The George Institute for Global Health, University of New South Wales, Newtown, New South Wales, Australia
Royal Life Saving Society - Australia, Broadway, New South Wales, Australia.
BMJ Glob Health. 2023 Sep;8(9). doi: 10.1136/bmjgh-2023-013303.
The burden of drowning is gaining prominence on the global agenda. Two United Nations system resolutions in 3 years reflect rising political support, but priorities remain undefined, and the issue lacks a global strategy. We aimed to identify strategic priorities for advancing global drowning prevention using a modified Delphi method.
An advisory group was formed, and participants recruited with diverse expertise and backgrounds. We used document review, and data extracted from global health partnerships to identify strategic domains and draft priorities for global drowning prevention. Participants rated the priorities in two Delphi rounds, guided by relevance, feasibility and impact on equity, and where consensus was ≥70% of participants rating the priority as critical.
We recruited 134 participants from research (40.2%), policy (26.9%), technical (25.4%) and community (7.5%) backgrounds, with 38.1% representing low- and middle-income countries. We drafted 75 priorities. Following two Delphi rounds, 50 priorities were selected across the seven domains of research and further contextualisation, best practice guidance, capacity building, engagement with other health and sustainable development agendas, high-level political advocacy, multisectoral action and strengthening inclusive global governance. Participants scored priorities based on relevance (43.2%), feasibility (29.4%) and impact on equity (27.4%).
Our study identifies global priorities for drowning prevention and provides evidence for advocacy of drowning prevention in all pertinent policies, and in all relevant agendas. The priorities can be applied by funders to guide investment, by researchers to frame study questions, by policymakers to contrast views of expert groups and by national coalitions to anchor national drowning prevention plans. We identify agendas including disaster risk reduction, sustainable development, child and adolescent health, and climate resilience, where drowning prevention might offer co-benefits. Finally, our findings offer a strategic blueprint as the field looks to accelerate action, and develop a global strategy for drowning prevention.
溺水问题在全球议程上的重要性日益凸显。联合国系统在 3 年内通过了两项决议，反映出政治支持的上升，但优先事项仍未明确，该问题也缺乏全球战略。我们旨在使用改良版德尔菲法确定推进全球预防溺水工作的战略重点。
成立了一个顾问小组，并招募了具有不同专业知识和背景的参与者。我们使用文件审查和从全球卫生伙伴关系中提取的数据来确定战略领域，并起草了全球预防溺水的优先事项。参与者在两轮德尔菲法中对这些优先事项进行了评分，评分标准是相关性、可行性以及对公平性的影响，只要有≥70%的参与者将某项优先事项评为关键，就视为达成共识。
我们从研究（40.2%）、政策（26.9%）、技术（25.4%）和社区（7.5%）背景中招募了 134 名参与者，其中 38.1%来自中低收入国家。我们起草了 75 项优先事项。经过两轮德尔菲法，在研究及进一步背景化、最佳实践指导、能力建设、与其他卫生和可持续发展议程的合作、高级别政治倡导、多部门行动和加强包容性全球治理等七个领域中，选择了 50 项优先事项。参与者根据相关性（43.2%）、可行性（29.4%）和对公平性的影响（27.4%）对优先事项进行了评分。
我们的研究确定了预防溺水的全球优先事项，并为在所有相关政策和议程中倡导预防溺水提供了证据。优先事项可供供资者用于指导投资，研究人员用于构建研究问题，政策制定者用于对比专家组的观点，以及国家联盟用于确定国家预防溺水计划。我们确定了一些议程，包括减少灾害风险、可持续发展、儿童和青少年健康以及气候适应能力，在这些议程中，预防溺水可能会带来共同效益。最后，我们的研究结果提供了一个战略蓝图，为该领域加速行动并制定全球预防溺水战略提供了参考。
