School Area Road Safety Assessment and Improvements (SARSAI) programme reduces road traffic injuries among children in Tanzania

2018 ◽  
Vol 25 (5) ◽  
pp. 414-420 ◽  
Author(s):  
Ayikai Poswayo ◽  
Simon Kalolo ◽  
Katheryn Rabonovitz ◽  
Jeffrey Witte ◽  
Alejandro Guerrero
Keyword(s):  
Injury Prevention ◽  
Road Safety ◽  
Primary Schools ◽  
Road Traffic ◽  
Sub Saharan Africa ◽  
Prevention Programme ◽  
Control Group ◽  
School Aged Children ◽  
Catchment Areas ◽  
The Impact

PurposeTo determine the impact of a paediatric road traffic injury (RTI) prevention programme in urban Sub-Saharan Africa.SettingDares Salaam, Republic of Tanzania.MethodsHousehold surveys were conducted in catchment areas around 18 primary schools in Dar es Salaam, Republic of Tanzania; the catchment areas were divided into control and intervention groups. Collected data included basic demographic information on all school-aged household members and whether or not they had been involved in an RTI in the previous 12 months, and, if so, what the characteristics of that RTI were. Based on these findings, a separate road safety engineering site analysis and consultation with the communities and other stakeholders, an injury-prevention programme was developed and implemented, consisting of infrastructure enhancements and a site-specific educational programme. The programme was initially implemented at the intervention schools. After 1 year, data were collected in the same manner. The control group received the same intervention after follow-up data were collected.ResultsData were collected on 12 957 school-aged children in the baseline period and 13 555 school-aged children in the post-intervention period, in both the control and intervention communities. There was a statistically significant reduction in RTIs in the intervention group and a non-significant increase in RTI in the control group. The greatest reduction was in motorcycle–pedestrian RTI, private vehicle–pedestrian RTI and morning RTI.ConclusionThe programme demonstrated a significant reduction in paediatric RTI after its implementation, in very specific ways. This study demonstrates that for a reasonable investment, scientifically driven injury-prevention programmes are feasible in resource-limited settings with high paediatric RTI rates.

scholarly journals Effect of the FIFA 11+ soccer specific warm up programme on the incidence of injuries: A cluster-randomised controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251839
Author(s):  
Assuman Nuhu ◽  
Jennifer Jelsma ◽  
Kim Dunleavy ◽  
Theresa Burgess
Keyword(s):  
Injury Prevention ◽  
Controlled Trial ◽  
Intervention Group ◽  
Soccer Players ◽  
Prevention Programme ◽  
Control Group ◽  
Warm Up ◽  
Severity Of Injury ◽  
The Impact ◽  
Injury Prevention Programme

Background Soccer players incur injuries that typically affect their performance. Injuries are caused by intrinsic and extrinsic factors that call for multifactorial preventive interventions. The study examines the impact of the FIFA 11+ warm up programme on the incidence and severity of injuries in second division soccer players in Rwanda. Methods Twelve teams (309 players) were randomised in the intervention group and 12 teams (317 players) in the control group using a cluster randomized controlled trial with teams as the unit of randomization. Intervention group teams implemented the FIFA 11+ soccer specific warm-up programme during training and matches at least three times a week over seven months of the Rwandan soccer season. Control group teams continued with usual warm up exercises. The primary outcome of this study was the overall incidence of training and match injuries. Injuries, training and match exposure as well as severity categories were recorded per the F-MARC guidelines. Results A lower proportion of players sustained injuries in the intervention group (52%) compared to the control group (63%) (Odd ratio: 0.7; 95%CI: 0.5–0.9). A significantly lower rate ratio was observed in the intervention group for overall (RR = 0.6; 95%CI: 0.5–0.8) and match (RR = 0.6; 95%CI: 0.5–0.8) injuries. Compliance to the injury prevention programme was 77%. In the intervention group, the incidence of injury was similar across all teams and across the medium and highly compliant teams. There was a statistically significant 55% and 71% reduction of the rate of moderate and severe injuries in the intervention group respectively. Conclusion The 11+ warm up injury prevention programme resulted in a significant reduction in the odds of sustaining injuries. In addition, injuries sustained were less severe. The programme should be rolled out to all teams in Rwanda and may well result in a decrease in the incidence and severity of injury in similar contexts. Trial registration Pan African Clinical Trial Registry (PACTR201505001045388).

scholarly journals The Impact of The Strategy Analog Thinking in acquiring Social Content Material Concepts of Fourth Primary Class Pupils

2019 ◽  
pp. 375-396
Author(s):  
Manal Taha Yaseen Al-Taʼie
Keyword(s):  
Experimental Design ◽  
Primary Schools ◽  
Control Group ◽  
Partial Control ◽  
Control Group Design ◽  
Social Content ◽  
Group Design ◽  
The Impact ◽  
Academic Year ◽  
Experimental Group

The present study aims the experimental design adopted in the present study is the partial control experimental design of a pre-post control group design. The present study has been limited to the fifth primary class pupils included with in the state primary schools in Baghdad during the academic year (2017-2018), The sample consists of 63 male and female 4th primary class pupils , distributed into 31 ones as an experimental group from Al-Mutanbi Primary school and 32 students as a control group Equalization. The instrument is constructing test measuring concepts acquisition consisted of (8) concepts which consists of (24) items. Experimental group pupils, who have been exposed to Strategy Analog Thinking, have been superior to those at the control group in social content material acquisition.

scholarly journals Pedestrian Mortality Trends In Children Over Four Decades In Transitional Lithuania

2016 ◽  
Vol 26 (5) ◽  
pp. 13-19
Author(s):  
Birutė Strukčinskienė ◽  
Robert Bauer ◽  
Sigitas Griškonis ◽  
Vaiva Strukčinskaitė
Keyword(s):  
Time Series ◽  
Young People ◽  
Road Safety ◽  
Road Traffic ◽  
Age Groups ◽  
Age Group ◽  
Prevention Measures ◽  
Mortality Trends ◽  
Road Users ◽  
The Impact

The aim of the study was to examine the long-term trends in pedestrian mortality for children (aged 0 to 14 years) and young people (aged 15 to 19 years) over four decades in transitional Lithuania. Methods. Road traffic fatality data were obtained from Statistics Lithuania and the Archives of Health Information Centre. Trends were analysed by linear regression using “Independence” as a slopechanging intervention in 1991 and population as a further explanatory factor in structural time series models. Results. The impact of the interventions, along with the reforms and changes related with the Independence, on pedestrian fatality trends in our time series model was found highly statistically significant for children 0 to 14 years (p<0.001) and still significant for young people 15 to 19 years (p<0.05). No significant impact on the trend of road traffic deaths was found for the “control-groups” of non-pedestrian road users in the age group 0 to 14 years and adult pedestrians (over 19 years of age). For the age group 15 to 19 years the effect of reforms was also significant for non-pedestrians (p<0.05). These results indicate that the effect of measures and changes used in the post-independence period was more specific in children that participated in road traffic as pedestrians than in adult pedestrians, or in nonpedestrian road users. Conclusions. Pedestrian deaths in Lithuania fell significantly in the age groups 0-14 and 15-19 years. A declining trend was found in road traffic fatalities and in pedestrian deaths in transitional Lithuania in the post-independence period. Socioeconomic and political transformations, systematic reforms in healthcare along with sustainable preventive measures may have contributed to this decrease. Targeted road safety measures were road traffic regulations, pedestrian education and environmentally based prevention measures. As child pedestrians are the most vulnerable group of road users, continued road safety education and promotion are recommended in order to maintain this trend, and to involve adult pedestrians in this development.

scholarly journals Nutrition education improves knowledge and BMI-for-age in Ghanaian school-aged children

2021 ◽  
Vol 21 (2) ◽  
pp. 927-941
Author(s):  
Reginald A Annan ◽  
Charles Apprey ◽  
Godwin O Agyemang ◽  
Diane M Tuekpe ◽  
Odeafo Asamoah-Boakye ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Primary Schools ◽  
Growth And Development ◽  
Intervention Group ◽  
Nutrition Knowledge ◽  
Control Group ◽  
Post Intervention ◽  
School Aged Children ◽  
Education Group ◽  
Children Nutrition

Background: Adequate nutrition is required for growth and development in children. This study tested the effectiveness of nutrition education on knowledge and BMI-for-age (BFA) of school-aged children in the Kumasi Metropolis. Methods: Children, aged 9-13 years old were recruited from ten randomly selected primary schools in the Metropolis. The schools were randomly allocated into 3 groups: nutrition education (3 schools), physical activity (PA) education (3 schools), both interventions (2 schools), or control (2 schools). Following a baseline nutrition and PA knowledge and status assess- ment in 433 children, twice-monthly nutrition and PA education and demonstrations were carried out for 6 months, followed by a post-intervention assessment. Results: PA and nutrition knowledge improved in all groups (P<0.001); the highest improvement was among those who received both interventions (31.0%), followed by the nutrition education group (29.8%), and the least, the control group (19.1%). Overall, BFA improved by +0.36, from baseline (-0.26) to end of the intervention (+0.10, P<0.001). Within the groups, the nutrition group (+0.65, P<.001) had the highest improvement, then, both the intervention group (+0.27, P<0.001), the PA group (+0.23, P<0.001) and lastly, the control group (+0.18, P=0.001). Conclusion: Nutrition education could improve knowledge and BMI-for-age in school-aged children in Ghana. Keywords: School-aged children; nutrition education; BMI-for-age; nutrition knowledge; basic school.

scholarly journals Evaluation of a school based comprehensive sexuality education program among very young adolescents in rural Uganda

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth Kemigisha ◽  
Katharine Bruce ◽  
Olena Ivanova ◽  
Els Leye ◽  
Gily Coene ◽  
...  
Keyword(s):  
Primary Schools ◽  
Sexuality Education ◽  
Unwanted Pregnancy ◽  
Qualitative Evaluation ◽  
Sub Saharan Africa ◽  
Sexual Practices ◽  
Bivariate Analysis ◽  
Control Group ◽  
Young Adolescents ◽  
Comprehensive Sexuality Education

Abstract Background Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10–14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66–2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future. Trial registration NCT03669913, registered retrospectively on September 13th, 2018.

scholarly journals Studies on the impact of the technical characteristics of local roads on road safety

2019 ◽  
Vol 262 ◽  
pp. 05006
Author(s):  
Stanisław Gaca ◽  
Mariusz Kieć
Keyword(s):  
Road Safety ◽  
Road Traffic ◽  
Road Accidents ◽  
Safety Measures ◽  
Accident Prediction ◽  
The Road ◽  
Access Road ◽  
Local Roads ◽  
On The Road ◽  
The Impact

Local roads (district roads) constitute an important part of the road network in Poland, making up around 29.7 % (124,945 km) of all public roads. In 2017, 10,578 accidents, which is 35.7% of all accidents in Poland, took place on local roads. These roads are used primarily by regular users who are very familiar with the defects of these roads. This means that the effects of the low technical standard of local roads and the insufficient number of road traffic devices on the safety on the road can be partly compensated for by the fact that drivers adjust their behaviour to the conditions on the road. This hypothesis can be verified through developing dependency models of road safety measures of local roads’ and technical characteristics. The article presents the research carried out based on regression models of accident prediction. The models were developed with the use of the data on the road surroundings arrangement (built-up areas, access), road condition and the extent of signposting, including data on speed limits and overtaking as well as risk exposure variables. Due to the incomplete data on accidents and the small number of accidents, different approaches to the modelling of the number of road accidents were applied.

scholarly journals Road safety in the political agenda: the impact on road traffic injuries

2009 ◽  
Vol 65 (3) ◽  
pp. 218-225 ◽  
Author(s):  
A. M. Novoa ◽  
K. Perez ◽  
E. Santamarina-Rubio ◽  
M. Mari-Dell'Olmo ◽  
R. Cozar ◽  
...  
Keyword(s):  
Road Safety ◽  
Road Traffic ◽  
Political Agenda ◽  
The Political ◽  
Road Traffic Injuries ◽  
The Impact

Ethnicity, deprivation and road traffic injury risk: a survey of risk and road safety and implications for injury prevention

2008 ◽  
Vol 46 (4) ◽  
pp. 133-138 ◽  
Author(s):  
Nicola Christie ◽  
Richard H. Kimberlee ◽  
Ronan Lyons ◽  
Elizabeth Towner ◽  
Heather Ward
Keyword(s):  
Injury Prevention ◽  
Road Safety ◽  
Injury Risk ◽  
Road Traffic ◽  
Road Traffic Injury ◽  
Traffic Injury

scholarly journals Towards Sustainability: New Tools for Planning Urban Pedestrian Mobility

2021 ◽  
Vol 13 (16) ◽  
pp. 9371
Author(s):  
Daniela Santilli ◽  
Mauro D’Apuzzo ◽  
Azzurra Evangelisti ◽  
Vittorio Nicolosi
Keyword(s):  
Road Safety ◽  
Road Traffic ◽  
Hybrid Approach ◽  
Real Data ◽  
Decision Support Tools ◽  
Sustainable Mobility ◽  
Combined Use ◽  
Support Tools ◽  
Multimodal Transport ◽  
The Impact

Background: Since the beginning of the new millennium, sensitivity towards the environment has been spreading globally. In fact, countries are adopting measures to develop new decision support tools that can evaluate the impact of interventions to promote and encourage sustainable mobility. To reduce the levels of pollution related to road traffic, policies that favor multimodal transport alternatives have been strengthened. This involves the combined use of public transport, cycling and walking paths, as well as sharing services where available. Regardless of the type of transport, the pedestrian component remains relevant in cities, even if the infrastructures are often not adequate to accommodate it and conflicts arise that must be managed. It is, therefore, necessary to assess the exposure to risk in terms of road safety. Methods: To this end, the work proposes a forecasting model to estimate the pedestrian flows that load the network. The methodology employs a hybrid approach that appears to better capture the movements of pedestrians. Results: By comparing the results of the model with the real data collected on the study area, satisfactory estimates were obtained. Conclusions: Therefore, this can be an effective tool to help road managers to evaluate the actions to protect vulnerable users.

scholarly journals Effect of a prevention programme on the incidence of rugby injuries among 15- and 16-year-old schoolboys

2007 ◽  
Vol 19 (2) ◽  
pp. 46
Author(s):  
H Erasmus ◽  
EJ Spamer
Keyword(s):  
Injury Prevention ◽  
Prevention Programme ◽  
Control Group ◽  
Injury Incidence ◽  
Control Groups ◽  
Intervention Programme ◽  
Control Group Design ◽  
North West ◽  
Positive Effect ◽  
Injury Prevention Programme

Objective. The primary aim of this study was to determine the effect of an injury prevention programme on the incidence of rugby injuries (overall, intrinsic and extrinsic injuries) among 15- and 16-year-old schoolboys, over a 2- year period. A secondary aim was to identify the percentage of intrinsic rugby injuries associated with a previous injury history. Design. A non-equivalent experimental-control group design with multiple post-tests. Subjects. A- and B-team rugby players (N =120) from 2 secondary schools in the North West province of South Africa. Intervention. The injury prevention programme was planned according to the physical, motor, biomechanical and postural status of all players. Players in the experimental group received exercises to improve biomechanical and postural deficits identified, as well as drills to address shortcomings in speed, agility, and explosive power. Main outcome measures. Rugby injuries were screened and injury data collected through the use of weekly sportsmedicine clinics. Results. Differences and changes in extrinsic injury incidence in this study could not be attributed to the effect of the prevention programme, and as a result injury trends related to overall injury incidence were inconsistent when the matching experimental and control groups were compared. However, the prevention programme did have a positive effect on the intrinsic injury incidence of both the 15- (d = 1.61) and 16-year-old (d = 0.83) groups during the study period. During the second season there were no intrinsic injuries of a previous nature among both the experimental groups (0%), while in contrast intrinsic injuries of a previous nature still amounted to a significant fraction in both the control groups. Conclusion. The present intervention programme did not have a practically significant effect on the incidence of overall rugby injuries and extrinsic rugby injuries in 15- and 16-year-old schoolboys over a 2-year period. However, in practice the prevention programme did have a significantly positive effect on the incidence of intrinsic rugby injuries among 15- and 16-year-old schoolboys over a period of 2 years. Timely introduction of this programme during the off-season is advised. South African Journal of Sports Medicine Vol. 19 (2) 2007: pp. 46-51

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