scholarly journals Development and pilot study road traffic injury surveillance, Kaduna Nigeria

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Obafemi J. Babalola

ObjectiveWe pilot a RTI surveillance system using data from FRSC, Policemotor traffic division and Health facilities in Kaduna metropolis,Nigeria to ascertain its feasibility and generate data needed for actiontoward achieving sustainable development goals 3.6 target.IntroductionRoad Traffic Injury is common cause of unintentional injuryglobally and Low and middle income countries account for 90%of 1.3 million Road Traffic Injury (RTI) deaths. In Africa region,Nigeria accounts for 25% of RTI mortality but has no comprehensiveand reliable RTI surveillance system. Data from Federal RoadSafety Commissions (FRSC) shows gaps in RTI reporting with largedisparity with estimated value from World Health Organization.MethodsKaduna metropolis is the capital of Kaduna State with estimatedpopulation of 1.96 million. It is a major route between Abuja, theNational capital and 15 northern Nigeria states with high vehicularmovement. We adapted WHO Injury surveillance guideline andCenters for Disease Control and Prevention surveillance trainingmanual for this study. A case of RTI is any person injured or diedwithin 30 days as a result injuries incurred from vehicular collision ona public road in Kaduna Metropolis. Data collected using a pretestedquestionnaire for RTI cases at health facilities, Police and FRSC.Data were linked by deterministic method, cleaned and analysed.Frequency and proportion were calculated to characterize the RTI.The study was supported by a mini-grant from Center for DiseaseControl and Prevention.ResultsData was collected from February to April 2016. Of the 324crashes reported, 566 people injured and 66 deaths with case fatalityrate of 11.7%. Male gender accounts for 81.8% and age 20 – 39 yearswere 64.6%. Commercial drivers were 20.7%, pedestrian 21% andpassengers were 53.7%. Sixty percent of the crash occurred betweencars or buses while 21% were without collision with any vehicle orstationary objects. Of the 66 deaths reported 61(92.4%) died at crashsite. FRSC evacuated 21%, 38.6% were evacuated by other road users.No use of seat belt and crash helmets reported and only 5.1% receivedfirst aid care before reaching reporting facility. RTI Incidence peakedbetween 6:00 PM to 8:59 PM with 26 persons per hour.ConclusionsEssential to sustainable development goal 3, a multisectorRTI surveillance system that generate data for action in Kadunametropolis, Nigeria is feasible and data generated was used for actionat different levels to mitigate against the burden of RTI

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A266-A266
Author(s):  
Y. R. Medina ◽  
V. Espitia-Hardeman ◽  
A. Dellinger ◽  
M. Loaiza ◽  
J. Bolarte ◽  
...  

2020 ◽  
Author(s):  
Obafemi Joseph Babalola

Abstract Background African has the highest road fatality rate per 100,000 population, but Nigeria accounts for a quarter of the World Health Organization Afro region road traffic injury (RTI) related deaths. The Nigeria Federal Road Safety Corps (FRSC) is the sole agency for RTI surveillance. RTI data generated from a single source is inadequate, under-reported, and defective for effective planning to achieve SDG 3.6 target. This pilot study aimed to describe under-reporting of single RTI surveillance data source by FRSC, and feasibility of multidisciplinary and integrated RTI surveillance systems in Kaduna metropolis, Nigeria. Methods The WHO Injury Surveillance Guideline, and Centres for Disease Control and Prevention Surveillance Training Manual were adapted for this study. Selected RTI reporting sites for this study were FRSC, police, and three major health facilities. Trained data collectors used a pretested RTI data tool adapted from the existing tools to collect information on road traffic crashes and the injured from February – July 2016. Data linked by the deterministic method were merged, duplicates removed, and analysed for frequencies, proportions, and Chi-square odds ratio for associations between exposure variables and moderate to fatal injury. Statistical significance for all calculations was set at p-Value < 0.05. Results Of the 667 road traffic crashes (RTC), FRSC reported 103 (15.4%). Of the 1,062 people injured, FRSC and Police reported 183 (17.2%), and 381 (35.9%) respectively, pedestrians were 180 (17%), and 374 (35.2%) were in 25–34 years age group. Overall, 110 (10.4%) were fatally injured and died including 62.7% (69/110) who were initially rescued alive from the crash site. Among the 252 motorcycle riders, protective helmet was used by 26 (10.3%). Also, 136 (26.4%) vehicle users from 516, used a seat belt during the crash. Moderate to fatal injury was associated with being a vehicle operator during the crash (OR 1.7, C.I. 1.3–2.2, p = 0.000). Conclusion Road traffic crashes and injuries were under-reported with single source RTI surveillance systems common to low and middle – income countries like Nigeria. However, a multidisciplinary and integrated RTI surveillance system is feasible and recommended to generate quality data for action.


2021 ◽  
pp. archdischild-2020-319184
Author(s):  
Uzma Rahim Khan ◽  
Junaid A Razzak ◽  
Martin Gerdin Wärnberg

ObjectiveThe aim of this study was to determine the trends of road traffic injury (RTI) mortality among adolescents aged 10–14 years and 15–19 years across different country income levels with respect to the type of road users from 1990 to 2019.MethodsWe conducted an ecological study. Adolescents’ mortality rates from RTIs at the level of high-income countries (HICs), upper-income to middle-income countries (UMICs), lower-income to middle-income countries and low-income countries were extracted from the Global Burden of Disease study. Time series were plotted to visualise the trends in mortality rates over the years. We also conducted Poisson regression using road traffic mortality rates as the dependent variable and year as the independent variable to model the trend of the change in the annual mean mortality rate, with incidence rate ratios (IRRs) and 95% CIs.ResultsThere were downward mortality trends in all types of road users and income levels among adolescents from 1990 to 2019. HICs had more pronounced reductions in mortality rates than countries of any other income level. For example, the reduction in pedestrians in HICs was IRR 0.94 (95% CI 0.90 to 0.98), while that in UMICs was IRR 0.97 (95% CI 0.95 to 0.99) in adolescents aged 10-14 years.ConclusionsThere are downward trends in RTI mortality in adolescents from 1990 to 2019 globally at all income levels for all types of road users. The decrease in mortality rates is small but a promising finding. However, prevention efforts should be continued as the burden is still high.


2020 ◽  
Author(s):  
Fufa Hunduma ◽  
Belayneh Leulseged

Abstract Background: Road traffic injury (RTI) is one of the leading causes of mortality and morbidity globally. It accounts for more than 1.35 million deaths per year. It has multiple risk factors that contribute to its occurrence. Low and middle-income countries are affected severely, thus, Ethiopia is among the most affected countries. Aim of this assessment is to analyze three years of Electronic Health Management Information System (eHMIS) surveillance data of Road traffic injuries in Ethiopia as general to describe the trends of injury based on sex, age, place, and time. Methods: eHMIS Road Traffic accident data were reviewed retrospectively for three years period (2007 – 2009 Ethiopian calendar (E.C) / 2014 to 2017) and Analysis was done by Microsoft Excel. Result: The trend of injury in Ethiopia increased from 69882 to 100,628 and inpatient death increased from 125 to 265 over the last three years. Males were affected more, hence contributed to 63.64% of total cases. Those who were above 15 years of age contributed to 80.6% of total cases. Cases reached their peak during the dry season of regions. Harari region had the highest incidence of injury; more than 2000 cases per 100,000 over three years period. Conclusion: This analysis revealed that in Ethiopia burden of Road Traffic Injury (RTI) was increasing against the plan of the country. Being male and adult has a greater risk of RTI. Harari region and Dire Dawa has a much higher incidence than the national level. High-level political commitment, immediate decisions, and actions are needed to halt the problem.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Junaid Abdul Razzak ◽  
Muhammad Shahzad Shamim ◽  
Amber Mehmood ◽  
Syed Ameer Hussain ◽  
Mir Shabbar Ali ◽  
...  

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