RTI International, Washington, District of Columbia 20005-3967, USA.
J Public Health Manag Pract. 2011 Nov-Dec;17(6):542-9. doi: 10.1097/PHH.0b013e3182126b6b.
Reducing the number of largely preventable and tragic deaths due to child maltreatment (CM) requires an understanding of the magnitude of and risk factors for fatal CM and targeted research, policy, and prevention efforts. Public health surveillance offers an opportunity to improve our understanding of the problem of CM. In 2006, the Centers for Disease Control and Prevention (CDC) funded state public health agencies in California, Michigan, and Oregon to implement a model approach for routine and sustainable CM surveillance and evaluated the experience of those efforts.
We describe the experiences of 3 state health agencies in building collaborations and partnerships with multiple stakeholders for CM surveillance.
Qualitative, structured key informant interviews were carried out during site visits as part of an evaluation of a CDC-funded project to implement a model approach to CM surveillance.
Key informants included system stakeholders from state health agencies, law enforcement, child protective services, the medical community, and child welfare advocacy groups in the 3 funded states.
Factors that facilitated stakeholder engagement for CM surveillance included the following: streamlining and coordinating the work of Child Death Review Teams (CDRTs); demonstrating the value of surveillance to non-public health partners; codifying relationships with participating agencies; and securing the commitment of decision-makers. Legislative mandates were helpful in bringing key stakeholders together, but it was not sufficient to ensure sustained engagement.
The engagement process yielded multiple benefits for the stakeholders including a deeper appreciation of the complexity of defining CM; a greater understanding of risk factors for CM; and enhanced guidance for prevention and control efforts. States considering or currently undertaking CM surveillance can glean useful insights from the experiences of these 3 states and apply them to their own efforts to engage stakeholders.
减少因儿童虐待（CM）而导致的大量可预防和悲剧性死亡人数，需要了解致命 CM 的规模和危险因素，并进行有针对性的研究、政策和预防工作。公共卫生监测为我们提供了一个机会，以更好地了解 CM 问题。2006 年，疾病控制与预防中心（CDC）为加利福尼亚州、密歇根州和俄勒冈州的州公共卫生机构提供资金，以实施一种常规和可持续的 CM 监测模式方法，并评估这些努力的经验。
我们描述了 3 个州卫生机构在与多个利益攸关方建立合作和伙伴关系以进行 CM 监测方面的经验。
在作为 CDC 资助项目的一部分进行的现场访问期间，进行了定性、结构化的关键知情人访谈，以评估实施 CM 监测模型方法的情况。
关键知情人包括来自州卫生机构、执法部门、儿童保护服务、医疗界和儿童福利倡导团体的系统利益攸关方，他们来自 3 个受资助的州。
促成利益攸关方参与 CM 监测的因素包括以下几个方面：简化和协调儿童死亡审查小组（CDRT）的工作；向非公共卫生合作伙伴展示监测的价值；与参与机构建立关系代码；并确保决策者的承诺。立法授权有助于将关键利益攸关方聚集在一起，但不足以确保持续参与。
参与过程为利益攸关方带来了多种好处，包括对定义 CM 的复杂性有了更深入的了解；对 CM 的危险因素有了更深入的了解；并为预防和控制工作提供了更好的指导。正在考虑或正在进行 CM 监测的州可以从这 3 个州的经验中汲取有用的见解，并将其应用于自己吸引利益攸关方的努力中。
