ArticleThe Pan African medical journal2026
Estimating the clinical and financial burden of motorcycle injuries on a rural faith-based hospital in Kenya: a 9-month retrospective review.
Article in The Pan African medical journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
As motorcycle use increases across Africa, hospitals face rising clinical demands to treat injuries from motorcycle crashes. This study assesses the burden of motorcycle-related injuries on a faith-based hospital in rural Kenya, focusing on unreimbursed care. A retrospective review was conducted of patients presenting for care from September 2023 to May 2024 at Maua Methodist Hospital. Case-finding utilized International Classification of Diseases-10 (ICD-10) injury codes and the handwritten Casualty Department log; patient encounters were included in the analysis if clinical documentation confirmed a motorcycle injury. Of the 225 patients identified who presented for motorcycle-related injuries, the median age was 32 years, 35 (16%) were children, 20 (9%) were aged ≥65 years, and 18% (17 of 95 in the Casualty Department log) were pedestrians hit by motorcycles. Thirty-one percent (29 of 95) of patients who presented to the Casualty Department were referred for higher-level care, primarily for head injuries. Four patients died on presentation. Of the 23 hospitalizations, 15 (65%) included surgery, the primary driver of costs. Fifty-two percent of the 290 patient encounters were uninsured; reimbursements were especially poor for hospitalizations. In conclusion, multiple persons with motorcycle injuries presented each week for care at this faith-based hospital, incurring >1,755,000 KES (>13,500 USD) in unreimbursed charges over the nine months. Due to limitations in documentation and differences in healthcare costs between countries, this underestimates the burden of motorcycle-related injuries. Improving ICD-10-coded data for traffic accident injuries, as has been utilized by some trauma registries in Africa, can help monitor cases and costs, and advocate for motorcycle safety.
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