Conference abstract

Multi-sectoral road traffic injury surveillance and road safety campaign in Kaduna Metropolis, 2016 - Pilot study

Pan African Medical Journal - Conference Proceedings. 2018:8(73).09 Dec 2018.
doi: 10.11604/pamj-cp.2018.8.73.702

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Keywords: Accidents, traffic, injuries, surveillance, safety, automobile driving
Opening ceremony

Multi-sectoral road traffic injury surveillance and road safety campaign in Kaduna Metropolis, 2016 - Pilot study

Obafemi Joseph Babalola1,&, Chukwudi Ukpaka1, Saheed Gidado1, Patrick Nguku1

1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria

&Corresponding author
Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria

Abstract

Introduction: road traffic injuries affect 50 million people globally with 90% of the 1.25 million deaths occuring in low and middle income countries (LMIC). LMIC'S often suffer from under-reporting and poor data quality contingent on solely tasking RTI surveillance to lead agency. We developed and tested the practicability of a multisectoral RTI surveillance in Kaduna metropolis Nigeria, where Federal Road Safety Corps (FRSC) collate and report RTI data.

Methods: we adapted Injury surveillance guidelines from WHO and CDC. Stakeholders defined a case of RTI as any person injured or killed within 30 days of exposure to RTI from a crash on public road in Kaduna Metropolis and selected five RTI reporting sites (three health facilities, Police and FRSC). Data collected with a pretested tool, linked by deterministic method to get a single dataset analysed with Epi-Info 7.1.

Results: from February to July 2016, 667 road traffic crashes and 1062 injured people compared to 173 (26%) crashes and 183 (17%) injured reported by FRSC. Overall case fatality rate, 10.4%. Male preponderance was 84.0%, age group 25 - 34 years was 35.2%. Of the injured, 17.0% pedestrians, only 15.2% used helmet or safety belt and 44.2% evacuated by other road users. RTI injuries per week reduced from 59 to 14 (76.3%) during seat belt use sensitization. Associated factors with moderate to fatal injury were travelling between 00:00 - 11:59 hours (Odd Ratio (OR) 1.9, 95% Confidence Interval (C.I) = 1.4 - 2.5, 18:00 - 23:59 hours (OR 1.6, 95% C.I = 1.2 - 2.1) and being a driver at time of crash (OR 1.7, 95% C.I = 1.3 - 2.2).

Conclusion: a multi-sectoral RTI surveillance is practicable and yielded a robust evidence - based information rather than solely relying on FRSC data for action to reduce RTI in Kaduna metropolis. This was recommended in keeping with global push to achieve sustainable development goal (SDG) 3.6.