Mapping responsibility for child safety

Child injury prevention is not only the responsibility of the health sector. Because the solutions often lie outside of the purview of health, prevention of child injury requires the development and implementation of effective strategies and policies in and between other sectors, such as:

Young boy reading a book
  • Education
  • Transport
  • Justice
  • Social services
  • Environment
  • Tourism, sport and leisure

Effective prevention also requires working at various levels within a country (e.g., locally, regionally and nationally) and at times international collaboration between countries.


One activity under the TACTICS project was to explore and report on mandated responsibility for child safety by visually mapping the adoption, implementation and monitoring of interventions using a specially developed tool based on organigraphs. The intent behind this aspect of the project were:

  • To provide a useful tool for decision makers in understanding the multi-sectoral nature of injury prevention in their country/region
  • To guide action at the national and sub-national levels in terms of 'actors' that should be engaged to ensure effective action and enhanced use of limited resources.
  • To support the EC's priority for child health in the context of Health in all Policies

Led by a team from Maastricht University, the development of the tool and the mapping of mandated responsibility and participation of partner organisations, stakeholders and other actors within a chosen intervention for four levels of governance - local, regional, national and European, occurred between 20012 and 2013. The TACTICS partners participated in the mapping of responsibility for child safety to varying degrees:

  • Six partners from the Czech Republic, Finland, Germany, Hungary, Spain and Sweden mapped 3 to 4 child injury prevention strategies, one in each area of focus: road safety, home safety, water safety and intentional injury prevention. child injury, depicting the mandated responsibility and participation of partner organisations, stakeholders and other actors within a chosen intervention for all four levels of governance; local, regional, national and European.
  • Country partners mapped one strategy in place in their country, with many choosing to map the same intervention they selected for their case study.
  • The European Public Health Alliance (EPHA) mapped the mandated responsibility for each of the four areas of child safety at the European level.

The final technical report on mapping of responsibility for child safety is based on an analysis of the 44 strategies mapped.

Mapping responsibilities and structures of the implementation of child safety policies at EU, national, regional and local level: An exploratory study using a modified organigraphs approach (7.66mb).