Thursday, December 9, 2021

Evaluation Report from Safe States: Crisis Amidst COVID-19: Recommendations for Action


Crisis Amidst COVID-19

New evaluation report sheds light on the state of injury and violence prevention in health departments and hospitals

Nearly two years since the first case of COVID-19 was reported in the United States, the injury and violence prevention (IVP) community has faced a number of personal and professional challenges. To identify the professional challenges created by these circumstances and produce recommendations for needed infrastructure enhancements to best equip IVP programs in handling future unforeseen scenarios, Safe States conducted an evaluation to gather information from state and local health departments and hospital-based IVP programs about the impact of the COVID-19 response on IVP infrastructure and activities, with particular emphasis on ensuing effects on equity.


Safe States is excited to share the findings and set of targeted recommendations for national and community partners, health departments, and hospitals featured in the report.

The multi-modal evaluation yielded the following six key findings:

  1. COVID-I9 is negatively impacting all areas of IVP capacity.
  2. COVID-I9 is exacerbating workforce burnout.
  3. IVP is adapting to COVID-I9 by shifting to a virtual environment.
  4. COVID-I9 is exposing and intensifying technology inequities, reducing access to needed IVP programs and services.
  5. COVID-I9 is catalyzing interest in addressing inequities with upstream solutions; however, there is a lack of clarity around the definition of equity, how to address it, and which strategies to prioritize.
  6. IVP practitioners are eager for support to navigate COVI D-19, prepare for future emergencies, and address root causes of unintended injury and violence.

Each finding is accompanied by a narrative description, a graphic representation of the survey results, and focus group quotes to validate themes.


Based on the key findings of the evaluation, Safe States developed the following recommendations for national partners, health departments, and IVP programs to buoy IVP professionals as they continue to navigate the COVID-19 pandemic and ensure IVP is better-positioned to navigate future public health emergencies:

  1. Develop an IVP standard definition of equity and actionable guidance to promote upstream, collaborative solutions to address systemic health inequities.
  2. Advocate for adequate and consistent IVP funding so every state, territory, and corresponding local and tribal entities can build a coordinated, stable, and sustainable infrastructure.
  3. Recruit and retain a robust and diverse IVP workforce that can sustain core functions while responding to public health emergencies.
  4. Support the IVP system to adapt to changing conditions in the workplace and the communities it serves.

Each of the high-level recommendations include a set of specific actionable items for national partners (e.g., Safe States, Centers for Disease Control and Prevention and policymakers) as well as actions for state/local health departments and community partners (e.g., hospital-based IVP and community-based organizations).

Read the Full Report

Safe States Alliance

5456 Peachtree Blvd #244

Atlanta, Georgia 30341