Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers

In urban Malawi, road traffic injuries (RTIs) in children are on the increase, and yet there are no studies that have been conducted to explore the risk and prevention strategies for childhood RTIs. This study explored the caregivers and traffic police officers’ perspectives of risk and prevention...

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Main Author: Kapuyanyika, Cosmas
Format: Thesis
Language:English
Published: 2021
Online Access:http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/182
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author Kapuyanyika, Cosmas
author_facet Kapuyanyika, Cosmas
author_sort Kapuyanyika, Cosmas
collection DSpace
description In urban Malawi, road traffic injuries (RTIs) in children are on the increase, and yet there are no studies that have been conducted to explore the risk and prevention strategies for childhood RTIs. This study explored the caregivers and traffic police officers’ perspectives of risk and prevention strategies of childhood RTIs in urban Malawi. The specific objectives of the study were: to describe perceptions of caregivers and traffic police officers on risks associated with childhood RTIs, and to describe prevention strategies. Ethical approval and clearance certificates were granted by the College of Medicine Research and Ethics Committee to conduct the study. The office of the Inspector General of Police, Hospital Directors of Kamuzu, and Queen Elizabeth Central Hospitals granted written authorizations to collect data from their institutions. The study used a qualitative exploratory design. 32 participants were recruited purposively; 20 caregivers of children hospitalized with RTIs at Kamuzu and Queen Elizabeth Central Hospitals, 12 traffic police officers in Lilongwe and Blantyre. All participants gave written consents and in-depth interviews using semi-structured interview guides were administered by the researcher face- to- face to collect data which was recorded verbatim. The data was converted into categories, then coded to establish subthemes. The predetermined themes were developed from the study objectives. Findings: the participants’ perceived risks for childhood RTIs were: overpopulated urban areas with poor road infrastructure, permanent buildings within road reserve spaces, as well as role fulfillment challenges particularly by caregivers, drivers, and school teachers that manifest as lack of adult supervision on child road users, exposing children to child labour that involves road usage; lack of teaching on road safety and drunken driving. The participants’ perceived prevention strategies for childhood RTIs were: improving road safety knowledge through outreach programs; promoting compliance with road safety rules and regulations through improving adult supervision of children on safer road usage, more protection of children from child labour; improving road infrastructure with more traffic lanes, traffic signs, computerized monitoring of traffic offenders; avoiding placement of permanent buildings within road reserves. In conclusion, there is a need for a multisectoral approach to the implementation of the prevention strategies for childhood RTIs in urban Malawi.
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spelling oai:nkhokwe.kuhes.ac.mw:20.500.12845-1822023-03-12T00:00:21Z Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers Kapuyanyika, Cosmas In urban Malawi, road traffic injuries (RTIs) in children are on the increase, and yet there are no studies that have been conducted to explore the risk and prevention strategies for childhood RTIs. This study explored the caregivers and traffic police officers’ perspectives of risk and prevention strategies of childhood RTIs in urban Malawi. The specific objectives of the study were: to describe perceptions of caregivers and traffic police officers on risks associated with childhood RTIs, and to describe prevention strategies. Ethical approval and clearance certificates were granted by the College of Medicine Research and Ethics Committee to conduct the study. The office of the Inspector General of Police, Hospital Directors of Kamuzu, and Queen Elizabeth Central Hospitals granted written authorizations to collect data from their institutions. The study used a qualitative exploratory design. 32 participants were recruited purposively; 20 caregivers of children hospitalized with RTIs at Kamuzu and Queen Elizabeth Central Hospitals, 12 traffic police officers in Lilongwe and Blantyre. All participants gave written consents and in-depth interviews using semi-structured interview guides were administered by the researcher face- to- face to collect data which was recorded verbatim. The data was converted into categories, then coded to establish subthemes. The predetermined themes were developed from the study objectives. Findings: the participants’ perceived risks for childhood RTIs were: overpopulated urban areas with poor road infrastructure, permanent buildings within road reserve spaces, as well as role fulfillment challenges particularly by caregivers, drivers, and school teachers that manifest as lack of adult supervision on child road users, exposing children to child labour that involves road usage; lack of teaching on road safety and drunken driving. The participants’ perceived prevention strategies for childhood RTIs were: improving road safety knowledge through outreach programs; promoting compliance with road safety rules and regulations through improving adult supervision of children on safer road usage, more protection of children from child labour; improving road infrastructure with more traffic lanes, traffic signs, computerized monitoring of traffic offenders; avoiding placement of permanent buildings within road reserves. In conclusion, there is a need for a multisectoral approach to the implementation of the prevention strategies for childhood RTIs in urban Malawi. 2021-05-13T15:13:04Z 2021-11-03T06:47:03Z 2021-05-13T15:13:04Z 2021-11-03T06:47:03Z 2020-10-01 Thesis http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/182 en application/pdf
spellingShingle Kapuyanyika, Cosmas
Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title_full Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title_fullStr Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title_full_unstemmed Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title_short Risks and prevention strategies of road traffic injuries in children in urban Malawi: perspectives of caregivers and traffic police officers
title_sort risks and prevention strategies of road traffic injuries in children in urban malawi: perspectives of caregivers and traffic police officers
url http://nkhokwe.kuhes.ac.mw:8080/handle/20.500.12845/182
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