Publication:
The Burden of Road Traffic Injuries in Jordan: Evidence for Policy

Loading...
Thumbnail Image
Files in English
English PDF (3.64 MB)
85 downloads
English Text (312.53 KB)
52 downloads
Published
2024-08-01
ISSN
Date
2024-08-01
Author(s)
Bader, Rania
Fawzi, Imad
Elfadel, Diya
Bajaj, Tripti
Sunna, Lana
Dahdah, Said
Editor(s)
Abstract
Road traffic injuries (RTIs) are a critical public health issue in Jordan, as highlighted in the 2022 Annual Report on Road Traffic Injuries. With 169,409 crashes recorded, resulting in 562 deaths and a range of injuries, RTIs have emerged as the leading cause of death for children and young people, and the second-leading cause for adults aged 20-64. This study aims to understand RTI-induced disabilities in Jordan, identify contributing factors, and assess the associated costs for patients. Employing a mixed-methods approach, the research included quantitative and qualitative data collection through hospital-based surveillance and follow-up surveys at one- and three-months post-injury. Six hospitals across Jordan participated, including both public and private institutions. Key informant interviews with stakeholders from various sectors were conducted to gain comprehensive insights. The study’s findings reveal that most RTI patients were male (79 percent) with an average age of 34 years. Crashes predominantly occurred during early mornings and night hours on main roads, involving mainly cars (72 percent) and motorcycles/bicycles (40 percent). A significant number of patients (74 percent) received prehospital care, primarily from ambulance staff. Most patients (66 percent) were fully conscious upon arrival at the emergency room. Injury analysis showed that 58 percent of patients had a single injury, with extremities being the most affected area. Common treatments included sutures and surgical operations, with internal fixation for fractures being prevalent. Financially, 49 percent of patients incurred immediate costs upon hospital admission, and follow-up care also resulted in out-of-pocket expenses, particularly for physiotherapy and medications. Disability outcomes indicated that 79 percent of patients experienced some disability at the one-month follow up, with varying degrees from mild to extreme. By the third month, 73 percent reported no disability, though 26 percent continued to experience mild impairments. This study underscores the significant burden of RTIs in Jordan, highlighting the need for targeted interventions to reduce injuries and support affected individuals.
Link to Data Set
Citation
Bader, Rania; Fawzi, Imad; Elfadel, Diya; Bajaj, Tripti; El-Saharty, Sameh; Sunna, Lana; Dahdah, Said. 2024. The Burden of Road Traffic Injuries in Jordan: Evidence for Policy. © World Bank. http://hdl.handle.net/10986/41982 License: CC BY-NC 3.0 IGO.
Digital Object Identifier
Associated URLs
Associated content
Report Series
Other publications in this report series
Journal
Journal Volume
Journal Issue

Related items

Showing items related by metadata.

  • Publication
    Road Traffic Injuries : A Public Health Crisis in MENA
    (World Bank, Washington, DC, 2013-12) Dahdah, Said; Bose, Dipan
    The Middle East and North Africa (MENA) has made dramatic progress in lowering premature death and disability from most communicable, newborn, nutritional, and maternity causes. However, non-communicable diseases are still extremely high. Road traffic injuries, for example, are the fourth leading cause of death in MENA. Compared to other developing countries, the composition of road injury deaths in the MENA region is much greater. This brief sheds light on the occurrences of such road injuries in MENA, and the possible measures to reduce the frequency of these occurrences.
  • Publication
    The Challenge of Non-Communicable Diseases and Road Traffic Injuries in Sub-Saharan Africa : An Overview
    (World Bank, Washington, DC, 2013-06) Marquez, Patricio V.; Farrington, Jill L.
    This report draws on a comprehensive review of the literature and on input from policy makers, researchers, and practitioners to address four questions: (1) how is the growing burden of non-communicable diseases (NCDs) and road traffic injuries (RTIs) changing the epidemiology of Sub-Saharan Africa? (2) What determines and drives this burden, and what are the commonalities with communicable diseases? (3) What is the rationale for public intervention? (4) How could resource-constrained governments approach NCD prevention and treatment and road safety in a comprehensive, effective and efficient way? The data show that action against NCDs and RTIs in Sub-Saharan Africa is needed, together with continued efforts to address communicable diseases and maternal and child health as well as to reach the Millennium Development Goals (MDGs). The report suggests that NCDs and RTIs should not be tackled separately as a vertical program, nor should they displace communicable diseases as priorities. Instead, given resource constraints, and some shared determinants, characteristics, and interventions, there is scope for an integrated approach focusing on functions (prevention, treatment, and care) rather than on disease categories. Examples are cited of potential opportunities to integrate and add NCD prevention and treatment into existing services and programs. Proven, cost-effective, prevention interventions are clearly needed, many of which (such as tobacco and alcohol taxes, road safety measures, and fuel-efficient ventilated cook-stoves) require action beyond the health sector. These can deliver broader development benefits in addition to their benefits for health. Selective, evidence-based actions to reduce NCDs and RTIs will address the changing disease burden in Africa and achieve a more sustainable improvement in health outcomes, more efficient use of resources, and better equity across patients and populations.
  • Publication
    The Burden of Road Traffic Injuries in Brazil: Evidence for Policy
    (Washington, DC: World Bank, 2025-09-08) Lamas, C.B.; Caldeira, G.P.; Obelheiro, M.R.; Bastos, J.T.
    In 2023, Brazil recorded more than 34,000 fatalities due to road traffic injuries (RTIs). Most of the victims were traveling by motorcycle. This assessment of the burden of RTIs, disabilities, and deaths consists of: (1) a road safety analysis using available official data in Brazil; (2) a computation of globally recognized metrics for assessing the burden of disease, including years of life lost (YLL), years lived with disability (YLD), and disability-adjusted life years (DALYs); (3) a comprehensive cost analysis of traffic crashes in Brazil to estimate expenses related to medical care, hospital stays, production losses, human and administrative costs, property damage, and other traffic-related costs; and (4) the collection and analysis of primary data on RTIs from hospital surveillance and the monitoring of crash victims after hospital discharge—as assessed one and three months after discharge. Key findings from assessing the burden of RTIs in Brazil using global metrics found that, in 2021–22, RTIs and associated deaths resulted in 1.7 million YLL, 637,000 YLD, and 2.34 million DALYs in Brazil. Males accounted for the majority of the total DALYs at 83.7 percent. Motorcyclists contributed to 55.5 percent of total male DALYs, and 39.0 percent of DALYs among women. An estimate of the total costs of road traffic crashes in Brazil—factoring in medical expenses, hospital care, production losses, human costs, administrative expenses, property damage, and other costs—reveals that the total cost of traffic crashes in Brazil is an estimated US$61.3 billion per year, representing 3.8 percent of GDP. Intangible human costs represent 57 percent of the total cost, while production losses make up 17 percent of the total cost. Based on these and other findings from hospital surveys, the study recommends that Brazilian policymakers: (1) embrace road safety as a high political commitment; (2) shift road design culture and practice; (3) implement evidence-based policy from data-driven analysis; and (4) manage exposure through safer modal split.
  • Publication
    Connecting Sectors and Systems for Health Results
    (World Bank, Washington, DC, 2012-12) Pierre-Louis, Anne Maryse; El-Saharty, Sameh; Stanciole, Anderson; Jonas, Olga; Pascual, F. Brian; Oelrichs, Robert; Lorenzo, Montserrat Meiro; Villafana, Tonya; Lavadenz, Fernando; Rock, Marcia
    Strengthening public health, that is, improving the health of whole populations through action across all relevant sectors is at the heart of the World Bank's mission. This policy note takes stock of the global progress in public health over the past decade; lays out the challenges that must be addressed for this progress to be sustained and accelerated; and proposes an approach for the Bank to maximize its contribution to public health in the years ahead. This note comes at a critical juncture, given the important gains made in public health over the past decade. Key global indicators, including life expectancy at birth, under-five mortality and maternal mortality, have shown steady improvement, while initiatives such as the scale-up of polio vaccination and the distribution of bed nets to combat malaria have saved millions of lives. The Bank is proud to have worked with countries and development partners to contribute to these achievements. The note emphasizes that the Bank will need to root its future public health efforts in its areas of comparative advantage, including its capacity to analyze the economic and development impact of health investments, and its extensive experience in working across sectors for health results. The Bank finances investments in all the sectors that impact health, including education, social protection, infrastructure, water and sanitation and transportation, to name a few, and is well placed to help mobilize such sectors through coordinated, population-based interventions to improve health and accelerate development. Given its analytic capability, the Bank has a potentially critical role to play in focusing finite budgets on the most cost-effective actions, particularly in prevention and health promotion.
  • Publication
    Transport for Health : The Global Burden of Disease from Motorized Road Transport
    (Seattle: Institute for Health Metrics and Evaluation, 2014-03-31) Global Road Safety Facility, The World Bank; Institute for Health Metrics and Evaluation
    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.

Users also downloaded

Showing related downloaded files

  • Publication
    Tajikistan Country Climate and Development Report
    (Washington, DC: World Bank, 2025-03-28) World Bank Group
    The Tajikistan Country Climate and Development Report (CCDR) explores the impact of climate change and global decarbonization on Tajikistan’s development. It identifies key areas to enhance climate resilience and deepen decarbonization and outlines priority recommendations for a successful green transition in Tajikistan, requiring structural reforms, climate-conscious policies, and inclusive strategies for a resilient and sustainable future. Despite economic growth and poverty reduction over the past two decades, Tajikistan's reliance on natural resources and remittances has led to unsustainable development, depleting natural capital and limiting job creation. The government’s green transition plan focuses on renewable energy, promising energy security, economic growth, and regional electricity exports. However, further efforts are needed for a resilient development path, including a complementary reform program to bring significant economic benefits, climate adaptation, and low-carbon development that will benefit Tajikistan and Central Asia's electricity systems. Climate change poses significant risks, threatening water security, agricultural productivity, and infrastructure, potentially reducing GDP per capita by 5-6% by mid-century and pushing 100,000 people into poverty. Additional adaptation measures are crucial, focusing on water management, resilient landscapes, climate-smart agriculture, and disaster risk management. A low-carbon development pathway offers a more resilient and prosperous future, with near net-zero emissions in energy and waste sectors by 2050, boosting economic growth, and job creation and reducing air pollution. Achieving these goals requires substantial investments and institutional reforms to mobilize private capital and attract green foreign investment. Development partners can provide financial assistance, technical expertise, and capacity building.
  • Publication
    Kyrgyz Republic Country Climate and Development Report
    (Washington, DC: World Bank, 2025-11-03) World Bank Group
    This Country Climate and Development Report (CCDR) on the Kyrgyz Republic aims to support the country’s development goals amid a changing climate. The CCDR considers two policy scenarios up to 2050: the business-as-usual (BAU) and high-growth scenarios. As it quantifies the likely impacts of climate change on the Kyrgyz economy between now and 2050, the report highlights key government actions to best prepare for and adapt to climate impacts (referred to as “with adaptation” measures), with a particular focus on the time horizon up to 2030. The CCDR also outlines a path to net zero emissions by 2050 (referred to as “with mitigation” measures, “decarbonization,” or, simply, “net zero 2050”), highlighting associated development co-benefits.
  • Publication
    Comoros Country Climate and Development Report
    (Washington, DC: World Bank, 2025-06-18) World Bank Group
    The Union of the Comoros (The Comoros) has significant vulnerability to climate change-related risks but has considerable opportunities to strengthen preparedness and resilience against these challenges. According to the Notre Dame Global Adaptation Index, the Comoros is the 29th-most vulnerable country to climate change and the 163rd most ready to adapt (out of 191). The Comoros archipelago is exposed to many natural hazards that adversely affect the country’s natural capital, people, and physical infrastructure. In 2014, the economic cost of climate-related disasters was estimated at 5.7 million dollars annually, equivalent to 9.2 percent of Gross Domestic Product (GDP). Between 2018 and 2023, as many as 11 tropical depressions or cyclones impacted the country, with Cyclone Kenneth causing the greatest damage, equivalent to 14 percent of GDP, resulting in total economic growth falling from 3.6 percent in 2018 to 1.9 percent in 2019. More than 345,000 people (40 percent of the population) were affected by the cyclone, with 185,000 people experiencing severe impacts and 12,000 people displaced. However, there is an opportunity for the country to grow more robust and shock-responsive, and to establish pre-positioned funding mechanisms to enhance future crisis response efforts. For the Comoros, adaptation and climate-resilient development are the key climate change focus areas, with the country projected to face 836 million dollars 2050 in additional costs due to climate-related impacts. Current plans to adapt to the impacts of climate change in the Comoros include efforts to improve water management, strengthen coastal protection, and develop climate-smart agriculture practices. Given the country’s reliance on its natural resource base for economic growth and mobility, protection of these resources from climate change will be essential for promoting resilient growth and development. In addition to growing the adaptive capacity of the country’s natural resource sectors, strategic economic diversification will be important to help minimize future climate impacts, and development activities will need to be undertaken in such a way as to attract low-carbon co-benefits. The Union of the Comoros is committed to addressing climate change through its Nationally Determined Contribution (NDC) and national priorities. The country’s NDC (which was revised in 2021 for a ten-year horizon) sets ambitious targets, with a goal of reducing greenhouse gas emissions by 23 percent by 2030. The country also plans to significantly increase the share of renewable energy in its energy portfolio, reaching 33 MW by 2030. This will not only promote low-carbon development but also reduce the country’s dependency on imported oil and coal, which currently make up 95 percent of the energy mix. Additionally, the Comoros has declared its intention to increase CO2 removals by 47 percent by 2030, compared to BAU.
  • Publication
    Mongolia Country Climate and Development Report
    (Washington, DC: World Bank, 2024-10-22) World Bank Group
    Mongolia’s development prospects are uniquely challenged by both the impacts of climate change and the global shift toward a low-carbon economy. The country’s efforts toward decarbonization pose significant challenges given the structurally high-emission intensity of its economy. While challenging, climate action also presents Mongolia with opportunities to achieve important development benefits. The effects of climate risks and the shift away from coal will have diverse impacts across different regions, communities, and socioeconomic levels. The report assesses the critical interconnections between Mongolia’s development ambitions and climate change action and identifies ways to transition to a more economically diversified, inclusive, and resilient development path. It highlights key climate and transition risks affecting Mongolia’s future development and presents a pathway to enhance climate mitigation and adaptation. The report also makes a case for strengthening policies to enhance resilience to climate change and ensure a just transition, particularly for the most vulnerable. The report is structured as follows: section 1 gives introduction. Section 2 delves into the linkages between development and climate in Mongolia and presents model-based findings on the economic and poverty impacts of climate change under different scenarios. Section 3 covers four in-depth sectoral analyses. The first two mainly focus on adaptation to climate change in the agriculture and water sectors. The third considers prospects for the extraction sector, while the fourth sectoral analysis focuses on decarbonizing power and heat generation. Section 4 shifts the focus to how the government can boost resilience for climate-vulnerable populations. Section 5 outlines options for mobilizing private and public financing and private investments to support the green transition. Section 6 examines the existing institutional and governance structure for climate action and presents recommendations to improve its effectiveness, and section 7 concludes with a framework for prioritizing the policy actions outlined in this report.
  • Publication
    Guinea-Bissau Country Climate and Development Report
    (Washington, DC: World Bank, 2024-10-23) World Bank Group
    Guinea-Bissau is endowed with a wealth of natural resources, with the highest natural capital per capita in West Africa (US3,874 dollars per capita), which could be leveraged for sustainable and resilient growth. However, Guinea-Bissau faces significant development hurdles, such as high poverty rates, political instability, and economic challenges, including an over-reliance on cashew nuts. Rural poverty has increased, and the nation's infrastructure, education, and health care systems are underdeveloped. Climate change poses a severe threat, potentially impacting agriculture, fisheries, and infrastructure. Without adaptation, it could lead to a significant cut in real GDP per capita (minus 7.3 percent by 2050) and increase in poverty (with up to over 200,000 additional poor by 2050, that is, 5 percent of the expected population, in the worst scenario). The country's low greenhouse gas emissions are expected to rise, mainly due to agriculture and land-use changes, with deforestation being a major contributing factor. Although Guinea-Bissau is a low emitter, it has high mitigation ambitions, targeting a 30 percent reduction in greenhouse gas emissions by 2030. The Nationally Determined Contribution outlines significant climate actions, with initiatives focused on forest conservation, sustainable agriculture, and community development. However, the country's political instability, institutional weaknesses, and limited financial resources pose challenges to implementing these climate commitments, which depend heavily on external funding. The financial sector's underdevelopment and vulnerability to external shocks limit its ability to support green investments, though reforms could enhance resilience. Guinea-Bissau must consider its climate financing as development financing and vice-versa, engage the private sector, and integrate climate goals with national development plans to ensure a sustainable future. Concessional climate financing is vital due to the underdeveloped financial sector and the government’s limited borrowing capacity. Addressing Guinea-Bissau's vulnerability to climate change and its structural issues requires a cohesive approach that integrates development and climate strategies. This could involve improving governance, diversifying the economy, protecting natural capital, developing human capital, and investing in sustainable agriculture and infrastructure. The transition to a more sustainable and inclusive development pathway that supports economic growth is possible, but requires focusing on key strategic sectors, enhancing institutional capacity, and creating the conditions to mobilize finance. As a highly vulnerable country, there are myriad needs in the different sectors; however, to be more efficient and effective, Guinea-Bissau should prioritize actions in a few sectors, especially actions on biodiversity, agriculture, and social protection. Low carbon development, especially in energy and forestry sectors, could provide cost-efficient solutions and attract climate finance, including from the private sector, which will support the overall development agenda.