Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Emergency Medicine
Published in: BMC Emergency Medicine 1/2017

Open Access 01-12-2016 | Research article

Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study

Authors: Joseph Kimuli Balikuddembe, Ali Ardalan, Davoud Khorasani-Zavareh, Amir Nejati, Stephen Kasiima

Published in: BMC Emergency Medicine | Issue 1/2017

Login to get access

Abstract

Background

The Kampala Metropolitan Area (KMA) is the fastest developing region in Uganda. Over recent years, this has placed exponential demand on the road sector, which consequently has contributed to rapid growth in motorized vehicles which, predisposes the region to a high risk of road traffic incidents (RTIs). A number of concerted road safety and post-crash management measures to respond to RTIs in the KMA in particular and Uganda as a whole have been undertaken. However, there is a need to greatly improve the measures by better identifying the factors influencing the exposure, vulnerability and emergency medical service (EMS) capacity for RTI victims. The present study seeks to investigate and reveal these factors.

Methods

A Delphi technique employing a questionnaire and involving a multidisciplinary panel of experts was used in three rounds.

Results

The ten (10) most important factors affecting the exposure, vulnerability and EMS capacity for victims of RTIs in the KMA were identified. Socio-cultural, infrastructure and road safety aspects were the factors most identified as affecting the exposure and vulnerability. The absence of a national EMS policy and post-crash care system, as well as the fact that many victims lack health insurance, were noted to be the factors adversely affecting the EMS capacity.

Conclusions

There exists is a real need to substantially reduce the burden of RTIs in KMA, with ultimate goal of saving lives that are being lost needlessly and reducing the impact of injuries and trauma and the economic losses associated with it. This study offers insights into the causes of RTIs and the most appropriate ways of responding to them especially with the establishment and empowerment of predefined and structured EMS systems.
Literature
1.
Kiwanuka M. Budget Speech Financial Year 2013/14: The Journey Continues: Towards Socio-Economic Transformation for Uganda. Kampala; 2013. [cited 2016 March ].
2.
Kobusingye OC, Guwatudde D, Owor G, Lett RR. Citywide trauma experience in Kampala, Uganda: a call for intervention. Inj Prev J. 2002;8(2):133–6.CrossRef
3.
Kigera JWM, Naddumba EK. Patterns of injuries after road traffic crashes involving Bodabodas. Ann Afr Surg. 2010;5:12–5.CrossRef
4.
Sudha J, R Mabweijano JR, Lipnick M.S, Caldwell N, Miyamoto J, Wangoda J, Mijumbi C, Hsia R, Dicker R, Ozgediz D. Current Patterns of Prehospital Trauma Care in Kampala, Uganda and the Feasibility of a Lay-First-Responder Training Program. World J Surg. 2009.
5.
World Health Organization. Global status report on road safety 2015. Geneva: WHO; 2015.
6.
Kampala Capital City Authority. Strategic plan 2014/15-2018/19: laying the Foundation for Kampala City Transformation. Kamapala: KCCA; 2015.
7.
Uganda Police Force. Annual crime and traffic/Road safety report 2009. Kampala: UPF; 2009.
8.
Uganda Police Force. Annual crime and traffic/Road safety report 2010. Kampala: UPF; 2010.
9.
Uganda Police Force. Annual crime and traffic/Road safety report 2011. Kampala: UPF; 2011.
10.
Uganda Police Force. Annual crime and traffic/Road safety reports 2013. Kampala: UPF; 2013.
11.
12.
Gordon TJ, editor. The Delphi method. Futures research methodology, vol. 3.0. 2001.
13.
Japan International Cooperation Agency. The study on greater Kampala Road Network and transport improvement in the Republic of Uganda: final report. Kampala: JICA; 2010.
14.
Ministry of Works and Transport. National Transport Master Plan (NTMP) for the Greater Kampala Metropolitan Area 2008–2023. Kampala: MoWT; 2008.
15.
Uganda Bureau of Statistics. State of Uganda Population. Kampala: UBOS; 2014.
16.
Tehran University of Medical Sciences. Official letter - Project Number: 9213648001–145814. Tehran: Vice Chancellor for Research; 2015.
17.
Uganda National Council of Science and Technology. Research registration number SS-3797. Kampala: Executive Secretary; 2015.
18.
Sudha J, Mabweijano JR, Lipnick MS, Caldwell N, Miyamoto J, Wangoda J, Mijumbi C, Hsia R, Dicker R, Ozgediz D. First things first: effectiveness and scalability of a basic prehospital trauma care program for lay first responders in Kampala, Uganda. PLoS One. 2009;4(9):1–7.
19.
Otieno T, Phillips J, Mbonye B, Beyeza T, Naddumba E. Prehospital and first health facility management of patients with severe musculoskeletal injuries in Uganda. East Cent J Surg. 2011;16(3):45–50.
20.
Haghparast-Bidgoli H, Hasselberg M, Khankeh HR, Khorasani ZD, Eva J. Barriers and facilitators to provide effective pre-hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC Emerg Med. 2010;10:20.CrossRefPubMedPubMedCentral
21.
Khorasani ZD, Khankeh H, Mohammadi R, Laflamme L, Bikmoradi A, Haglund BJ. Post-crash management of road traffic injury victims in Iran. Stakeholders' views on current barriers and potential facilitators. BMC Emerg Med. 2009;9:8.CrossRef
22.
Bigdeli M, Khorasani ZD, Mohammadi R. Pre-hospital care time intervals among victims of road traffic injuries in Iran. A cross-sectional study. BMC Public Health. 2010;10:406.CrossRefPubMedPubMedCentral
23.
Khorasani-Zavareh D, Mohammadi R, Khankeh H, Laflamme L, Bikmoradi A, Haglund BJ. The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC Public Health. 2009;9:486.CrossRefPubMed
24.
Balikuddembe KJ, Ardalan A, Khorasani ZD, Nejati A, Kasiima MS. Road traffic incidents in Uganda: A systematic review study of five years trend. J Inj Violence Res. 2016;9(1).
25.
Trond NSJ, Torbjorn R. Cultural and socio-demographic predictors of car accident involvement in Norway, Ghana, Tanzania and Uganda. Saf Sci. 2012;50:1862–72.CrossRef
26.
Trond NSJ, Torbjorn R. Culture related to road traffic safety: a comparison of eight countries using two conceptualizations of culture. Accid Anal Prev. 2014;62:319–28.CrossRef
27.
Bunn F, Collier T, Frost C, Ker K, Roberts I, Wentz R. Traffic calming for the prevention of road traffic injuries: systematic review and meta-analysis. Inj Prev J. 2003;9:200–4.CrossRef
28.
Khorasani ZD, Bohm K, Khankeh H, Mohammad TT, Mohammadi R, Bigdeli M, Castren M. Why should being visible on the road? A challenge to prevent road traffic injuries among pedestrians in Iran. J Inj Violence Res. 2015;7(2):93–4.
29.
Peden M, et al. World report on road traffic injury prevention. Geneva: World Health Organization; 2004.
30.
Khorasani ZD, Mohammadi R, Laflamme L, Naghavi M, Zarei A, Haglund BJ. Traffic injury deaths in West Azarbaijan province of Iran: a cross-sectional interview-based study on victims’ characteristics and pre-hospital care. Int J Inj Contr Saf Promot. 2009;16(3):119–26.CrossRef
31.
32.
Nasasiira J. Response on behalf of Uganda Government. In: Call for a decade of action for road safety: launch of the second report of the commission for global road safety: 5th May 2009. Rome - Italy. 2009.
33.
Government of Uganda. Uganda National Road Safety Action Plan 2015–2017. Kampala: MoWT; 2015.
34.
United Nations. United Nations Decade of Road Safety Action: 2011–2020. Kampala, New York; 2010.
35.
Khorasani ZD, Shoar S, Saadat S. Antilock braking system effectiveness in prevention of road traffic crashes in Iran. BMC Public Health. 2013;13:439.CrossRef
36.
Khorasani ZD, Mohammadi R, Laflamme L, Naghavi M, Zarei A, Haglund BJ. Estimating road traffic mortality more accurately: use of the capture-recapture method in the West Azarbaijan province of Iran. Int J Inj Contr Saf Promot. 2008;15(1):9–17.CrossRef
37.
Mutto M, Lawoko S, Nansamba C, Ovuga E, Leif S. Unintentional childhood injury patterns, odds, and outcomes in Kampala City: an analysis of surveillance data from the National Pediatric Emergency Unit. J Inj Violence Res. 2011;3(1):13–8.CrossRefPubMedPubMedCentral
38.
Kamulegeya LH, Kizito M, Nassali R, Bagayana S, Elobu AE. The scourge of head injury among commercial motorcycle riders in Kampala; a preventable clinical and public health menace. Africa Health Sci. 2015;15(3):1016–22.CrossRef
39.
Galukande M, Jombwe J, Fualal J, Gakwaya A. Boda-boda injuries a health problem and a burden of disease in Uganda: a tertiary hospital survey. East Cent J Surg. 2009;14(2):33.
40.
Naddumba EK. A cross-sectional retrospective study of Boda Boda injuries at Mulago in Kampala - Uganda. East Cent Afr J Surg. 2004;9(1):44–7.
41.
42.
Kigera JWM, Naddumba EK. Injury to presentation delays among musculoskeletal trauma patients in Uganda. East Afr Orthop J. 2011;5:36–9.
43.
Kobusingye OC, Hyder AA, Bishai D, Manjul J, Eduardo RH, Mock C. Chapter 68: Emergency medical services in low and middle income countries: recommendations for action. Bull World Health Organ. 2005;83(8):1261–79.
44.
Ministry of Health. Uganda National Ambulance Service. Kampala; 2014 [cited 2016].
Metadata
Title
Factors affecting the exposure, vulnerability and emergency medical service capacity for victims of road traffic incidents in Kampala Metropolitan Area: a Delphi study
Authors
Joseph Kimuli Balikuddembe
Ali Ardalan
Davoud Khorasani-Zavareh
Amir Nejati
Stephen Kasiima
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Emergency Medicine / Issue 1/2017
Electronic ISSN: 1471-227X
DOI
https://doi.org/10.1186/s12873-016-0112-3

Other articles of this Issue 1/2017

BMC Emergency Medicine 1/2017 Go to the issue

Research article

A prospective, observational cohort study of patients presenting to an emergency department with acute shoulder trauma: the Manchester emergency shoulder (MESH) project

Research article

Emergency department use and barriers to wellness: a survey of emergency department frequent users

Research article

Locating helicopter emergency medical service bases to optimise population coverage versus average response time

Research article

Recognition and treatment of severe sepsis in the emergency department: retrospective study in two French teaching hospitals

Research article

Improved recognition of ineffective chest compressions after a brief Crew Resource Management (CRM) training: a prospective, randomised simulation study

Research article

Management of potentially life-threatening emergencies at 74 primary level hospitals in Mongolia: results of a prospective, observational multicenter study