Chatukuta, Mitchel;
(2020)
Road traffic injuries in Namibia. A mixed methods study to analyse the trends in mortality and morbidity due to road crashes, and to investigate the long-term effects of road injuries.
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Background: Road traffic injuries (RTIs) are a major problem worldwide. In this mixedmethods thesis I investigated the trend of RTIs in Namibia, which is one of the worst affected countries globally. I also investigated the long-term impacts of RTIs and the role of a fuel levy fund - The Motor Vehicle Accident Fund (MVAF) - in enhancing the availability of rehabilitation and counselling services to RTI survivors in Namibia. Methods: Using quantitative methods, I conducted analysis of data sets on RTIs from 2012 to 2014. Descriptive analysis was used to characterise crashes, injuries and deaths, and people affected. Further to this, I conducted multinomial logistic regression in order to investigate the likelihood of having been injured or killed. Using qualitative methods, I conducted semi-structured interviews with RTI survivors in Namibia, and healthcare workers involved in caring for them, in order to investigate the long-term impacts of RTIs and the availability of rehabilitation and counselling services to road injury survivors in Namibia and the role played by the MVAF. Results: The quantitative analysis showed over 2012-2014, the rates of injury and death had risen by 3.9% and 1.1%. Logistic regression identified the road user group had the greatest influence on the risk of being injured and killed. The method of transportation to hospital had the greatest influence on the risk of dying among those admitted to hospital. The qualitative analysis showed that RTIs are associated with long-term physical and mental health sequalae, financial hardships, and various social problems. The analysis also showed the MVAF is effectively helping to enhance access to rehabilitation and other health services for RTI survivors. Conclusion: The present study adds to the knowledge of the long-term impact of RTIs and presents new information from Namibia, where no previous studies of this kind have been done.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Road traffic injuries in Namibia. A mixed methods study to analyse the trends in mortality and morbidity due to road crashes, and to investigate the long-term effects of road injuries |
| Event: | UCL (University College London) |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2019. Original content in this thesis is licensed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) Licence (https://creativecommons.org/licenses/by/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10088775 |
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