Abstract

Pedestrians in Uganda account for 40% of road traffic fatalities and 25% of serious injuries annually. We explored the current pedestrian road traffic injury interventions in Uganda to understand why pedestrian injuries and deaths continue despite the presence of interventions. We conducted a qualitative study that involved a desk review of road safety policy, regulatory documents, and reports. We supplemented the document review with 14 key informant interviews and 4 focus group discussions with participants involved in road safety. Qualitative thematic content analysis was done using ATLAS. ti 7 software. Five thematic topics emerged. Specifically, Uganda had a Non-Motorized Transport Policy whose implementation revealed several gaps. The needs of pedestrians and contextual evidence were ignored in road systems. The key programmatic challenges in pedestrian road safety management included inadequate funding, lack of political support, and lack of stakeholder collaboration. There was no evidence of plans for monitoring and evaluation of the various pedestrian road safety interventions. The research revealed low prioritization of pedestrian needs in the design, implementation, and evaluation of pedestrian road safety interventions. Addressing Uganda's pedestrian needs requires concerted efforts to coordinate all road safety activities, political commitment, and budgetary support at all levels.

Highlights

  • Background: Pedestrians in Uganda account for 40% of road traffic fatalities and 25% of serious injuries annually

  • Study setting Participants were selected from the Kampala Metropolitan area which contributes nearly half (49%) of the road traffic crashes in Uganda[4]

  • Road safety agencies in low-income countries (LICs) look to external funding sources[52] that tend to prioritize road systems for vehicles and so pedestrians become exposed to dangerous roads

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Summary

Introduction

Pedestrians in Uganda account for 40% of road traffic fatalities and 25% of serious injuries annually. We explored the current pedestrian road traffic injury interventions in Uganda to understand why pedestrian injuries and deaths continue despite the presence of interventions. Conclusion: The research revealed low prioritization of pedestrian needs in the design, implementation, and evaluation of pedestrian road safety interventions. Addressing Uganda’s pedestrian road safety needs requires an understanding of contextual factors related to the policy environment, intervention implementation challenges and opportunities. The study explored the current pedestrian RTI prevention interventions in Uganda to understand the design, implementation and evaluation aspects, and why the burden persists despite the interventions

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