Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.

In low and middle income countries road traffic injuries are commonly under-reported. This problem is significantly higher among those less severely injured road users. The objective of this study was to determine the incidence and the level of ascertainment of road traffic injuries and deaths by tr...

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Main Authors: Teferi Abegaz, Yemane Berhane, Alemayehu Worku, Abebe Assrat, Abebayehu Assefa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0103001
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author Teferi Abegaz
Yemane Berhane
Alemayehu Worku
Abebe Assrat
Abebayehu Assefa
author_facet Teferi Abegaz
Yemane Berhane
Alemayehu Worku
Abebe Assrat
Abebayehu Assefa
author_sort Teferi Abegaz
collection DOAJ
description In low and middle income countries road traffic injuries are commonly under-reported. This problem is significantly higher among those less severely injured road users. The objective of this study was to determine the incidence and the level of ascertainment of road traffic injuries and deaths by traffic police and hospital registry. In this study two-sample capture-recapture method was applied using data from traffic police and hospital injury surveillance, through June 2012 to May 2013. The study was conducted on one of the busiest highways in Ethiopia, the Addis Ababa - Hawassa highway. Primary data were collected by accident investigators and hospital emergency nurses using a structured checklist. Four matching variables; name of the victim, sex, place and time of the accidents was used to get the matched cases. During the study period the police independently reported 224 deaths and 446 injuries/billion vehicle kilometer while hospitals reported 123 deaths and 1,046 injuries/billion vehicle kilometer. Both sources in common captured 73 deaths and 248 injuries/billion vehicle kilometer. Taking the two data sources into consideration, the capture-recapture model estimated the incidence of deaths and injuries ranged 368-390 and 1,869-1,895 per billion vehicle kilometer, respectively. The police source captured 57.4%-60.9% of deaths and 23.5%-23.9% of injuries while the hospital sources captured 31.5%-33.4% of deaths and 55.2%-56% of injuries. Deaths and injuries among females, younger age victims, cyclists/motorcyclists and pedestrians were under-reported by traffic police. In conclusion neither of the two sources independently provided accurate coverage of road traffic incident related deaths and injuries. Strengthening both systems is necessary to obtain accurate information on road accidents and human causalities.
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spelling doaj-art-a6e1eb522caf4f32b1108907e0dfa4102025-08-20T03:46:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10300110.1371/journal.pone.0103001Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.Teferi AbegazYemane BerhaneAlemayehu WorkuAbebe AssratAbebayehu AssefaIn low and middle income countries road traffic injuries are commonly under-reported. This problem is significantly higher among those less severely injured road users. The objective of this study was to determine the incidence and the level of ascertainment of road traffic injuries and deaths by traffic police and hospital registry. In this study two-sample capture-recapture method was applied using data from traffic police and hospital injury surveillance, through June 2012 to May 2013. The study was conducted on one of the busiest highways in Ethiopia, the Addis Ababa - Hawassa highway. Primary data were collected by accident investigators and hospital emergency nurses using a structured checklist. Four matching variables; name of the victim, sex, place and time of the accidents was used to get the matched cases. During the study period the police independently reported 224 deaths and 446 injuries/billion vehicle kilometer while hospitals reported 123 deaths and 1,046 injuries/billion vehicle kilometer. Both sources in common captured 73 deaths and 248 injuries/billion vehicle kilometer. Taking the two data sources into consideration, the capture-recapture model estimated the incidence of deaths and injuries ranged 368-390 and 1,869-1,895 per billion vehicle kilometer, respectively. The police source captured 57.4%-60.9% of deaths and 23.5%-23.9% of injuries while the hospital sources captured 31.5%-33.4% of deaths and 55.2%-56% of injuries. Deaths and injuries among females, younger age victims, cyclists/motorcyclists and pedestrians were under-reported by traffic police. In conclusion neither of the two sources independently provided accurate coverage of road traffic incident related deaths and injuries. Strengthening both systems is necessary to obtain accurate information on road accidents and human causalities.https://doi.org/10.1371/journal.pone.0103001
spellingShingle Teferi Abegaz
Yemane Berhane
Alemayehu Worku
Abebe Assrat
Abebayehu Assefa
Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
PLoS ONE
title Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
title_full Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
title_fullStr Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
title_full_unstemmed Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
title_short Road traffic deaths and injuries are under-reported in Ethiopia: a capture-recapture method.
title_sort road traffic deaths and injuries are under reported in ethiopia a capture recapture method
url https://doi.org/10.1371/journal.pone.0103001
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