Accidents, Traffic/prevention & control; Benin/epidemiology; Hospitals; Humans; Safety; Safety Management; Wounds and Injuries; Benin; Assessment; Road safety; Accidents, Traffic; Text Messaging; Public Health, Environmental and Occupational Health
Abstract :
[en] OBJECTIVE: The study aims to assess the level of implementation of road safety interventions in Benin.
METHOD: The research is based on an evaluative study of road safety aimed to analyze the implementation and logic of road safety interventions, conducted in Benin in 2019. It combined a review of the gray literature and a qualitative component. The data were collected through documents and interviews in structures involved in road safety management.
RESULTS: Road safety was a national priority with one lead institution and several structures involved. There was a lack of consensus among stakeholders, insufficient framework documents, resources, legislative texts, and study data. Few roads were in good condition and very few allowed the separation of two-wheeled vehicles. The vehicle fleet was outdated. Various activities were carried out to raise awareness, to educate the population and to enforce the texts but they were insufficient and poorly coordinated. Reference hospitals had the minimum service to deal with trauma cases. The interventions had not yet resulted in a reduction in the number of injuries and fatalities by accidents, which was increasing.
CONCLUSION: Benin has made great efforts in the area of road safety. However, there are still some shortcomings to take into account.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Hounkpe Dos Santos, Bella
Aïna, André; Université de Parakou, Parakou, Benin ; Université de Liège, Liège, Belgium
Kpozehouen, Alphonse; Institut régional de santé publique, Ouidah, Benin
Glele Ahanhanzo, Yolaine
Daddah, Donatien; Institut régional de santé publique, Ouidah, Benin ; Université libre de Bruxelles, Bruxelles, Belgium
Coppieters, Yves; Université libre de Bruxelles, Bruxelles, Belgium
Paul, Elisabeth ; Université de Liège - ULiège > Département de droit > Droit fiscal ; Université libre de Bruxelles, Bruxelles, Belgium
Language :
French
Title :
Évaluation de la mise en œuvre de la sécurité routière au Bénin en 2019.
Publication date :
2022
Journal title :
Santé Publique: Revue Multidisciplinaire pour la Recherche et l'Action
World Health Organisation (WHO). Global status report on road safety 2018. Geneva: WHO; 2018.
Conseil national de la securite routiere (CNSR, Benin). Statistiques des accidents de la route de 2011 a 2015. 2017.
Ministere de la Sante (MS, Benin). Annuaire des statistiques sanitaires 2019. 2020.
Organisation mondiale de la sante (OMS). Plan mondial pour la decennie d'action pour la securite routiere, 2011-2020. Geneve : OMS ; 2011.
Nations Unies. Objectifs de developpement durable [Page internet]. s.d. [Visite le 10/01/2022]. En ligne : https://www.un.org/ sustainabledevelopment/fr/objectifs-de-developpementdurable/.
ITF International. Zero Road deaths and serious injuries: Leading a paradigm shift to a safe system. Paris: OECD Publishing; 2016.
OMS. Sauver des VIES: Module technique sur la securite routiere. Geneve : OMS ; 2017. [Visite le 10/01/2022]. En ligne : https:// apps.who.int/iris/bitstream/handle/10665/255214/97892425 11703-fre.pdf?sequence=1 & isAllowed=y.
Ecola L, Popper SW, Silberglitt R, Fraade-Blanar L. The road to zero: A vision for achieving zero roadway deaths by 2050. Rand health quarterly. 2018; 8(2):11.
Portail officiel du gouvernement beninois. Le Benin : La geographie [internet]. Cotonou : Gouvernement de la Republique du Benin ; 2019. [Visite le 20/07/2019]. En ligne : http://gouv.bj/benin/ la-geographie/.
Loi no 2015-01 du 06 mars 2015 modifiant et completant la loi no 2013-05 du 27 mai 2013 portant creation, organisation, attributions et fonctionnement des unites administratives locales en Republique du Benin.
Direction generale des Infrastructures (DGI, Benin). Bases de donnees sur le reseau routier, l'etat des routes et le trafic routier de 2011 a 2018. 2019.
Agence nationale des transports terrestres (Anatt). Base des vehicules immatricules au Benin de 1988 a 2018. 2019.
Brousselle A, Champagne F, Contandriopoulos A-P, Hartz Z. L'evaluation : concepts et methodes. 2nd ed. Montrea : Presses de l'Universite de Montreal ; 2011.
Contandriopoulos AP, Champagne F, Denis JL, Avargues MC. L'evaluation dans le domaine de la sante : concepts et methodes. Rev Epidemiol Sante Publique. 2000; 48(6):517-39.
Small M, Runji J. La gestion de la securite routiere en Afrique : Un cadre de gestion pour les agences nationales chefs de file. Washington (DC) : SSATP, Programmes de Politiques de Transport en Afrique ; 2014. Report No. 101.
Mupimpila C. Aspects of road safety in Botswana. Development Southern Africa. 2008; 25(4):425-35.
Huicho L, Adam T, Rosales E, Paca-Palao A, Lopez L, Luna D, et al. Evaluation of interventions on road traffic injuries in Peru: A qualitative approach. BMC Public Health. 2012; 12(1).
Vogel T, Reinharz D, Gripenberg M, Barennes H. An organizational analysis of road traffic crash prevention to explain the difficulties of a national program in a low income country. BMC Research Notes. 2015; 8:486.
McIlroy RC, Plant KA, Hoque MS, Jianping W, Kokwaro GO, Vu NH, et al. Who is responsible for global road safety?. A cross-cultural comparison of Actor Maps. Accident Analysis and Prevention. 2019; 122:8-18.
Banque africaine de developpement (BAD). Securite routiere en Afrique : Evaluation des progres et enjeux du systeme de gestion de la securite routiere. Tunis : BAD, TIC Ddte ; 2013.
Batala Mpondo G, Bouanga M, Saya YM, Maurice P, Burigusa G. Etude exploratoire de la securite routiere a Brazzaville et Pointe-Noire en Republique du Congo. Sante Publique. 2014; 26(Suppl 1): S71-9.
Choueiri EM, Choueiri GM, Choueiri BM. An overview of the transport sector and road safety in the MENA region. Adv Transp Stud. 2013; (30):43-56.
Gupta S, Hoe C, Ozkan T, Lajunen TJ, Vursavas F, Sener S, et al. Evaluation of a five-year Bloomberg Global Road Safety Program in Turkey. Public Health. 2017; 144 s:S45-s56.
Miller TR, Levy DT, Swedler DI. Lives saved by laws and regulations that resulted from the Bloomberg Road Safety Program. Accident; Analysis and Prevention. 2018; 113:131-6.
Chandran A, Perez-Nunez R, Bachani AM, Hijar M, Salinas-Rodriguez A, Hyder AA. Early impact of a national multi-faceted road safety intervention program in Mexico: results of a time-series analysis. PloS One. 2014; 9(1):e87482.
Ning P, Schwebel DC, Huang H, Li L, Li J, Hu G. Global progress in road injury mortality since 2010. PloS One. 2016; 11(10):e0164560.
Macpherson A, Spinks A. Bicycle helmet legislation for the uptake of helmet use and prevention of head injuries. The Cochrane database of systematic reviews. 2008(3):Cd005401.
Abegaz T, Berhane Y, Worku A, Assrat A. Effectiveness of an improved road safety policy in Ethiopia: an interrupted time series study. BMC Public Health. 2014; 14:539.
Bhalla K, Mohan D, O'Neill B. Howmuch would low- andmiddle-income countries benefit from addressing the key risk factors of road traffic injuries?. Int J Inj Contr Saf Promot. 2020; 27(1):83-90.
Nations Unies (NU), Commission economique pour l'Europe (CEE). Evaluation de la performance en matiere de securite routiere (EPSR), Cameroun. Geneve : NNU, CEE ; 2019.
Kpozehouen D, Glele-Ahanhanzo Y, Sopoh GE, Kpozehouen A, Azandjeme C, Leveque A. Performance of the routine health information system for epidemiological surveillance of road traffic injuries in Benin. J Public Health Epidemiol. 2020; 12(2):151-7.
Sango HA. Epidemiologie et surveillance des accidents corporels de la route dans un pays en developpement : cas du Mali (Bamako) [These de sante publique et epidemiologie]. Bordeaux : Universite de Bordeaux ; 2014.
Sango HA, Testa J, Meda N, Contrand B, Traore MS, Staccini P, et al. Mortality and morbidity of urban road traffic crashes in Africa: capture-recapture estimates in Bamako, Mali, 2012. PloS One. 2016; 11(2):e0149070.
Puvanachandra P, Hoe C, El-Sayed H, Saad R, Al-Gasseer N, Bakr M, et al. Road traffic injuries and data systems in Egypt: addressing the challenges. Traffic Inj Prev. 2012; 13(Suppl 1):44-56.
Abegaz T, Berhane Y, Worku A, Assrat A, Assefa A. Road traffic deaths and injuries are under-reported in Ethiopia: a capturerecapture method. PloS One. 2014; 9(7):e103001.
Bonnet E, Fillol A, Nikiema A, Lechat L, Tall M, Da SC, et al. Evaluation des inegalites sociales de sante des traumatises de la route a Ouagadougou au Burkina Faso. Sante Publique. 2018; 1(HS 1):131-7.
Gichaga FJ. The impact of road improvements on road safety and related characteristics. IATSS Research. 2017; 40(2):72-5.
Johnson OE, Adebayo AM. Effect of safety education on knowledge of and compliance with road safety signs among commercial motorcyclists in Uyo, Southern Nigeria. Ghana Med J. 2011; 45(3):89-96.
Muni K, Kobusingye O, Mock C, Hughes JP, Hurvitz PM, Guthrie B. Motorcycle taxi programme increases safe riding behaviours among its drivers in Kampala, Uganda. Inj Prev. 2020; 26(1):5-10.
Okafor Ifeoma P, Odeyemi Kofoworola A, DolapoDuro C. Knowledge of commercial bus drivers about road safety measures in Lagos, Nigeria. Ann Afr Med. 2013; 12(1):34-9.
Bonnet E, Lechat L, Ridde V. What interventions are required to reduce road traffic injuries in Africa?. A scoping review of the literature. PloS One. 2018; 13(11):e0208195.
Makota EP, Kibusi SM. Evaluating the effects of participatory training in improving knowledge and skills on basic life support among commercial motorcyclists: A quasi-experimental study in addressing road traffic injuries. Cogent Med. 2019; 6(1):1665937.
Owen R, Kendrick D, Mulvaney C, Coleman T, Royal S. Non-legislative interventions for the promotion of cycle helmet wearing by children. Cochrane Database Syst Rev. 2011(11):Cd003985.
NU, Commission economique pour l'Afrique (CEA). Mise en application du Plan d'action pour la securite routiere africaine (2011-2020) : rapport de synthese. Addis-Abeba: NU, CEA ; 2015 Juillet 2015.
Ibrahim NA, Ajani AWO, Mustafa IA, Balogun RA, Oludara MA, Idowu OE, et al. Road traffic injury in Lagos, Nigeria: Assessing prehospital care. Prehosp Disaster Med. 2017; 32(4):424-30.
Adeloye D. Prehospital trauma care systems: potential role toward reducing morbidities and mortalities from road traffic injuries in Nigeria. Prehosp Disaster Med. 2012; 27(6):536-42.
Khorasani-Zavareh D, Khankeh HR, Mohammadi R, Laflamme L, Bikmoradi A, Haglund BJ. Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. BMC Emerg Med. 2009; 9:8.
Oreko BU, Nwobi-Okoye CC, Okiy S, Igboanugo AC. Modelling the impact of intervention measures on total accident cases in Nigeria using Box-Jenkins methodology: A case study of federal road safety commission. Cogent Engineering. 2017; 4(1).
Wegman F. The future of road safety:Aworldwide perspective. IATSS Research. 2017; 40(2):66-71.
Wesson HK, Boikhutso N, Hyder AA, Bertram M, Hofman KJ. Informing road traffic intervention choices in South Africa: the role of economic evaluations. Global Health Action. 2016; 9:30728.
Banstola A, Mytton J. Cost-effectiveness of interventions to prevent road traffic injuries in low- and middle-income countries: A literature review. Traffic Inj Prev. 2017; 18(4):357-62.
Yannis G, Papadimitriou E, Evgenikos P, Dragomanovits A. Good practices on cost - effective road infrastructure safety investments. Int J Inj Contr Saf Promot. 2016; 23(4):373-87.