SDG 3 policy brief: advocating for safety and well-being
written by steffel ludivin feudjio tezong, reem el sherbiny, and mohamed eissa

Road safety, characterized by efforts to mitigate the risk of road traffic injuries and fatalities, stands as a critical global health concern. Unsafe and environmentally harmful transportation systems not only pose threats to lives but also have profound impacts on physical and mental health. This is evidenced by the fact that road traffic injuries stand as the primary cause of death among youth globally.

The integrated action areas of the Safe System Approach not only enhance safety for transportation networks but also contribute to the development of healthier, more equitable, and sustainable communities. In addition to managing vehicle speeds and designing safe streets, measures such as proactive land use planning and improved public transportation aim to reduce reliance on private vehicles and promote safe, low-carbon, and accessible modes of transportation for all. These actions complement traditional road safety strategies and have broader implications beyond saving lives from road traffic crashes.

By creating safer streets and roads, these measures also address other health issues related to road traffic, air pollution, noise pollution, carbon emissions, and physical inactivity. As streets become safer for all users, noise levels decrease, air pollution diminishes, and more people engage in active transport or public transit, leading to improved physical activity levels and reduced risks of non-communicable diseases (NCDs).


key data oN HEALTH AND WELL BEING

 
 

KEY MESSAGES OF THE POLICY BRIEF

 

Government and Policymakers should promote;

  • Comprehensive Strengthening of Health Care Systems: prioritise the comprehensive strengthening of health care systems to enhance prevention, treatment, and rehabilitation for road traffic injuries effectively. This entails investing in infrastructure, workforce training, equipment, and resources necessary for delivering quality care to injured individuals.

  • City-Level Policies Promoting Active Mobility: develop and implement city-level policies and initiatives that encourage active mobility among children. This could include initiatives where car usage is restricted in certain areas to promote walking and cycling.

  • Development of Robust National Action Plans: develop holistic  national action plans with funding  for road safety aligned with the Sustainable Development Goals (SDGs), particularly related to climate action and sustainable cities, and the Decade of Action on Road Safety 2021–2030. These plans should actively involve youth in decision-making processes and actions, ensuring their perspectives are integrated into policy development and implementation.

  • Integrated Urban Planning for Safe Mobility: invest integrated urban planning approaches that prioritise safe and sustainable mobility. This includes designing cities with safe infrastructure for pedestrians, cyclists, and public transport users, while also designing travel demand management initiatives and incorporating features for speed reduction, such as traffic calming measures.

  • Stringent Enforcement of Road Safety Laws: implement and enforce stringent road safety laws and regulations, focusing on critical aspects such as drink-driving, seat-belt usage, speed limits, helmet wearing, and child restraints. 

  • Prioritisation of Healthcare Professional Training and Trauma Care: prioritise the education and training of healthcare professionals in trauma care, integrating trauma and emergency training into medical school curricula and internships immediately after graduation. 

  1. Meaningful Youth Participation: decision-makers should ensure meaningful youth participation in health policies and road safety initiatives. This involves actively involving young people in decision-making processes, programme development, and implementation strategies.

Multilateral Agencies  and Civil Society Organisations should promote;

  • Comprehensive Technical Assistance: provide comprehensive technical assistance to national and global governmental, non-governmental, and youth-led organisations to effectively implement the Decade of Action for Road Safety 2021–2030. This assistance should include capacity-building activities, sharing best practices, and facilitating knowledge exchange to ensure the successful implementation of road safety initiatives at all levels.

  • Advocacy for Evidence-Based Road Safety Policies: encourage the formulation and implementation of evidence-based road safety policies  by  supporting governments who have the capacity to implement quality data management systems, to  sustain progress in reducing road traffic injuries. 

  • Targeted Awareness Initiatives: launch targeted initiatives aimed at increasing awareness of road safety measures among the general population and other relevant target groups, with a specific focus on vulnerable road users such as pedestrians, cyclists, and motorcyclists to promote safe behaviours on the roads.

  • Facilitation of Collaboration between Hospitals: facilitate collaboration between hospitals in high-income countries (HICs) and low- and middle-income countries (LMICs) through WHO initiatives. By enhancing education, training, and research in trauma management, such collaborations can improve healthcare outcomes for road traffic injury victims worldwide. This could involve knowledge sharing, exchange programmes, and joint research projects to strengthen trauma care capacity in LMICs.

  • Psychological Support for Road Injury Victims: address the pressing need for psychological support for road injury victims by urging policymakers to enhance access to mental health services through integrating mental health services into post-crash response protocols and providing training for healthcare professionals on trauma-informed care.

  1. Analysis of Determinants of Health and Road Safety: conduct thorough analyses to identify and understand the complex interlinkages between social, economic, and environmental determinants of health with road safety and road traffic injuries. This could involve multidisciplinary rese


Young individuals and youth-led organisations should promote :

  • Skill Strengthening Initiatives: young individuals and youth-led organisations should strengthen the skills and expertise of youth in road safety by implementing targeted initiatives. These initiatives should focus on bolstering their understanding and proficiency in all aspects of road safety practices and principles, including safe road behaviours, advocacy strategies, and data analysis techniques.

  • Research Generation and Utilisation: they should foster the generation and utilisation of research findings related to road safety. Additionally, they should provide support for  networking advocacy campaigns to promote road safety awareness and action. 

  • Strategic Partnerships: young individuals and youth-led organisations should forge strategic partnerships with both governmental and non-governmental entities. Collaborative efforts should be focused on designing, implementing, and assessing road safety policies at local, national, regional, and international levels. 

  • Utilisation of Social Media and Mobile Applications: they should harness the power of social media platforms and mobile applications to facilitate data collection, establish trauma registries, and enhance communication channels. Particularly in low- and middle-income countries (LMICs), where resources may be limited, these digital tools can amplify efforts to improve road safety outcomes and response mechanisms.

 

 

 

FEATURED LOCAL ACTIONS PROJECTS

 

OLIVA NALWADDA FROM UGANDA
Oliva Nalwadda’s Local Action project in Uganda is not just about road safety; it’s about bridging the gap in inclusivity for persons with disabilities within road safety endeavours. The urgency of this matter cannot be overstated, especially when considering that a significant portion of road crash victims are youth and adolescents. As Oliva pointed out, “statistics from WHO indicate that the majority of fatalities and injuries are youth and adolescents,” making road safety a pressing issue for this demographic.

In Uganda, like in many other places, road safety concerns are complex and multifaceted. However, Oliva highlights two critical issues: “The biggest problem is enforcement and implementation.” She explains, “Laws and policies exist but are not enforced, and there are gaps in implementation, especially regarding youth with disabilities.” Oliva’s project aims to tackle these challenges head-on by empowering youth, especially those with disabilities, to become leaders in road safety initiatives.

Oliva’s project encompasses a range of activities aimed at promoting road safety and inclusivity. One notable achievement is the development of a disability- inclusive road safety education curriculum, delivered by young people with disabilities to raise awareness among learners and community members. These sessions, conducted in schools and communities, have played a pivotal role in educating individuals about road safety practices and reducing road crashes. Additionally, Oliva’s collaboration with district health teams, NGOs, and education offices has resulted in the creation of a referral pathway for road crash victims, ensuring prompt access to care in case of emergencies.


STEPHEN KOME FONDZENYUY FROM CAMEROON

In the face of persisting challenges in road safety, Stephen found his calling to make a difference. Witnessing the alarming rate of crashes and the lack of significant improvements in safety measures, he felt compelled to take action.

Understanding the profound connection between road safety and public health, particularly in regions like Cameroon where resources are limited, Stephen embarked on a mission that closely aligns with Sustainable Development Goal 3 – reducing fatalities and injuries resulting from crashes.

“Youth for Post-Crash Care” directly aligns with Sustainable Development Goal 3 (SDG 3) of ensuring healthy lives and promoting well-being for everyone, of all ages. The project’s primary objective is to enhance road safety for motorcycle riders, youth, and students, particularly focusing on post-crash care and awareness of risk factors. By advocating for behavioural changes such as helmet usage and improving post-crash care services, Stephen aims to address the alarming rates of road traffic crashes in Cameroon, where inadequate post-crash management contributes significantly to fatalities, especially among young people. Through this Local Action, Stephen empowers young people to drive positive change in their communities, thereby contributing to the overarching goal of SDG 3 to reduce preventable deaths and injuries on the road.