Abstract
The Availability of Psychological Support Following Road Travel Injuries in Namibia: A Qualitative Study
Highlights
Road traffic injuries (RTIs) have dramatically risen and are a major contributor to the global burden of deaths and injuries, with over 1.2 million people killed and between 20 and 50 million injured annually [1]
We focused on Namibia because despite its lower and middle income countries (LMICs) status, it is one of five countries in subSaharan Africa (SSA) that have a system whereby a fuel tax levy Fund has been set up which is meant to provide support for road injury survivors
Given the acknowledged high burden of mental health problems following road injury, our results indicate that many of those injured in RTIs in Namibia are not receiving the psychological support they require and which could be covered by Namibia’s effective Motor Vehicle Accident Fund (MVAF) system
Summary
Road traffic injuries (RTIs) have dramatically risen and are a major contributor to the global burden of deaths and injuries, with over 1.2 million people killed and between 20 and 50 million injured annually [1]. RTIs have short and long-term psychological outcomes for those affected and their families [3]. A review of psychiatric morbidity following an RTI showed the most commonly reported disorders were depression (21–67% across studies), anxiety (4–87%), and driving phobia (2–47%), while prevalence of Post-Traumatic Stress Disorder (PTSD) ranged from zero to 100% [6]. Higher prevalence of PTSD has been identified in RTI survivors as compared with the general population or control groups [7] as well as those injured in RTIs compared to falls [4] Work by [8] established that within the first year post-injury, about 20% of injured survivors developed an acute stress reaction and about
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