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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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Date: Jul 2013

In an effort to reduce the burgeoning burden of road traffic injuries and fatalities, governments, non-governmental organizations (NGOs), and researchers like the JH-IIRU team work to implement interventions that will reduce the number of road-related deaths and injuries. Such efforts, however, are often tied to budget constraints. Performing cost-benefit analyses can be a useful tool for priority-setting for road safety interventions.

Recently, JH-IIRU team member, research assistant, Andres Vecino-Ortiz, published “The Use of Cost-Benefit Analysis in Road Assessments: A Methodological Inquiry,” in Injury Prevention. The paper evaluates the rapid assessment metric to estimate the value of statistical life (VOSL) developed by the International Road Assessment Program (iRAP). VOSL is a metric used to estimate the benefits of road safety interventions in cost-benefit analysis.

The iRAP tool can be used to estimate the return of road safety interventions in low- and middle-income countries (LMICs), as it aims to calculate the costs of death and serious injuries that would be prevented by road infrastructure improvements. The paper found that the metric has some challenges that should be taken into consideration in VOSL estimations; the paper recommended that the tool disclose assumptions, use sensitivity analysis and avoid omitted variables bias.

To read more, access the paper here:

As part of the Bloomberg Philanthropies Global Road Safety Program, the Johns Hopkins International Injury Research Unit (JH-IIRU) and collaborators from the Middle East Technical University (METU) recently hosted a road safety training workshop in Ankara, Turkey.

The two-day workshop, “Monitoring and Evaluation Methods for Road Safety,” aimed to strengthen the in-country capacity for monitoring and evaluation of road safety programs in Turkey. The more than fifty attendees included members of the Turkish National Police, faculty members from several Turkish universities, and representatives from the Ministry of Health, as well as various health professionals from across Turkey.

JH-IIRU team member, associate scientist, Dr. Shivam Gupta and METU faculty member, Türker Özkan, lead two sessions, an introduction to program evaluation and a discussion on the indicators for road safety program evaluation. Other topics of discussion included data collection methodologies and key issues and applications of road policing. In addition to Dr. Gupta, JH-IIRU research assistant, Connie Hoe, was in attendance as well.

Additional workshop collaborators included the World Health Organization (WHO), Global Road Safety Partnership (GRSP) and the Association for Safe International Road Travel (ASIRT).

Dr. Shivam Gupta

JH-IIRU research assistant, Connie Hoe

While nearly 90% of all worldwide trauma and injury-related deaths and disabilities occur in low- and middle-income countries (LMICs), information about the process and quality of trauma care is lacking, even though a significant number of these deaths could be averted through improvement in trauma care in these countries.

Trauma registries—databases used to monitor and enhance the quality of trauma care—are well-established in many high income countries (HICs), yet in many LMICs they are underdeveloped and incomplete.

Recently, JH-IIRU and colleagues from Aga Khan University published a paper on the development and pilot implementation of a trauma registry in Karachi, Pakistan. The paper examined the structure, process of development and pilot implementation of a locally-developed, electronic registry, The Karachi Trauma Registry (KITR). The paper also described lessons learnt during the implementation.

KITR is the first electronic trauma registry in Pakistan developed with local resources. This registry was able to generate surveillance data such as mechanism of injuries, burden of severe injuries and quality indicators such as length of stay in ED, injury to arrival delay, injury severity and survival probability. This registry is important because TRs have historically been used to promote injury prevention, change policies and evaluate trauma system effectiveness.

“Development and Pilot Implementation of a Locally Developed Trauma Registry: Lessons Learnt in a Low-Income Country,” appears in BMC Emergency Medicine. To read more, click here:

Nino Paichadze is the newest addition to the JH-IIRU staff. Nino is a medical doctor with management experience in medical products and services sectors, and also holds a MPH in health leadership and management from Hopkins. She is fluent in English, Russian and Georgian. Her previous postdoctoral training focused on leadership, management and governance in low- and middle-income countries. We are delighted to have her work with our Bloomberg Philanthropies Global Road Safety Program (Russia), training component, and support other special projects as well.

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