scholarly journals 1D.003 A strategic approach to road safety research for low-income countries

2021 ◽  
Author(s):  
Jeff Turner ◽  
Colin Gourley ◽  
Bernard Obika
Keyword(s):  
Low Income ◽  
Road Safety ◽  
Low Income Countries ◽  
Safety Research ◽  
Strategic Approach

scholarly journals Road Safety in Low-Income Countries: State of Knowledge and Future Directions

2019 ◽  
Vol 11 (22) ◽  
pp. 6249 ◽  
Author(s):  
Shahram Heydari ◽  
Adrian Hickford ◽  
Rich McIlroy ◽  
Jeff Turner ◽  
Abdulgafoor M. Bachani
Keyword(s):  
Low Income ◽  
Traffic Engineering ◽  
Road Safety ◽  
Scale Up ◽  
Safety Data ◽  
Low Income Countries ◽  
Future Research ◽  
Improvement Programs ◽  
Behavioural Aspects ◽  
The Impact

Road safety in low-income countries (LICs) remains a major concern. Given the expected increase in traffic exposure due to the relatively rapid motorisation of transport in LICs, it is imperative to better understand the underlying mechanisms of road safety. This in turn will allow for planning cost-effective road safety improvement programs in a timely manner. With the general aim of improving road safety in LICs, this paper discusses the state of knowledge and proposes a number of future research directions developed from literature reviews and expert elicitation. Our study takes a holistic approach based on the Safe Systems framework and the framework for the UN Decade of Action for Road Safety. We focused mostly on examining the problem from traffic engineering and safety policy standpoints, but also touched upon other sectors, including public health and social sciences. We identified ten focus areas relating to (i) under-reporting; (ii) global best practices; (iii) vulnerable groups; (iv) disabilities; (v) road crash costing; (vi) vehicle safety; (vii) proactive approaches; (viii) data challenges; (ix) social/behavioural aspects; and (x) capacity building. Based on our findings, future research ought to focus on improvement of data systems, understanding the impact of and addressing non-fatal injuries, improving estimates on the economic burden, implementation research to scale up programs and transfer learnings, as well as capacity development. Our recommendations, which relate to both empirical and methodological frontiers, would lead to noteworthy improvements in the way road safety data collection and research is conducted in the context of LICs.

scholarly journals RESEARCH OF THE ECONOMIC FACTORS IMPACT ON THE AUTOMOBILIZATION LEVEL

2020 ◽  
Vol 6 (159) ◽  
pp. 161-168
Author(s):  
N. Semchenko
Keyword(s):  
Low Income ◽  
Road Safety ◽  
Life Quality ◽  
Well Being ◽  
Low Income Countries ◽  
Economic Factors ◽  
Road Accidents ◽  
Risk Of Death ◽  
Predicted Values

Mortality from road accidents continues to rise, amounting to 1.35 million deaths per year. It is emphasized that today injuries as a result of road accidents are the main cause of children death and young people aged 5-29 years and the three main causes of person’s death aged 5 to 44 years. Studies of road safety various aspects in different countries have shown that the world has long and steadily formed a global problem of irregular road accidents. First of all, the inverse dependence of the emergency risk on the material well-being of countries is clearly visible. The risk of death as a result of road accidents in low-income countries is three times higher than in high-income countries. The highest rates are in Africa (26.6 cases per 100,000 people) and the lowest in Europe (9.3 cases per 100,000 people). In addition, in recent years, experts are trying to link the actual accident rate in countries with the life quality of their populations. Quality of life as a concept includes not only the material level but also the satisfaction of spiritual needs, health, life expectancy, environmental conditions, moral and psychological climate, emotional comfort, etc., which ultimately determines the transport culture of the population. In this regard, it is of interest to identify links between the results of rating assessments of the people life quality in different countries and the level of these countries road safety typical. To do this, first of all it is necessary to assess the economic factors impact on the motorization level, which is insufficiently studied. The purpose is to determine the dependences of the economic factors impact, namely gross domestic product per capita and average wages, on the motorization level. The data for the study were taken from official statistical sources. The results were processed by methods of mathematical statistics and regression analysis. According to the results of the experiments, regression models were obtained for European countries; Asia and Oceania; The Middle East; Africa; North, Central America and the Caribbean; South America. The comparison of the simulated values and the initial data showed a high degree of correlation. The originality lies in the fact that the regularities of the economic factors influence on the motorization level are investigated, which makes it possible to obtain predicted values in the future. Improving the efficiency and safety of vehicles on the road network is possible based on the use of the motorization level predicted values in research. The obtained research results can be used to determine the feasibility of introducing certain measures to organize traffic.

scholarly journals Content analysis of reported activities of the United Nations Road Safety Collaboration Members during the Decade of Action for Road Safety 2011–2020

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e042409
Author(s):  
Sean Alan Flannigan ◽  
Meleckidzedeck Khayesi
Keyword(s):  
Content Analysis ◽  
United Nations ◽  
Low Income ◽  
Road Safety ◽  
Road Traffic ◽  
Low Income Countries ◽  
Country Level ◽  
Wide Range ◽  
The United Nations ◽  
To Come

ObjectiveSeveral activities were planned for the Decade of Action (DOA) for Road Safety 2011–2020, covering key policies and interventions on road safety. Knowledge of the activities implemented by key actors is currently lacking in the literature. This study answers the question: what activities were implemented during the DOA by the United Nations Road Safety Collaboration (UNRSC) members?DesignThe study used content analysis techniques to extract and analyse information from five United Nations Secretary General’s reports, which summarise the activities reported by UNRSC members.SettingThe primary setting for this study are 116 countries in which activities supporting the DOA were conducted.Outcome measuresFrequency of themes and subthemes that emerged from reported activities are identified and cross-tabulated by year of report, country level of income, geographical region and organisation type.ResultsOver the entire DOA, establishment of institutions and lead agencies as well as the development of national strategies featured prominently under the theme of management. This theme was steadily reported across regions, country income level and organisation type. Workshops, training and major events regarding road safety increased in frequency of reporting throughout the decade as did developing and promoting the basic road and vehicle systems supportive of road safety. It is further noted that other key activities like infrastructure and behaviour change that are required for a balanced approach to road safety policy were also attended to by various organisations. Activities related to road safety enforcement and post-crash response as well as activities in low-income countries appeared to be less reported.ConclusionThe wide range of activities reported by UNRSC members over the entire DOA need to be sustained and evaluated in years to come if they are to have a significant impact on reducing road traffic deaths and injuries at national and international levels.

scholarly journals Motorized 2-3 Wheelers Death Rates Over a Decade: A Global Study

2021 ◽  
Author(s):  
Yasin J Yasin ◽  
Michal Grivna ◽  
Fikri Abu-Zidan
Keyword(s):  
Law Enforcement ◽  
Low Income ◽  
Road Safety ◽  
National Income ◽  
Mortality Rates ◽  
Low Income Countries ◽  
Friedman Test ◽  
Death Rates ◽  
Factors Affecting ◽  
Over Time

Abstract Background: Motorized 2-3 wheelers-related death are high due to the exposed body of the driver/passenger and the high speed. The United Nation (UN) Decade of Action for road safety aimed to reduce road traffic deaths by 50% by the year 2020. We aimed to study the factors affecting the death rates of motorized 2-3 wheelers injuried victims and whether the reduction of the death rates has met the UN target.Methods: Data were retrieved from the WHO Global Status Reports on Road Safety published over 2009 to 2018 which covered the years of 2007 to 2016. Studied variables included motorized 2-3 wheelers death rates, percentage of helmet-wearing rate, helmet law enforcement, speed law enforcement, gross national income per capita, vehicles/person ratio, motorized 2-3 wheelers/person ratio. A mixed linear model was used to define factors affecting the change of motorized 2-3 wheelers death rates over time.Results: Global mortality rates of motorized 2-3 wheelers increased by 6.5% over 10 years which was not statistically significant. Factors that affected mortality included GNI (p=0.025), motorized 2-3 wheelers per person ratio (p < 0.0001), percentage of helmet wearing rate (p=0.046), and the interaction between vehicle/person ratio and motorized 2-3 wheelers/person ratio (p=0.016). There was a significant increase in the death rates over time in the low-income countries (170.2 %, p=0.019, Friedman test), and middle-income countries (56.1 %, p < 0.0001, Friedman test), compared with a significant decrease in the high-income countries (17.8 %, p < 0.0001, Friedman test). Conclusions: Global mortality of motorized 2-3 wheelers has increased by 6.5% over a recent decade. The UN target of reducing death was not met. The increase was related to the increase of motorized 2-3 wheelers per person ratio and economic inequiety which has to be addressed globally. The economic global gap significantly impacts the mortality rates of motorized 2-3 wheelers.

scholarly journals The AAA Approach to Crash Investigation Reform – The Perspective from Road Policing Practitioners.

2021 ◽  
Vol 32 (4) ◽  
pp. 51-59
Author(s):  
Ray Shuey ◽  
Des Myers
Keyword(s):  
Low Income ◽  
Road Safety ◽  
Low Income Countries ◽  
Reform Process ◽  
Expert Review ◽  
Root Cause ◽  
Preventative Measures ◽  
Continuous Improvement Process ◽  
Review Team ◽  
Road Crash

Professional road crash investigation, complemented by intelligent analysis and dynamic actions provide the foundation for road safety reform. However, to date, the real potential resulting from police investigative findings have not been fully realised due to the lack of streamlined connectivity from the crash scene to the reform process. Such deficiencies include inadequate investigations, inadequate data management, convoluted processes, system delays, inadequate analysis and limited immediate and mid-term actions which should be generated following thorough and efficient investigations. A review of processes across high, medium and low-income countries has identified a more effective approach to achieving results in road safety reform across all road safety disciplines. The simple AAA framework to ‘Acquire, Analyse and Action’ is presented as a contemporary model to ensure an evidence-based foundation drives road safety reform to identify root cause analysis locally, nationally and globally. This provides structure, discipline and purpose as well as technical skill and competence to achieve practical recommendations as preventative measures for crash reduction. A multi-disciplined expert review team to validate/assess/modify these recommendations in serious crashes ensures constructive countermeasures are prioritised and actioned. This facilitates a paradigm shift in thinking and analysis to achieve a continuous improvement process designed to reduce road trauma and save lives.

Three Cases of Joubert Syndrome in a Consanguineous Syrian Family and a Interesting Case of Multinational Collaboration

2021 ◽  
Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed
Keyword(s):  
Low Income ◽  
Autosomal Recessive ◽  
Autosomal Recessive Disorder ◽  
Joubert Syndrome ◽  
Interesting Case ◽  
Low Income Countries ◽  
Ocular Motor ◽  
Quality Health Care ◽  
Quality Health ◽  
Motor Apraxia

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.

Reviewing the Development of Rural Finance in Vietnam

2013 ◽  
pp. 121-136
Author(s):  
Duong Pham Bao
Keyword(s):  
Low Income ◽  
Financial System ◽  
Low Income Countries ◽  
Supply Side ◽  
New Paradigm ◽  
Rural Finance ◽  
Market Mechanisms ◽  
Rural Credit ◽  
Rural Organizations ◽  
Doi Moi

The objective of this article is to review the development of the rural financial system in Vietnam in recent years, especially, after Doi moi. There are two opposite schools of thought in the literature on rural credit policies in developing countries. One is the conventional supply-side (government-led) approach while the other is called “a new paradigm” that emphasizes the importance of the viability of financial providers and the well functioning of rural credit markets. Conventional theories of rural finance contend that rural finance in low-income countries is generally accompanied by many failures. Contrary to these theories, rural finance in Vietnam does not encounter the above-mentioned failures so far. Up to the present time, it is progressing well. Using a supply-side approach, methodologically, this study reviews the development of the rural financial system in Vietnam. The significance of this study is to challenge the extreme view of dichotomizing between the old and the new credit paradigms. Analysis in this study contends that a rural financial market that, (1) is initiated and spurred by government; (2) operates principally under market mechanisms; and (3) is strongly supported by rural organizations (semi-formal/informal institutions) can progress stably and well. Therefore, the extremely dichotomizing approach must be avoided.

Abdominal Textiloma Mimicking as Left Colic Tumour: A Postoperative Complication Still Common in Low-Income Countries

EMJ Radiology ◽  
2020 ◽  
Keyword(s):  
Low Income ◽  
Early Stage ◽  
Low Income Countries ◽  
Fistula Formation ◽  
Emergency Laparotomy ◽  
Intermittent Fever ◽  
Gastrointestinal Complications ◽  
Surgical Safety ◽  
Surgical Teams ◽  
Safety Rules

Retained foreign bodies have become very rare in countries where the safety rules in the operating theatre are very rigorous and follow precise guidelines. There are low-income countries where hospital structures are precarious, in which the implementation of surgical safety rules has only been effective recently. Surgical teams in these countries are not yet well trained in the observance of the guidelines concerning swab count, meaning that textilomas are not uncommon. Abdominal textiloma may be asymptomatic, or present serious gastrointestinal complications such as bowel obstruction, perforation, or fistula formation because of misdiagnosis. It may mimic abscess formation in the early stage or soft tissue masses in the chronic stage. This case report presents a 27-year-old female who underwent an emergency laparotomy in a rural surgical centre for an ectopic pregnancy. Two months later, a swelling had appeared on the left side of her abdomen, gradually increasing in size, which was not very painful but caused digestive discomfort and asthenia. Intermittent fever was described and treated with antibiotics. The patient was referred to a better equipped centre to benefit from a CT scan. A textiloma was strongly suspected on the CT but a left colic mass was not excluded. Laparotomy confirmed the diagnosis of textiloma and the postoperative course was uneventful. Prevention rules must be strengthened in these countries where patients can hardly bear the costs of iterative surgeries for complications that are avoidable.

Assessment of knowledge and practice of vaccination of dogs against rabies by dog owners in Makurdi, Benue State, Nigeria

2020 ◽  
Vol 1 ◽  
pp. 5
Author(s):  
Audu Onyemocho ◽  
Agwa Moses ◽  
Aboh Kisani ◽  
Omole Namben Victoria ◽  
Anejo-Okopi Joseph
Keyword(s):  
Low Income ◽  
Life Time ◽  
Knowledge Score ◽  
Educational Status ◽  
Low Income Countries ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Knowledge And Practice ◽  
Dog Owners ◽  
The Relationship

Objective: Rabies, one of the oldest and fatal infectious diseases known to human race, is transmitted by infected dogs. The global target of zero dog-mediated rabies human deaths has been set for 2030; however, the realization of this goal poses challenges in most low-income countries where rabies is endemic due to weak surveillance. Dogs have been increasingly deployed for domestic uses over the years, especially for security purposes. This study assessed the assessment of knowledge and practice of vaccination of dogs against rabies by dog owners. Materials and Methods: A cross-sectional community-based study was employed to study 400 dog owners in Makurdi metropolis through multistage sampling techniques. Sighting of valid dog vaccination card was used as criteria for current vaccination. Bivariate analysis was carried out to establish the relationship between the respondent knowledge of rabies and dog vaccination with significant value set at P < 0.05. Results: The mean age of the respondents was 31 (Â ± 0.8) years, majority of them had tertiary and secondary education (40.0% and 39.0%, respectively), 26.0% were traders, and 50.0% were married. Overall, 73.0% of the respondents had good knowledge score, 61.0% had seen at least a rabid dog in their life time, and 74.0% have a history of dog vaccination, but evidence of up to date vaccination of dogs by owners was seen in only 18.0% of all the vaccination cards sighted. The relationship between the educational status of the respondents, their knowledge score, and their dog vaccination was statistically significant (P < 0.05). Conclusion: Knowledge of rabies among dog owners in Makurdi was good, but the practice of dog vaccination was poor. Educational status was a good predictor of practice. Awareness campaign on dog vaccination should be strengthened and adequate measures should be put in place at the veterinary hospitals in Makurdi for vaccination of dogs.

Sign in / Sign up

Export Citation Format

Share Document