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A systematic approach to injury policy assessment: introducing the assessment of child injury prevention policies (A-CHIPP)
  1. Olakunle Alonge1,
  2. Priyanka Agrawal1,
  3. David Meddings2,
  4. Adnan A Hyder1
  1. 1 Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
  2. 2 Department for Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention (NVI), WHO, Geneva, Switzerland
  1. Correspondence to Dr Olakunle Alonge, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; oalonge1{at}


Introduction This study presents a systematic approach—assessment of child injury prevention policies (A-CHIPP)—to assess and track policies on effective child injury interventions at the national level. Results from an initial pilot test of the approach in selected countries are presented.

Method A literature review was conducted to identify conceptual models for injury policy assessment, and domains and indicators were proposed for assessing national injury policies for children aged 1–9 years. The indicators focused on current evidence-supported interventions targeting the leading external causes of child injury mortality globally, and were organised into a self-administered A-CHIPP questionnaire comprising 22 questions. The questionnaire was modified based on reviews by experts in child injury prevention. For an initial test of the approach, 13 countries from all six WHO regions were selected to examine the accuracy, usefulness and ease of understanding of the A-CHIPP questionnaire.

Results Data on the A-CHIPP questionnaire were received from nine countries. Drowning and road traffic injuries were reported as the leading causes of child injury deaths in seven of these countries. Most of the countries lacked national policies on interventions that address child injuries; supportive factors such as finance and leadership for injury prevention were also lacking. All countries rated the questionnaire highly on its relevance for assessment of injury prevention policies.

Conclusion The A-CHIPP questionnaire is useful for national assessment of child injury policies, and such an assessment could draw attention of stakeholders to policy gaps and progress in child injury prevention in all countries.

  • implementation / translation
  • policy analysis
  • scale development
  • child

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  • Contributors OA conceived the ACHIPP approach, designed the study, contributed to the data collection and analysis, and wrote the initial and subsequent drafts of the paper. PA contributed to the data collection, analysis, writing of the initial draft and reviewed the final draft of the paper. AAH helped conceive the study, provided technical feedback on all instruments and methods, and reviewed interim and final drafts of the paper. DM reviewed the study design, initial and final drafts of the paper for intellectual content.

  • Funding This study was funded by the Department of Noncommunicable Diseases, Violence and Injuries of the World Health Organization.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.