Evaluation of a New Zealand indigenous community injury prevention project.
OBJECTIVE
To evaluate the Turanganui-a-kiwa Community Injury Prevention Project, based in a provincial town on the North Island of New Zealand with an extensive indigenous population (Maori).


METHODS
The evaluation design was quasi-experimental and included process, impact and outcome measures.


RESULTS
Process evaluation findings indicated that adopting an holistic lifespan approach to injury prevention was successful in this Maori community. The three main areas of activities were: child road safety; safer alcohol use in the road, sporting and home environments for young people and adults; and fire safety for older people. Significant increases in awareness of injury prevention initiatives were found among Turanganui-a-kiwa whanau (families) (p < 0.001). A large increase in the take-up of car restraints among Maori young children was demonstrated (pre 10%, post 74%). The safe alcohol dual message approach also resulted in significant increases in the number of respondents wearing protective equipment for sports (p < 0.05). The results of the fire safety initiative was that 120 kaumatua homes now have correctly installed smoke alarms and there is now a commitment from the Fire Service to maintain these alarms. Outcome evaluation findings showed that there was a significant decrease in hospitalization injury rates across the lifespan in Turanganui-a-kiwa (p < 0.05).


CONCLUSIONS
Despite the challenges associated with conducting community injury prevention projects the conduct of this evaluation provides previously unknown information on an indigenous (Maori) injury prevention programme. The success of the programme would appear to be that the project was perceived as an intervention for Maori operating within a Maori framework which addressed Maori aspirations.


CONCLUSIONS
As so little is known about injury prevention initiatives in indigenous populations, the findings presented in this article will provide important information for the future development of other indigenous injury prevention programmes.
Brewin
Marilyn
M
Injury Prevention Research Centre, Faculty of Medicine and Health Sciences, University of Auckland, Private Bag 92019, Auckland, New Zealand.
Coggan
Carolyn
C
D000056:Accident Prevention; D000061:Accidents, Home / Q000517:prevention & control; D000063:Accidents, Traffic / Q000517:prevention & control; D000293:Adolescent; D000328:Adult; D000368:Aged; D001265:Athletic Injuries / Q000517:prevention & control; D016009:Chi-Square Distribution; D002648:Child; D003153:Community Health Services / Q000379:methods*; D005390:Fires / Q000517:prevention & control; D006801:Humans; D009520:New Zealand / Q000208:ethnology; D010043:Outcome and Process Assessment, Health Care; D011314:Preventive Health Services; D012044:Regression Analysis; D014947:Wounds and Injuries / Q000208:ethnology / Q000517:prevention & control*