Vogel Tania, Reinharz Daniel, Gripenberg Marissa, Barennes Hubert
Institut Francophone de Medecine Tropicale, Vientiane, Lao PDR.
Département de médecine sociale et préventive, Université Laval, Laval, QC, Canada.
BMC Res Notes. 2015 Sep 28;8:486. doi: 10.1186/s13104-015-1472-6.
Road traffic crashes (RTC), that daily kill 3400 people and leave 15,000 with a permanent disability could be prevented through the implementation of safety programs developed in partnership with governments and institutions. The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs. This issue has rarely been addressed. We conducted a detailed organizational analysis of the stakeholders involved in road safety programs in Lao People's Democratic Republic (Lao PDR).
A case study was performed. The framework used was a snowball effect in which the characterization of all key stakeholders and the links between them, as well as the factors that led to these links, were determined. The effect of the relations between key stakeholders on the prevention of RTC was assessed through an analysis of the transactional, intangible and controlling factors that influence these relationships.
The design and implementation of road safety programs in Lao PDR suffer from weak relationships between stakeholders and a poorly functional bicephal leadership between the Ministry of Public Works and Transport and the non-governmental organisation called Handicap International. This poor coordination between key stakeholders is evident, particularly in the area of collective action and is reinforced by a lack of interest from several different stakeholders. Most agencies do not prioritize road safety. Uneven distribution of funding is another contributing factor. Strengthening the leadership is crucial to the success of the program. Some organisations have skills, power the decision making and the allocation of resources in regards to road safety programs. Encouraging participation of these organizations through a more prominent position would thus result in a better collaboration. Non-monetary rewards would further help to strengthen collaborative work.
The bicephal nature of the leadership of road safety programs proves detrimental, is associated with a weak coalition between stakeholders, and contributes to the declaimed poor effectiveness of the existing programs. The study has identified non-monetary and realistic means of strengthening the collaboration between key stakeholders. Stakeholders need to revise their interpretive schemes, in order to actively support the reinforcement of government leadership of road safety policies.
道路交通事故每天导致3400人死亡，15000人永久残疾，通过与政府和机构合作制定安全计划可以预防此类事故。关键利益相关者之间的关系可能是道路安全计划有效性的关键决定因素。这个问题很少得到解决。我们对老挝人民民主共和国道路安全计划所涉及的利益相关者进行了详细的组织分析。
进行了一项案例研究。所使用的框架是一种滚雪球效应，确定了所有关键利益相关者的特征及其之间的联系，以及导致这些联系的因素。通过分析影响这些关系的交易、无形和控制因素，评估关键利益相关者之间的关系对预防道路交通事故的影响。
老挝人民民主共和国道路安全计划的设计和实施存在利益相关者之间关系薄弱以及公共工程和运输部与名为国际助残的非政府组织之间双头领导功能不佳的问题。关键利益相关者之间这种糟糕的协调很明显，特别是在集体行动领域，并且由于几个不同利益相关者缺乏兴趣而加剧。大多数机构没有将道路安全列为优先事项。资金分配不均是另一个促成因素。加强领导对该计划的成功至关重要。一些组织在道路安全计划方面具备技能、权力进行决策和资源分配。因此，通过更突出的地位鼓励这些组织参与将带来更好的合作。非货币奖励将进一步有助于加强协作工作。
道路安全计划领导的双头性质被证明是有害的，与利益相关者之间的薄弱联盟相关联，并导致现有计划效果不佳。该研究确定了加强关键利益相关者之间合作的非货币和切实可行的方法。利益相关者需要修订他们的解释方案，以便积极支持加强政府对道路安全政策的领导。
