Road safety lead agency challenges of three decades of intervention for road safety in Iran: implications for policy-makers

Abstract

BackgroundRoad traffic crashes and associated injuries and mortalities are one of the big public health challenges, especially in low/middle-income countries. Road safety lead agency (RSLA) is a vital factor in the sustainable prevention and promotes road safety. In the recent decades, various policy interventions have been conducted for road safety in Iran. This study aimed at exploring the challenges of RSLA from the perspectives of stakeholders at various levels.MethodsA qualitative study was conducted. In-depth interviews and document reviews were used for data collection. To conduct interviews, different stakeholders at various levels such as policy-makers, senior national authorities, researchers and faculty members were selected. Data collection was conducted between November 2019 and June 2020. Thematic content analysis approach was used for data analysis.ResultsThe experts’ perspectives were analysed and then categorised under five main themes including the role and position of the lead agency, the role and duties of the actors and players, translating policy into practice, intrasectoral and intersectoral cooperation and coordination and evidence production and application and a total of 22 subthemes were identified. The current structure of the RSLA is one of the main challenges emphasised by the research participants.ConclusionTo achieve significant improvements in road safety at the national level, a strong management system and leadership body is a critical issue. Organisational reform to establish an effective unique lead agency is proposed to cope with RSLA challenges.

Multisectoral actions in primary health care: A realist synthesis of scoping review

“…The interest of stakeholders, with shared ideas and institutions, could work for joint planning and produce policy and strategic documents. There are case studies of the macro-level intersectoral actions, including led agency actions to reduce road traffic accidents in Iran [ 63 ], tobacco control policies and actions in India [ 58 ], and MSNP for improving nutritional outcomes in Nepal [ 57 ]. In Indonesia, there was irrational use of antimicrobial resistance in formal health care facilities, communities, and beyond health sector such as the livestock and fishery sectors, and farms; but lacked multisectoral coordination between sectors [ 64 ].…”