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Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries

Author

Listed:
  • Catherine Staton
  • Joao Vissoci
  • Enying Gong
  • Nicole Toomey
  • Rebeccah Wafula
  • Jihad Abdelgadir
  • Yi Zhou
  • Chen Liu
  • Fengdi Pei
  • Brittany Zick
  • Camille D Ratliff
  • Claire Rotich
  • Nicole Jadue
  • Luciano de Andrade
  • Megan von Isenburg
  • Michael Hocker

Abstract

Background: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world’s road traffic deaths, and where RTIs are escalating due to rapid urbanization and motorization. Although several studies have assessed the effectiveness of a specific intervention, no systematic reviews have been conducted summarizing the effectiveness of RTI prevention initiatives specifically performed in LMIC settings; this study will help fill this gap. Methods: In accordance with PRISMA guidelines we searched the electronic databases MEDLINE, EMBASE, Scopus, Web of Science, TRID, Lilacs, Scielo and Global Health. Articles were eligible if they considered RTI prevention in LMICs by evaluating a prevention-related intervention with outcome measures of crash, RTI, or death. In addition, a reference and citation analysis was conducted as well as a data quality assessment. A qualitative metasummary approach was used for data analysis and effect sizes were calculated to quantify the magnitude of emerging themes. Results: Of the 8560 articles from the literature search, 18 articles from 11 LMICs fit the eligibility and inclusion criteria. Of these studies, four were from Sub-Saharan Africa, ten from Latin America and the Caribbean, one from the Middle East, and three from Asia. Half of the studies focused specifically on legislation, while the others focused on speed control measures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. Conclusion: Legislation was the most common intervention evaluated with the best outcomes when combined with strong enforcement initiatives or as part of a multifaceted approach. Because speed control is crucial to crash and injury prevention, road improvement interventions in LMIC settings should carefully consider how the impact of improvements will affect speed and traffic flow. Further road traffic injury prevention interventions should be performed in LMICs with patient-centered outcomes in order to guide injury prevention in these complex settings.

Suggested Citation

  • Catherine Staton & Joao Vissoci & Enying Gong & Nicole Toomey & Rebeccah Wafula & Jihad Abdelgadir & Yi Zhou & Chen Liu & Fengdi Pei & Brittany Zick & Camille D Ratliff & Claire Rotich & Nicole Jadue , 2016. "Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-15, January.
    • Handle: RePEc:plo:pone00:0144971
    DOI: 10.1371/journal.pone.0144971
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Randall, Lee & Matusevich, Aliza & Goldstein, Susan, 2024. "Balancing the three-legged pot: Benchmarking road safety institutional frameworks across SADC member states," Transport Policy, Elsevier, vol. 151(C), pages 101-109.
    2. Francisco Alonso & Mireia Faus & Cesáreo Fernández & Sergio A. Useche, 2021. "“Where Have I Heard It?” Assessing the Recall of Traffic Safety Campaigns in the Dominican Republic," Energies, MDPI, vol. 14(18), pages 1-14, September.
    3. Md. Kamran Ul Baset & Aminur Rahman & Olakunle Alonge & Priyanka Agrawal & Shirin Wadhwaniya & Fazlur Rahman, 2017. "Pattern of Road Traffic Injuries in Rural Bangladesh: Burden Estimates and Risk Factors," IJERPH, MDPI, vol. 14(11), pages 1-13, November.
    4. Mutia J. Mpekethu & Dr. Franciscah Irangi Wamocho & Dr. Beatrice Bunyasi Awori, 2020. "Influence of Disabilities Induced by Road Traffic Accidents on Academic Achievement of Survivors’ Children before and After Occurrence of Accidents in Kiambu County," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 7(7), pages 270-278, July.
    5. Renfei Wu & Xunjia Zheng & Yongneng Xu & Wei Wu & Guopeng Li & Qing Xu & Zhuming Nie, 2019. "Modified Driving Safety Field Based on Trajectory Prediction Model for Pedestrian–Vehicle Collision," Sustainability, MDPI, vol. 11(22), pages 1-15, November.
    6. Pablo Martínez & Daniela Contreras & Mónica Moreno, 2020. "Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-14, January.
    7. Suchi Kapoor Malhotra & Howard White & Nina Ashley O. Dela Cruz & Ashrita Saran & John Eyers & Denny John & Ella Beveridge & Nina Blöndal, 2021. "Studies of the effectiveness of transport sector interventions in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(4), December.
    8. Shahram Heydari & Adrian Hickford & Rich McIlroy & Jeff Turner & Abdulgafoor M. Bachani, 2019. "Road Safety in Low-Income Countries: State of Knowledge and Future Directions," Sustainability, MDPI, vol. 11(22), pages 1-29, November.

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