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An organizational analysis of road traffic crash prevention to explain the difficulties of a national program in a low income country.

Vogel T, Reinharz D, Gripenberg M, Barennes H - BMC Res Notes (2015)

Bottom Line: The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs.Most agencies do not prioritize road safety.The bicephal nature of the leadership of road safety programs proves detrimental, is associated with a weak coalition between stakeholders, and contributes to the declaimed poor effectiveness of the existing programs.

View Article: PubMed Central - PubMed

Affiliation: Institut Francophone de Medecine Tropicale, Vientiane, Lao PDR. tania.vogel@gmail.com.

ABSTRACT

Background: Road traffic crashes (RTC), that daily kill 3400 people and leave 15,000 with a permanent disability could be prevented through the implementation of safety programs developed in partnership with governments and institutions. The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs. This issue has rarely been addressed. We conducted a detailed organizational analysis of the stakeholders involved in road safety programs in Lao People's Democratic Republic (Lao PDR).

Methods: A case study was performed. The framework used was a snowball effect in which the characterization of all key stakeholders and the links between them, as well as the factors that led to these links, were determined. The effect of the relations between key stakeholders on the prevention of RTC was assessed through an analysis of the transactional, intangible and controlling factors that influence these relationships.

Results: The design and implementation of road safety programs in Lao PDR suffer from weak relationships between stakeholders and a poorly functional bicephal leadership between the Ministry of Public Works and Transport and the non-governmental organisation called Handicap International. This poor coordination between key stakeholders is evident, particularly in the area of collective action and is reinforced by a lack of interest from several different stakeholders. Most agencies do not prioritize road safety. Uneven distribution of funding is another contributing factor. Strengthening the leadership is crucial to the success of the program. Some organisations have skills, power the decision making and the allocation of resources in regards to road safety programs. Encouraging participation of these organizations through a more prominent position would thus result in a better collaboration. Non-monetary rewards would further help to strengthen collaborative work.

Conclusion: The bicephal nature of the leadership of road safety programs proves detrimental, is associated with a weak coalition between stakeholders, and contributes to the declaimed poor effectiveness of the existing programs. The study has identified non-monetary and realistic means of strengthening the collaboration between key stakeholders. Stakeholders need to revise their interpretive schemes, in order to actively support the reinforcement of government leadership of road safety policies.

No MeSH data available.


Related in: MedlinePlus

Relationship between actors concerned by traffic safety in Lao PDR, intangible links. ADB Asian Development Bank, MPWT Ministry of Public Work and Transport, GRSP global road safety partnership, HI Handicap International, GRSP VUDD Vientiane urban development department. Intangible link discontinuousdots and line blue arrow
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Related In: Results  -  Collection

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Fig2: Relationship between actors concerned by traffic safety in Lao PDR, intangible links. ADB Asian Development Bank, MPWT Ministry of Public Work and Transport, GRSP global road safety partnership, HI Handicap International, GRSP VUDD Vientiane urban development department. Intangible link discontinuousdots and line blue arrow

Mentions: Figures 1 and 2 show the actors with their relationships (control and transactional, Fig. 1; intangible links Fig. 2) on a grid that also presents the priority they give to road safety activities, and their capacity to act, i.e. presence of resources, human, material and financial, devoted to road safety activities.Fig. 1


An organizational analysis of road traffic crash prevention to explain the difficulties of a national program in a low income country.

Vogel T, Reinharz D, Gripenberg M, Barennes H - BMC Res Notes (2015)

Relationship between actors concerned by traffic safety in Lao PDR, intangible links. ADB Asian Development Bank, MPWT Ministry of Public Work and Transport, GRSP global road safety partnership, HI Handicap International, GRSP VUDD Vientiane urban development department. Intangible link discontinuousdots and line blue arrow
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4587742&req=5

Fig2: Relationship between actors concerned by traffic safety in Lao PDR, intangible links. ADB Asian Development Bank, MPWT Ministry of Public Work and Transport, GRSP global road safety partnership, HI Handicap International, GRSP VUDD Vientiane urban development department. Intangible link discontinuousdots and line blue arrow
Mentions: Figures 1 and 2 show the actors with their relationships (control and transactional, Fig. 1; intangible links Fig. 2) on a grid that also presents the priority they give to road safety activities, and their capacity to act, i.e. presence of resources, human, material and financial, devoted to road safety activities.Fig. 1

Bottom Line: The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs.Most agencies do not prioritize road safety.The bicephal nature of the leadership of road safety programs proves detrimental, is associated with a weak coalition between stakeholders, and contributes to the declaimed poor effectiveness of the existing programs.

View Article: PubMed Central - PubMed

Affiliation: Institut Francophone de Medecine Tropicale, Vientiane, Lao PDR. tania.vogel@gmail.com.

ABSTRACT

Background: Road traffic crashes (RTC), that daily kill 3400 people and leave 15,000 with a permanent disability could be prevented through the implementation of safety programs developed in partnership with governments and institutions. The relationship between key stakeholders can be a crucial determinant to the effectiveness of road safety programs. This issue has rarely been addressed. We conducted a detailed organizational analysis of the stakeholders involved in road safety programs in Lao People's Democratic Republic (Lao PDR).

Methods: A case study was performed. The framework used was a snowball effect in which the characterization of all key stakeholders and the links between them, as well as the factors that led to these links, were determined. The effect of the relations between key stakeholders on the prevention of RTC was assessed through an analysis of the transactional, intangible and controlling factors that influence these relationships.

Results: The design and implementation of road safety programs in Lao PDR suffer from weak relationships between stakeholders and a poorly functional bicephal leadership between the Ministry of Public Works and Transport and the non-governmental organisation called Handicap International. This poor coordination between key stakeholders is evident, particularly in the area of collective action and is reinforced by a lack of interest from several different stakeholders. Most agencies do not prioritize road safety. Uneven distribution of funding is another contributing factor. Strengthening the leadership is crucial to the success of the program. Some organisations have skills, power the decision making and the allocation of resources in regards to road safety programs. Encouraging participation of these organizations through a more prominent position would thus result in a better collaboration. Non-monetary rewards would further help to strengthen collaborative work.

Conclusion: The bicephal nature of the leadership of road safety programs proves detrimental, is associated with a weak coalition between stakeholders, and contributes to the declaimed poor effectiveness of the existing programs. The study has identified non-monetary and realistic means of strengthening the collaboration between key stakeholders. Stakeholders need to revise their interpretive schemes, in order to actively support the reinforcement of government leadership of road safety policies.

No MeSH data available.


Related in: MedlinePlus