Safe Community Khalilabad

Name of the Community: Khalilabad
Country: Islamic Republic of Iran
Number of inhabitants: 48,686
International Safe Communities Network Membership:
Programme started year: 1998
Designation year: 2009
Info Programme: http://www.mums.ac.ir/ch_khalilabad

Full application report: www.phs.ki.se/csp/pdf/applicationreports/khalilabad_09.pdf

For further information contact:
Dr. Seyed Mehdi Hashemi
Primary Health Care Network of Khalilabad
Primary Health Care Network, Imam Khomeini Street, Khalilabad, Khorasan Razavi Province, Islamic Republic of Iran.
Khalilabad 9677115565
Islamic republic of Iran
Phone: (+98) 5327727310-2
Fax: ( +98) 5327727315
E-mail: khalilabad.hnet@mums.ac.irkhalilabad.hnet@mums.ac.ir

The programme covers the following safety promotion activities:

For the age group

Children 0-14 years old:

For injury prevention & safety promotion of this age group it is important to focus on Parents, Schools staff and the children themselves.

•  Focusing on parental supervision, safe travel to and from school and safe schools.

•  Making some environmental modifications such as fencing the windows.

•  Free distribution of instructional CD regarding traffic rules and signs in all the schools.

•  Capacity building for children regarding appropriate use of emergency phone numbers (115,110 and 125)

•  Integrated programs in health care system e.g. IMCI (Integrated Management Of Child Health) in this programs all the children are screened for hearing loss, low vision, ADHD.

Youth 15-24 years:

•  Empowering this age group by Capacity building.

•  Providing free consultations for youth regarding violence and suicide prevention.

•  Compulsory training courses before catching a driving license.

•  Holding first aids and CPR Training courses by the Red Crescent organization for the youth.

•  Encourage the youth to participate in the injury prevention workshops.

•  Distribution of brochures to the young drivers for safety awareness about protective factors such as helmet use, seat belt and the risk factors such as long time driving, fast driving, fatigue and substance abuse.

Adults 25-59 years:

•  Focusing on occupational safety in work places.

•  Distribution of brochures and pamphlets to the house holders to raise their awareness regarding injury prevention and safety promotion.

•  Regarding the home safety program, filling the home safety checklists by Behvarz and increase the family awareness by face to face training.

•  Encourage to install fire extinguishers in different indoor places.

•  Tips for reducing the risk of carbon monoxide intoxication in different indoor places.

•  Holding training workshop and drills regarding how to extinguish the fire and prevent burn.

•  Holding training workshop regarding stress management and the ability to cope with life challenges.

Elderly above 60:

•  Holding monthly meeting regarding injury prevention and safety promotion among seniors.

•  Distribution of brochures and pamphlets for seniors to raise their awareness regarding injury prevention and safety promotion.

•  Empowering seniors regarding life style modification, self care and risk factors which threat them.

•  Encourage elderly to wear glasses or hearing aid in case of need.

•  Holding a ceremony for the grandfathers and grandmothers and encourage them to put their experiences into practice for younger parents.

At the following environments:

Home:

•  Encouraging structural and non-structural home resilience under the supervision of relevant stakeholders.

•  Face-to-face training for preventing home injuries by trained health care workers (Behvarz).

Traffic:

•  Law enforcement regarding use of seat belt for car driver and occupants.

•  Law enforcement regarding use of helmet for motorcyclists.

•  Encourage people for using public instead of private transport.

•  Encourage pedestrians for using pavements instead of the main roads.

•  The joint program of police & education department

in which the pupils are trained and an identification cards is issued for them as volunteer police assistants (hamyare police).

•  Training the elementary school and day care teachers regarding road traffic for teaching the preventive tips to their students.

•  Solution oriented environmental modification regarding evidence base documents.

Occupational:

•  Focusing on occupational safety promotion and injury prevention.

•  Training different job owners about different occupational disease.

•  Distribution of brochures and pamphlets for seniors to raise their awareness regarding injury prevention and safety promotion.

•  Forming the technical-steering committees in the factories in order to reduce the occupational injuries, and promoting safety and safety standards in work places.

School:

•  Distribution of brochures and pamphlets for increasing awareness regarding injury prevention and safety promotion.

•  Holding contests of poem, painting, and article writing on the topic of safety and health, and giving prizes to the winners.

•  Free distribution of CD's regarding traffic rule and signs in all the schools.

•  Training the pre-school children about the traffic matters.

Sports & Recreational centers:

•  Reduce the accident prone areas in sport & recreational places.

•  Repair or renew the playground equipments.

•  Building sport sites for the ladies and gentlemen considering the safety issues (1260 square meters)

•  Holding public walking festivals for all members of the family in order to change the sedentary life style and encouraging families to exercise.

•  Temporary deployment of EMS or relief and rescue ambulances beside crowded recreational centers to provide easy access to medical care in case of need.

Violence prevention:

•  Holding training stress management classes for school and day care teachers, students and health care workers in order to improve life skills and to cope with stressful situations.

•  Conducting studies on violence and its causes in different age groups.

•  Distribution of brochures and pamphlets.

•  Running a behavioral consultation center and allotting a hot line number for easy access.

•  Encourage families to pass mental examination is case of need.

•  Training the family members with a mental ill relative regarding how to cope with him and how to keep his drugs.

Suicide prevention:

Data gatheing monthly from all health centers of urban and rural areas and emergency centers including:

A form of mental status in all health centers

A form of monthly report of all cases of suicide

A form of monthly reports of the mental disorders

Conducting the prevention program of suicide focusing on depression; in this program all the cases who had committed an attempted suicide, were consulted by the physician and the sycholgical expert. Regarding the fact that depression has caused most of these cases, they were treated based on this.

Conducting social mental interference programs in order to decrease the harms and the side-effects caused by such programs.

Programs aiming at ”high risk groups”

The following activities have been done for the safety of vulnerable groups:

•  School police (The joint program of police & Ministry of education in which the pupils are trained and identification cards is issued for them as volunteer school police) to help the police for the supervision smaller students on the way from school to home, and insisting their family to obey traffic rules).

•  Holding the poem, painting, and writing contests on the topic of “injury prevention” and giving prizes to the winners.

•  Earthquake maneuvers at schools.

•  Holding training of trainer(TOT) workshops regarding life skills (stress management, problem solving & decision-making).

•  Holding symbolic maneuvers regarding helmet use.

•  Completing the traffic signs in and out of the city. extending the main roads (making the Khalilabad - Kashmar road one-way).

•  Widening the roads in the entrance of villages and installing traffic signs and traffic lights on the way.

Surveillance of injuries: In Health Care Centers, EMSs

Number per year: 12 times

Population:

Commencement: 1998

- Putting many warning sentences on the billboards and banners regarding injury prevention and safety promotion.

Publications:

Submitting 13 articles in the 16th international Safe Communities Conference ( Tehran , June 11th to 13th, 2007), out of which, 11 articles were accepted for the presentation and poster.

Produced information material, pamphlets:

Pamphlets:

•  Safety at home

•  Violence prevention

•  Child abuse

•  First aid for children

•  The pamphlets of preventing of burning accident and electric shocks in childerens.

•  The pamphlets of preventing of drowning in childerens.

Staff:

Number:

Professions: part-time or full-time:

Permanent: 3

Temporary: 30

Organization:

Specific intersect oral leadership group:

General public health/health promotion group:

Members of Safe Community steering committee of khalilabad are:

The governor, head of primary care network, head of education department, religious leader (Imam Jome), Injury experts of medical university, The delegate of the city in parliament, head of EMS, Red Crescent society, firefighting, Islamic council of the city, water and sewage, road and transportation, police, jurisdiction, culture& Islamic guidance, gas company, agriculture of jihad, welfare, electrical power, Basij organization, department of environment, PTT, national and regional journals who all participate in ongoing meetings.

International commitments:

Participating in Safe Community conferencses:

in Tehran 2007 International Safe Community Conference

Tehran 2008, national festival of Safe Communities

The city has been field visited twice in 2003 and 2009 so far, (in 2003 it was visited by Mr. Lars Gunar Hort and Dr. Reza Mohamadi from WHO Collaborating Center along with national and provincial authorities and in 2009 it was visited again by Dr. Bo Henrickson from WHO Collaborating Center, along with Dr. Haddadi, Head of Injury Prevention & Safety Promotion Department of the Ministry of Health & Medical Education and Dr. Reza Majdi, the Public Health Deputy of Mashad Medical University of Sciences and other Provincial experts).