Patterns of Injuries After Road Traffic Crashes Involving Bodabodas

Naddumba, EK; Kigera, James

doi:10.4314/aas.v5i1.53705

Cited by 11 publications

(12 citation statements)

References 3 publications

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“…Of recent, the numbers of Boda-bodas have been exponentially rising to the point that it now predominates the public transport system of the KMA and Uganda [3, 24, 36, 38, 39]. They are mainly manned by the youths who seek to make-ends-meet.…”

Section: Discussionmentioning

confidence: 99%

“…They are mainly manned by the youths who seek to make-ends-meet. Boda-bodas have been dubbed a ‘silent killer’ and they not only cause serious injuries and fatalities but also a significant economic burden [3, 19, 36–40] . Some of the reasons attributed to this include failure to wear and use protective safety and visibility gear and equipment (helmet and reflectors); failure of riders to comply with the traffic signals; riding at exorbitant speeds where it is unnecessary and dangerous.…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

et al. 2016

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BackgroundThe Kampala Metropolitan Area (KMA) is the fastest developing region in Uganda. Over recent years, this has placed exponential demand on the road sector, which consequently has contributed to rapid growth in motorized vehicles which, predisposes the region to a high risk of road traffic incidents (RTIs). A number of concerted road safety and post-crash management measures to respond to RTIs in the KMA in particular and Uganda as a whole have been undertaken. However, there is a need to greatly improve the measures by better identifying the factors influencing the exposure, vulnerability and emergency medical service (EMS) capacity for RTI victims. The present study seeks to investigate and reveal these factors.MethodsA Delphi technique employing a questionnaire and involving a multidisciplinary panel of experts was used in three rounds.ResultsThe ten (10) most important factors affecting the exposure, vulnerability and EMS capacity for victims of RTIs in the KMA were identified. Socio-cultural, infrastructure and road safety aspects were the factors most identified as affecting the exposure and vulnerability. The absence of a national EMS policy and post-crash care system, as well as the fact that many victims lack health insurance, were noted to be the factors adversely affecting the EMS capacity.ConclusionsThere exists is a real need to substantially reduce the burden of RTIs in KMA, with ultimate goal of saving lives that are being lost needlessly and reducing the impact of injuries and trauma and the economic losses associated with it. This study offers insights into the causes of RTIs and the most appropriate ways of responding to them especially with the establishment and empowerment of predefined and structured EMS systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

et al. 2016

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“…Could this be due to low visibility of the motorcycles to other drivers 25 or the previously reported recklessness? 18 Rider conspicuity to other road users can be significantly improved by use of reflective clothing and "always on" head lamp policy as show from previous work 25 . The occurrence of head injury had no significant relationship with number of people on the motorcycle at the time of crash.…”

Section: African Health Sciences Vol 15 Issue 3 September 2015mentioning

confidence: 68%

“…The reported proportion of head injury was 10.1% in 2001 9 , 35.5% in 2009 8 and 71.1% in 2013 in this study. This alarming development could be explained by the persistent low use of protective gear and increased rider recklessness at a time when the commercial motorcycles being used are more powerful 18 and capable of higher energy transfers leading to more severe injuries.…”

Section: African Health Sciences Vol 15 Issue 3 September 2015mentioning

confidence: 99%

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Kamulegeya¹,

Kizito²,

Nassali³

et al. 2015

Afr H. Sci.

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Background: Trauma is an increasingly important cause of disease globally. Half of this trauma is from road traffic injuries with motorcycles contributing 21-58%. Low protective gear use, lack of regulation and weak traffic law enforcement contribute to unsafe nature of commercial motorcycles also known as "boda boda" in Uganda. Objectives: To determine the prevalence of protective gear use, the occurrence of head injury and the relationship between the two among commercial motorcycle riders in Kampala. Methods: Following ethical approval we recruited consecutive consenting participants to this analytical cross-sectional study. Data was collected using pretested interviewer administered questionnaires, double entered in Epidata and analyzed with STATA. Proportions and means were used to summarize data. Odds ratios were calculated for association between wearing helmets and occurrence and severity of head injury. Results: All 328 participants recruited were male. Of these, 18.6% used Protective gear and 71.1 % sustained head injury. Helmets protected users from head injury (OR 0.43, 95% CI, 0.23-0.8) and significantly reduced its severity when it occurred. Conclusion: Protective gear use was low, with high occurrence of head injury among commercial motorcycle riders in Uganda. More effective strategies are needed to promote protective gear use among Uganda's commercial motorcycle riders.

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“…Road traffic crashes are causative in a majority of trauma patients seen in hospitals in Kampala (2)(3)(4). These crashes result in musculoskeletal injuries in a majority of cases (3,5). In Kampala, there are no pre hospital services and most patients arrive by private transport after sustaining injuries while others are brought in by the police (6).…”

Section: Introductionmentioning

confidence: 99%

Injury to presentation delays among musculoskeletal trauma patients in Uganda

Kigera¹,

Naddumba²

2011

E Af Orth Jnl

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Background: Injuries are a common cause of morbidity and mortality in the developing world with road traffic crashes being especially prevalent. Kampala has no organised pre hospital rescue service and this causes delays in presentation to hospital with possible adverse outcomes. Objective: The study sought determine the time it took patients to arrive in the hospitals and document the various factors associated with delays in presentation to hospital. Design: Prospective study. Setting: Accident and Emergency Department, Mulago Hospital , Kampala, Uganda Methods: All musculoskeletal injury patients presenting to Mulago Hospital were prospectively enrolled and details of the injury including times of injury and presentation to hospital recorded. Data analysis was done and the Man-Whitney U test and chi square tests used for statistical tests. Results: The median delay in presentation was 3.5 hours. Factors associated with delayed presentation included being managed as an outpatient, having an upper limb injury, being less than 18 years of age and being involved in a road traffic crashes RTC. Conclusion:The delay in presenting to hospital was comparable to other sites in East Africa though significantly longer than in the developed world. The prevalence of traditional bone setters and the lack of an organised pre hospital rescue service may be influencing the delay in presentation to hospital.

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Patterns of Injuries After Road Traffic Crashes Involving Bodabodas

Cited by 11 publications

References 3 publications

Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace

Injury to presentation delays among musculoskeletal trauma patients in Uganda

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