The RTrT Partnership: Reducing Traffic-related TraumA - A community-based prevention and first-response programme intervention for Malawi and beyond.

RTrT 伙伴关系：减少交通相关创伤 - 针对马拉维及其他地区的基于社区的预防和第一反应计划干预。

• 批准号: MC_PC_MR/R024731/1
• 负责人: Edward Duncan
• 金额: $ 21.55万
• 依托单位: University of Stirling
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MC_PC_MR%2FR024731%2F1
• 关键词: RTrT; Partnership; Reducing; Traffic; related

Injuries resulting from road traffic collisions are a major and growing cause of preventable death in sub-Saharan Africa. Road traffic collisions in low and middle income African countries account for approximately 169,000 deaths and about 6 million healthy years of life lost due to disabilities people are left with. Road traffic collisions also impact on people's ability to work and on community wellbeing. As working aged men are three times more likely than women to be involved in a road traffic collision low and middle income countries lose up to 3% of their earning potential. As a result improving outcomes from road traffic collisions will contribute to the delivery of four of the United National Sustainable Development Goals: no poverty; health and well-being; sustaining cities and communities and partnership working.Malawi has one of the highest rates of road traffic related death, lowest rates of vehicle ownership, and lowest income levels per person in the world. Consequently the Malawian Government have identified road traffic related trauma as a major barrier to improving the health and finances of the nation. However it faces considerable challenges in making improvements. Malawi has no formal prehospital care system, no universal emergency telephone number, and almost no ambulance service. Care of injured people is haphazard and often provided by passers-by who have very little or no training in basic first aid. As a result people who have survivable injuries often die. This has led to doctors from the largest Malawian hospitals recently publishing a Call to Action that highlighted the need to improve trauma care. All of trauma care would benefit from further research and development. However the Call to Action says that research to improve pre-hospital trauma care should be a specific priority. So pre-hospital trauma care is the Partnership's specific focus. This proposal was developed following a 9 day study visit to Malawi by Dr's Duncan and Uny in September 2017, at the invitation of Dr's Chokotho and Mulwafu. During this visit local challenges of road traffic related trauma were discussed with a wide range of different organisations, academics and community members. There was a broad consensus that the first step should be the development of community based programme intervention that is made up of different, but linked, interventions to prevent and respond to collisions. Tackling prevention and response together is likely to lead to bigger improvements in communities than dealing with either separately.Our Road Traffic Related Trauma (RTrT) Partnership brings together experts in applied health science, public health, global health, arts and humanities, pre-hospital and emergency healthcare delivery, community engagement, and local community members. We will use a variety of methods from the different disciplines we represent. These are likely to include creative ways of gathering, sharing and discussing different people's views and ideas on the challenge of road collision, including the use of visual methods and theatre to engage and communicate within the research team, wider stakeholders and the public. Working in Malawi and at a distance between meetings we will develop an intervention to improve community prevention and first-response within local communities highly affected by road traffic collisions. Towards the end of the project we will will look at ways our work can be transferred to other sub-Saharan countries. We will then apply for funding to implement and test our interventions. We will share our work locally, nationally and internationally. We will ensure that our findings are shared with with academics, Government policy makers, organisations involved in road traffic and trauma care, and local community members. Where appropriate these outputs will be developed with local residents and translated into key local languages.

在撒哈拉以南非洲，道路交通碰撞造成的伤害是造成可预防死亡的主要和日益严重的原因。在非洲低收入和中等收入国家，道路交通碰撞造成约169 000人死亡，残疾人的健康寿命损失约600万年。道路交通碰撞还影响人们的工作能力和社区福祉。由于处于工作年龄的男性发生道路交通碰撞的可能性是女性的三倍，中低收入国家的收入潜力损失高达3%。因此，改善道路交通碰撞的结果将有助于实现联合国可持续发展目标中的四个目标：消除贫困;健康和福祉;维持城市和社区以及伙伴关系的运作。马拉维是世界上道路交通相关死亡率最高、车辆拥有率最低和人均收入水平最低的国家之一。因此，马拉维政府已将与道路交通有关的创伤确定为改善国家健康和财政状况的主要障碍。然而，它在改进方面面临着相当大的挑战。马拉维没有正式的院前护理系统，没有通用紧急电话号码，几乎没有救护车服务。对受伤人员的护理是偶然的，往往是由路人提供的，他们很少或根本没有接受过基本的急救培训。因此，那些有幸存伤害的人往往会死亡。这导致马拉维最大医院的医生最近发表了一项行动呼吁，强调需要改善创伤护理。所有的创伤护理都将受益于进一步的研究和开发。然而，行动呼吁说，改善院前创伤护理的研究应该是一个具体的优先事项。因此，院前创伤护理是伙伴关系的具体重点。该提案是在邓肯博士和Uny博士于2017年9月对马拉维进行为期9天的研究访问后制定的，应Chokdom博士和Mulwafu博士的邀请。在这次访问期间，与各种不同的组织、学者和社区成员讨论了与道路交通有关的创伤的当地挑战。与会者普遍认为，第一步应该是制定以社区为基础的方案干预措施，其中包括不同但相互关联的干预措施，以防止和应对碰撞。我们的道路交通相关创伤（RTrT）伙伴关系汇集了应用卫生科学、公共卫生、全球卫生、艺术和人文科学、院前和紧急医疗服务、社区参与和当地社区成员的专家。我们将使用我们所代表的不同学科的各种方法。其中可能包括以创造性的方式收集、分享和讨论不同人对道路碰撞挑战的看法和想法，包括使用视觉方法和戏剧在研究小组、更广泛的利益攸关方和公众内部进行接触和交流。我们将在马拉维开展工作，并在会议间隙制定干预措施，以改善受道路交通碰撞严重影响的当地社区的社区预防和第一反应。在项目结束时，我们将研究如何将我们的工作转移到其他撒哈拉以南国家。然后，我们将申请资金来实施和测试我们的干预措施。我们将在当地、国内和国际上分享我们的工作。我们将确保我们的研究结果与学者，政府决策者，参与道路交通和创伤护理的组织以及当地社区成员分享。将酌情与当地居民一起制定这些产出，并将其翻译成主要的当地语言。