1. Enlisting CHRs in Increasing Car Seat Usage Injury Prevention Program Development Fellowship Course Elvira Martin, CHR Supervisor CHR Supervisor

2. Introduction Chinle Service Unit is located in Central Navajo Nation. Chinle Service Unit is located in Central Navajo Nation. Approximately 28,600 Navajo Tribal Members reside in the Chinle Service Area Approximately 28,600 Navajo Tribal Members reside in the Chinle Service Area

3. Chinle Service Unit Chinle Service Unit serves 16 Communities Chinle Service Unit serves 16 Communities Serves approximately 3,194 children ages 0-5 years of age Serves approximately 3,194 children ages 0-5 years of age Motor Vehicle crashes is the leading cause of Unintentional Injuries in Children ages 0-5 Motor Vehicle crashes is the leading cause of Unintentional Injuries in Children ages 0-5

4. Introduction Enlist CHRs in Increasing Car Seat Usage Enlist CHRs in Increasing Car Seat Usage Goal- To increase car seat usage among children 0-5 years of age Goal- To increase car seat usage among children 0-5 years of age Provide car seat education to parents Provide car seat education to parents

5. Introduction Demonstrate and Assist parents with proper installation of car seats Demonstrate and Assist parents with proper installation of car seats Partner with Chinle HP/DP Injury Prevention car seat program Partner with Chinle HP/DP Injury Prevention car seat program Partner with Navajo Nation Law Enforcement Partner with Navajo Nation Law Enforcement

6. Methods Developed Questionnaire to use as tool to gather data Developed Questionnaire to use as tool to gather data Developed Focus Group Questionnaire Developed Focus Group Questionnaire Collected Injury Prevention Data from Many Farms Office of Environmental Health Collected Injury Prevention Data from Many Farms Office of Environmental Health Collected Data from Navajo Nation Highway Safety Collected Data from Navajo Nation Highway Safety Conducted Observational Surveys in the Communities Conducted Observational Surveys in the Communities

7. Results 135 Questionnaires completed by parents of children ages 0-5 years 135 Questionnaires completed by parents of children ages 0-5 years The Questionnaires were completed in the homes during well child home visits The Questionnaires were completed in the homes during well child home visits Results were analyzed by Navajo Area Injury Prevention Specialist Results were analyzed by Navajo Area Injury Prevention Specialist

8. Results Age0-11-22-33-44-5 Total Children # of Children 2745181926135

9. Results Focus Group Conducted with 8 parents of children ages 0-5 years Focus Group Conducted with 8 parents of children ages 0-5 years

10. Results

11. Average Observed Child Restraint Use, 2005 Navajo Nation 40% Navajo Nation 40% Chinle34% Chinle34% Kayenta38% Kayenta38% Dilkon 45% Dilkon 45% Tuba City36% Tuba City36% Crownpoint48% Crownpoint48% Shiprock37% Shiprock37% Window Rock40% Window Rock40%

12. Results Training – 8 CHRs completed the Safe Native American Passengers Training Training – 8 CHRs completed the Safe Native American Passengers Training Navajo Highway Safety provided SNAP Training to CHRs Navajo Nation Safe Kids van

13. Results Car seat Checkpoint

14. Discussion Partnerships/Collaboration with IHS Injury Prevention Programs Partnerships/Collaboration with IHS Injury Prevention Programs Partner with Navajo Nation Law Enforcement Partner with Navajo Nation Law Enforcement Partner with Navajo Nation Highway Safety Partner with Navajo Nation Highway Safety

15. Recommendations CHRs will continue car seat education in the communities CHRs will continue car seat education in the communities CHRs to become Child Passenger Technicians CHRs to become Child Passenger Technicians Continue observational survey Continue observational survey Continue collaborative efforts in increasing car seat usage with resources. Continue collaborative efforts in increasing car seat usage with resources.

16. Thank You