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通过多部门合作减少道路交通碰撞造成的死亡和伤害。

Reducing deaths and injury from road traffic crashes through multisectoral collaboration.

机构信息

WHO Country Office, Dar es Salaam, Tanzania.

Tanzania Police Force-Traffic Unit, Dar es Salaam, Tanzania.

出版信息

Pan Afr Med J. 2023 Jun 6;45(Suppl 1):1. doi: 10.11604/pamj.supp.2023.45.1.39638. eCollection 2023.

Abstract

INTRODUCTION

road traffic injuries are the eighth cause of mortality globally, killing about 1.35 million people and leaving more than 50 million others with permanent injuries and disabilities yearly. In Tanzania, the impact of road traffic crashes is still high despite a noticeable reduction in the number of associated injuries. This paper seeks to lay the foundation for promoting multisectoral actions and collaborations in dealing with public health concerns due to increased consequences caused by road traffic deaths and injuries.

METHODS

in 2015, a multisectoral approach was adopted to implement a 5-year (2015-2020) road safety program that aimed to advocate for amendment of the Road Traffic Act of 1973, Chapter 168 Revised Edition 2002. A series of consultative sessions were held between government and non-state actors, including different committees formed to feed each other on the agenda. The program was implemented through the Ministry of Health and the Ministry of Home Affairs in collaboration with World Health Organisation and civil society organisations.

RESULTS

it has been noted that there is a direct relation with a set of combined policy-level interactions seeking to improve the legal environment for road safety. The program committee, civil society organisations, and parliamentarians' forum were solicited as essential stakeholders in advancing policy reform. Together they conducted a series of consultative meetings, resulting in having a Bill tabled in the Parliament as a first draft. This informed policymakers and raised their attention to the magnitude of road traffic crashes and the country's social and economic burden.

CONCLUSION

efforts still need to be expanded to analyse the existing data to understand the extent to which risk factors contribute to road crashes, injuries, and deaths. There is a need to have a strong Government involvement in strengthening ownership and sustainability of any public health intervention, such as road safety.

摘要

简介

道路交通伤害是全球第八大死因,每年约有 135 万人因此死亡,5000 多万人永久性受伤和残疾。坦桑尼亚的道路交通碰撞事故的影响仍然很高,尽管相关伤害的数量有所减少。本文旨在为促进多部门行动和合作奠定基础,以应对因道路交通死亡和伤害而导致的公共卫生问题。

方法

2015 年,采用多部门方法实施了一项为期五年(2015-2020 年)的道路安全计划,旨在倡导修订 1973 年《道路交通法》,第 168 章 2002 年修订版。政府和非国家行为者之间举行了一系列协商会议,包括成立了不同的委员会来相互交流议程。该计划由卫生部和内政部与世界卫生组织和民间社会组织合作实施。

结果

已经注意到,有一组综合政策层面的互动,旨在改善道路安全的法律环境,这两者之间存在直接关系。方案委员会、民间社会组织和议员论坛被视为推动政策改革的重要利益相关者。他们共同进行了一系列协商会议,最终将一项法案提交议会作为初稿。这使政策制定者了解到道路交通碰撞事故的严重程度以及对国家的社会和经济负担。

结论

仍需努力扩大分析现有数据的工作,以了解风险因素在多大程度上导致道路交通碰撞、伤害和死亡。政府需要大力参与,以加强对任何公共卫生干预措施(如道路安全)的所有权和可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc50/10395110/6d84d703c232/PAMJ-SUPP-45-1-1-g001.jpg

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