The World Report

Implementing
its
Recommendations

June 2004
World Report raises the tempo….

• World Health Day - 7 April 2004

– launch World Report on Road Traffic Injury Prevention
– launch of a global road safety campaign
• implementation of recommendations of report
• focus on 5 major risk factors

• United Nations
– General Assembly resolution - 14 April 2004
– Stakeholder Forum - 15 April 2004
• World Health Assembly resolution - May 2004
• World Conference on Road Injury Prevention—Vienna
- June, 2004
Drafting of the Report

• WHO — World Bank collaboration

• 18 months in the making
• Over 100 experts from 40 countries
• Health, transport, education, police, etc
• Governmental and nongovernmental
• 2 documents
– Full report for practitioners, researchers, etc
– 40 page summary for policy-makers
Road traffic injuries are a huge public
health and development problem….

• 1.2 million die a year

• 20-50 million more are

injured or disabled

• 11th leading cause of death

• account for 2.1% of all

Copyright Etienne Creux, Pretoria News

deaths globally
The majority of road traffic injuries occur in
low- and middle-income countries
 Most of those injured are vulnerable road users

Netherlands

Japan

Norw ay

Australia

U.S.A.

Malaysia

Thailand

Colombo, Sri Lanka

Bandung, Indonesia

Delhi, India

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Pedestrians Bicyclists Motorized 2-wheelers Motorized 4-wheelers Other

Road traffic fatalities are predicted to increase by
67% by the year 2020
Major risk factors are identifiable (1)

• Factors influencing exposure to risk

– economic, demographic factors
– land use, travel modes, road design

• Risk factors influencing crash involvement

– speed, alcohol & other drugs, fatigue
– vulnerable road users
– vehicle factors
– defects in road design
Major risk factors are identifiable (2)

• Risk factors influencing crash severity

– human tolerance factors
– speed, alcohol & other drugs
– not using seat-belts, child restraints, helmets
– insufficient vehicle crash protection
– unforgiving roadside objects

• Risk factors influencing severity of post-crash injuries

– chain of medical care from prehospital to rehabilitation
Road safety is a shared responsibility

GOVERNMENT &
LEGISLATIVE BODIES

USERS / CITIZENS
MEDIA

ROAD INJURY
PREVENTION
INDUSTRY POLICY PROFESSIONALS

NGOs, SPECIAL
POLICE INTEREST GROUPS
 Road traffic crashes can be prevented

Fatality rate per 100 000 population 35

30

25

20

15

10

60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 00 02
19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 19 20 20
Years

UK Australia USA
Need to do more than build safe roads—must
also focus on major risk factors…

• Speed
• Alcohol
• Seat-belts and child restraints
• Helmets
• Visibility
Recommendations of the report..

• Identify a lead agency in government to

guide national road traffic safety efforts
• Prepare a national road safety strategy
and plan of action
• Allocate financial and human resources
• Mobilize/motivate all relevant agencies
• Implement actions to prevent road traffic
crashes, minimize death and injuries
Implications for the Bank…

• Raise awareness within the institution

• Help build a framework for global
engagement
• Lead global efforts to establish trust
fund
• Strengthen operations
– Set goals
The way forward—raising the
corporate profile of the issue
• Presentation at Corporate Day
• Presentations to RMTs, CDs, etc.
• Joint initiative with the Director of Medical
Services, and GSD, to establish norms for
Bank staff
• Training event for Fall 2004
• Provide knowledge tools for staff
Building a framework for
global engagement…
• Advocacy—build upon organization established to
promote recent UN activities
• Strategy and Policy—create trust fund to build
national capacity (WB to take lead)
• Programs and Projects—reinforce role of GRSP and
encourage IFIs to finance road safety activities
• Research and Development—strengthen Global Road
Traffic Injury Network
• Coordination—reinforce role of WHO as nominated
UN agency for road safety
Shaping a trust fund…

• Why a trust fund? Need to “prime the

pump” and fill gap for capacity building
• Progress to date
• Outline proposal prepared jointly by WB, WHO,
FIA, GRSP
• Proposed funding of about $5m/year
• Funding offered by FIA
• Management structure similar to Cities
Alliance/SSATP
• Still need to assess the potential interest of
other donors and financiers
 Strengthening operations
• Set goals
• reduce fatalities by 30%, save 2.5 m lives by 2020,
38 m hospitalizations and 175 m injuries
• Initiate additional sector work and promote
local research
• Add to pipeline of dedicated road safety
projects
• Candidates for new style interventions include
Vietnam, Iran, Argentina
• Prepare guidelines, and resource guides for use
by TMs and clients
The Vietnam project….

• Multi-sectoral project
• To be implemented by the National Road Safety
Committee
• Preparation included:
• country capacity assessment, and preparation of
safety investment strategy
• Support “Safe Highway” corridors
• Demonstrate best practice.
• low cost engineering, targeted enforcement, education
and awareness programs, EMS, crash reporting system