Mil Millon de Razones para poner fin a la violencia contra los ninos: INSPIRE

Susan Hillis, PhD Centro Nacional para la Prevención y Control de las Lesiones Centros para el Control y la Prevención de las Enfermedades

Translated/Adjusted by: Victoria Espitia, VACS team

INSPIRE: Vinculando los Datos a la Accion

Implementacion de leyes

Normas y valores

Seguridad en el entorno

Padres/cuidaderos reciben apoyo

Ingresos y fortalecimiento economico

Respuesta de servicios

Educacion y aptitudes para la vida

INSPIRE evidencia: Implementacion y vigilancia en el cumplimento de las leyes

0

5

10

15

20

25

30

35

40

2001 2002 2003 2004 2005

Hom

icid

es p

er 1

00 0

00

popu

latio

n

Reduction in homicide rate across 5 South African cities from 2001-2005 following Firearm Control Act

Firearm homicide

Non-firearm homicide

Matzopoulos RG, Thompson ML, Myers JE. Firearm and non-firearm homicide in 5 South African cities: a retrospective population-based study. American Journal of Public Health. 2014;104(3):455–60

4500 lives saved over 5 years, many of them adolescents

INSPIRE evidencia: normas y valores

-64%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

SASA!

Perc

enta

ge d

ecre

ase

in w

itnes

sing

IP

V Reduction in children witnessing intimate partner violence due to SASA! community mobilization

programme

Kyegombe N, Abramsky T, Devries K, et al.(2015). What is the potential for interventions designed to prevent violence against women to reduce children's exposure to violence? Findings from the SASA! Study, Kampala, Uganda. Child Abuse & Neglect, Volume: 50, Page(s): 128-140]

INSPIRE evidencia: seguridad en el entorno

-42% -32%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

Hospital admissions Police-recorded woundings

Perc

enta

ge d

ecre

ase

in v

iole

nce-

rela

ted

inju

ries

Reduction in violence-related injuries following implementation of Cardiff approach to hotspot

intervention

Source: Florence C, Shepherd J, Brennan I, Simon T. Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis. British Medical Jounral, 2011; 342: d3313

INSPIRE evidencia: padres, madres, y cuidaderos reciben apoyo

-48%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

Nurse-Family Partnership

Perc

enta

ge d

ecre

ase

in

mal

trea

tmen

t Reduction in child maltreatment due to Nurse-

Family Partnership programme at 15-year follow up

Source: Olds D, Henderson CR Jr, Cole R, Eckenrode J, Kitzman H, Luckey D, Pettitt L, Sidora K, Morris P, Powers J. Long-term effects of nurse home visitation on children's criminal and antisocial behaviour: 15-year follow-up of a randomized controlled trial. JAMA. 1998 Oct 14;280(14):1238-44.

INSPIRE evidencia: ingresos y fortalecimiento economico

-50%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

IMAGE programme

Perc

enta

ge d

ecre

ase

in in

timat

e pa

rtne

r vio

lenc

e

Reduction in intimate partner violence among 430 women receiving the Intervention with

Microfinance and Gender Equity (IMAGE) programme

Source: Julia C. Kim, Charlotte H. Watts, James R. Hargreaves, Luceth X. Ndhlovu, Godfrey Phetla, Linda A. Morison, Joanna Busza, John D.H. Porter, and Paul Pronyk. Understanding the Impact of a Microfinance-Based Intervention on Women’s Empowerment and the Reduction of Intimate Partner Violence in South Africa American Journal of Public Health October 2007, Vol. 97, No. 10 : pp. 1794-1802.

INSPIRE: respuesta de los servicios de atencion y apoyo

-37% -56%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

Individual therapy Group therapy

Perc

enta

ge d

ecre

ase

in s

ympt

oms

and

impa

irmen

t

Reductions in trauma symptoms and functional impairment across 11 trauma-informed cognitive behavioural therapy

trials

Source: Wethington HR et al, The Effectiveness of Interventions to Reduce Psychological Harm from Traumatic Events Among Children and Adolescents: A Systematic Review. American Journal of Preventive Medicine Volume 35, Issue 3, September 2008, Pages 287–313

INSPIRE evidencia: educacion y aptitudes para la vida

-25% -33%

-100

-90

-80

-70

-60

-50

-40

-30

-20

-10

0

Programmes for all students Programmes for selected students

Perc

enta

ge d

ecre

ase

in a

ggre

ssiv

e an

d di

srup

tive

beha

viou

r

Reductions in aggressive and disruptive behaviour in school settings across 249 life skills and socio-emotional

training programmes

Source: Wilson SJ, Lipsey MW. School-Based Interventions for Aggressive and Disruptive Behavior: Update of a Meta-Analysis. American Journal of Preventive Medicine, Volume 33, Issue 2, Supplement, August 2007, Pages S130–S143

INSPIRE: Padres apoyados + Ingresos reducen conducta de riesgo

GIRLS: Cash alone: OR .63 Cash plus care: OR .55

41%

25%

15%

0

10

20

30

40

50

60

no support cash cash plus care

Cluver, Orkin, Boyes, Sherr (2014). AIDS.

42%

28%

17%

no support cash cash plus care

BOYS: Cash alone: no effect Cash plus care: OR .50

INSPIRE: Padres apoyados + Ingresos, y Educacion

reducen el embarazo adolescente

Cluver, Orkin, Yakubovich

0

1

2

3

4

5

6

7

8

9

No interventions

Monitoring Free school School feeding

Monitoring + free school

Monitoring + school feeding

Free school + school feeding

All interventions

% probability FEMALES: % INCIDENCE OF PREGNANCY

(modeled marginal effects using multivariate logistic regression coefficients)

La Implementacion de INSPIRE en una poblacion de ninis: Russia, 2006-2012

12

La implemenatacion de las estrategias de INSPIRE durante 6 anos conllevaba a una rebaja de 40% en la violencia contra

adolescentes y una rebaja de 75% en la VIH.