Royal Life Saving Society-Australia, Sydney, NSW, Australia; Faculty of Medicine, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.
Faculty of Medicine, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia; The George Institute for Global Health, School of Public Health, Imperial College London, London, UK.
Lancet Glob Health. 2022 Jul;10(7):e1058-e1066. doi: 10.1016/S2214-109X(22)00074-2. Epub 2022 Apr 21.
Drowning has been a neglected health issue, largely absent from the global health and development discourse, until the UN General Assembly adopted its first resolution on global drowning prevention in 2021. This policy analysis examines the role of issue characteristics, actor power, ideas, and political contexts in the emergence of drowning prevention, and it also identifies opportunities for future actions. We identified three factors crucial to enhancing prioritisation: (1) methodological advancements in population-representative data and evidence for effective interventions; (2) reframing drowning prevention in health and sustainable development terms with an elevated focus on high burdens in low-income and middle-income contexts; and (3) political advocacy by a small coalition. Ensuring that the UN resolution on global drowning prevention is a catalyst for action requires positioning of drowning prevention within global health and sustainable development agendas; strengthening of capacity for multisectoral action; expansion of research measuring burden and identifying solutions in diverse contexts; and incorporation of inclusive global governance, commitments, and mechanisms that hold stakeholders to account.
溺水问题一直未受到重视，在全球健康和发展讨论中也鲜有提及，直到 2021 年联合国大会通过了首个全球预防溺水问题决议。本政策分析研究了问题特征、行为体权力、观念和政治背景在预防溺水问题上的作用，并确定了未来行动的机会。我们确定了增强优先事项的三个关键因素：(1) 在具有代表性的人群数据和有效干预措施方面的方法学进展；(2) 从健康和可持续发展的角度重新构建溺水预防问题，高度关注低收入和中等收入国家溺水负担沉重的问题；(3) 由一个小联盟进行政治宣传。要确保联合国预防全球溺水问题决议能成为行动的催化剂，就需要将溺水预防问题纳入全球健康和可持续发展议程；加强多部门行动的能力；扩大研究范围，在不同的情况下衡量负担并确定解决方案；并纳入包容性的全球治理、承诺和机制，以追究利益相关者的责任。
