ArticlePloS one2018
Injury prevalence and safety habits of boda boda drivers in Moshi, Tanzania: A mixed methods study.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Differences in outcomes of mandatory motorcycle helmet legislation by country income level: A systematic review and meta-analysis.PLoS medicine · 2021Pooled it
- Uptake and determinants of use of personal protective equipment for injury prevention among commercial motorcyclists in Limbe and Tiko health districts of the Southwest region, Cameroon: a community-based cross-sectional study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Descriptive analysis of road traffic crashes encountered by Tanzanian motorcycle taxi drivers trained in first aid.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Article
- Assessing the Australian occupational driver behavior questionnaire in U.S. taxi drivers: Different country, different occupation and different worker population.Journal of safety research · 2022Article
- Commercial motorcyclists and road safety measures compliance. A case study of Dodoma city, central Tanzania.Heliyon · 2022Article
- Poor incomes and economic hardships among commercial motorcycle drivers (boda-boda) are associated with accidents and injuries in Gulu Municipality, Northern Uganda: a cross-sectional study.The Pan African medical journal · 2022Article
- Comparing Ugandan motorcycle taxi driver estimations of injury incidence to District-level injury surveillance data as a proxy to determine factors influencing risk perception.The Pan African medical journal · 2022Article
- Characteristics and outcomes following motorized and non-motorized vehicular trauma in a resource-limited setting.Injury · 2021Article
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8 authors.
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Abstract
backgroundTraffic crashes are a major cause of global morbidity and mortality disproportionately affecting low- and middle-income countries (LMICs). Motorcycle taxi (boda boda) drivers are particularly vulnerable because they are exposed to traffic risks with limited safety equipment. This study aims to characterize injury prevalence and safety habits among boda boda drivers, as well as ways to improve road traffic safety in LMICs.
methodsA cross-sectional mixed methods study was conducted with 300 boda boda drivers between 24 March and 3 April 2014 in urban Moshi, Tanzania. A convenience sample of participants was drawn from 25 of 58 registered boda boda stands and 2 of 31 unregistered stands. Data were analyzed using R, and content thematic analysis was performed and agreed upon by three investigators. Logistic regression models were used to evaluate the association between boda boda characteristics and injury risk.
resultsIn total, 300 drivers participated, of whom 148 (49.3%) had experienced a crash during their lifetime, and 114 (77.0%) sustained at least one injury. Only 27 of those injured (23.4%) were hospitalized. Of all participants, 220 (73.3%) reported consistent helmet usage, despite 285 participants (95.0%) agreeing that helmet usage reduces injury severity. From the 280 helmets observed, 231 (82.5%) were either damaged or fit improperly. Having a cracked helmet was associated with higher risk of being involved in a traffic crash. Owning a helmet with a proper fit was associated with reduced risk for a traffic crash (OR = 0.06) and road traffic injuries (OR = 0.07). A thematic analysis of boda boda drivers' suggestions to increase road safety identified four intervention areas: 1) roadway infrastructure and traffic regulation, 2) road user attitudes and safe driving behaviors, 3) education and training, and 4) law enforcement.
conclusionOur study demonstrates boda boda drivers' safety behaviors and identifies four intervention areas that can be leveraged to increase overall road traffic safety. Unfortunately, while boda boda drivers are aware of ways to improve safety, adherence to safety habits remains low. Successful multi-sectoral interventions are needed to improve road safety for boda boda drivers in Tanzania.
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