotion work”. Based on the plan the county council will submit an application for international recognition as a safe community. The aim is to get a designation during the summer of 2014. Troms is so far the only county municipality in Norway that has prepared an action plan for SP / IP.

According to the action plan, it is decided to start up both cross-sectoral measures and sector- oriented measures for each target group. The aim with the plan is to create awareness and readiness for action in the county's efforts to create a safe and secure county for all. The measures/programmes are based on several laws such as the public health act, the planning and building act, and the discrimination and accessibility act. The plan does not include measures relating to universal design as the County Council has prepared an separate action plan for that theme. However, universal design is described as an important factor when it comes to safe communities. Troms county council has also other several strategies, and plans that has been formulated and

Are the descriptions sufficient? ¤ y

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decided in the county parliament with a focus on safety promotion. To be mentioned is for instance:

- Regional transport plan 2014-2025, with actionplan about traffic safety (cyclists pedestrians) political process spring 2014

- the strategy for universal design of the public transport system in Troms, which is part of the regional transport plan.

- Actionplan for elderly,(by the user councils for elderly 2013), political process spring 2014

- youth's transportation plan (adopted 2010) - the strategy for tourism in Troms 2013-2017 has a priority theme on safety tourism. - Plan for crisis management

Each departments/sections will have the responsibility for managing the programs formulated in the action plan "Safety county". As a follow-up to the project "Troms county safe and accessible”, a project in 2012 was initiated in relation to older security project. It was ended in late 2013, and was managed by Norsafety AS in Harstad. The experiences about this project, will be implemented to all municipalities in the county. During the prosess and the preparation of the action plan "Safe county" a working group from different departments in the county council took part in the project "Troms county safe and accessible". This group joined the competence program which was included in the project and gathered over 100 participants from the county and the municipalities. This programme will be developed with support from the Norwegian health affairs to become a Web-based e-learning courses that will be widely available during late 2014. Norsafety AS was given the commission from the county council to lead the project "Troms county safe and accessible", and is also given the management to finish the web-based e-learning programme about safety and injury promotion. Troms county council has been given financial support to Norsafety AS since 2009 from regional development and health promotion funds.

es ¤ no If no! What is missing:

B.3 Describe the support for sustained injury prevention of the local politicians in the community and which parts of the program have been undertaken and/or supported by the regional government? 150 The project "Troms county safe and accessible." selected eight municipalities in the South Troms region as a testpilot. The accept went through the Regional government in southern Troms and it was signed agreement with each municipality, based on political decisions about participation. Municipal project-‐teams got etablished and joined the competence program which was mentioned earlier, and they have continued to work on action plans about injury prevention. Five municipalities in southern Troms has decided actionplans in the municipality boards. The project's final phase focused on implementation in the rest of the county's 17 municipalities and in the county council organization, and was based in the county government with the aim of preparing the Action Plan "Safe county". The plan was adopted by the county government in October 2012. Employees from different sectors took part during the process and the development with the actionplan, and the result is that also other sectors, included politicians has got a higher awareness about injury prevention.

Are the descriptions sufficient?

14


As mentioned before other plans have been decided by the county parlament, with a link to safety promotion: -‐ "County-‐plan 2014-‐2025" with focus on an overall strategy. Public health and landplanning have been given priority, and safety promotion will be linked to both themes. -‐ "Regional transport plan" ( new decision march 2014) with a main target towards a higher traffic safety in the whole county. There will be an separate action plan about traffic safety, included walking and cycling path. Strategy about universal design in public transport system in Troms is part of the regional transport plan , and has been decided in the county council government in 2013. -‐ "Action plan for the elderly in Troms"-‐ new from 2013. The plan will be upon the agenda in the county government march 2014. The county council for elderly is responsible for this plan. Some of their suggestion in the plan is visiting services, security phones, fire protection, and to cooperate with the safety elderly project together with the department of cultural/public health section and Norsafety.

¤ yes ¤ no If no! What is missing:

B.4 Describe the strategic program concerning the safety promotion and injury prevention work, which has been formulated. 200 See uploaded document.

Upload B4.

Table 2 Overwiew of programmes from the plan “Safe county- Action plan 2012-2015- Safety and injury prevention”

Nr. Measures Decision / responsibility Implementation

1 Cross-sectoral group County Council 2012

2 Guidance to municipality planning Planning section Cultural department

Starting up 2013

3 Injury and accident report in the county, and to the municipalities as soon as data from the National patient register(NPR) is available

Cultural department Starting up 2013

4 Public Health Report to County Council (as a part of the public health law, and overview of factors affecting accidents and injuries is considered part of this responsibility)

Cultural department Starting up 2013-2014

5 Courses and learning about safety promotion (e-learning)

All departments Starting up 2013

6 Facilitate meeting forums in the municipalities All departments and county council for the elderly, for

Starting up 2013

Are the descriptions sufficient? ¤ yes ¤ no If no! What

15


to raise local competence disabled and the youth ( user councils)

7 Competence measures about user participation

All departments and county council for the elderly, for

disabled and the youth ( user councils)

2015

8 Overall evaluation and active participation of the user countys to follow-up the action plan

All departments and county council for the elderly, for


9 Regional public health plan All departments and county council for the elderly, for


2014

10 Development of "Safe schools in Troms», 2 years

Eduacation department, Youth County Council

2014-2015

11 Kick-off seminar "The Immortal" according to "Safe schools in Troms»

Eduacation department Youth County Council

2014

12 Theme day "Youth and Accidents» Youth County Council 2014

13 Safe walking and cycling routes to schools Transport department/Traffic safety council (TFTU)

continuously

14 Traffic training/ shaping attitudes in secondary schools

Cultural department /Traffic safety council

(TFTU), and the NGO organization Safety

traffic

continuously

15 Campaign “Safe to and back from leisure-activites”

Cultural department/ Traffic safety council (TFTU),

and other NGO`s

2014

16 Safe recreation places Cultural department / Traffic safety council (TFTU)

2014-15

17 Implement injury register in dental health care Dental health department 2014-15

18 Acquiring better data about dental injuries in school that has been reported to social security agency (NAV)

Dental health department Starting up 2013

19 Information Brochure dental injuries Dental health department 2013

20 Information board about first aid for dental injuries

Dental health department 2014

is missing:

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21 Safety elderly project Cultural department 2013

22 Info material intended for groups with foreign language

Cultural department /All departments

2014

23 Look for possible collaborative efforts with the Sami Parliament

Cultural department 2013

B.5 Who is responsible for the management of the SP/IP program and where are they based in the local political and administrative organization? 25

It is the newly created cross-sectoral working group which is responsible, and the group has representatives from all departments and also the user councils (elderly, disabled, youth). This group will also follow-up the work with the cross sectoral health promotion work.

See uploaded document- organization chart

Are the descriptions sufficient? ¤ yes ¤ no If no! What is missin

17


g:

18


B.6 Which is the lead unit for the SP/IP program?25 The department of culture by the public health section will coordinate and be the secretary for the SP/IP program, in consultation with Executive Councillor for Business Development, Culture and Health. It is the county government which has the overall responsability.


B.7 Is the Safe Communities initiative a sustained program or a project?25 Has since 2009 been a sustained program ( when starting the project "Troms county, safe and accessible" ), with the aim to become a designated Safe community. Safety promotion is also integrated in different county plans.

Are the descriptions s

19


ufficient? ¤ yes ¤ no If no! What is missing:

B.8 Are the objectives decided by the local politicians covering the whole community? Which are they? 150 The objectives in the plan "Safety county" are decided by the county government and the county parlament. A) SECTORAL OBJECTIVES (OVERALL) 1. Intersectoral cooperation: Troms county must appear clearly as a part in working with SP/IP and will during 2014 have an international designation as a safe community, according to the seven indicators. 2. Guidance to municipal plans: The County council shall, in its role as the authority under the Planning and Building Act, assist municipalities with advice and guidance in their planning. 3. Public health: The county council shall promote public health in all sectors, "Health in all policies", and make sure to have the necessary overview of the state of health of the county and the positive and negative factors that can affect health. 4. Learning and building competence: The county council should strengthen its competence and work with SP/IP , among employees, politicians, User Councils and NGOs. 5.User interaction: Increase awareness in the county council management by the importance of an active and

Are the descriptions sufficient? ¤ yes ¤ no

20


ongoing user interaction on SP/IP work. 6. Monitoring and evaluation: The county council will until 2016 report that all seven indicators for Safe Communities, and that SP/IP work is well integrated into all departments and sections. B) SECTOR OR TARGET GROUP ORIENTED MEASURES 7. Secondary education: Department of education will ensure that the staff, pupils and parents in secondary schools have a greater awareness of young people as a risk group and knowledge about preventive measures that can be implemented in various areas, inside and outside the school day. The county council shall ensure that the secondary schools take in SP/IP work as a theme in the work about teaching of public health. 8. Transport and traffic safety: Regional transport plan aims to ensure that transportation policy in the county shall be based on zero-‐vision with no fatalities and no serious injuries in traffic, and that the transport system should be universally designed 9. Culture, sports and outdoor: The extensive transportation of children and young people going to and from activities every day, there is a need to strengthen the sports clubs and cultural organizations' awareness of road safety among coaches, managers and parents. Safer access to major hiking and recreation areas, and parking facilities. 10. Dental health: To obtain better statistics for dental injuries. Increase competence on proper first aid about teeth injuries. 11.Elderly safety in home and institutions: The county council will spread knowledge, attitudes, and implementation of good prevention practices in the municipalities, and the regional hospital. and increase the information to the population about SP/IP measures according to the elderly. 12. Other measures: Information material such as brochures and websites of SP/IP must be easily available.

If no! What is missing:

B.9 Who have adopted these objectives? 50 The county government and the county parliament.

Are the descriptions suf

21


ficient? ¤ yes ¤ no g:

B.10 How are the Safe Community objectives evaluated and to whom are the results reported? 150 There will be an evaluation of the actionplan “Safety county” in 2016 , of all seven indicators for Safe Communities, to describe how and if the SP/IP work is well integrated into the county's departments. The main elements of the plan "Safe county" will be incorporated into the regional public health plan, which is decided to be prepared during this election period ( starting up in 2014). During the project "Troms county safe and accessible" there has been a follow-‐up evaluation made by Harstad university (by a master student in public health) during the period january 2010 -‐ june 2011. Look for a summary at point 6:1. The county council, Harstad university and Norsafety are planning a research to follow up seminars that has been (and will be) conducted in the municipalities. The research will be managed by a society scientist from Harstad university. (G.Hagebakken). The results will be included and reported in the document about overview of health status and determinants, which will be presented in the county parlament.


22


B.11 Are economic incentives in order to increase safety used? If yes, how are they used? 50 No, the work is a part of the cross sectoral public health work based in the public health law from 2012. Beskriv at vi har noen økonomiske incitament for å få innbyggere å gå i rett retning feks. utdeling av skolesekk, sykkelhjelm. Hvordan få idretten å tenke sikkerhet? Fylkeskommunen bruker økonomiske incitament i trafikksikkerhetsarbeidet, Utdeling av skolesekk med refleks til alle førsteklassinger i hele fylket, utdeling av sykkelhjelm til alle fjerdeklassinger, og kampanjen «trygt hjem for en 50-‐lapp» finansieres med kr 1,2 millioner/år. I tillegg får Trygg trafikk som er en frivillig organisasjon kr 750 000/år, og fylkeskommunens gang-‐ og sykkelplan (GS plan) har et budsjett på 5 milllioner/år. I planen inngår fysiske tiltak somtilrettelegging og bygging av sykkelveg/fortau eller opphøyd gangfelt. Utdeling av refleks, andre mindre tiltak og krattrydding er finansiert med kr 1 million/år. I fylkeskommunens rolle som regional utviklingsaktør har man delfinansiert Norsafety AS i Harstad. Bedriften har som siktemål om å bli et permanent regionale kompetansesenter på skadeforebyggende og sikkerhetsfremmende arbeid, og har bistått fylkeskommunen i sitt kommunale utviklingsarbeid om skadeforebyggende arbeid. Det samlede tilskuddsbeløpet til Norsafety i fylkeskommunale utviklingsmidler er kr 3 750 000 kr i en periode fra 2009 – 2015. Troms idrettskrets mottar årlig støtte fra Troms fylkeskommune et viktig prosjekt som heter «Inkluderingsarbeidet i idretten». Dette foregår som tidligere nevnt i de tre største byene i Troms: Lenvik, Harstad og Tromsø. Inkluderingsarbeidet har et tydelig kriminalitetsforebyggende fokus, med både generelle tilbud og spissede tilbud mot utvalgt ungdom. Glede, mestring, voksenkontakt og trygge rammer er viktige stikkord. Arbeidet drives primært gjennom to typer tiltak: Klubbtiltak og Aktivitet og mestring. - Klubbtiltak er gratisaktiviteter som er åpen for alle, og der utsatte målgrupper rekrutteres spesielt. Her nevnes tiltak som Åpen Hall, barneløp, fargerik friidrett, svømming og fotball, skikaruseller og introdager i ulike idretter. Rundt 50 klubber i Troms bidrar årlig til dette arbeidet. - Aktivitet og mestring er et aktivitetstilbud rettet mot ungdom som er plukket ut i samarbeid med barnevern, utekontakt, skole og politi. De gis ukentlige aktiviteter, med fokus på mestring og spenning sammen med representanter fra nevnte instanser. Idretten står for aktivitetstilbudet.


B.12 Are there local regulations for improved safety? If so, describe them. 50

1. Public health act with a statement that health is a cross-‐sectoral responsibility.

2. Planning and Building Act with a statement that planning should promote safety socities. Universal design is included in this regulation.

Are the descri

23


3. Discrimination and Accessibility Act, with a statement that all public buildings with

belonging areas outdoor must be easily accesible, and to promote universal design. Beskrive FK mulighet til lovregulering: Fylkeskommunen har ikke noen myndighet til å fastsette egne lover eller forskrifter.

ptions sufficient? ¤ yes ¤ no If no! What is missing:

Section C Indicator 1 1.1 Describe the cross-sector group responsible for managing, coordinating,

and planning of the SP/IP program. 200

Look at B5. Second, there is a need to coordinate efforts at sectoral health promotion in the county council. This is to fulfill the obligations under the Public Health Act, and the work with the overview of health and determinants. According to regulations, § 3, the county council must have and make an assessment of the following areas: -population -adolescence and living conditions -physical, biological, chemical and social environment -injuries and accidents -health-related behavior -health The cross-sector group will use this overview as a base for long-term planning to get a better preparation for different sectors contribute to health promotion and SP/IP.

Are the descriptions sufficient?

24


¤ yes ¤ no If no! What is missing:

1.2 Describe how the local government and the health sector are collaborating in the SC/IP work. 100 The Northern Norway Regional Health authority (Helse Nord RHF) has signed a cooperation agreement on public health with the three northernmost county counsils. One of the themes is to increase the knowledge and get better data about health promotion factors, and factors that causes injuries. This forum will push the hospital in Tromsø (UNN) to begin with injury-‐registration which is regulated by law, to get data that can be attributed to local municipalities. The department of dental health in the county council is a part of the cross sectoral group. Dental health care resource center for Northern Norway (TkNN) was formally established in 2003. The center includes a main clinic in Tromsø. TkNN is owned by the county council and has got a regional function for Northern Norway. Dental health care involves organizations like Norwegian teeth protection ( Norsk tannvern). See uploaded document-‐ First aid by teeth injuries


25


is missing:

1.3 How are NGOs: Red Cross, retirement organizations, sports organizations, parent and school organizations involved in the SC/IP work? 200 The county council announces funds once a year which are called FYSAK-‐funds. These founds are a mixture given from the national Directorate of Health and the county councils own funds, and are allocated to NGOs. The funds will stimulate physical activity (low-‐threshold ) for the purpose to develop good health habits. Target groups are inactive, children and youth, groups in need of adapted physical activity (eg people with disabilities and older), and other vulnerable groups. NGOs and municipalities can apply for these funds. There are about 1,5 milllion nok allocated to voluntary organizations from the county council, and in 2014 there are about 150 applications. Below some examples related to safety promotion : -‐For elderly: an application to get plowed dirt roads in a small community so that fitness groups dont have to walk by the main road at wintertime (LHL Balsfjord) -‐For youth: Learning youth about boating/safety rules on water, that can be used throughout the year in rough activity (Red cross Harstad) -‐For refugees: Skiing activities for the asylum center ( IL Pioner ski) Troms county traffic safety council (TFTU) includes the NGO Safety traffic which is an important contributor to increase traffic safety in the county. The county council supports the organization TFTU financially. Volunteer centers are a meeting place that provides contact between people in the community. Some need help and others want to help. The center's coordinate the volunteer efforts that individuals and organizations in the community perform.

Are the descriptions sufficient? ¤ yes ¤ no If no! What is missin

26


Troms has got 18 volunteer centers and some of them were involved during the project ,"Troms county safe and accessible."

g:

1.4 Are there any systems for ordinary citizens to inform about risk environments and risk situations they have found in the community? 50 There is no special system which is developed in the county councils work with public health or SP/IP. However has the department of business been given financial support to the university in Tromsø to a research project about increased knowledge of landslides and avalanches.


1.5 Describe how the work is organized in a sustainable manner. 50 The SP/IP is decided in the action plan "Safety county" and the programmes are decided by politicians. Each department must during the annual budget negotiations calculate the implementation of the programmes which are resolved in the actionplan. After the project described above it has been easier to get accept from other departments to work with safety questions, as a part of every sectors health promotion responsibility.

Are the descript

27


ions sufficient? ¤ yes ¤ no If no! What is missing:

Section D Indicator 2 2.1 Describe the sustainable work in regard to SC/IP in following areas and how the different sectors including specific NGOs are involved in the work. 900 1. Safe traffic: Department of transport includes the NGO "Safety traffic", as a part of the Troms County's Traffic Safety Committee (TFTU) .The committee consists of three politicians ,and consultative members from: police authority, county governor from Troms, staff from education and transport department in the county council. TFTU is partly financing Safety traffic. The Committee shall with input from the consultative members and accident statistics in the county, consider appropriate measures to improve road safety. Some activities from TFTU and the NGO "Safe traffic" are: - Every year the county's first graders get school bags in reflective fabric for free. - Bicycle Helmets awarded to 4 graders who have passed a biketraining course. - Sending out brochure concerning visibility at driveways and intersections ( send


28


to households in the municipality) - Sending out safe traffic broschures for snow (the safety of snowmobile users) to high schools. - “Safe back home with 50 bugs”. Teenagers are the group most vulnerable to road accidents in Troms. Therefore, the county council created ride offers to get young people between 17-24 years safely home on weekends. In practice there are taxi transfers at scheduled times and running a fixed route. Each youth pays 50 nok. The department of culture has included "Safe traffic" in the network of public health in the county, and the organisation is a very important partner considering the work about traffic safety to all schools, municipalities, the police, the university and to the Norwegian public roads administration. 2. Safe home and leisure times: Department of culture has involved the The Norwegian Olympic and Paralympic Committee and Confederation of Sports (NIF). NIF is an organization which organizes all national sports federations in Norway. It is the regional confederation, Troms idrettskrets which take part in the work. Look also to B4- uploaded document and nr.15. The county council is managing and financing a national project in collaboration with the Norwegian Tourist Association (DNT), to facilitate tour routes in the mountains, in the woods and along the coast. The aim is to increase the availability and security through signage and grading of routes, so that people can use the nature more. 3. Safe children It is mainly the NGO "Safe traffic" working with children with different programmes according to safety traffic, and in cooperation with municipalities. Troms County Council has in cooperation with local authorities initiated a 10-year project to improve pedestrian and bicycle routes in Troms, with a particular focus on children's route to school. 4. Safe elderly The project safe elderly in cooperation with Norsafety AS involves municipalities and local NGOs through the volunteer centers. The experiences and learning from the project will be implemented to the rest of the municipalities in the county. Main focus is fall and fire prevention. 5. Safe work The department for organization and the Health Safety and Environment section (HMS) are working with preventive health, environment and safety work through advice, guidance and information in areas like: psychosocial working, workplace

29


assessment / ergonomics and physical activities, non-drug program and more. The HMS section has prepared a disaster preparedness plan which is updated once a year. When the staff ( head of departments) is under training once a year, will the fire unit or police authority assist under training, but no NGOs. 6+7. Violence and suicide prevention Look also to point 11, and indicator 3, point 5. 8. Disaster preparedness and response The department of business development has funded projects related to the development of security around tourism, outdoor recreation and community safety in general: - National pilot to certify quality and safety tourism operators. The project's objective is to develop guidelines for activities in the travel market. - University education for nature guides. School of Education to increase the competence of nature guides which includes safety promotion. This is funded through the Arena Project. - Center for sensing avalanches. Research project to develop systems to identify avalanche danger using unmanned aircraft. In addition, they are working on projects to spread avalanche warning better and easier for foreign visitors and others. 9. Safe public places Department of transport and culture has a general perspective about universal design in all planning and strategies. When preparing the plan for universal design in Troms ( 2009-2023) The Norwegian Association of Disabled took part in the working group. 10. Safe hospitals No activity. 11. Safe sports The regional confederation, Troms idrettskrets runs the activity " Inclusion in sportclubs", with financial support from the county council. The aim of inclusion in sports is to increase the participation of new groups into teams of ordinary activities , by counteracting economic and cultural barriers that may preclude participation in regular sports activity. The target audience is mainly children and young people from minority groups with special focus on girls' inclusion. It also aims to increase immigrant parents' participation and involvement in sports. Through collaboration with government agencies , such as police , child protection , this activity also has a criminal prevention focus on youth where the tool is physical activity (look to point 6). In Tromsø there is a cooperation with refugee services.

30


12. Safe water The department of culture support local NGOs through the FYSAK funds, which includes swimming training for immigrants. 13. Safe schools Department og education is responsible for 15 high schools with approximately 6,100 students and 1,400 employees. It is essential to ensure safe conditions in education places for, as well as safety in teaching and operations. The agency is also committed to creating positive attitudes to physical and mental health, healthy eating and awareness of young people disadvantaged to injuries and accidents. Are some of these areas overseen by from other organizations and/or agencies than from the community? How is the community involved? 2.2 Describe the work with genders, all ages and all environments and situations. Describe all activities like falls prevention and how the work is done. 500 Look at B4 and uploaded document.


Section E Indicator 3 3.1 Identify all high risk groups and describe what is being done to increase their safety. Groups at risk are often: 1. Indigenous people There is no national registry about the sami population . To get an overview we can look to the electoral register,where the sami people must be registered if they wish to vote in the same elections. But it's far from all Sami voting in the same elections, and nobody younger than 18 years will be in that register anyway. All brochures and websites which will be produced will be transalated to sami and other languages. The action plan "Safe county" has been translated to sami, and there is a project starting up in Finnmark county by Norsafety in 3 sami municipalities. Knowledge from this project can be transferred to Troms. It is especially the snowmobile activity among younger people which is a high risk environment. 2. Low-‐income groups Working with regional health promotion planning, there will be pay attention to these groups, and especially to younger people because education is one way to avoid unemployment, which again is a riskfactor to get into low-‐income groups The department of

Are the description

31


education has set an objective to increase the completion from 49 percent to 56 percent in the counties high schools. Public health section gives financial support to the University in Tromsø and to research projects about teen health and dropout problems ( Fit Futures and Ung vilje) 3. Minority groups within the community, including workplaces It is the Norwegian labour and welfare administration (NAV) who take care of the minority groups. There are 8 asylum centers in the county and 2 for younger people below 18 years. The Directorate of Integration and Diversity (IMDi) gives financial support to voluntary organizations in communities that contribute to participation, dialogue and interaction. The county is administering the grant and together with funds from the department of culture NGOs can apply for support. One measure which has been supported from these founds over years is the Kvaløya sportsclub (in Tromsø) and the activity about swimming training to immigrants in all age-groups. 4. Those at risk for intentional injuries, including victims of crime and self-‐harm: This can be part of the health promotion programme in the secondary school together with the teachers ( described in the actionplan “Safety county” point 2.2.1) but it has to be a discussion how to define all high school students as a high risk group? Unfortunately there is a need to cooperate with the police department and the social and health services. 5. Abused women, men and children There is one supportsenter for abused victims in the county (SMISO Tromsø) and the county council is given financial support every year. As a prevention work they visit schools ( 6th grade) with information about the theme, and how the SMISO center can support victims. Beskrive noen rader om under-‐rapportering av vold i nære relasjoner og at vi er klar over situasjonen Det er vanskelig å fastslå omfanget av vold i nære relasjoner både i Norge og internasjonalt. Vi mangler en samordnet innsamling av data så vel over tid, som mellom ulike land, framfor alt fordi definisjonen og forståelsen av vold i nære relasjoner er i stadig endring. Omfanget er også vanskelig å fastslå fordi mørketallene er store. Det er vanskeligere å anmelde en nærstående enn en fremmed gjerningsperson. Det svenske Brottsförebyggande rådet regner med at kun 25 prosent vold som kvinner utsettes for av nærstående, anmeldes. Data fra de norske levekårsundersøkelsene tyder på at anmeldelseshyppigheten er tilsvarende også i Norge. Anmeldte voldstilfeller er en annen kilde men den statistikken er imidlertid lite egnet til å gi et bilde av det totale omfanget på grunn av mørketall, det vil si tilfeller av vold som av ulike årsaker ikke blir anmeldt til politiet. Det er gjennomført to større studier i Norge om omfanget av vold i nære relasjoner. Den såkalte NIBR-undersøkelsen er den første og hittil eneste landsomfattende norske omfangsundersøkelsen om vold i parforhold. Den andre store norske omfangsundersøkelsen om partnervold begrenset seg geografisk til Oslo, i 2003. 6. People with mental illness, developmental delays or other disabilities It is the county council for disabled that coordinates the activity for example through the plan for universal design. The council is also a member of the cross-‐sectoral group. 7. People participating in unsafe sports and recreation settings Outdoors and especially mountaineering has increased widely recent years in Troms. The

s sufficient? ¤ yes ¤ no If no! What is missing:

32


Norwegian tourist association (DNT-‐ Troms turlag) arranges courses for avalanche instructor training. The county council also give support to Red Cross and their work with volunteers and rescue work. See also at D2 point 8, about disaster preparedness. 8. Homeless There were 6,259 homeless persons in Norway in 2012, which corresponds to 1.26 per 1,000 pop. (NIBR Report 2013:5), but there is no overview in the county. 9. People at risk for injuries from natural disasters As a coastal county Troms is exposed to harsh weather and climate, and much of its business is related to see-‐farming, fishing and agriculture. Troms is exposed to both avalanches, rockslides and landslides. The county council is responsible for the civil transport in case of emergencies, in cooperation with police, military and the regional state (Fylkesmannen). Norwegian public roads administration has an slide protection plan for national and county roads and the region. 10. People living or working near high-‐ risk environments (for example, a particular road or intersection, a water hazard etc.) Department of transport will focus on risk environments in preparation of the regional transport plan, with an separate action plan about traffic safety. This work will be finished during 2014. 11. People at risk due to religion, ethnicity or sexual preferences The county council and the Sami parliament have signed a partnership agreement, which states the need that sami culture is an integral part of the health promotion work. It also states the need that Sami environment should have the opportunity to attend the cultural tradition in sports. Youth has a high incidence to traffic related injuries, and is identified as a high risk group in Troms. See uploaded document.

Upload E3

Figure x: Traffic accidents in Troms 2009-2012. Number of killed / injured by age and gender ( red= male, green= female)

33


Source: Norwegian Public Roads Administration

3.2 Give examples of high risk environments 1. To identify environments we use the registration from Harstad/Narvik hospital which are recording every accident. With basis of these data it has been calculated injuries in defined age groups in Troms county. Main injury types is causes of fall among children and the elderly, and sports and leisure injuries predominate among youth and young adults. See uploaded document

Are the descriptions sufficient

0

5

10

15

20

25

30

35

40

45

1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85

Menn

Kvinner

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Data from the Norwegian geotechnical institute (NGI) shows that Troms has the highest number of avalanches according to outdoors during 2003-‐2013. See uploaded document.

Accidents according to snow-‐mobile driving needs a higher attention, both among the sami population but also regarding outdoor activities in general. 2+3. Programmes is described under B4. Look at uploaded document. Elderly, children and youth related to traffic will be priority. 4. According to the actionplan "Safety county" the work is planned for the period 2012-‐2015. 5. As described before the county council for the elderly, for disabled and for youth are members of the cross sectoral group and will be part in planning the activities described in the actionplan "Safety county".

? ¤ yes ¤ no If no! What is missing:

Section F Indicator 4 4.1 Describe the evidence-‐based strategies/programs that have been implemented for different age-‐ groups and environments. 250

During the project "Troms county safe and accessible" 2009-2011 there was introduced a learning programme for the municipalities and the employees in the county council. The lectures themes was: - cross-sector cooperation and collaboration in public health - and with participation from user groups - the necessity of injurydata and how to obtain and using such -the need for accessibility to important public buildings and public outdoor areas - injury prevention and safety promotion efforts; law, theory and practice


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- universal design / physical planning, law, theory and practice - actionplan of safe and accessible municipality - how to get public health in planning. This learning programme has been adopted by the Sogn og Fjordane county council, and will also be developed to become a Web-based e-learning programme about safety and injury promotion ( also described under B2) During preparation of the action plan Safe county there has been implemented strategies after the results from the hospital registration in Harstad/Narvik, and also some guidelines from the "Norwegian nasjonal strategy to prevent accidents 2009-2014". Some municipalities in Troms ( and others are in the beginning phase) has started up with fall and fire prevention for elderly, in cooperation with the volunteers senters. The sand project is an evidence-based program ( Os municipality) and Ibestad kommune has adopted the program, but there is a need to increase the cooperation with all the volunteers center in Troms. Skjervøy municipality has also started with injury registration since 2012, and has suggesedt to become a safe community. Tromsø, with a population is also planning to become a Safe community In the political actionplan for elderly the user council for elderly suggest to introduce home visits at least once per year after a model from Denmark (Rødovre Municipality). The results from Denmark shows a decrease in hospital admissions, deaths and doctor visits. 4.2 Has any contacts been established with ASCSCs , WHO CCCSP, other scientific institutions, or knowledgeable organizations about the development and/or implementation of evidence-‐based strategies? Which ones? What has been the extent of their counsel? 100 The county council has a cooperation with Norsafety AS (Norwegian Safety promotion Centre AS) in Harstad. The company was founded in 2003, based on experiences Harstad community has gained over a 15-‐20 year to the systematic injury registration and safety promotion work. The learning programme (described above ) involved different institutions like the Norwegian ministry of health (NPR), University in Tromsø by Børge Ytterstad, Os municipality in Hedmark county by head doctor H.Lund , Norwegian department of Children, Equality and Social Inclusion, and University in Vestfold. The public health section in the county council take part in meetings


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arranged by the Norwegian ministry of health twice a year. SP/IP has been on the program once, where Troms had a presentation about the project to become a Safe community. Recently the ministry published a report with focus on active aging, with fall prevention as a central target. The report includes knowledge, project experience and recommendations on fall prevention among elderly, and will be used in coming seminars. As part of efforts to prevent accidents involving personal injury, the Government in 2009 adopted "Accidents in Norway - the national strategy for the prevention of accidents involving personal injury." It describes an overall strategy to improve oversight and cooperation in accident prevention in the period 2009-2014. One main goal of the strategy is to improve our knowledge of injuries and accidents in Norway so that in 2014 will be able to quantify targets for the reduction of accidents, total and within relevant sectors. In addition to the main objectives, the strategy has several objectives, including ensuring-date knowledge about the occurrence of accidents involving personal injury. The strategy forms the basis for the work of a report that the Norwegian Institute of Public Health recently finished (Injuries in Norway, emphasis on injuries in central registers ). The report will be published in april 2014, and is a summary of the status and trends of injury with non-death and death outcomes. In addition, the report provides an overview of how accident injuries are distributed by different age groups, gender, geography, socio-economic factors and ethnicity. Troms county council is member of the Norwegian safety forum (Skadeforebyggende forum) and take part in the network meetings. The county council arranged a national conference in 2012, to mark the end of the project "Troms county, safe and accessible". Look at uploaded document. ( vises ikke her) Notice! WHO links to evidence-‐ based interventions are found at the end of form B! Section G Indicator 5 5.1 What local data is used to determine the injury prevention strategies? 100 For example, registering injuries can be done at hospitals, health centers, dentists, schools, care of the elderly organizations and the local police. Household surveys can also be used for collection of data about injuries and risk environments and risk situations. Which methods are used in the community?


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- As earlier described the registration which is done in Harstad and Narvik hospital is used. The latest overview is about injuries aged 65 years and older (statistics for a 5 year period 2008-2012 in Harstad).

- Registration about traffic injuries from the Norwegian Public Roads administration (SVV) has been used.

- The Norwegian Institute of Public Health is publishing profiles every year to counties and municipalities. Profile 2013 shows that outcomes who are injured in accidents in Troms, is lower than in the country , assessed by hospital admissions (has to take account that injury registration does not exist in hospital UNN Tromsø )

Through the county councils cooperation with Northern Norway Regional Health Authority (Helse Nord RHF), and as a member of the OSO-‐project ( there has been a work done to promote the hospital in Tromsø (UNN) to start with the injury-‐ registration which is regulated by law to all hospitals. Some municipalities in Troms has also been started with local registration as a result after participation in the project "Troms county-‐ safe and accessible". 5.2 Describe how data are presented in order to promote safety and prevent injuries in the community.150 Injurydata will be presented in the county parliament as a part of the public health law § 21.-overview of health status and determinants in the county. There will be an overview every fourth (4) year to match the planning and building act, but there will also be an ongoing work to present data every year. ( See also the action plan "Safe county" objective 2.1.3 about overview ). Norwegian ministry of health has published a supervisor about how to follow up the regulation, and injuries and accidents is a topic that must be included. Northern Norway Regional Health authority along with the counties of Nordland, Troms and Finnmark has its own health atlas of Northern Norway. The atlas will increase knowledge about public health in Northern Norway through to produce indicators of health status, and what affects the populations health. Hospitalization because of injuries is one of the indicators. Website: http://www.helse-nord.no/aktuelt-helseatlas/helseatlas-forbedrer-folkehelsearbeidet-i-nord-norge-article89387-28699.html How the interactive atlas will be followed-up will be discussed during 2014.


5.3 Describe how the community documents and uses knowledge about causes of injuries, groups at risk and risky environments. How does the community document progress over time? 150 As described above the county council must follow the regulations in the


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public health law, about health overview and determinants of health. The document every fourth year will form the basis for further regional planning and prioritization of measures.

is missing:

Section H Indicator 6 6.1 How does your community analyze results from the injury data to track trends and results from the programs? What is working well and has given you good results. What are the plans to continue? What needs to be changed? 200 There has been made a survey by questback ( mastergrade student) in the period 2010-‐2011, during the project "Troms county safe and accessible", where 7 municipalities took part. Parts of the summary is following:

-‐ 90% has increased knowledge of injuryrisk and availability in their own municipality

-‐ nearly 70% has increased motivation to work on with SP/IP safety. -‐ Almost 60% of the respondents has got from large to very large benefit

of injury data from UNN Harstad and local injury data in the planning process

-‐ 52% expressed great advantage of the learning programme -‐ 60% believe the project is well implemented in the municipal leading

team. There has been several seminars after this survey and we see the need to follow up the results from the seminars and also the coming programmes. The plan is to implement a research on the effects of the seminars that has been made, (and are coming up)in the municipalities, and in the county council. This will be in cooperation together with Norsafety and the University of Harstad. It is a big need to get a understanding of the importance about injury registration in the hospital in Tromsø (UNN Tromsø), to get better data. The local hospitals in Harstad and Narvik has got an unique registration, but the objective is to get UNN Tromsø to register after the model FMDS ( felles minimum data sett). Also the Norwegian ministry of health has been in meetings with UNN Tromsø in late 2013 to impact the necessary of injury registration. Beskrive mere om hvordan vi evaluerer vi vårt arbeid? Man kan sammenfatte fylkeskommunens evalueringsarbeid i to trinn:

1. Det lokale arbeidet i kommunen: Hvordan implementere skadeforebygging og sikkerhet til ordinært folkehelsearbeid?

Are the methods used sufficient? Yes No If no, What is missing?

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Det er i den forbindelse planlagt et forskningsprosjekt. Ansvarlig for forskningen er Grete Hagebakken, PhD in Political Science, Associate Professor ved Harstad University College. Man skal studere «Eldresikkerhetsprosjektet» som startet høst 2012 og ble avsluttet høst 2013. Dette prosjektet er en konkret oppfølging av utviklingsprosjektet «Troms fylke trygt og tilgjengelig» foregikk i 2009-2011. I prosjektet deltok 5 kommuner i Troms, og man vil velge ut 2 av disse: Tromsø og Skånland kommune. Evalueringen vil bygge på hvilke effekter prosjektet har hatt et halvår etter at prosjektperioden er utløpt, og hva som oppleves som drivere og barrierer for å oppnå resultater av en målrettet prosjektinnsats på lenger sikt? Man kan etter hvert bygge videre med en påfølgende studie, der alle 5 deltakende kommunene studeres nærmere gjennom en mer kvantitativ tilnærming.

2. Det regionale arbeidet: Hvordan har fylkeskommunen implementert sikkerhetstenk i egen organisasjon? Evaluering av handlingsplanen Trygt fylke vil gjennomføres innen utgangen av planperioden i 2015, som er oet eget tiltak i planen. I tillegg vil det vurderes å studere fylkeskommunens rolle knyttet opp til prosjektet Troms fylke trygt og tilgjengelig, som en egen undersøkelse, i samarbeid med høgskolen i Harstad. Fylkeskommunens lovpålagte ansvar med å ha oversikt om og påvirkningsfaktorer for skader og ulykker vil være et viktig arbeid for deretter å kunne evaluere om de riktige tiltakene er prioritert og iverksatt. Kilder som Troms vil bruke er fortrinnsvis fra UNN Harstad ( og etterhvert UNN Tromsø), men det regionale samarbeidet med St.vegvesen, politiet,, DSB, norsk folkehjelp mm skal også intensifieres for å få en mer helhetlig statistikk.

6.2 Describe how the results from the program evaluations are used. 200 The action plan "Safe county" will be evaluated by the end of 2015, but the ongoing results and experiences will provide guidance for the regional health promotion planning for the period 2014-2025.

Are the descriptions sufficient? ¤ yes se¤ no If no! What is missing:

6.3 Describe the changes in pattern of injuries, attitudes, behavior and knowledge of the risks for injuries as a result of the programs. See above.


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Section I Indicator 7

7.1 Describe how the community has joined in and collaborates in national and international safe community networks. National networks= Member of the Norwegian safety forum, and do participate in meetings every year. International networks= none.


7.2 Will the designation ceremony coincide with any international conference, seminar or other forms of international or national exchange? 75 The designation ceremony is planned to take place during the the fourth regional european Safe community conference in Harstad 3.-‐5. june 2014. Ceremony is planned 4. june. Look at: http://safecomharstad.com/ Troms county council is partner of the conference.

7.3 Which already designated Safe Communities will be invited for the designation ceremony? All designated safe communities in Norway. (Through The Norwegian safety forum there will be invited to a network meeting in Harstad during the conference ) Skrive mere om hvilke kommuner og aktører i Troms vi vil invitere Kommunene i Troms vil inviteres spesielt til konferansen. I tillegg inviteres noen regionale samarbeidspartners som Fylkesmannen, Helse Nord RHF, Statens vegvesen, Trygg trafikk og Troms idrettskrets. Det vil også bli politisk deltakelse fra Troms fylkeskommune.


7.4 Which international conferences and national Safe Community conferences has the municipality participated in? Designation ceremony and conference in Nøtterøy 2013.


7.5 In which Regional Network for Safe Communities is the community a member or planning to seek membership? (Asian, European, Pan-‐Pacific, African or Latin-‐American Regional Network for Safe Communities) Not decided yet.


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WHO links to evidence-‐ based interventions

Referring to the new Indicator 4. Programs that are based on the available evidence:

Please see the following publications published by WHO.

Violence Prevention Evidence Base and Resources

Violence prevention: the evidence

http://www.who.int/violence_injury_prevention/violence/4th_milestones_meeting/publications/en/in

dex.html

Child injury prevention:

World report on child injury prevention

http://whqlibdoc.who.int/publications/2008/9789241563574_eng.pdf

Road traffic injury prevention:

World report on road traffic injury prevention

http://www.who.int/violence_injury_prevention/publications/road_traffic/world_report/en/index.ht

ml

Seat-‐belts and child restraints: a road safety manual for decision-‐makers and practitioners

http://www.who.int/roadsafety/projects/manuals/seatbelt/en/index.html

Helmets: a road safety manual for decision-‐makers and practitioners

http://www.who.int/roadsafety/projects/manuals/helmet_manual/en/index.html

Drinking and driving – an international good practice manual

http://www.who.int/roadsafety/projects/manuals/alcohol/en/index.html

Speed management : A road safety manual for decision-‐makers and practitioners

http://www.who.int/roadsafety/projects/manuals/speed_manual/en/index.html

Documents

Questions to be answered by the community Ques tions to be answ ered by … · 2018. 1. 23. · nærings- og regional utvikling. Det er både statlige og egne fylkeskommunale midler