Factors associated with road traffic injuries in Tanzania

Boniface, Respicious; Museru, Lawrence; Kiloloma, Othman; Munthali, Victoria

doi:10.11604/pamj.2016.23.46.7487

Cited by 95 publications

(103 citation statements)

References 18 publications

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“…In the sequential bivariate analysis, several factors were found to be associated with decreased risk of grievous injury, including younger age of victim, use of helmets, and use of seatbelts. These findings are again consistent with the results of studies conducted elsewhere in sub-Saharan Africa 24–26 .…”

Section: Discussionsupporting

confidence: 91%

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study

Reardon

Andrade

Hertz

et al. 2017

Injury

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Road traffic injuries (RTIs) continue to increase with the proliferation of motor vehicles, especially in low-income countries where safe road infrastructure is lacking Knowing where and why RTIs occur would allow for increased safety and prevention planning. In this study, police records of 300 motor vehicle collisions which occurred between February 2013 and January 2014 in Moshi, Tanzania, were reviewed. Analysis of variables including victim age, gender, type of collision, conditions, and use of safety equipment were analyzed. Geographic information system (GIS) analysis was performed to identify areas with the most collisions. Most injuries occurred at four intersections on two main corridor. Car crashes represented 48% of reports while motorcycle collisions were 35% of reports. Victims were predominantly male. The majority (64%) of RTI victims in cars used seatbelts while only 43% of motorcyclists wore helmets; none of those who used the helmet or seatbelt suffered a grievous injury. These data demonstrate that RTIs in Moshi occur in predictable high traffic locations. RTIs injure victims of all backgrounds and safety equipment is not universally utilized. More investment is needed in improved data collection methods, and a greater emphasis on intersection safety is needed to reduce these preventable injuries.

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Section: Discussionsupporting

confidence: 91%

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study

Reardon

Andrade

Hertz

et al. 2017

Injury

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“…There is no national TR in Tanzania, and most of the trauma data that are published in the literature are based on isolated hospital-based initiatives [11][12][13]. Implementation of an appropriate model of TR in Tanzania faces several challenges, including the lack of standardized and uniform hospital records, lack of electronic charting for nearly all the hospitals, and inadequate health care system funding and staffing which makes it hard for the health facilities to designate personnel to compile TR data.…”

Section: Introductionmentioning

confidence: 99%

Trauma care and capture rate of variables of World Health Organisation data set for injury at regional hospitals in Tanzania: first steps to a national trauma registry

et al. 2020

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Background: In Tanzania, there is no national trauma registry. The World Health Organization (WHO) has developed a data set for injury that specifies the variables necessary for documenting the burden of injury and patient-related clinical processes. As a first step in developing and implementing a national Trauma Registry, we determined how well hospitals currently capture the variables that are specified in the WHO injury set. Methods: This was a prospective, observational cross-sectional study of all trauma patients conducted in the Emergency Units of five regional referral hospitals in Tanzania from February 2018 to July 2018. Research assistants observed the provision of clinical care in the EU for all patients, and documented performed assessment, clinical interventions and final disposition. Research assistants used a purposefully designed case report form to audit the injury variable capture rate, and to review Ministry of Health (MoH) issued facility Register book recording the documentation of variables. We present descriptive statistics for hospital characteristics, patient volume, facility infrastructure, and capture rate of trauma variables. Results: During the study period, 2891 (9.3%) patients presented with trauma-related complaints, 70.7% were male. Overall, the capture rate of all variables was 33.6%. Documentation was most complete for demographics 71.6%, while initial clinical condition, and details of injury were documented in 20.5 and 20.8% respectively. There was no documentation for the care prior to Emergency Unit arrival in all hospitals. 1430 (49.5%) of all trauma-related visits seen were documented in the facility Health Management Information System register submitted to the MoH. Among the cases reported in the register book, the date of EU care was correctly documented in 77% cases, age 43.6%, diagnosis 66.7%, and outcome in 38.9% cases. Among the observed procedures, initial clinical condition (28.7%), interventions at Emergency Unit (52.1%), investigations (49.0%), and disposition (62.9%) were documented in the clinical charts. Conclusions: In the regional hospitals of Tanzania, there is inadequate documentation of the minimum trauma variables specified in the WHO injury data set. Reasons for this are unclear, but will need to be addressed in order to improve documentation to inform a national injury registry.

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“…It is also not uncommon for drivers to be found without a driving license, driving drunk, or over-speeding and other human errors that contributes to risk of accident. Two studies carried out in LMICs reported that driving drunk, not applying protective measures, and over speeding were associated with increasing incidents of RTAs [7,8]. The combination of human errors, vehicle defect, and risky infrastructure describes the reported high RTA incidents in the LMICs.…”

Section: Road Traffic Accidentsmentioning

confidence: 99%

“…For this reason, motorcycle accidents in these areas expose both the driver and passenger to head trauma. Furthermore, significant number of motorcyclists overloads the motorcycle by either carrying more than one passenger or other heavy loads beyond its ability [7,17,18]. It is therefore difficult for the driver to control the motorcycle especially in the case of emergency stop or changing direction, leading to accident and trauma.…”

Section: Road Traffic Accidentsmentioning

confidence: 99%

Physical Trauma and Its Consequences in Rural and Semi-Urban Regions of Low and Middle Income Countries

Moshi¹

2018

Current Issues in Global Health

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Trauma is a common occurrence in the rural and semi-urban regions of the low-and middleincome countries (LMICs) due to existence of risky infrastructure, socioeconomic, and cultural environments. Causes of trauma in these regions range from the commonest road traffic accidents, falls, burns, and assaults to the scarcely reported range of farmyard accidents. A majority of persons who survive trauma in these areas are evacuated from the incident scene and transported to the health facilities by laypersons by using any available vehicles. This state of handling potentially exposes trauma survivors to secondary injuries, worsening the disability and heightening risk to prehospital death. The cost managing persons with trauma is overwhelmingly high for rural areas of LMICs. Most governments of LMICs are not prepared to cater for individual traumatic incidents; so, if a permanent disability is a final outcome, the injured person and the immediate family have to bear the whole rehabilitation cost. In most cases, these rehabilitation costs are either unaffordable or unavailable to the family leading to provision of inappropriate assistive functional and mobility devices. Broader consequences include the inability to engage in income generating activities, while continuously draining the family economy, hence a poverty-disability vicious cycle.

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Factors associated with road traffic injuries in Tanzania

Cited by 95 publications

References 18 publications

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study

The epidemiology and hotspots of road traffic injuries in Moshi, Tanzania: An observational study

Trauma care and capture rate of variables of World Health Organisation data set for injury at regional hospitals in Tanzania: first steps to a national trauma registry

Physical Trauma and Its Consequences in Rural and Semi-Urban Regions of Low and Middle Income Countries

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