Bloomberg Global

Road Safety

Program

November 10, 2013

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ROAD TRAFFIC INJURIES

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RANK 2010 2030

1 Heart Attack Heart Attack

2 Stroke Stroke

3 Chronic Lower Respiratory Disease

Chronic Lower Respiratory Disease

4 Lower Respiratory Infections

Lower Respiratory Infections

5 Trachea, Bronchus, Lung Cancers Road Traffic Injuries

6 HIV/AIDS Trachea, Bronchus, Lung Cancers

7 Diarrheal Diseases Diabetes

8 Road Traffic Injuries Hypertensive Heart Disease

9 Diabetes Stomach Cancer

10 Tuberculosis HIV/AIDS

cause 1.24 million deaths worldwide every year

Without intervention, Road Traffic Injuries will become the 5th leading cause of death globally by 2030

ROAD TRAFFIC INJURIES

FOCUS AND INTERVENTIONS

MEXICO

BRAZIL

TURKEY

EGYPT

KENYACAMBODIA

VIETNAM

CHINA

RUSSIAN FEDERATION

1.Helmets

2.Seat-Belts

3.Drinking & Driving Prevention

4.Speed Reduction

5.Infrastructure Improvements

6.Sustainable Urban Transport

INDIA

10 FOCUS COUNTRIES:

ACCOUNT FOR MORE THAN HALF OF ROAD

TRAFFIC DEATHS ANNUALLY

6 PROVEN INTERVENTIONS:

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BLOOMBERG GLOBAL ROAD SAFETY PROGRAM Countries and Interventions

 Helmets Speed Seat-belts Drinking

and Driving Infrastructure Sustainable Urban Transport

Brazil            Cambodia            

China            Egypt            India            Kenya            

Mexico            Russia            Turkey            

Vietnam            

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BLOOMBERG GLOBAL ROAD SAFETY PROGRAMSTRATEGIES AND PARTNERS

World Health Organization

World Resources Institute/EMBARQ

Johns Hopkins Bloomberg School of Public Health

Global Road Safety Partnership

World Bank Global Road Safety Facility

Association for Safe International Road Travel

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BLOOMBERG GLOBAL ROAD SAFETY PROGRAMSTRATEGIES AND PARTNER ROLES

Interventions Program Initiatives Partner Organizations

Surveillance & Evaluation

• Policy level• Measurement of fatalities and injuries

• WHO• Hopkins

Environment • Reducing road crashes through transport and land-use policies

• Incorporating safety into road design

• EMBARQ• World Bank Global Road Safety Facility

Road Safety Behavior

• Legislation and best practices: helmets, speed, drinking and driving, seat-belt and child restraints

• Training and compliance

• WHO, GRSP, ASIRT

• WHO, GRSP

Post-Crash Care • Pilot program to show feasibility of delivering effective post-crash care

• Hopkins

Optimizing Interventions

• Public education/mass media• Training of public health professionals

• ASIRT, WHO, GRSP, EMBARQ

• Hopkins

NGO Development • Capacity building • ASIRT, GRSP, WHO

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BLOOMBERG GLOBAL ROAD SAFETY PROGRAM

Inputs    Outcomes

Training Paid/Earned Media Capacity Reviews Road Safety Audits Legislative Review Political Economy ±

Improved legislation/regulation Improved enforcement/complianceIncreased seatbelt, helmet, child seatReduced drunk driving and speeding Improved, safer infrastructure Improved trauma care

AdvocacyMeasurement and Evaluation

Goal: Reduction in serious traffic injuries and traffic-related mortality

STATUS OF NATIONAL LEGISLATION2009

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Country

Drinking and Driving Helmets Seat-belts Speed

National Legislation Enforcement National

Legislation Enforcement National Legislation Enforcement National

Legislation Enforcement

Brazil Good Fair         Fair Fair

Cambodia Poor Poor Poor Poor        

China* Good Good         Good Good

Egypt         Poor Fair Fair Fair

India Fair Poor Poor Poor     Set 

subnationally

NA 

Kenya     Poor Poor     Fair Poor

Mexico Fair Poor     Good Poor    

Russia         Good Fair Poor Fair

Turkey*         Good Good Good Good

Vietnam Fair Poor            Source: GSRRS 2009Reported for Bloomberg Intervention Focus Areas Only

* Official government reports of legislation status for China and Turkey may not reflect on-the-ground reality.

STATUS OF NATIONAL LEGISLATIONNOVEMBER 2013

9Source: GSRRS 2009 & 2013 and RS10 updates November 2013

CountryDrinking and Driving Helmets Seat-belts Speed

National Legislation Enforcement National

Legislation Enforcement National Legislation Enforcement National

Legislation Enforcement

Brazil Good Fair         Good Fair

Cambodia Fair Poor Fair Poor        

China Good Good         Good Fair

Egypt         Fair Fair Fair Fair

India Fair Poor Fair Poor      Set sub-nationally NA 

Kenya     Good Poor     Fair Poor

Mexico Fair Fair     Good Fair    

Russia         Good Fair Poor Fair

Turkey         Fair Good Good Good

Vietnam Good Poor Good Good        

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SPEED REDUCTION

Brazil, China, Egypt, Kenya, Russia, Turkey

Brazil –National law allows speed camera installation without public announcement

China –Speeding in Dalian from 32% (2011) to 9% (2012)

Egypt –Police installed 24 speed cameras along the Cairo Ring Road

Russia –Speeding reduced in Lipetsk from 47% (2011) to 26% (2013) & in Ivanovo 55% (2011) to 40% (2013)

Turkey –Local decrees mandating all drivers obey speed limits in Afyon and Ankara; reduction in Afyon from 43% to 29% (2012)

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DRINKING AND DRIVING

Brazil, Cambodia, China, India, Mexico, Vietnam

Brazil –Advocating for new national zero tolerance law

Cambodia –Phnom Penh from 10% (2011) to nearly 0% (2012)

China –Criminalized drinking & driving; passage of a National zero tolerance law

India –Significant police enforcement in Hyderabad; earned media

Mexico –New law in Guadalajara in 2010 reduced legal BAC from .15% to .05%.

Vietnam –Ninh Binh from 23% (2010) to 8% (2011)

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SEAT-BELT USE

Egypt, Mexico, Russia, Turkey

Egypt –awareness raising

Mexico –Guadalajara progress: prevalence 41% (2010) to 51.2% (2013)

Russia –Ivanovo progress: prevalence 48% (2011) to 90 % (2013) –Lipetsk progress: prevalence 52% (2010) to 74% (2013)

Turkey –Local decrees by governors of Afyon and Ankara Afyon prevalence 4% (2012) to 73% (2013)

HELMET USE

Cambodia, India, Kenya, VietnamCambodia –Phnom Penh increased from 32% (2010) to 57% (2013) &

Kandal 18% (2010) to 45% (2013)

India –Completed political mapping on helmet use in Hyderabad

Kenya –International standards adopted by Kenya Bureau of Standards

Vietnam –National level 40% pre-law in 2007 to 90% today; loop holes addressed

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SOCIAL MARKETING CAMPAIGNS & ENFORCEMENT IN RUSSIA

• INCREASED SEAT-BELT USE IN IVANOVO AND LIPETSK, RUSSIA

• SOCIAL MARKETING + ENFORCEMENT

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INTERVENTIONS IN RUSSIASEAT BELT USE

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CHALLENGES

• Minimal civil society capacity• Lack of access to decision makers / politicians• Ministry of Health often not best entry point• Ineffective social marketing campaigns• Low road safety capacity at country level• Police commitment to enforce• Lack of access and poor quality surveillance data –

hospital and police

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BLOOMBERG GLOBAL ROAD SAFETYPROGRAM

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