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    CHILD ROAD SAFETYCHILD ROAD SAFETYIN AFRICAIN AFRICA

    A PRESENTATION BY

    INSTITUTE OF CHILD HEALTH(ICH)

    CLASSFOR

    PSM 727: REHABILITATIVE AND SOCIAL

    MEDICINE

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    INSTITUTE OF CHILD HEALTHINSTITUTE OF CHILD HEALTH

    (ICH) CLASS(ICH) CLASSy UBANUS EZEKIEL 153809

    y OYOM, COMFORT RUNYI 153124

    y ONUMADU CHINWENDU 154769y OMOLE, OPEYEMI 153820

    y OKODI,TIMIPERE J. 153575

    y OGUNGBESAN, JOSHUA 152704

    y ADETUNJI,OLUBUKOLA O. 76143

    y ADAMS, PATRICIA 154903

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    OUTLINEOUTLINE

    y INTRODUCTION

    y CURRENT SITUATION REPORT

    y PROBLEMS OF ROAD SAFETY IN

    NIGERIA/ AFRICAy WHY CHILD ROAD SAFETY?

    y INTERVENTIONS TO ENSURE ROAD

    SAFETY FOR ALLy RECOMMENDATIONS

    y CONCLUSIONS

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    INTRODUCTIONINTRODUCTION

    y Road traffic injuries are a major butneglected public health challenge thatrequires concerted efforts for effective

    and sustainable prevention. Roadaccidents will rank as the world's thirdgreatest public health problem by 2020,superseded only by AIDS and tobacco

    related illnesses.(Arrive Alive 2004).

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    INTRODUCTIONINTRODUCTION

    y Of all the systems with which people have todeal with everyday, road traffic systems arethe most complex and the most dangerous.

    Worldwide, an estimated 1.2 million peopleare killed in road crashes each year and asmany as 50 million are injured. Projectionsindicate that these figures will increase by

    about 65% over the next 20 years unlessthere is new commitment to prevention.

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    INTRODUCTIONINTRODUCTION

    y Vulnerable road users such as pedestrians,

    cyclists, motorcyclists and people using

    informal public transport are most likely

    to be harmed on the roads. Especiallychildren and young people are at high risk,

    with road traffic accidents being the

    leading cause of death for 10-24 year olds.

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    THE PROBLEMTHE PROBLEM

    y This must never happen again

    Coroners Report following the worlds first roadaccident (London 1896).

    y I do not have words to express thesorrow or loss I felt. It left a hole in

    my heart that can never be filled.Nelson Mandela, on the death of his eldest son

    in a road accident (South Africa 1969).

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    THE PROBLEMTHE PROBLEM

    y Every year more than 1.17 million people diein road crashes around the world. Themajority of these deaths, about 70 percentoccur in developing countries. Sixty-five

    percent of deaths involve pedestrians and 35percent of pedestrian deaths are children.Over 10 million are crippled or injured eachyear. It has been estimated that at least 6million more will die and 60 million will beinjured during the next 10 years indeveloping countries unless urgent action istaken.

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    THE PROBLEMTHE PROBLEM

    y The majority of road crash victims

    (injuries and fatalities) in developing

    countries are not the motorized vehicle

    occupants, but pedestrians, motorcyclists,bicyclists, tricycles and non-motorized

    vehicles (NMV) occupants.

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    THE PROBLEMTHE PROBLEM

    y In desperation at the appalling state of

    road safety, many communities have taken

    to do it yourself DIY measures to

    protect themselves as in the SouthernGhana (above). A more structured

    approach would be of benefit to all

    concerned.

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    yThe World Report on ChildInjury Prevention, published by

    the World HealthOrganization(WHO) andUNICEF, has highlighted the

    enormous challenge of curbingchild road deaths PetroKruger, director of RMI road

    safety said foundation

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Increased levels of motorization andurbanization in low- and middle-incomecountries are placing children at greater

    risk on the road. Young children mayunknowingly take risks on the roadbecause they lack appropriate skills to actsafely. Older children and adolescents

    may actively indulge in risk taking behaviours that are exacerbated by peerpressure.

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y The new report, which was launched in Vietnamon 10 December 2008, collates the mostinclusive collection of available data onchildhood injury. With 260 000 children (up to

    the age of 18) killed on the worlds roads everyyear, and another estimated 10 million injured,road crashes are the leading cause of childinjury.

    Road crashes are a worsening global

    disaster destroying lives and livelihoods,hampering development and leaving

    millions in greater vulnerability.

    World Disasters Report, Red Cross and Red

    Crescent Societies 1998

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Road traffic injuries are the leading cause of

    unintentional death to children 10 - 19 yrs of age

    and the second leading cause of injury related death

    for children between 5 - 9 years of age, and are alsothe leading cause of disability among children

    generally. According to the recently published

    World report on child injury prevention, road traffic

    injuries are the leading cause of death. The report

    predicts significant increases in road traffic

    casualties over the next 15 years, particularly in

    low-income and middle-income countries

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y The greatest need for immediate and drastic actionexists in low- and middle-income countries. Thesecountries, which include South Africa, are responsiblefor more than 93 percent of child road deaths andinjuries in the world. Data shows that globally, the

    road traffic death rate among children is 10.7 per 100000 population. In the African Region, however, therate is 19.9 per 100 000 population.

    y The situation in all developing countries in matters of

    road safety is distressing and as Africa contains theworlds poorest countries, the situation is particularlybleak.

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    According to the World Health Organizations

    Global Status Report on Road Safety

    y Every year, road crashes kill nearly 1.3

    million people and injure between 20 and

    50 million more.

    y Worldwide, road traffic injuries are the

    leading cause of death among people aged15 to 29, and the second cause of death for

    those aged 5 to 14.

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Five hundred children die every day in

    road crashes.

    y More children died in Africa in 1998 from

    road crashes than from AIDS.

    (WHO, 2009)

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Road traffic injuries rank ninth among theleading cause of deaths for children aged 1 to4 year.

    y

    14,650 people are killed on south Africaroads each year(40people/day), 620,000crashes per year (1698/day), 38,000 seriousinjuries per year(104/day), 84,000 less

    serious injuries (230/day). A person is killedevery 48 minutes and an accident occursevery 4 seconds. Last year, for example, over15,000 people died on South Africas roads

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Head of Nigerias Federal Road SafetyCommission listed some of the causes ofroad accidents in Nigeria including;indiscipline and ignorance, excessive speed,

    drunk-driving, lack of infrastructure forpedestrians, non use of seat belts and helmetsto reduce accidents in the country. Heinformed the conference of theCommissions targets, reduce to 40% roadaccidents, and a 50% death or seriouslyinjured persons by 2010(Africa Road SafetyConference, 2007).

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y In Ghana 45 percent of those killed in road

    accidents are pedestrians, 70 percent are

    males, 25% of all road fatalities are under

    16, 60 per cent are between 18-55yrs, and 65 per cent of road accidents occur in rural

    areas. Women become widows and single

    parents prematurely. Children are unable to

    go to school, and become destitute. In the

    mid 1990s, cyclists accounted for over 50

    fatalities and 400 casualties every year.

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y In general, pedestrians and cyclists are four

    times more likely to be affected by RTAs

    than motorized vehicles. And yet despite the

    high incidences of RTAs for cyclists, theoverwhelming majority of cyclists have

    neither received training nor wear protective

    equipment whilst riding, thereby

    endangering themselves on two counts. As

    such, they pose a danger not only to

    themselves but to other road users as well

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    CURRENT SITUATION REPORTCURRENT SITUATION REPORT

    y Statistically, Kenyas crash and fatality

    figures are high, with drivers, pedestrians,

    and young persons recording large

    numbers of deaths. Though numbers ofcrashes are decreasing, the severity of the

    crashes is increasing. Causes of crashes

    appear to be similar to those in othercountries, with the human factor being the

    highest

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    WHAT IS ROAD SAFETY?WHAT IS ROAD SAFETY?

    y Road Safety involves all measures taken by

    all stakeholders (government, motorists,

    pedestrians and other road users) in

    ensuring accident-free roads that wouldnot pose any risk or harm to all road

    users.

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    PROBLEMS OF ROAD SAFETY INPROBLEMS OF ROAD SAFETY IN

    NIGERIANIGERIAy LACK OF ROAD SAFETY EDUCATION

    Drivers

    Pedestrians

    School Children

    Other Road Users

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    y The environment in which a child lives has asignificant impact on the type of transportand traffic they are exposed to and thisneeds to be taken into consideration whendesigning an education plan for children.

    y Children in areas with lower income level,are typically more exposed to traffic, as they

    often start walking to school or using publictransport alone, at an earlier age.

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    y Other external factors include the social

    environments in lower income areas with

    social problems, the focus of the parent is

    on other social problems and noteducating their children about traffic

    safety.

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    PROBLEMS OF ROAD SAFETY INPROBLEMS OF ROAD SAFETY IN

    AFRICAAFRICAy LACK OF ROAD SAFETY LAWS/

    IMPLEMENTATION OF POLICIES

    y BAD ROADS

    y MOST VEHICLES ARE NOT ROAD

    WORTHY

    y INEXPERIENCED DRIVERS

    y ILL-EQUIPPED WORK FORCE

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    PROBLEMS OF ROAD SAFETY INPROBLEMS OF ROAD SAFETY IN

    AFRICAAFRICAy RECKLESS/ DRUNKEN DRIVING

    y IMPROPER ISSUANCE OF DRIVERS

    LICENSE

    y IMPROPER CONSTUCTION OF

    ROADS TO ACCOMMODATE ALL

    ROAD USERS SUCH AS CHILDREN,

    CYCLISTS,ETC

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    WHY CHILD ROAD SAFETY?WHY CHILD ROAD SAFETY?

    y Children behave differently from adults in traffic.

    Children have physical and mental

    characteristics that limit their ability to handle

    complex traffic situations.y They have limited attention span and cannot

    concentrate on a task longer than a period of

    time.

    y Up to the age of 7, their senses are not fullydeveloped and they do not have the same visual

    and hearing abilities as adults.

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    WHY CHILD ROAD SAFETY?WHY CHILD ROAD SAFETY?

    y Their observations are guided strongly by

    fantasies and emotions. They cannot

    distinguish between their inner world

    (their thoughts) and the external or realworld.

    y They have a limited sense of danger

    y They imitate the often bad behaviour ofothers, especially older children.

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    y Older children and adolescents may

    actively indulge in risk taking behaviours

    that are exacerbated by peer pressure.

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    WHY CHILD ROAD SAFETY?WHY CHILD ROAD SAFETY?

    y Older children and adolescents may

    actively indulge in risk taking behaviours

    that are exacerbated by peer pressure.

    Road safety is an issue of immense human

    proportions; it is an issue of economic

    proportions; its an issue of social proportions

    and its also an issue of equity. Road safety

    very much affects poor people.James Wolfensohn, President - WorldBank,1999

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    Why Children Are Particularly Vulnerable On The RoadWhy Children Are Particularly Vulnerable On The Road

    The child is relatively small in relation to vehicles,The child is relatively small in relation to vehicles,

    buildings and therefore has a limited view of his/herbuildings and therefore has a limited view of his/her

    environmentenvironment

    When standing on the pavement / side of the road,When standing on the pavement / side of the road,

    behind or in front of vehicle the child can not seebehind or in front of vehicle the child can not see

    oncoming traffic and theoncoming traffic and the

    driver can not see the child.driver can not see the child.

    Vulnerable body parts such as the head, chest andVulnerable body parts such as the head, chest and

    abdomen are at the same height as the bonnet of a carabdomen are at the same height as the bonnet of a carand are most often hit in an accident.and are most often hit in an accident.

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    Why Children Are ParticularlyWhy Children Are Particularly

    Vulnerable On The RoadVulnerable On The Road Collisions in which children are often result

    in brain injury. Because of the softness of theskull, it is easily damaged.The child's head is large in comparison withthe rest of his body. In a collision the child isflung through the air and usually lands onhis/her head.The young child's movement in traffic isoften quick, uncertain and clumsy and theirmovement impulsive.

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    CHILD SAFETYCHILD SAFETY

    y Drivers and cyclists are urged to be

    careful near schools, churches, mosques,

    markets, snack shop, ice cream stalls,

    parks fruits trees, or street hawkers,because children are usually found in such

    places.

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    WHEN TRAVELLING WITHWHEN TRAVELLING WITH

    CHILDRENCHILDRENy Children between the ages of 0-12 months

    should not ride in front of the vehicle. This isfor their safety. Where children of given agegroups are carried on the front seat, theyshould ride facing the rear using childrestraint. The restraint should be attached,such that the child would face the rear ofthe seat.

    y Children from ages 1-7 should ride facingthe front of the car in a childs seat, strappedproperly to the back seat.

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    CONTDCONTD

    y Do not carry a child on your laps as he or

    she may be crushed between your body and

    the dash board if there is a crash.

    y Do not allow the children to play with thehandle of the doors or locks, use child lock

    while driving where available.

    y Do not allow children to ride in the luggage

    area of hatch backs, station wagons or vans.

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    CONTDCONTD

    y Do not leave a hatch back open when a

    child is riding in the back seat.

    y It is against the law to transport children

    under age 16 at the back of a pick-up van.

    y Children from age 7 and above should

    ride in a vehicle facing the front but

    securely restrained with safety belt.

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    CHILD SEATCHILD SEAT

    y This is a special safety seat for a child that

    is fitted into a car. Ensure that the child is

    correctly placed in a child safety seat. This

    reduces the possibility of an injury ordeath in an event of a crash.

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    WHAT TO DO WHEN WALKINGWHAT TO DO WHEN WALKING

    WITH A CHILDWITH A CHILDy While walking, face on coming vehicle;

    hold the child on your left such that you

    will be between the child and the vehicle.

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    CHILDREN OF SCHOOL AGECHILDREN OF SCHOOL AGE

    y While crossing the road, children shoulduse overhead/foot bridges where they areprovided.

    y

    While walking on the road, childrenshould always face the traffic.

    y Children should always use the pavementwhere provided.

    y Children should not play on the roads.

    y Children should wear reflective clothes atdusk.

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    INTERVENTIONS TO ENSUREINTERVENTIONS TO ENSURE

    ROAD SAFETYROAD SAFETYy Calling the global road safety crisis "a major public

    health problem" with a "broad range of social and

    economic consequences," the 64th General Assembly of

    the United Nations passed a resolution March 2

    proclaiming 2011-2020 the Decade of Action for RoadSafety.

    y Representatives of the Global Road Safety Partnership

    (GRSP) met with road safety stake holders in Lagos and

    Abuja, Nigeria in August 2010 to discuss the

    establishment of a national road safety partnership

    between the public sector, (led by the Nigerian Federal

    Road Safety Commission), private sector organizations

    and civil society.

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    RECOMMENDATIONSRECOMMENDATIONS

    y A national medium or long term Road Safety Plan is aprerequisite for achieving sustainable improvements inroad safety. The plan should set measurable long termand mid-term road safety targets, build capacity of localinstitutions, and provide alternative sources of financingfor road safety measures.

    y Publicity Programs

    Road user education and awareness raising is animportant part of any road safety strategy. To be

    effective such activity must be based on analysis of dataand should be designed and monitored in a systematicway to ensure success.

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    RECOMMENDATIONSRECOMMENDATIONS

    y Driver Training and Testing: With road user error

    contributing to the vast majority of road crashes, the

    development of safe drivers, skilled in defensive driving

    techniques, should be the primary objective of any road

    safety program. Driving examiners in developing countries

    are rarely given special training and driving tests an

    inadequate test of ability to drive safely in traffic on real

    roads.

    y Traffic Law and Enforcement: In most developing

    countries the Traffic Police are grossly under-resourced andunder-trained to deal effectively with road safety violations.

    Effective traffic law enforcement can play an important role

    in reducing traffic crashes.

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    RECOMMENDATIONSRECOMMENDATIONS

    y Road Safety Research: Research and Development is

    an important part of safety work and should be

    incorporated into road safety programs. Road safety

    research aims to improve knowledge about factors

    contributing to road crashes, effects of differentcountermeasures, and development of new and more

    effective safety measures. It forms the framework of

    knowledge against which better policy and resource

    allocation decisions can be made to ensure most

    effective use of available resources.

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    RECOMMENDATIONSRECOMMENDATIONS

    y The Role of NGOs: Road safety cannot be the

    responsibility of government alone. The commercial sector,

    service organisations and non-Governmental Organisations

    (NGOs) play an important role in increasing road safety

    awareness. NGOs have an important input at grass roots

    level.

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    CONCLUSIONCONCLUSION

    y Children will always be children.

    y Child road safety in Africa requires acomprehensive approach, including

    involvement from parents, teachers,communities, governmental and non-governmental organizations. Acomprehensive approach also includetraining programs in classrooms, educatingchildren with plays, booklets, games andtraining them in real life scenarios

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    REFERENCESREFERENCES

    y Arrive Alive (2004), Road Traffic and Fatal Crash Statistics 1990-

    2003

    y Bicycle Helmet Safety Institute, How Children See Traffic, City of

    Madison Department of Transportation, Traffic Engineering Division,

    www.bhsi.org

    y Carlsson, Gunnar, and Karl-Olov Hedman. 1990. A Systematic

    Approach to Road Safety in Developing Countries. INU 63,

    Infrastructure and Urban Development Department, World Bank,

    Washington, DC.

    y Department for Transport (2004), Childrens Traffic Safety:

    International lessons for the UK

    y Federal Road Safety Commission,Nigeria (2008). Nigeria Highway

    Code.

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    yTHANK YOU