scholarly journals Cost analysis of road traffic crashes in a tertiary hospital in Mpumalanga Province, South Africa

2018 ◽  
Vol 5 (1) ◽  
pp. 1549800
Author(s):  
Busisiwe Precious Matiwane ◽  
Ozayr Mahomed ◽  
Jake Olivier
Author(s):  
Hong Tan ◽  
Fuquan Zhao ◽  
Han Hao ◽  
Zongwei Liu

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261182
Author(s):  
Anesh Sukhai ◽  
Rajen Govender ◽  
Ashley van Niekerk

Background Contextual effects from the physical and social environment contribute to inequitable protection for a large proportion of road users, especially in low- and middle-income countries like South Africa where distorted urban planning and socio-spatial disparities from the apartheid era prevail. Objectives This paper examines the differentiated risk of road traffic crashes and injuries to vulnerable road users in South Africa, including pedestrians, females and users of some modes of public transport, in relation to characteristics of the crashes that proxy a range of contextual influences such as rurality and socio-economic deprivation. Methods The study is based on a descriptive analysis of 33 659 fatal crashes that occurred in South Africa over a three-year period from 2016–2018. Measures of simple proportion, population-based fatality rate, “impact factor” and crash severity are compared between disaggregated groups using Chi-Square analysis, with the Cramer’s V statistic used to assess effect size. Results and significance Key findings show a higher pedestrian risk in relation to public transport vehicles and area-level influences such as the nature of roads or extent of urbanity; higher passenger risk in relation to public transport vehicles and rurality; and higher risk for female road users in relation to public transport vehicles. The findings have implications for prioritising a range of deprivation-related structural effects. In addition, we present a “User-System-Context” conceptual framework that allows for a holistic approach to addressing vulnerability in the transport system. The findings provide an important avenue for addressing the persistently large burden of road traffic crashes and injuries in the country.


2013 ◽  
Vol 103 (11) ◽  
pp. 850 ◽  
Author(s):  
F Parkinson ◽  
S Kent ◽  
C Aldous ◽  
G Oosthuizen ◽  
D Clarke

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Christian Dagenais ◽  
Michelle Proulx ◽  
Esther Mc Sween-Cadieux ◽  
Aude Nikiema ◽  
Emmanuel Bonnet ◽  
...  

AbstractIn this commentary, we present a follow-up of two articles published in 2017 and 2018 about road traffic crashes, which is an important public health issue in Africa and Burkina Faso. The first article reported on a research project, conducted in partnership with local actors involved in road safety, carried out in Ouagadougou in 2015. Its aim was to test the effectiveness, acceptability, and capacity of a surveillance system to assess the number of road traffic crashes and their consequences on the health of crash victims. Several knowledge translation activities were carried out to maximize its impact and were reported in the 2018 article published in HRPS: monthly reports presenting the research data, large-format printed maps distributed to the city’s police stations, and a deliberative workshop held at the end of the research project. The present commentary presents our efforts to deepen our understanding of the impacts of the knowledge translation strategy, based on follow-up interviews, 18 months after the workshop, with the heads of the road traffic crash units in Ouagadougou police stations (n = 5). Several benefits were reported by respondents. Their involvement in the process prompted them to broaden their knowledge of other ways of dealing with the issue of road crashes. This led them, sometimes with their colleagues, to intervene differently: more rapid response at collision sites, increased surveillance of dangerous intersections, user awareness-raising on the importance of the highway code, etc. However, sustaining these actions over the longer term has proven difficult. Several lessons were derived from this experience, regarding the importance of producing useful and locally applicable research data, of ensuring the acceptability of the technologies used for data collection, of using collaborative approaches in research and knowledge translation, of ensuring the visibility of actions undertaken by actors in the field, and of involving decision-makers in the research process to maximize its impacts.


2014 ◽  
Vol 66 ◽  
pp. 36-42 ◽  
Author(s):  
Ramazan Mirzaei ◽  
Nima Hafezi-Nejad ◽  
Mohammad Sadegh Sabagh ◽  
Alireza Ansari Moghaddam ◽  
Vahid Eslami ◽  
...  

2021 ◽  
Author(s):  
C.J. Robbins ◽  
S. Fotios ◽  
J. Uttley ◽  
R. Rowe

Pedestrians and motorcyclists are vulnerable road users, being over represented in road traffic collisions (RTCs). One assumed benefit of road lighting is a reduction in RTCs after dark by countering the impairment to the visual detection of hazards that occur after dark. One way to optimise the use of road lighting is to light only those sections of road where light level, and hence visibility, is an important factor. The current study used change in ambient light level on RTCs to investigate those situations where improved vision is likely to have significant impact, and therefore the situations where road lighting is of better cost-benefit effectiveness. For both motorcyclist and pedestrian RTCs there was a significant increase in overall RTC risk in darkness compared to daylight, indicating that there may be an overall benefit of road lighting. While darkness was a particular detriment at junctions for motorcyclists and on high-speed roads for pedestrians, road lighting may not be effective mitigation in either case and therefore alternative ways of increasing conspicuity should be considered.


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