Built environment analysis for road traffic hotspot locations in Moshi,Tanzania |
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| Authors: | Meredith Waldon Treasure Joelson Ibingira Luciano de Andrade Blandina T Mmbaga João Ricardo N Vissoci Mark Mvungi |
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| Institution: | 1. Division of Emergency Medicine, Duke University, Durham, NC, USA;2. Kilimanjaro Christian Medical Center, Moshi, Tanzania;3. Department of Medicine, State University of Maringa, Maringa, Brazil;4. Kilimanjaro Clinical Research Institute, Moshi, Tanzania;5. Duke Global Health Institute, Duke University, Durham, NC, USA;6. Division of Global Neurosurgery and Neuroscience, Duke University, Durham, NC, USA |
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| Abstract: | Road traffic injuries (RTIs) cause significant morbidity and mortality in low- and middle-income countries. Investigation of high risk areas for RTIs is needed to guide improvements. This study provides built environmental analysis of road traffic crash hotspots within Moshi, Tanzania. Spatial analysis of police data identified 36 hotspots. Qualitative comparative analysis revealed 40% of crash sites were on local roads without night lighting and increased motorcycle density. Paved narrow roads represented 26% of hotspots and 13% were unpaved roads with uneven roadsides. Roadside unevenness was more predominate in low risk n = 19, (90.5%)] than high risk sites n = 7 (46.7%)]. Both low n = 6 (28.6%)] and high risk n = 1 (6.7%)] sites had minimal signage. All sites had informal pedestrian pathways. Little variability between risk sites suggests hazardous conditions are widespread. Findings suggest improvement in municipal infrastructure, signage and enforcement is needed to reduce RTI burden. |
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| Keywords: | Road traffic injury spatial analysis Tanzania |
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