2014
DOI: 10.1016/j.injury.2014.04.034
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Effect of free distribution of safety equipment on usage among motorcycle–taxi drivers in Tanzania—A cluster randomised controlled trial

Abstract: Introduction Deaths due to road traffic injuries, particularly motorcycle crashes, have increased rapidly in many African nations and context-specific strategies to improve preventative behaviors are needed. Although adhering to conspicuity measures by wearing reflective safety vests is a highly effective crash prevention strategy and mandated by law among motorcycle-taxi drivers in some African countries, actual use is currently low. We aimed to test whether eliminating cost-barriers through the provision of … Show more

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Cited by 28 publications
(18 citation statements)
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“…These data are concerning and emphasize the importance of basic safety equipment and the urgent need to increase their use in Moshi. These findings are consistent with prior data from the region which shows that Moshi motorcycle taxi drivers have extremely low rates of safety equipment use 33 . There is ample data to support the effectiveness and cost effectiveness of the use of these and other safety equipment even in LMIC 10,34 .…”
Section: Discussionsupporting
confidence: 91%
“…These data are concerning and emphasize the importance of basic safety equipment and the urgent need to increase their use in Moshi. These findings are consistent with prior data from the region which shows that Moshi motorcycle taxi drivers have extremely low rates of safety equipment use 33 . There is ample data to support the effectiveness and cost effectiveness of the use of these and other safety equipment even in LMIC 10,34 .…”
Section: Discussionsupporting
confidence: 91%
“…These findings mirror findings from HIC which suggest that educational interventions have limited evidence of effectiveness at injury or fatality reduction [ 46 ] [ 47 ]. Attendance and behavior change from educational interventions are limited [ 48 ] [ 21 ] even in the setting of legislation. As such, interventions should be multifaceted, focusing on education as well as legislation and should be closely evaluated for the enforcement challenges and possibilities to increase their impact.…”
Section: Discussionmentioning
confidence: 99%
“…This vulnerable road user preponderance can be partly explained by the increase in the number of commercial motorcycle taxis, limited driving education, limited safety regulation policies or enforcement, and limited visibility measures or road courtesy behaviours. Recent data from Moshi found that less than 10% of motorcycle taxi drivers were found using the necessary precautions to increase their visibility, such as using reflectors, white helmets, and daytime running headlights (Sumner et al, 2014). About 13% of our patients had severe TBI, defined as a GCS < 9, and 75% had a mild TBI with GCS > 13.…”
Section: Epidemiologymentioning
confidence: 66%