Title

Variations in sub-national road traffic fatality trends in a low-income country.

Document Type

Article

Department

Emergency Medicine

Abstract

Background: In most low- and middle-income countries (LMICs), road traffic fatality(RTF) trends are presented in aggregated form at the national level. This practice omits important information regarding RTF risk at sub-national levels.

Objective: This ecological study assesses the extent of RTF variations at different subnational levels in Pakistan, a low-income country.

Materials and Methods: Based on official statistics, significant variations in three RTF indicators i.e. per population, per registered vehicles, and per crash were compared by regression analyses at two sub-national levels i.e. provincially (2000-2009) and district-wise (2004).

Results: The national RTF counts are based on data from four provinces. From 2000 to 2009, RTF per population and per registered vehicles decreased in all provinces except Balochistan. RTF per crash in Punjab decreased from 0.61 to 0.56 (beta coefficient (â) year = –0.0082, P =P=P= 0.003) with RTF per population.

Conclusions: Sub-national RTF surveillance is necessary in LMICs like Pakistan in order to prioritize available resources on high-risk jurisdictions such as the Balochistan province and districts of Punjab where high RTF per population and per crash exist.

Publication

International Journal of Critical Illness and Injury Science