State and Local Funding

State-funded support for injury prevention generally has not been forthcoming. Some states have initiated creative funding mechanisms for injury programs; examples include special ''Kids Plate" vehicle license tags (e.g., SAFE KIDS license plate in Connecticut, Kids Plates in California), court-imposed fines for car seat and bike helmet violations, and fines for driving under the influence of alcohol.

The majority of states have been unable to garner support for a line item in their budgets specifically for injury prevention. Injury prevention is usually combined with large, multimillion dollar "family and community health" or "preventive health services" budgets, which makes it difficult for state-level injury staff to claim any of these dollars for injury prevention. It is important for advocacy organizations and injury practitioners (through organizations such as STIPDA) to educate state legislators, health commissioners, and their staffs about the scope of the injury problem and the effectiveness of prevention interventions so that they will be willing to support increased state funding.

At the community level, injury prevention is frequently implemented through coalitions of nonprofit organizations, local businesses, and community agencies (e.g., schools, fire departments, day-care centers). As a result, funding comes from a variety of sources, including foundations, federal and state programs, and community organizations, and is used to implement specifically targeted programs (e.g., conflict resolution, bike helmet give aways) but not to support core functions.

Thus, it is crucial that state-level injury prevention programs be able to supply the financial and technical assistance needed at the local level to conduct core elements of injury programs: needs assessment, program evaluations, staff training, local data surveillance, and other technical assistance. The committee supports the development of a core injury program in each state's department of health. In the committee's view the program must have state and federal support to provide adequate staffing and resources for statewide injury prevention services (see recommendation in Chapter 8).

The committee recommends strengthening the state infrastructure in injury prevention by development of core injury prevention programs in each state's department of health. To accomplish this goal, funding, resources, and technical assistance should be provided to the states. Support for such programs should be provided by the National Center for Injury Prevention and Control in collaboration with state and local governments.

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