Geospatial analysis of injury severity on major roads in Ghana (2017-2020): implications for targeted injury prevention and control initiatives.

Planning Policy Public Health Surveillance

Journal

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
ISSN: 1475-5785
Titre abrégé: Inj Prev
Pays: England
ID NLM: 9510056

Informations de publication

Date de publication:
29 Aug 2024
Historique:
received: 02 02 2024
accepted: 18 07 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 29 8 2024
Statut: aheadofprint

Résumé

Road safety authorities in high-income countries use geospatial motor vehicle collision data for planning hazard reduction and intervention targeting. However, low-income and middle-income countries (LMICs) rarely conduct such geospatial analyses due to a lack of data. Since 1991, Ghana has maintained a database of all collisions and is uniquely positioned to lead data-informed road injury prevention and control initiatives. We identified and mapped geospatial patterns of hotspots of collisions, injuries, severe injuries and deaths using a well-known injury severity index with geographic information systems statistical methods (Getis-Ord Gi*). We identified specific areas (4.66% of major roads in urban areas and 6.16% of major roads in rural areas) to target injury control. Key roads, including National Road 1 (from the border of Cote D'Ivoire to the border of Togo) and National Road 6 (from Accra to Kumasi), have a significant concentration of high-risk roads. A few key road sections are critical to target for injury prevention. We conduct a collaborative geospatial study to demonstrate the importance of addressing data and research gaps in LMICs and call for similar future research on targeting injury control and prevention efforts.

Sections du résumé

BACKGROUND BACKGROUND
Road safety authorities in high-income countries use geospatial motor vehicle collision data for planning hazard reduction and intervention targeting. However, low-income and middle-income countries (LMICs) rarely conduct such geospatial analyses due to a lack of data. Since 1991, Ghana has maintained a database of all collisions and is uniquely positioned to lead data-informed road injury prevention and control initiatives.
METHODS METHODS
We identified and mapped geospatial patterns of hotspots of collisions, injuries, severe injuries and deaths using a well-known injury severity index with geographic information systems statistical methods (Getis-Ord Gi*).
RESULTS RESULTS
We identified specific areas (4.66% of major roads in urban areas and 6.16% of major roads in rural areas) to target injury control. Key roads, including National Road 1 (from the border of Cote D'Ivoire to the border of Togo) and National Road 6 (from Accra to Kumasi), have a significant concentration of high-risk roads.
CONCLUSIONS CONCLUSIONS
A few key road sections are critical to target for injury prevention. We conduct a collaborative geospatial study to demonstrate the importance of addressing data and research gaps in LMICs and call for similar future research on targeting injury control and prevention efforts.

Identifiants

pubmed: 39209737
pii: ip-2024-045270
doi: 10.1136/ip-2024-045270
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Aldina Mesic (A)

Global Health, University of Washington, Seattle, Washington, USA amesic@uw.edu.
Primary Care and Public Health, Imperial College London, London, UK.
Global Injury Control Section, Harborview Injury Prevention & Research Center, Seattle, Washington, USA.

James Damsere-Derry (J)

Building and Road Research Institute, Kumasi, Ghana.

Caryl Feldacker (C)

Global Health, University of Washington, Seattle, Washington, USA.

Joshua Larley (J)

Building and Road Research Institute, Kumasi, Ghana.

Irene Opoku (I)

Building and Road Research Institute, Kumasi, Ghana.

Daniel Hardy Wuaku (DH)

National Road Safety Authority, Accra, Ghana.

Martin Owusu Afram (MO)

National Road Safety Authority, Accra, Ghana.

Ernest Ekuban (E)

Ghana Highway Authority, Accra, Ghana.

Stephen J Mooney (SJ)

Epidemiology, University of Washington, Seattle, Washington, USA.

Adam Gyedu (A)

Surgery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Directorate of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Charles N Mock (CN)

Global Health, University of Washington, Seattle, Washington, USA.
Global Injury Control Section, Harborview Injury Prevention & Research Center, Seattle, Washington, USA.
Epidemiology, University of Washington, Seattle, Washington, USA.
Surgery, University of Washington, Seattle, Washington, USA.

Angela E Kitali (AE)

Civil Engineering, University of Washington, Tacoma, Washington, USA.

Brad H Wagenaar (BH)

Global Health, University of Washington, Seattle, Washington, USA.

Maxwell Osei-Ampofo (M)

Emergency Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana.

Barclay T Stewart (BT)

Global Injury Control Section, Harborview Injury Prevention & Research Center, Seattle, Washington, USA.
Surgery, University of Washington, Seattle, Washington, USA.

Classifications MeSH