LAUSR

Background Thailand has been rated at the world first rank on the severity of the road traffic injuries. As a result, all the concerned public-private alliances have collaboratively worked out for the best way to reduce and solve the road traffic injuries by focusing on the main cause. All the units concerned have taken their responsibility according to their roles and mission. Public Health office has used the investigation report on the injuries as a tool for working. Objective To study the policy effects caused by the proposal in the investigation report on road traffic injuries and to seek for a guideline to do an action plan in response to the policy in order to prevent, solve, and reduce the problems of road traffic injuries Methods Observational descriptive study was used based on Deming Cycle (PDCA Cycle): 1) studying the national policy on the road safety scheme under supervision of the Health Public Ministry and Khon Kaen Province, 2) integrating the policies from all levels and transforming them in to an action plan, 3) having the working procedures driven, monitoring for improvement, 4) analyzing and evaluating the data and reported to all levels of the management teams in both formal and informal methods. The results were publicized through social network. Findings 3 major parts had been divided: 1) the investigation report on the road traffic injuries was brought into a social measurement (community check-point of road traffic injury reduction) established from the pilot projects implemented at the local level in 2 sub-districts by SRRT team. The results were enhanced and used as a working direction by the Public Health Ministry. The measurement has now been implemented at all community check-points of road traffic injury reduction during the New Year and the Songkran Festivals supervised by the national center of road safety. The regulations of the supporting budget to the road safety scheme have been issued. 2) The investigation report on the road traffic injuries from the Ambulance Safety teams: SRRT and EMS at the district levels collaboratively worked with the teams at the provincial level (AL KhonKaen). The combination team has taken action since 2014. All the reports have been used as an informative resource to designed many successful important policies: instructions for supporting the Public Health officers affected by the medical services. 3) The success in transforming the policy into an action plan road safety at the local level depended on major factors: 1) personnel: leaders, coordinators, IT team (SRRT and EMS and Network), and 2) contextual circumstance of each area. Conclusion The important point that made the investigation report on the road traffic injuries by the Public Health office a powerful data was the strong teams of SRRT and EMS which covered even the smallest point of each area. As a result, the data could be well managed according to the principles of epidemiology. The problems were found and solved appropriately and contextually. Policy implications IT teams should be set up to monitor the road safety at the national level in order to promote the strength and the potential of SRRT and EMS. A place for the teams to exchange their lesson learned which will lead to the sustainable solution to reduce the road traffic problems contextually should be arranged. This will help saving the state budget.