Cost-effectiveness of interventions to prevent road traffic injuries in low- and middle-income countries: A literature review

Banstola, Amrit; Mytton, Julie

doi:10.1080/15389588.2016.1212165

Cited by 33 publications

(20 citation statements)

References 43 publications

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“…Each year there are over 1 million deaths associated with RTAs and an estimated 20–50 million non-fatal road traffic injuries (RTIs) around the world ( 30 ). These RTAs result in the deaths of 186,300 children (ages 0–17 years) ( 31 ).…”

Section: Addressing Specific Causes Of Pediatric Injurymentioning

confidence: 99%

“…These include building road safety management capacity, improved infrastructure, and enhanced vehicle safety. Also, improved road user behaviors with enforcement of speed limits, seat belt and laws prohibiting driving under the influence of alcohol could also make an impact ( 30 , 31 ). Improved pre-hospital, hospital and rehabilitation systems would help reduce the mortality and morbidity associated with RTIs ( 31 ).…”

Section: Addressing Specific Causes Of Pediatric Injurymentioning

confidence: 99%

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Pediatric Trauma Care in Low Resource Settings: Challenges, Opportunities, and Solutions

et al. 2018

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Trauma constitutes a significant cause of death and disability globally. The vast majority -about 95%, of the 5.8 million deaths each year, occur in low-and-middle-income countries (LMICs) 3–6. This includes almost 1 million children. The resource-adapted introduction of trauma care protocols, regionalized care and the growth specialized centers for trauma care within each LMIC are key to improved outcomes and the lowering of trauma-related morbidity and mortality globally. Resource limitations in LMICs make it necessary to develop injury prevention strategies and optimize the use of locally available resources when injury prevention measures fail. This will lead to the achievement of the best possible outcomes for critically ill and injured children. A commitment by the governments in LMICs working alone or in collaboration with international non-governmental organizations (NGOs) to provide adequate healthcare to their citizens is also crucial to improved survival after major trauma. The increase in global conflicts also has significantly deleterious effects on children, and governments and international organizations like the United Nations have a significant role to play in reducing these. This review details the evaluation and management of traumatic injuries in pediatric patients and gives some recommendations for improvements to trauma care in LMICs.

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Section: Addressing Specific Causes Of Pediatric Injurymentioning

confidence: 99%

Section: Addressing Specific Causes Of Pediatric Injurymentioning

confidence: 99%

Pediatric Trauma Care in Low Resource Settings: Challenges, Opportunities, and Solutions

et al. 2018

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“…In Patel’s study, 92.5% of the participants in the study were male (5), while in another study, 75% of them were male and 25% female (22). The average cost has been reported as 9,580 pounds for men and 10541 pounds for women (23). Because of higher accident costs of men, it may be likely that men drive more recklessly than women, therefore, they have more severe and costly accidents.…”

Section: Discussionmentioning

confidence: 99%

Cost Analysis of Accidents According to Demographic Factors in Iran

Hashempour¹,

Tahmasebi²,

Veysi³

et al. 2020

ijph

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Background: The first cause of death and disability constituting to the burden of disease in Iran has been accident and injury incidents. Young people are more at risk, these accidents have a negative effect on the national gross domestic product (GDP), on the one hand, and they increase the costs of the health system on the other hand. Therefore, this study aimed to analyze the costs and epidemiological pattern of accidents. Methods: The study variables in the first 8 months of 2016 included from Tehran Province, Iran; age, sex, how to transfer to the hospital, consequences of an accident, the injured area, and costs. Overall, 400 cases were investigated by referring to the patients` files and deriving the intended data. SPSS software used to analyze the data and statistical tests of t-test and ANOVA were applied. Results: Most accidents have happened in summer months of Jun, Jul and Aug. Most of the files (48%) were related to the age group of 16-30. The mean cost was 9024.82 dollar. In total, 39% of the road accidents had occurred by motorcycle and 90.8% of the patients discharged from the hospital. Conclusion: Since about half of the traffic accidents were related to the age of 16 to 30 who were the active population of a community, therefore, any disability or death in these groups could cause an economic burden on the community and increase DALY. Thus, it appears essential to develop proper programs such as education for appropriate driving and strict rules for giving driving license to these ages.

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“…This study provides an up to date estimate of the economic burden of road crashes in Nepal that could be used to advocate for improved road safety in Nepal and be available for future cost-effectiveness studies of interventions to prevent RTIs in Nepal. The high economic burden of RTIs suggests a need for investment in evidence-based, cost-effective multi-sectoral interventions such as the enforcement of speed limits, enforcement of helmet use by motorcycle riders and pillion passengers, seatbelt usage by drivers [63,64], and a comprehensive "safe system" approach [65]. Given the main contributors of the total economic burden of RTIs were costs of long-term disability; premature deaths; and pain, grief, and suffering, policymakers should prioritise crash-related effective post-crash response systems and lifesaving interventions.…”

Section: Implications For Policymentioning

confidence: 99%

Economic Burden of Road Traffic Injuries in Nepal

Banstola

Kigozi

Barton

et al. 2020

IJERPH

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The evidence of the economic burden of road traffic injuries (RTIs) in Nepal is limited. The most recent study, conducted in 2008, is now considered outdated because there has been a rapid increase in vehicle numbers and extensive road building over the last decade. This study estimated the current economic costs of RTIs in Nepal, including the direct costs, productivity costs, and valuation of pain, grief, and suffering. An incidence-based cost-of-illness analysis was conducted from a societal perspective, employing a bottom-up approach using secondary data. All costs incurred by the patients, their family members, and costs to society were estimated, with sensitivity analyses to consider uncertainty around the data estimates available. Productivity loss was valued using the human capital approach. The total costs of RTIs in 2017 were estimated at USD 122.88 million. Of these, the costs of productivity loss were USD 91.57 million (74.52%) and the pain, grief, and suffering costs were USD 18.31 million (14.90%). The direct non-medical costs were USD 11.50 million (9.36%) whereas the direct medical costs were USD 1.50 million (1.22%). The economic costs of RTIs increased by threefold since 2007 and are equivalent to 1.52% of the gross national product, indicating the growing national financial burden associated with preventable RTIs.

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Cost-effectiveness of interventions to prevent road traffic injuries in low- and middle-income countries: A literature review

Cited by 33 publications

References 43 publications

Pediatric Trauma Care in Low Resource Settings: Challenges, Opportunities, and Solutions

Pediatric Trauma Care in Low Resource Settings: Challenges, Opportunities, and Solutions

Cost Analysis of Accidents According to Demographic Factors in Iran

Economic Burden of Road Traffic Injuries in Nepal

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