European Road Safety Charter
good practice

Good practice submission

What problem did you address/are you addressing? 
Safe transport of newborns in cars. Most families have doubts about the “right” CRS for their children and when to change for the next CRS. Also, some of them don´t know how to fit the CRS in the car. Because of that, in half of the situations family are misusing CRS. Therefore, APSI developed this initiative is called “1st trip safely” - in Portuguese “ALTA SEGURA”. It was launched in Algarve during 2011. This first experience it was a pilot-experience because it was necessary to create a model and try it before implementation in other hospitals and maternities. This first initiative is still in progress. Since 2014 it was also running in two Private Hospital in Lisbon and Oporto – CUF Descobertas e CUF Porto.
What are your objectives? 
Promote the correct transport of newborns, since discharge from Maternities Hospitals
Raise knowledge of families about road safety during pregnancy and after birth
Equip Hospitals with human and material resources to implement safe transport of newborns
List the actions you carried/are carrying out 
Saturday, 1 January, 2011
Name of action 

(1) Theoretical and practical training of health professionals. It aimed the organization of a team of health professionals in each hospital/maternity (obstetricians, paediatricians and nurses specialized in maternity and child health) with specific skills on road traffic safety for counselling families on the transport of women during pregnancy and of the newborn baby.
(2) Advice and technical support to health professionals. During the development of the initiative, APSI technicians are responsible for: a) Organize periodical meetings with the teams of the Hospitals to evaluate project development and to identify difficulties in its implementation, and how to solve them; b) Ensure technical support and counseling to team members, on a regular basis and whenever necessary.
(3) Providing Hospitals with the material resources needed for the implementation of the initiative. Namely: a) a demo car seat with a 3 point seatbelt for practical training of parents; b) several CRS for demonstration and training; c) manual procedures for professionals; d) informative leaflet for families; e) a stamp with the initiative logo to confirm the “1st safety travel check” in the health documents of the baby, in the moment of discharge; f) and a “traffic signal” to reserve a car parking space near the main entrance of the Hospital to do the inspection/verification of the CRS before discharge.
(4) Monitoring and evaluating the satisfaction of families, health professionals and directive boards: a) evaluation of the initiative in what concerns satisfaction rates from families who received counselling, through the fulfilment of inquiries, b) evaluation of the training received by health professionals and c) the opinion from the Directive Boards of the Hospitals.

Describe the characteristics of your target audience 
It started in the south region of Portugal, Algarve, with the pilot-experiment in 3 hospitals and it continued in the center and north region of Portugal, with 2 other hospitals.-Hospital de Faro (Centro Hospitalar do Algarve)- Hospital de Portimão (Centro Hospital do Algarve)- Hospital Particular do Algarve - CUF Descobertas (Lisbon)- CUF Porto (Oporto)
How did you evaluate/are you evaluating the success of your action? 
Parents fulfilled an inquiry on the last day in the Maternity Ward. This inquiry asked parents to evaluate the following issues: a) Importance of counselling and training of CRS installation during pregnancy and on the Maternity Ward as well as the capacity of professionals to clarify their doubts; b) Verification of the CRS installation in family’s car before discharge from Hospital; c) Complementary information needed; d) Comments. A quick revision of some inquiries shows that most answers are very positive and that families are very happy with this help given by the health professionals.