Road traffic injury in sub-Saharan African countries: A systematic review and summary of observational studies.

Journal Article (Journal Article;Review;Systematic Review)

OBJECTIVE: The aim of this study is to evaluate, through a systematic review of hospital-based studies, the proportion of road traffic injuries and fatalities in sub-Saharan Africa (SSA). METHODS: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis of Observational Studies in Epidemiology guidelines, we searched the following electronic databases: PubMed, Embase, Africa-Wide Information, Global Health, and Web of Science. Articles were eligible if they measured proportion of road traffic injuries (RTIs) in SSA by using hospital-based studies. In addition, a reference and citation analysis was conducted as well as a data quality assessment. RESULTS: Up to 2015, there were a total of 83 hospital-based epidemiologic studies, including 310,660 trauma patients and 99,751 RTI cases, in 13 SSA countries. The median proportion of RTIs among trauma patients was 32% (4 to 91%), of which the median proportion of death for the included articles was 5% (0.3 to 41%). CONCLUSION: The number of studies evaluating RTI proportions and fatalities in SSA countries is increasing but without the exponential rise expected from World Health Organization calls for research during the Decade of Action for Road Traffic Injuries. Further research infrastructure including standardization of taxonomy, definitions, and data reporting measures, as well as funding, would allow for improved cross-country comparisons.

Full Text

Duke Authors

Cited Authors

  • Vissoci, JRN; Shogilev, DJ; Krebs, E; Andrade, LD; Vieira, IF; Toomey, N; Portero Batilana, A; Haglund, M; Staton, CA

Published Date

  • October 3, 2017

Published In

Volume / Issue

  • 18 / 7

Start / End Page

  • 767 - 773

PubMed ID

  • 28448753

Pubmed Central ID

  • PMC6350910

Electronic International Standard Serial Number (EISSN)

  • 1538-957X

Digital Object Identifier (DOI)

  • 10.1080/15389588.2017.1314470


  • eng

Conference Location

  • England