Publication: Trauma Incidence and Care in Tanzania: Report of Trauma Cases in a Sample of Health Facilities with a Focus on Road Traffic Crashes (2019-2020)
Loading...
Date
2021-05
ISSN
Published
2021-05
Author(s)
Editor(s)
Abstract
Injuries due to road traffic crashes (RTCs) are one of the major causes of mortality in developing countries, with higher numbers of fatalities in the Sub-Saharan African (SSA) region and specifically in Tanzania, where fatalities due to RTCs are almost 1.7 times the global rate. This critical problem was at the heart of the Government of Tanzania’s decision to adopt the road safety policy, 2009 with the key aim of reducing mortality and morbidity for crash victims. The outcomes for the crash victims can be improved by strengthening emergency medical services (EMS) and better, reliable trauma data. Yet, survey findings from the report the state of EMS in SSA reveal that very few countries in the SSA region have developed systematic and sustainable EMS systems at scale. The goal of this report is to present some of the insights that can be gained from the one year of detailed trauma data collection across 13 health facilities in Tanzania in order to encourage further use of these data to help inform policymakers on the current situation and help feed into more data-informed decisions.
Link to Data Set
Citation
“World Bank. 2021. Trauma Incidence and Care in Tanzania: Report of Trauma Cases in a Sample of Health Facilities with a Focus on Road Traffic Crashes (2019-2020). © World Bank. http://hdl.handle.net/10986/37884 License: CC BY 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Transport for Health : The Global Burden of Disease from Motorized Road Transport(Seattle: Institute for Health Metrics and Evaluation, 2014-03-31)This report summarizes the findings of a long and meticulous journey of data gathering and analysis to quantify the health losses from road deaths and injuries worldwide, as part of the path-finding Global Burden of Disease (GBD) study. It is important, first, to acknowledge the profound contribution made by the lead authors and global team of injury prevention professionals to estimate the disease burden of road trauma, before absorbing their findings and recommendations. Without their dedication and tenacity, the way forward would be less certain. The first GBD study, published nearly two decades ago, signaled an emerging road safety crisis in developing regions of the world. It triggered a remarkable program of global advocacy that culminated in the United Nations decade of action for road safety and global plan to bring road safety outcomes under control in these regions by 2020. However, limited investment has been mobilized so far to implement the UN initiative. The second GBD studies, and related analyses presented in this report, confirm the importance of road safety as a global development priority and the urgency with which it must be addressed. The report's findings highlight the growth in road deaths and injuries globally, and their substantial impacts on maternal and child health, despite sustained reductions over the last three to four decades in high-income countries. Combined with the deaths arising from vehicle pollution, the road transport death toll exceeds that of, for example, HIV/AIDS, tuberculosis, malaria, or diabetes. This statistic further reinforces the call for global action. Without these GBD estimates we would not have a clear picture of the true situation because official country data in the developing world vastly understate the scale of road transport health losses.Publication Road Safety(Washington, DC, 2003-09)In 1999, between 750 000 and 880 000 persons died in road crashes worldwide, and another 23 to 34 million people were injured. The situation is particularly critical in low and middle income countries (LMCs) where about 86 percent of deaths from road traffic injuries occur even though these countries account for only 40 percent of all motor vehicles. The graph shows that the situation has been worsening in LMCs since 1987. There are strong social, health and economic reasons to reduce the burden of road traffic injuries (RTIs): a) casualties affect mostly economically active persons and have a ripple effect on their dependents, causing suffering and poverty; and b) crash victims represent between 30 and 86 percent of all trauma admissions. They tend to stay in hospital longer than average patients. Developed countries have been relatively successful in reducing the burden of RTIs. This shows that more, better targeted and sustainable investment can prevent RTIs and reduce the damage that results from crashes. Poorer countries clearly need a new and broader approach to road safety.Publication Confronting "Death on Wheels"(Washington, DC, 2009-11)This report provides an overview of the challenges and opportunities in addressing road safety in the Europe and Central Asia (ECA) region. It presents information on the size, characteristics, and causes of the problem; presents evidence on the effectiveness of measures that countries world-wide have adopted to improve road safety; briefly describes current international road safety policy; and discusses a range of strategies and actions that could be undertaken by the World Bank in coordination and partnership with the World Health Organization (WHO), multilateral development banks, other international agencies and donors, as well as with private and civil society institutions. A primary audience of this report is internal-particularly managers and staff of the World Bank working in the transport, health, education, and governance sectors, to raise awareness about the multisectoral nature of the road safety challenge and of effective options to address it. It proposes ways that the World Bank might engage more to support ECA countries in tackling this issue, working in partnership with other international agencies and donors. The secondary audience is external policymakers, senior analysts, program managers, and their advisers in the governments of ECA countries, private sector officials, and civil society and international organizations working in this field. The goal is to support discussion on appropriate choices and instruments for advancing the road safety agenda as a top development priority over the short and medium term.Publication Tackling NCDIs in Cambodia : An Opportunity for Inter - and Itra-Sectoral Synergies(Washington, DC, 2014-11)Non-communicable diseases (NCDs) are a set of chronic diseases, including cardiovascular disease, cancer, chronic respiratory disease, and diabetes that are on the rise in Cambodia. Meanwhile, injuries include those due to traffic accidents, which are becoming a major source of mortality and morbidity in Cambodia. NCDs are increasing in Cambodia as a result of smoking, unhealthy diet, harmful use of alcohol, and physical inactivity, all resulting in a sharp increase in the rates of obesity and high blood pressure. NCDs are affecting Cambodians in their productive years. Over half men and over a third of women dying from NCDs are younger than 60 years. The high cost of long-term health care and medicines, along with loss of income, pushes many Cambodian families deeper into poverty. It also overburdens the country's health system, constraining efforts to improve maternal and child health and tackle infectious diseases. Because of the nature of NCDs, which are rooted in multiple causes, strengthening the health system alone will not reduce the burden of NCDs. Many of the actions needed to prevent and control these diseases require the participation of numerous ministries and government agencies, as well as the private sector. For Cambodians to continue enjoying the fruits of economic growth, a strong commitment by the government, the people, and the international community is becoming increasing important. Improved coordination among all ministry of health (MOH) task forces will maximize financial and human resources and help implement priority NCDI-related interventions as part of, and not separate from, other ongoing programs. The application of the measures will benefit from clear procedures for joint planning, programming, budgeting, training, reporting, and monitoring and evaluation (M and E) of all programs.Publication Dangerous Roads : Russia’s Safety Challenge(World Bank, Washington, DC, 2010-07)As in many countries of the Europe and Central Asia Region (ECA), vehicle ownership in Russia has grown faster in the last decade than the decline in the rate of fatalities per vehicle. At the same time, road safety policies and interventions have not kept pace with the boom in motorization. In 2008, the motor vehicle fleet in the country exceeded 41 million cars, up 24 percent from 2004, and the number of drivers licensed increased by 40 percent during this period. In 2008, Russia saw nearly 30,000 road traffic deaths and about 271,000 non-fatal road traffic injuries. While these figures represent a drop of 13 percent from 2004, Russia's road traffic mortality rate is still five times higher than what is seen in several European Union (EU) countries, about twice more than in the United States, higher than in other Eastern European countries such as Poland and Hungary, and higher than the average for Commonwealth of Independent States (CIS) countries.
Users also downloaded
Showing related downloaded files
Publication Energy Sector Decarbonization in Vietnam(Washington, DC, 2022-06)Vietnam has made remarkable economic progress over the past 30 years; however, growth was supported by increasing reliance on coal-based energy. The energy sector would continue the expansion of coal-based energy with the significant increase in the installed capacity of coal power plants under previous plans. Vietnam has committed to achieving net-zero emissions by 2050 and gradually phasing out the use of coal for power generation. Selecting lower carbon pathways for the future growth of the energy sector requires the study of interdependencies of the power system through a robust analytical approach. The choice of decarbonization scenario should be based on a careful review of implications and opportunities at the sector level as well as more broadly at the level of the economy. Energy sector decarbonization would require the development of ‘just transition’ oriented policies and regulations to support the people, communities, and businesses. World Bank Group stands ready to provide comprehensive support for designing and implementing a low-carbon future for the energy sector.Publication Vietnam(World Bank, Hanoi, 2020-05-01)Following from Vietnam’s ratification of the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) in late 2018 and its effectiveness from January 2019, and the European Parliament’s recent approval of the European Union-Vietnam Free Trade Agreement (EVFTA) and its subsequent planned ratification by the National Assembly in May 2020, Vietnam has further demonstrated its determination to be a modern, competitive, open economy. As the COVID-19 (Coronavirus) crisis has clearly shown, diversified markets and supply chains will be key in the future global context to managing the risk of disruptions in trade and in supply chains due to changing trade relationships, climate change, natural disasters, and disease outbreaks. In those regards, Vietnam is in a stronger position than most countries in the region. The benefits of globalization are increasingly being debated and questioned. However, in the case of Vietnam, the benefits have been clear in terms of high and consistent economic growth and a large reduction in poverty levels. As Vietnam moves to ratify and implement a new generation of free trade agreements (FTAs), such as the CPTPP and EVFTA, it is important to clearly demonstrate, in a transparent manner, the economic gains and distributional impacts (such as sectoral and poverty) from joining these FTAs. In the meantime, it is crucial to highlight the legal gaps that must be addressed to ensure that national laws and regulations are in compliance with Vietnam’s obligations under these FTAs. Readiness to implement this new generation of FTAs at both the national and subnational level is important to ensure that the country maximizes the full economic benefits in terms of trade and investment. This report explores the issues of globalization and the integration of Vietnam into the global economy, particularly through implementation of the EVFTA.Publication Democratic Republic of Congo Urbanization Review(Washington, DC: World Bank, 2018)The Democratic Republic of Congo has the third largest urban population in sub-Saharan Africa (estimated at 43% in 2016) after South Africa and Nigeria. It is expected to grow at a rate of 4.1% per year, which corresponds to an additional 1 million residents moving to cities every year. If this trend continues, the urban population could double in just 15 years. Thus, with a population of 12 million and a growth rate of 5.1% per year, Kinshasa is poised to become the most populous city in Africa by 2030. Such strong urban growth comes with two main challenges – the need to make cities livable and inclusive by meeting the high demand for social services, infrastructure, education, health, and other basic services; and the need to make cities more productive by addressing the lack of concentrated economic activity. The Urbanization Review of the Democratic Republic of Congo argues that the country is urbanizing at different rates and identifies five regions (East, South, Central, West and Congo Basin) that present specific challenges and opportunities. The Urbanization Review proposes policy options based on three sets of instruments, known as the three 'I's – Institutions, Infrastructures and Interventions – to help each region respond to its specific needs while reaping the benefits of economic agglomeration The Democratic Republic of the Congo is at a crossroads. The recent decline in commodity prices could constitute an opportunity for the country to diversify its economy and invest in the manufacturing sector. Now is an opportune time for Congolese decision-makers to invest in cities that can lead the country's structural transformation and facilitate greater integration with African and global markets. Such action would position the country well on the path to emergence.Publication Spearheading Vietnam’s Green Agricultural Transformation(Washington, DC, 2022)This report focuses on promoting low-carbon rice production systems in Vietnam. There are many sources of greenhouse gas (GHG) emissions within the agricultural sector in Vietnam, including along value chains and within the whole agri-food context. However, because rice production is so important to the country and to emission reductions in agriculture, this report focuses on known actions that can be rapidly upscaled, along with other complementary actions to reduce GHG emissions from rice production systems. The report covers emission reduction pathways in rice. This report assesses agronomic and other options that offer technically and economically feasible pathways to promote low-carbon rice. Some options have been piloted in Vietnam and require significant upscaling at the farm-level. This report considers challenges and practical actions and policy reforms to address these challenges for Vietnam’s low-carbon transition (LCT) in rice.Publication Tanzania Health Financing Policy Notes(World Bank, Washington, DC, 2020-03)This note reviews the role of domestic financing sources other than general government budget allocations in Tanzania’s health financing architecture. These include funds raised from user fees or cost sharing, reimbursements from the national health insurance fund (NHIF), funds made available from the improved community health fund (iCHF), insurance for workers in the urban informal sector (TIKA), and other private insurance. In Tanzania, these are referred to as complimentary financing mechanisms.