Workshop for Setting Regional and National Road Traffic Causality Reduction Targets in the ESCWA Region 16-17June, 2009 Abu Dhabi, United Arab Emirates Abu Dhabi, United Arab Emirates Samar AbouRaad and Nellie Ghusayni Global Road Safety Partnership (GRSP) Middle East and North Africa Road Safety Partnership (MENARSP) Road crash and road crash injury data for setting and monitoring targets

Outline - What are GRSP and MENARSP? - Why is data important for setting targets? - What are the road crash and injury indicators? - How can data collection and analysis be improved?

GRSP Mission the sustainable reduction of road death and injury in low and middle income countries. by helping to get straightforward good practice behavioural interventions made Global Road Safety Partnership

Why Partnership ? Business Government Civil Society Improved Road Safety Health Transport Education Police JusticeRoads

Middle East & North Africa Road Safety Partnership MENARSP aims to: Promote regional collaboration on road safety between governments, businesses, and civil society organizations Support the identification, development and implementation of road safety interventions based on evidence and good practices and capacity building projects that can be replicated in different countries of the region Facilitate the transfer of knowledge by collecting, developing, and disseminating road safety material, policies, plans and documents on good- practices; and wherever a specific need arises, identify opportunities for conducting training and delivering workshops. Provide a platform for governments, private sector, and non-profit organizations to communicate on road safety matters UN-ESCWA

MENARSP Activities: –Newsletter and website –Supporting national road safety efforts in Oman –Supporting building road safety partnerships in Yemen –Providing material and expert advise on mobile phone use during GCC Traffic Week Middle East & North Africa Road Safety Partnership UN-ESCWA

Why collect data and build evidence on road crashes and road crash injuries? Data

Why is Data important? A.Understand the problem and social and economic burden of road crashes and injury B.Plan effective interventions C.Advocate action and investment in road crash and road crash injury prevention programmes

– understanding the scope of the problem, also in comparison to other public health issues –understanding crash and injury trends –identifying high risk groups and locations –identifying main risk factors for crash and injury –designing effective strategies, interventions –facilitating objective decision-making about resource allocation (time, money) –monitoring and evaluating effectiveness towards achievement of targets Planning: data can help with…

–illustrating to politicians and the public the magnitude of the problem and burden vs other (competing) social and economic issues –aiding politicians demonstrate the value of unpopular policies (e.g. speed limits) to the public and solidly face opposition –winning public support and demand for safer roads Advocacy: data can help with…

Indicators are important tools for: –measuring the magnitude of a problem –setting targets –assessing performance Road crash and injury data indicators

Number of injuriesNumber of deathsFatalities per vehiclesFatalities per populationFatalities per vehicle km travelledDisability adjusted live years (DALYS) What are common indicators? Absolute figure of people injured Serious or slight injuries Absolute figure of people killed Ratio fatalities per vehicles Ratio fatalities to population Healthy life years lost due to disability and mortality Ratio fatalities to vkm travelled

PoliceHealth sectorInsurance firmsCompanies with vehicle fleets Governemnt planning departments Special interest groupsInternational databases What are common data sources? Crash, victim, location, injury related information Injury severity and costs, victim related information Crash, victim, location, injury related information Same + damage and losses Research, advocacy, unions, institutions involved in safety activities Population, exposure, health, economic, fuel, pollution IRTAD, CARE

Other sources - Special surveys –In-depth crash investigations –Community based surveys (Ex:Red Crescent/Cross) –Road user surveys - conflicts, seat belt and helmet wearing, speeds, drink-drive, violations –Travel surveys and origin destination –Crash costing –Private sector studies – crashes involving people travelling for work purposes

Brazil -Health sector indicators Sao Jose dos Campos Hospital admissions from road crashes Fatalities and serious injuries (per/10,000 vehicles) Guaiba 63% reduction in related social, medical etc costs from % reduction in hospital occupancies due to road crashes from

What data is needed to set and achieve targets that are evidence based?

What can be measured can be managed! Data needs for setting targets Common indicators (slide 6) Injury severity (slight, serious) Demographic (age, gender, population) Traffic volume (by mode) Safety indicators (speed, seat- belts Crash location Vehicle registration Social, health economic costs Minimum data needs for general road crash and casualty reduction target setting Data needs vary by type of intervention

Accurate data is critical for setting achievable targets Shortfalls and under-reporting …influence understanding of the situation..complicate monitoring and evaluation, also for target setting purposes Data reliability Netherlands comparison of police and health data (2007) Up to 6% fatalities, 40% of in-patients and 86% of minor injuries were not reported by police

How to improve data quality? Mandatory reporting requirement Regular training for police and health Standard definitions (crash, injury, death, etc) Simplify data requirements Quality control system Consider sampling

UN Collaboration Good Practice Manuals Data Systems (expected 2010) Translations into many languages Build on the recommendations of the World report Recipe books for good practice on main risk factors implemented via a systems and partnership approach Arabic

Seat-belts and child restraintsDrink-driveSpeedVulnerable road usersYoung driversProfessional drivers (fleet safety) Additional indicators? What data is needed for effective interventions and target setting on the main risks and risk groups? (pedestrians, cyclists, elderly, children)

Septe mber 2008 Possible Objectives Possible Performance Indicators Possible Measurement tools Reduce the number of deaths, injuries drink- drive crashes Fewer deaths, injuries from crashes involving driver with illegal BAC Police crash data Health sector data Increase number of drivers prosecuted for drink-driving Number of court cases for drink-drive Fewer drunk drivers Pre – post campaign data from justice Increase in (RBT) Increase action in community to prevent drinking and driving More community drink- drive prevention activities Pre/post campaign survey Increase in number of community activities Reduce the number of drivers who are drinking and driving Fewer drivers over the legal BAC limit Police breath test data Health sector data … by gender, age Objectives and performance indicators

Wearing rates  occupant position, gender, age;  vehicle type Injury data from hospitals Vehicle inspection Changes in public opinion You can collect this data through surveys See UNRSC manual Place measured 2005 Before Campaign 2005 After Campaign 2006 Before Campaign 2006 After Campaign 2007 Before Campaign 2007 After Campaign 2008 Before Campaign City Roads 4%14% 22%31%44%79%. Rural Roads 26%51%.56%77%72% Sakhalin Island, Russia Seat-belts and child restraints

Thank you for your attention! (under construction)