Makerere Don Dr Sabrina Kitaka Survives Accident, Uganda Ranks High In Road Traffic Accidents

Dr Sabrina Bakeera Kitaka, Founding President Society of Adolescent Health in Uganda(SAHU) , Senior Lecturer , Pediatric and Adolescent Health , Makerere University has survived a motor accident in Kampala this morning.

Dr Sabrina who was going to work early morning had a reckless taxi driver hit her vehicle.

“I continue to give God the Glory for his mercy and protection for saving my life this morning.A reckless taxi driver knocked down a pedestrian and came for me head on as I was driving to work.What a collision!!!!”.

Dr Sabrina is known for serving humanity in various capacities. Quick recovery Dr Sabrina.

Uganda Police’s Traffic Department must work hard to remove Dangerous Cars which continue to cause Road Traffic Accidents. Most taxis are not maintained.

Over the years, Uganda has been one of the low and middle-income countries bearing the heaviest burden of road traffic incidents (RTI).

Since the proclamation of the United Nations Decade of Action for Road Safety 2011 – 2020, a number of measures have been taken to reduce the burden.

Based on Preferred Reporting Items for Systematic Reviews and Meta-Data Analysis (PRISMA) guidelines, a systematic review was employed. Using a thematic analysis, the articles were grouped into: trauma etiology, trauma care, mortality, cost, trauma registry and communication, intervention and treatment for final analysis.

Of the nineteen articles that were identified to be relevant to the study, the etiology of RTI was inevitably observed to be an important cause of injuries in Uganda.

The risk factors cut across: the crash type, injury physiology, cause, victims, setting, age, economic status, and gender. All studies that were reviewed have advanced varying recommendations aimed at responding to the trend of RTIs in Uganda, of which some are in tandem with the five pillars of the United Nations Decade of Action for Road Safety 2011 – 2020.

Peripheral measures of the burden of RTIs in Uganda were undertaken within a five-year time frame (2011-2015) of implementing the United Nations Decade of Action for Road Safety.

The measures however, ought to be scaled-up on robust evidence based research available from all the concerned stakeholders beyond Kampala or central region to other parts of Uganda.

The low and middle-income countries (LMICs) bear the heaviest burden of all road traffic incidents (RTIs) in the world. This is noted at 85% of the global average of 750,000 compared to 15% in high-income countries. These RTIs have caused approximately 1.3 million deaths, and 20 to 50 million injuries.  RTIs at times are interchangeably recorded as road traffic injuries, road traffic crashes, road traffic accidents, or motor vehicle crashes. However, each may slightly differ from the others. The present review defines road traffic injuries according to the World Health Organization (WHO) as the cause of fatalities leading to loss of life during the event time or a maximum of 30 days after the crash.  The African region (AFRO) alongside the Eastern Mediterranean region (EMRO) have the highest rate of road traffic deaths, which are described as a global pandemic and development problem.

Over years, Uganda has not been spared from the heavy burden of RTIs. At present, it experiences RTI deaths at 28.9 per 100,000 population. This is quite concerning as it even exceeds the 24.1 per 100,000 population for the AFRO and 18.0 per 100,000 population global average for deaths respectively. As a result, Uganda is among the top-ranking countries for RTIs along with South Africa, Nigeria, Iran, Thailand and Dominican Republic at 31.9; 33.7; 34.1; 38.1; and 41.7 per 100,000 population, respectively.

The trend of Uganda’s RTIs is further mirrored by the solid evidence denoting traffic injuries within the top-ten causes of mortality in the country. Accordingly, not less than 1,000 and 10,000 victims were killed and injured respectively due to RTIs in Uganda between 2010 and 2013. This has been reported in the annual traffic and crime reports of the Uganda Police Force (UPF).  This has cost Uganda dearly particularly in terms of the loss of a significant proportion of its economically active population, which in turn retards its economic growth and development. In response, a number of measures to reduce the burden of RTIs have been initiated ever since the United Nations Decade of Action for Road Safety 2011 – 2020 was proclaimed on 11th May 2011.  However, there’s still a great need for establishing the existing RTI trend in Uganda based on the evidence-based research in order to properly inform any measures undertaken to reduce them. For this specific reason, the present study has been undertaken to address this need to some extent.

This review reports on the five year trend of RTIs in Uganda from 2011 and 2015. The results of the study provide useful information for all concerned stakeholders to enable them to better respond to RTIs. This will be vital for the remaining five years of implementing the United Nations Decade of Action for Road Safety.

 

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