ArticleBMJ (Clinical research ed.)2012
Cost effectiveness of strategies to combat road traffic injuries in sub-Saharan Africa and South East Asia: mathematical modelling study.
Article in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- A systematic review of whole disease models for informing healthcare resource allocation decisions.PloS one · 2023Pooled it
- Global, regional, and national burden of road injuries 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023.The Lancet. Public health · 2026Article
- Crash causation, countermeasures, and strengthening of road safety policy in Nepal: a narrative review.Frontiers in public health · 2026Review
- Effectiveness of road safety interventions: An evidence and gap map.Campbell systematic reviews · 2024Article
- Article
- Digital health interventions to improve adherence to oral antipsychotics among patients with schizophrenia: a scoping review.BMJ open · 2023Article
- Editorial: New insights into yoga and mental health.Frontiers in human neuroscience · 2023Article
- Global, Regional, and National Burden of Road Injuries from 1990 to 2019.International journal of environmental research and public health · 2022Article
- Effectiveness of a helmet promotion campaign, China.Bulletin of the World Health Organization · 2022Article
- High impact health service interventions for attainment of UHC in Africa: A systematic review.PLOS global public health · 2022Article
- Observational
- Studies of the effectiveness of transport sector interventions in low- and middle-income countries: An evidence and gap map.Campbell systematic reviews · 2021Article
- Assessment of the Risks of Occupational Diseases of the Passenger Bus Drivers.Safety and health at work · 2020Article
- Presentation of Pediatric Unintentional Injuries at Rural Hospitals in Rwanda: A Retrospective Study.Annals of global health · 2020Article
- Motorcycle Accidents and Their Outcomes amongst Victims Admitted to Health Facilities in Guinea: A Cross-Sectional Study.Advances in preventive medicine · 2020Article
- Achieving universal health coverage for mental disorders.BMJ (Clinical research ed.) · 2019Article
- Socio-cognitive determinants of safe road-crossing behaviors: an application of the prototype willingness model.Journal of injury & violence research · 2019Article
- Effectiveness of Interventions for Prevention of Road Traffic Injuries in Iran and Some Methodological Issues: A Systematic Review.Bulletin of emergency and trauma · 2018Review
- Cost-effectiveness of strategies to prevent road traffic injuries in eastern sub-Saharan Africa and Southeast Asia: new results from WHO-CHOICE.Cost effectiveness and resource allocation : C/E · 2018Article
- The full moon and motorcycle related mortality: population based double control study.BMJ (Clinical research ed.) · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify and estimate the population costs and effects of a selected set of enforcement strategies for reducing the burden of road traffic injuries in developing countries.
designCost effectiveness analysis based on an epidemiological model.
settingTwo epidemiologically defined World Health Organization sub-regions of the world: countries in sub-Saharan Africa with very high adult and high child mortality (AfrE); and countries in South East Asia with high adult and high child mortality (SearD).
interventionsEnforcement of speed limits via mobile speed cameras; drink-drive legislation and enforcement via breath testing campaigns; legislation and primary enforcement of seatbelt use in cars; legislation and enforcement of helmet use by motorcyclists; legislation and enforcement of helmet use by bicyclists.
main outcome measuresPatterns of injury were fitted to a state transition model to determine the expected population level effects of intervention over a 10 year period, which were expressed in disability adjusted life years (DALYs) averted. Costs were expressed in international dollars ($Int) for the year 2005.
resultsThe single most cost effective strategy varies by sub-region, but a combined intervention strategy that simultaneously enforces multiple road safety laws produces the most health gain for a given amount of investment. For example, the combined enforcement of speed limits, drink-driving laws, and motorcycle helmet use saves one DALY for a cost of $Int1000-3000 in the two sub-regions considered.
conclusionsThe potential impact of available road safety measures is inextricably bound by the underlying distribution of road traffic injuries across different road user groups and risk factors. Combined enforcement strategies are expected to represent the most efficient way to reduce the burden of road traffic injuries, because they benefit from considerable synergies on the cost side while generating greater overall health gains.
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