Challenges of establishing a road traffic injury surveillance system: a qualitative study in a middle-income country

Authors

  • Sakineh Sharifian Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Reza Khani Jazani Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Homayoun Sadeghi-Bazargani Road Traffic Injury Research Center, Department of Statistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Davoud Khorasani-Zavareh Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. http://orcid.org/0000-0001-6265-8148

DOI:

https://doi.org/10.5249/jivr.v11i2.1228

Keywords:

Qualitative study; Surveillance; Road traffic injury; Crash; Stakeholder

Abstract

Abstract:

Background: Establishing effective road traffic injury surveillance is an important priority for low- and middle-income countries since a large proportion of fatal road traffic injuries occur in these countries. A surveillance system can coordinate the activities and compile the data gathered by all road safety organizations. This study aims to explore the challenges of establishing road traffic injury surveillance based on the stakeholders’ experiences.

Methods: This is a qualitative content analysis study that was performed in 2018 in Iran. The study was conducted through interviews with 13 participants and employed purposeful sampling. Data generation was continued until concept saturation.

Results: Five main categories and 17 sub-categories were identified including: policy-making (legal authority, stakeholders, content policy and plan); process (collection and recording, analysis and interpretation, dissemination and feedback); resources and infrastructure (technology, staff, structure, finance); coherence and coordination (communication, dispersion, cooperation, consensus); and context (socio-cultural, political).

Conclusions: By creating a clear structure for a road traffic injury surveillance system, identifying data collection systems and stakeholders in the field of road safety and injury prevention, determining a clear goal for improving road safety, and formulating policies for the dissemination of road traffic crash data among stakeholders, it will be possible to overcome the obstacles to establishing a surveillance system for road traffic injury.

Author Biography

Davoud Khorasani-Zavareh, Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

*Corresponding author: Department of NVS Division of Family Medicine and Primary, Care,

Karolinska Institutet, Stockholm, Sweden

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Published

2019-06-17

How to Cite

Sharifian, S., Jazani, R. K., Sadeghi-Bazargani, H., & Khorasani-Zavareh, D. (2019). Challenges of establishing a road traffic injury surveillance system: a qualitative study in a middle-income country. Journal of Injury and Violence Research, 11(2), 179–188. https://doi.org/10.5249/jivr.v11i2.1228

Issue

Section

Original Research Article

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