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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
Author: Chatukuta, Mitchel
ISNI:       0000 0004 8508 3094
Awarding Body: UCL (University College London)
Current Institution: University College London (University of London)
Date of Award: 2020
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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.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.798709  DOI: Not available
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