Specific road safety issues in low- and middle income countries (LMICs): an overview and some illustrative examples
Authors: Godthelp Hans , Ksentini Ahmed 
Published: November 2024

This paper gives an overview of the work of PIARC Working Group 3.1.1 ‘Specific road safety issues for LMICs’. The working group performed its activities in the period 2019–2023. We prepared two deliverables: (a) a literature review, and (b) an overview of illustrative examples. The review started from the notion that the road safety problem requires a multi-disciplinary approach. The safe system approach is generally considered as the central concept for this purpose and this starting point is also taken in this study. However new directions are needed to make the safe system concept work in LMICs. The period of the first UN Decade of Action for Road Safety has brought us a series of valuable problem analysis and overview articles prepared by a variety of institutions and institutes. As a PIARC working group we did not repeat this effort, but used it as a starting point to indicate which specific issues do require a boost in LMICs for the coming period up to 2030. We concluded that the following 12 issues deserve special attention. Strategical: (i) Sustainable Development Goals integral approach, (ii) safety culture, (iii) road safety management and leadership, (iv) building road safety expertise and science; Tactical: (v) transportation system as a whole, (vi) city design, architecture, land use, rural planning, (vii) cost effectiveness, (viii) legislation and enforcement; Operational: (ix) speed, (x) sustainable safe roads, (xi) vehicles as a safe system component, (xii) post-crash health care. As a result of our discussions and analyses we also concluded that it is worthwhile and necessary to make a distinction between the issues in terms of levels of approach. Making roads and vehicles safe may be considered as operational safety measures on a component level, whereas city design and transport system issues do represent a more tactical approach. On top of that, organisational and cultural aspects do have a more strategical nature. As in many managerial and planning tasks the distinction between strategical, tactical and operational levels of approach is needed in the road safety field. It illustrates that the Safe System concept asks for a multi-level vision, thus preventing a silo approach with a limited focus on human behaviour, safe roads or vehicle safety. A further analysis for each of the selected issues resulted in priority areas, i.e. topics that deserve special attention in the LMIC context. In a similar line of reasoning we also described illustrative examples, i.e. LMIC related before-after studies that show the perspective of certain measures on an evidence basis. Although we found some illustrative cases for each of these issues, our search for evidence based cases confirmed the findings from recent overview articles indicating the lack of LMIC related road safety research. A more widespread implementation of effective road safety measures in LMICs would require a stronger national commitment and leadership from the road safety agencies point of view in the first place. Moreover an evidence based policy asks for a strong national and regional knowledge infrastructure. Ultimately road safety policies and road safety research programs are to be considered as inseparable. A strong local knowledge infrastructure may thus become the basis for an effective national road safety policy.