Équité et déterminants sociaux des accidents de la circulation à Ouagadougou, Burkina Faso

Fillol, Amandine; Bonnet, Emmanuel; Bassolé, Joanny; Lechat, Lucie; Djiguinde, Amadou; Rouamba, George; Ridde, Valéry

doi:10.3917/spub.165.0665

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…Selon les informations collectées lors de l'enquête auprès des accidentés admis au service urgences traumatologiques du CHU Yalgado, 80 % d'entre eux étaient des usagers de deuxroues, majoritairement des personnes de moins de 30 ans. Les blessures à -101 la tête touchaient 43 % des hospitalisés qui présentaient également les blessures les plus graves (Fillol et al, 2016). Les enquêtes montrent également qu'un quart des blessés souffraient encore des conséquences de l'accident trente jours après sa survenue 4 .…”

Section: Graphique 2 Les Modes De Déplacement Impliqués Dans Les Acciunclassified

Les accidents de la route à Ouagadougou, un révélateur de la gestion urbaine

Nikièma

Bonnet

Sidbega

et al. 2017

lsp

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La relation entre mobilité et extension urbaine a donné naissance à plusieurs modèles de ville. Les pratiques d’aménagement, fortement dépendantes de l’automobile, ont participé au processus d’étalement urbain caractéristique des pays du nord. Ce modèle observé également dans les capitales africaines repose toutefois sur des modes de déplacements très variés, sources d’une grande vulnérabilité pour les usagers et d’un nombre élevé de traumatismes issus des accidents de la route. Cet article vise à comprendre en quoi l’aménagement urbain participe de cette vulnérabilité dans la capitale du Burkina Faso, Ouagadougou. L’étude repose sur la géolocalisation des lieux d’accidents et des entrevues réalisées auprès des acteurs communaux. Les résultats montrent un lien fort entre étalement urbain et importance des accidents de la route de façon originale puisqu’ils sont caractéristiques des axes revêtus. Le développement de l’habitat est au coeur des politiques urbaines, la question de la mobilité est beaucoup plus récente, imposée par la croissance démographique. Cependant, la politique des transports en commun reste embryonnaire, le moyen de déplacement privilégié est le deux roues. Le pouvoir local ne semble pas avoir pour vocation de protéger les populations vulnérables en circulation, la valeur dominante en matière de conception du réseau routier reposant sous la garantie d’une mobilité toujours plus fluide et négligeant la sécurité routière. L’extension du réseau bitumé apparaît donc comme un facteur favorable à la multiplication des accidents de la route au Burkina Faso.The interconnection between mobility and urban expansion has given rise to many different city models. Urban development practices that are strongly automobile-dependent have contributed to the process of urban sprawl that is characteristic of Northern countries. This model is also seen in African capitals; however, there it is based on a wide variety of modes of transportation, a situation of great vulnerability for users and resulting in a high number of traumatic injuries from road accidents. The aim of this article is to understand how urban development contributes to this vulnerability in the capital city of Burkina Faso, Ouagadougou. The study was based on geolocalization of crash sites and on interviews with local actors. The results showed, in an innovative way, a strong link between urban sprawl and amount of traffic crashes, as such accidents are typical of paved roadways.Residential development is the core focus of urban policies in Ouagadougou, with the issue of mobility being much more recent, imposed by demographic growth. However, because urban public transport policy is still in its early stages, most people still rely on two-wheeled vehicles for transportation. Local authorities do not appear to see the protection of vulnerable populations in traffic as their mandate. In designing the road network, their dominant preoccupation seems to centre on always ensuring faster flow, while road safety is neglected. The expansion of the paved ...

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Section: Graphique 2 Les Modes De Déplacement Impliqués Dans Les Acciunclassified

Les accidents de la route à Ouagadougou, un révélateur de la gestion urbaine

Nikièma

Bonnet

Sidbega

et al. 2017

lsp

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Collaborative research and knowledge translation on road crashes in Burkina Faso: the police perspective 18 months on

Dagenais

Proulx²,

Sween-Cadieux

et al. 2021

Health Res Policy Sys

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In this commentary, we present a follow-up of two articles published in 2017 and 2018 about road traffic crashes, which is an important public health issue in Africa and Burkina Faso. The first article reported on a research project, conducted in partnership with local actors involved in road safety, carried out in Ouagadougou in 2015. Its aim was to test the effectiveness, acceptability, and capacity of a surveillance system to assess the number of road traffic crashes and their consequences on the health of crash victims. Several knowledge translation activities were carried out to maximize its impact and were reported in the 2018 article published in HRPS: monthly reports presenting the research data, large-format printed maps distributed to the city’s police stations, and a deliberative workshop held at the end of the research project. The present commentary presents our efforts to deepen our understanding of the impacts of the knowledge translation strategy, based on follow-up interviews, 18 months after the workshop, with the heads of the road traffic crash units in Ouagadougou police stations (n = 5). Several benefits were reported by respondents. Their involvement in the process prompted them to broaden their knowledge of other ways of dealing with the issue of road crashes. This led them, sometimes with their colleagues, to intervene differently: more rapid response at collision sites, increased surveillance of dangerous intersections, user awareness-raising on the importance of the highway code, etc. However, sustaining these actions over the longer term has proven difficult. Several lessons were derived from this experience, regarding the importance of producing useful and locally applicable research data, of ensuring the acceptability of the technologies used for data collection, of using collaborative approaches in research and knowledge translation, of ensuring the visibility of actions undertaken by actors in the field, and of involving decision-makers in the research process to maximize its impacts.

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