Jabar Ardil, Bjorkman Shane, Matzopoulos Richard
School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa.
Digital Marketing and Market Intelligence Manager, 7 Riverview, KT15 2NA England, United Kingdom.
Afr J Emerg Med. 2019 Mar;9(1):30-35. doi: 10.1016/j.afjem.2018.11.001. Epub 2018 Dec 11.
Violence and injury observatories (VIOs) are primarily a tool to aid safety and security stakeholders within both governments and non-governmental organisations to develop interventions focused on violence prevention and related to citizen safety issues. VIOs are centres that focus on collating and integrating violence-related injury data sources to monitor, evaluate, and study the progression of violence and crime in a targeted region. In preparation for implementing a pilot VIO in Cape Town, we sought to determine the optimal indicators, datasets and research priorities for inclusion.
The study employed a two-round Delphi study conducted via email. The Delphi panel constituted 21 participants. This included, but was not limited, to senior members of staff in the Provincial Health Services in Emergency Medicine and Disaster Medicine, representatives from relevant data stakeholders and non-government actors working in violence reduction.
Fourteen violence-related indicators and 12 violence-related datasets reached consensus. Additionally, research priorities were identified within 16 research themes across five different types of violence: elder abuse, youth violence, intimate partner violence, sexual violence, and armed violence. Finally, four data-sharing questions raised by panellists after round one were answered by the Delphi panel following the second round.
This study provides a research priority framework for violence and injury prevention work within South Africa. These expert-identified violence and injury indicators and datasets are context-appropriate and may serve to guide the development of additional VIOs within the region.
暴力与伤害监测中心（VIOs）主要是一种工具，可协助政府和非政府组织内的安全与安保利益相关者制定侧重于预防暴力及与公民安全问题相关的干预措施。VIOs是专注于整理和整合与暴力相关的伤害数据源，以监测、评估和研究目标地区暴力和犯罪发展情况的中心。在准备于开普敦实施一个VIO试点项目时，我们试图确定纳入的最佳指标、数据集和研究重点。
该研究通过电子邮件进行了两轮德尔菲研究。德尔菲小组由21名参与者组成。这包括但不限于省级卫生服务部门急诊医学和灾难医学方面的高级工作人员、相关数据利益相关者的代表以及从事减少暴力工作的非政府行为体。
就14个与暴力相关的指标和12个与暴力相关的数据集达成了共识。此外，还确定了五个不同类型暴力（虐待老年人、青少年暴力、亲密伴侣暴力、性暴力和武装暴力）的16个研究主题内的研究重点。最后，第一轮后小组成员提出的四个数据共享问题在第二轮后由德尔菲小组进行了回答。
本研究为南非的暴力与伤害预防工作提供了一个研究重点框架。这些由专家确定的暴力与伤害指标和数据集适合当地情况，可能有助于指导该地区更多VIOs的发展。
