“Without appropriate action, road traffic injuries are predicted to escalate from the ninth leading contributor to the global burden of disease in 1990 to the third by 2020 […] A greater understanding of the societal costs, feasibility, sustainability, and barriers to implementing interventions that can prevent road traffic injury is vital to inform country-specific initiatives in less-resourced environments.”
Evidence suggests that the present and projected global burden of road traffic injuries is disproportionately borne by countries that can least afford to meet the health service, economic, and societal challenges posed. Although the evidence base on which these estimates are made remains somewhat precarious in view of the limited data systems in most low-income and middle-income countries (as per the classification on the World Bank website)., these projections highlight the essential need to address road traffic injuries as a public health priority. Most well-evaluated effective interventions do not directly focus on efforts to protect vulnerable road users, such as motorcyclists and pedestrians. Yet, these groups comprise the majority of road traffic victims in low-income and middle-income countries, and consequently, the majority of road traffic victims globally. Appropriately responding to these disparities in available evidence and prevention efforts is necessary if we are to comprehensively address this global health dilemma.