INSTRUCTIONS FOR COMPLETION OF RESPONDENTS' QUESTIONNAIRE · INSTRUCTIONS FOR COMPLETION OF...

Second Global status report on road safety:

Respondents' Questionnaire

Country:

Respondent's Information

Name:

Position:

Institution:

E-mail address:

Phone number:

Fax:

INSTRUCTIONS FOR COMPLETION OF RESPONDENTS' QUESTIONNAIRE

Thank you for completing this questionnaire. This questionnaire was developed to assess

the response to the road safety situation in your country. The same questionnaire will be

completed by several road safety colleagues from various sectors in your country, and your

National Data Coordinator will convene a consensus meeting to determine one set of

answers for the country.

We do not expect any one person to complete ALL the questions included here: what you

are able to answer will depend on your particular role with regard to road safety in your

country, so please just complete the following questions to the best of your ability. Then

please bring this with you when you attend the consensus meeting, organized by your

National Data Coordinator. He/she will compile ONE questionnaire for your country, based

RESPONDENTS' QUESTIONNAIRE: 2nd Global status report on road safety

2

on the responses obtained from you and other respondents. The information collected will

be compiled into a report, the Second Global status report on road safety, which will be

published in 2012.

We know that a great deal of information is being requested in this questionnaire and

sincerely appreciate your efforts. Should you have any queries, please do not hesitate to

contact your National Data Coordinator who has sent you this questionnaire.


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SECTION A. LEAD AGENCY 1. Is there a government agency or department that takes responsibility for overseeing and / or

coordinating all road safety activities (i.e. a lead agency) in your country (please see Instruction

Booklet)?

□ Yes (please name this agency) _______________________________________

□ No (please skip to Q5)

□ Don't know (please skip to Q5)

2. Where is this agency placed within Government structure (please tick one)?

□ The agency is a single government ministry/department, or situated within one

government ministry/department (please specify ministry and department, if

relevant) _______________________

□ Stand-alone entity

□ Other (please specify) _____________________________________

□ Don't know

3. Which of the following functions is the lead agency responsible for? (please tick all that apply)

3.1 Coordination

3.1.1 □ Coordination of intergovernmental working processes at the central government

level

3.1.2 □ Coordination of road safety decision-making across central government

3.1.3 □ Coordination across different levels of government (e.g. central, regional, local)

3.1.4 □ Coordination of national mass media campaigns

3.2 Legislation

3.2.1 □ Periodic review of legislation, rules and standards against best practice, and

recommendations for improvement

3.2.2 □ Development and/or revision of legislation

3.3 Monitoring and evaluation

3.3.1 □ Establishing and supporting data systems that are used to monitor road safety

outcomes

3.3.2 □ Compilation and dissemination of national statistics


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3.4 Other (please specify) ______________________________________

4. Is funding allocated in the Government's budget for the lead agency to carry out the functions listed

above?

□ Yes

□ No

□ Don't know

SECTION B. STRATEGY AND TARGETS 5. Is there a national strategy for road safety in your country?

□ Yes

□ No (skip to Section C)

□ Don't know (skip to Section C)

5.1 If yes, does this strategy comprise: (please tick all that apply)

5.1.1 □ one national strategy

5.1.2 □ multiple national strategies (e.g. one in health, one in transport)

5.1.3 □ multiple provincial/state level strategies (skip to Section C)

5.1.4 □ Other (please specify and skip to Section C)

_____________________________________

5.2 Are funds available to implement part or all of this/these strategy/strategies?

□ Yes, fully funded

□ Partially funded

□ Not funded

□ Don't know

What is the annual budget allocated to fund all or part of this strategy/these strategies?

5.2.1 ___________ amount (Please specify currency_________)

5.2.2 ____________ year

□ Don't know

6. Does this national strategy set measurable targets to reduce the number of people killed and /or

seriously injured in a road traffic crash?

6.1 For killed


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□ Yes

□ No (please skip to question 6.2)

□ Don't know (please skip to question 6.2)

If yes, please provide the targets and their timeframes:

6.1.1 Fatality targeted reduction ________________

6.1.2 Time period relating to fatality target (please specify start and end years

that these targets relate to, e.g. 2002–2012) ________________

□ Don't know

6.2 For seriously injured

□ Yes

□ No (please skip to question 7)

□ Don't know

If yes, please provide the targets and their timeframes:

6.2.1 Non-fatal injury targeted reduction ________________

6.2.2 Time period relating to non-fatal injury target (please specify start and end

years that these targets relate to e.g. 2002–2012) ________________

□ Don't know (please skip to question 7)

If possible, please supply supporting documents that provide more detail on these fatality

and/or non-fatal injury targets

7. Does the national strategy include targets for any of the following: 7.1 Reducing speed

□ Yes

□ No

□ Don't know

7.2 Reducing alcohol impaired driving □ Yes

□ No

□ Don't know

7.3 Increasing seat-belt use

□ Yes

□ No


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□ Don't know

7.4 Increasing child restraint use

□ Yes

□ No

□ Don't know

7.5 Increasing motorcycle helmet use

□ Yes

□ No

□ Don't know

SECTION C. ROAD TRAFFIC DEATHS 8. How many road traffic DEATHS were recorded in your country in 2010? Please include the best

official estimate for this number for 2010. If data for 2010 are not available please provide data

for the most recent year for which it is available.

□ Data not available (skip to question 9)

8.1 Number of deaths ___________________

8.2 Year of data _________________

8.3 Source of data

______________________________________________________________

8.3.1 Is this information based on:

□ Police records

□ Health facility records

□ Vital registration data

□ Combined sources (please explain)

□ Other (please specify)

______________________________________________________________

8. 4 Definition of “road traffic death” used:

□ Died at scene of crash

□ Died within 24 hours of crash

□ Died within 7 days of crash

□ Died within 30 days of crash

□ Died within a year of crash

□ Unlimited time period following crash

□ Other (please specify) __________________


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Note to NDC: If the country uses a coefficient factor ("Smeed factor") to compensate for late deaths if a 24 hour period or less is used, please indicate this in the comment box

9. Please provide the number (or proportion if numbers are not available) of ROAD TRAFFIC DEATHS in your country, BY SEX AND AGE GROUP.

9.1 Distribution of deaths by sex

9.1.1 Total number of deaths (please fill in this number even if you have

included the same figure in Question 8).___________________

9.1.2 Males ___________________ 9.1.3 Females ___________________

9.1.4 Unknown___________________

` 9.1.5 Year of data ___________________

9.1.6 Source of data

______________________________________________________________

□ Data not available

9. 2 Distribution of deaths by age group

9.2.1 Total number of deaths (please fill in this number even if you have

included the same figure in Question 8).___________________

9.2.2 0-4 years _________

9.2.3 5-14 years _________

9.2.4 15-29 years _________

9.2.5 30-44 years _________

9.2.6 45-59 years _________

9.2.7 60-69 years _________

9.2.8 70+ years _________

9.2.9 Age unknown _________

9.2.10 Year for which the above data is supplied _________

9.2.11 Source of data _________

______________________________________________________________

□ Data not available

9.2.12 □ Data collected but using different age categories (please

attach/upload supporting documents in this case)

10. For road traffic deaths in 2010 (or most recent year), please provide a breakdown by type of road

user:

10.1 Total number of road traffic deaths (please fill in this number even if you have included the same figure in Question 8).___________________


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10.1.2 Source of data ________

10.1.3 Year ________

10.2 Number (or proportion of total number above) of deaths for drivers of four-

wheeled cars and light vehicles (includes vans, sport utility vehicles, pickup trucks)

________

10.3 Number (or proportion of total number)of deaths for passengers of four-wheeled

cars and light vehicles (includes vans, sport utility vehicles, pickup trucks)

________

10.4 Number(or proportion of total number)of deaths for drivers/passengers of

motorized two-wheelers and motorized three-wheelers ________

10.5 Number (or proportion of total number)of deaths for cyclists ________

10.6 Number (or proportion of total number)of deaths for pedestrians ________

10.7 Number (or proportion of total number)of deaths for drivers and/passengers of

heavy trucks

10.8 Number (or proportion of total number)of deaths for drivers and/passengers of

buses ________

10.9 Other (please specify and attach source) ________

10.10 Source of breakdown data by road user type listed above_______

10.11 Year _______

□ No data available

□ Data available using different categories to this (please upload this data as a

supporting document)

11. Please provide data on the rate of road traffic fatalities per 100 000 population over the last 10 years. If you do not have this information, please provide the NUMBER of road traffic deaths in your country over the same period. If you do not have data for the 10 year period please give us data for the most recent 10 year period that you have available (see Instruction booklet).

We would like to analyse these data ourselves. Thus please give us raw data, i.e., a number of deaths that relates to each year, NOT a picture of a graph which will be difficult for us to use. Please provide the source for this data.

11.1 Source of data ________

□ No data available


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12. What is the estimated percentage of your country's Gross Domestic Product lost as a result of road

traffic crashes?

12.1 ___________%

12.2 ___________ (year)

12.3 __________ (source) (please provide either a copy of the study or a detailed source)

□ No estimate available

□ Don't know


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SECTION D. EXPOSURE TO RISK OF ROAD TRAFFIC CRASHES

13. Are there national policies in your country that encourage walking and/or cycling as an alternative to

car travel?

□ Yes

□ No, but sub-national policies exist

□ No

□ Don't know

13.1 If yes, please provide one example of a project that illustrates this policy that has been

initiated in the last 2 years. Please try to summarise this in less than 400 words and describe

the project, where and when it was conducted, and explain if the impact of this project has

been evaluated. You may upload supporting documents.

___________________________________________________________

___________________________________________________________

___________________________________________________________

14. Are there national policies to support investment in public transport as an alternative to car travel?

□ Yes

□ No, but sub-national policies exist

□ No

□ Don't know

14.1 If yes, please provide one example of a project that illustrates this policy that has been initiated

in the last 2 years.. Please try to summarise this in less than 400 words and describe the

project, where and when it was conducted, and explain if the impact of this project has been

evaluated. You may upload supporting documents.

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

___________________________________________________________

15. What is the total number of registered motorized vehicles in your country, and the breakdown by

vehicle type (please provide the most recent data)?

15.1 Total number of vehicles ________



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15.1.2 Year _______

Please include the breakdown of this total number by vehicle type:

15.2 Number of four-wheeled cars and light vehicles (includes vans, sport utility

vehicles, pick up trucks) ________


15.2.2 Year published for above ________

15.3 Number of motorized two-wheeled or three-wheeled vehicles ________


15.3.2 Year published ________

15.4 Number of heavy trucks ________



15.5 Number of buses ________



□ Unknown / data not collected

□ Data collected but using different vehicle type categories (please provide

supporting documents in this case)

16. Is there a penalty/demerit point system in place in your country? (See instruction booklet for a

definition)

□ Yes

□ No

□ Don't know

17. Does a Graduated Driver Licensing (GDL) system for new car drivers exist in your country? (i.e.

that allows for controlled phasing in of car driver privileges over time - see Instruction Booklet for

more information)

□ Yes

□ No (skip to Section E)

□ Don't know (skip to Section E)

If yes, what restrictions are placed on NEW or young drivers? (please tick all that apply)

17.1 □ Requirements for adult supervision


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17.2 □ Requirements for minimum number of hours/ lessons of behind-the-

wheel training

17.3 □ Restrictions on speed

17.4 □ Restrictions on alcohol consumption

17.5 □ Seat-belt requirements (e.g. enough seat-belts for each person in car)

17.6 □ Restrictions on maximum number of passengers

17.7 □ Restrictions on use of mobile phones

17.8 □ Restrictions on driving at night time

17.9 □ Restrictions on road type (e.g. cannot drive on motorways)

17.10 □ Restrictions on car type (e.g. engine size)

17.11 □ Other (please specify)______________________________

SECTION E. VEHICLE STANDARDS 18. The following questions relate to regulations and/or legislation that applies to PRIVATE PASSENGER

CARS:

18.1 Does the legislation/ regulation require the following safety features for new cars

manufactured or assembled in your country?

18.1.1 Front and rear seat belts □ Yes □ No □ Don’t know

18.1.2 ABS (Anti locking Brake System) □ Yes □ No □ Don’t know

18.1.3 ESC (Electronic Stability Control) □ Yes □ No □ Don’t know

18.1.4 Airbags □ Yes □ No □ Don’t know

□ No car manufacturers/assemblers in my country

18.2 Does the legislation/ regulation require the following safety features for NEW cars

imported into your country?





18.3 Does the legislation/ regulation require the following safety features for SECOND HAND

cars imported into your country?




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□ Legislation different depending on age of second hand car

19. Does the government apply any of the following international or regional vehicles safety standards

or features? (please tick all that apply)

19.1 □ New Car Assessment Programmes (NCAP)

19.2 □ United Nation's World forum on harmonization of vehicle standards

19.3 □ Other regional programme (please specify) _______________________

19.4 □ No international or regional vehicle safety standards applied

19.5 □ Don't know

SECTION F. INFRASTRUCTURE 20. Do plans for NEW road infrastructure projects require a safety review prior to construction?

□ Yes

□ No

□ Don't know

21. Are road safety inspections of EXISTING road infrastructure conducted on a regular basis?

□ Yes

□ On some parts of road networks only (please explain___________________)

□ No

□ Don't know

21.1 If yes, are these inspections conducted by an agency that is INDEPENDENT from

the agency responsible for road construction and maintenance?

□ Yes

□ No

□ Don't know

22. Are there policies in your country to separate road users as a way of protecting vulnerable road

users (e.g. motorcycle lanes, separated cycle lanes, see Instruction booklet)

□ Yes, national policies

□ Yes, but at sub-national level only


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□ No

□ Don't know

22.1 If yes, please provide an example of such a project that has been initiated in the last 12

months. Please try to summarise this in less than 200 words and describe the intervention,

where and when it was conducted, and explain if the impact of this project has been evaluated.

You may upload supporting documents.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

23. Has an International Road Assessment Progam, iRAP ever been conducted in your country? (See

Instruction Booklet for a definition)

□ Yes (please specify when and where this was conducted)

___________________________________________

□ No

□ Don't know

SECTION G. SPEED CONTROL 24. In your country are there national speed limits FOR PRIVATE PASSENGER CARS?

□ Yes (go to question 26)

□ No, but speed limits are set at provincial/state or local level (go to question 25)

□ Don't know (skip to Section H)

25. If legislation on speed is set at a provincial/state level, does legislation in all states/provinces in the

country set the same speed limits?

□ Yes

□ No (skip to Section H)

□ Non applicable

26. What are the maximum NATIONAL speed limits (or state/provincial level if you ticked yes to

question 25) FOR PRIVATE PASSENGER CARS on the following roads (please provide these

limits in km/h)?

26.1 Urban roads _____km/h


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26.2 Rural roads _____ km/h

26.3 Intercity roads/highways _____ km/h

26.4 Other (please specify) ___________________ km/h

□ Don't know

27. Are local authorities (e.g. municipalities, districts, or states or provinces in federations) allowed to

modify the national limits and set their own speed limits that are lower than national level limits?

□ Yes

□ No

□ Don't know

28. What is the national speed limit around schools

______________km/h

□ Don't know

29. What are the mechanisms that are used for each of the following:

29.1 To ENFORCE speed limits or control speed (please tick all that apply)

29.1.1 □ Roadside police enforcement

29.1.2 □ Automated speed enforcement (i.e. fixed radars or speed cameras)

29.1.3 □ Traffic calming measures (e.g. roundabouts, speed bumps, rumble strips)

29.1.4 □ Design standards to control speed

29.1.5 □ Slow (passing) lanes

29.1.6 □ Other (please explain) ____________________________

□ Don't know

29.2 To PENALISE transgressors of speed laws (please tick all that apply)

29.2.1 □ Licence suspended or revoked

29.2.2 □ Penalty-demerit points

29.2.3 □ Vehicle impoundment

29.2.4 □ Fines

29.2.5 □ Prison/jail/detention terms


□ Don't know


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30. In your opinion, how effective is the enforcement of speed limits in your country (please rate

enforcement on a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)

0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10

NOT EFFECTIVE HIGHLY EFFECTIVE

SECTION H. DRINK-DRIVING 31. Is alcohol consumption legally prohibited in your country?

□ Yes

□ No

32. Is there a national drink-driving law in your country

□ Yes (skip to question 34)

□ No, but laws are set at provincial/state level

□ No (skip to Section I)

33. If legislation on drink-driving is set at a provincial/state level, is the legislation in all

states/provinces in the country the same?

□ Yes, please explain___________________________________

□ No (skip to question 39)

34. Is this law based on:

□ Blood Alcohol Concentration (BAC) or an equivalent Breath Alcohol

Concentration (BrAC) level

□ Other (e.g. physician certificate, police assessment) (skip to question 38)

□ Don't know (skip to Section I)

35. What is the maximum legal Blood Alcohol Concentration for vehicle drivers (that is, the level at

which penalties can be applied)? (This can be a national level, or state/provincial level IF you

answered YES to question 33).

35.1 Level _____________

35.2 units (g/dl or mg/ml) _____________

36. What is the maximum BAC level for young /novice drivers in your country? (This can be a

national level, or state/provincial level IF you answered YES to question 33).


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36.1 Level _____________

36.2 units (g/dl or mg/ml) _____________

37. What is the maximum BAC level for professional/commercial drivers in your country? (This can

be a national level, or state/provincial level IF you answered YES to question 33).

37.1 Level _____________

37.2 units (g/dl or mg/ml) _____________

38. What are the mechanisms used for each of the following:

38.1 To ENFORCE drink-driving laws (please tick all that apply)

38.1.1 □ Use of breath testing at specific locations or times (e.g. holiday periods,

outside pubs or bars)

38.1.2 □ All year-round random (population) breath testing

38.1.3 □ Other (please explain) __________________________

□ Don't know

38.2 To PENALISE transgressors of drink-driving law (please tick all that apply)




38.2.4 □ Assessment and rehabilitation

38.2.5 □ Community or public service

38.2.6 □ Mandatory treatment

38.2.7 □ Fines

38.2.8 □ Alcohol ignition interlock



□ Don't know

39. In your opinion, how effective is the enforcement of drink-driving laws (please rate enforcement on

a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)

0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10



16

40. Are drivers injured /killed in road traffic crashes tested for blood alcohol content? (see Instruction

booklet)

□ Yes

□ No

□ Don't know

If yes, who is tested? (please tick all that apply)

40.1 □ All fatally-injured drivers

40.2 □ Some fatally-injured drivers

40.3 □ All non-fatally injured drivers

40.4 □ Some non-fatally injured drivers (e.g. random sample, based on age group,

etc)

40.5 □ Other (please specify)_____________

41. What is the best estimate for the proportion of annual road traffic DEATHS in your country that is

attributable to alcohol impairment (i.e. those over the country-defined limit)

41.1 Estimated percentage of road traffic DEATHS attributable to alcohol _________

41.2 Year ___________

41.3 Data source _______________________

□ Don’t know

42. In your country are drivers who are killed in a road traffic crash tested for use of substances other

than alcohol (e.g. recreational or prescription drugs) ?

□ Yes, please list substances included for testing ______________________

□ No

□ Don’t know

SECTION I. MOTORCYCLE HELMET USE 43. In your country, is there NATIONAL legislation requiring helmet use among users of motorized

two-wheelers?

□ Yes (skip to question 45)

□ No, but legislation set at provincial/state or local level

□ No (skip to Section J)

□ Don't know(skip to Section J)


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44. If legislation on motorcycle helmet use is set at a provincial/state level, is this legislation the same

in all states/provinces in the country?

□ Yes, please explain__________________

□ No (skip to Section J)

□ Non applicable

45. Does national legislation on helmet use require helmet use by:

drivers of motorized two-wheelers □ Yes □ No □ Don't know

adult passengers of motorized two-wheelers □ Yes □ No □ Don't know

46. Does national legislation on helmet wearing require helmet use:

46.1 On all road types?

□ Yes

□ No

□ Don't know

46.2 For all engine types?

□ Yes

□ No

□ Don't know

47. What is the minimum age or minimum height at which children are allowed to ride as passengers

on motorized two-wheelers?

______ years

_______ minimum height

□ No minimum age or height restriction

□ Don't know

48. Are child passengers (who are legally allowed to ride as passengers on motorized two-wheelers)

required to use helmets?

□ Yes

□ No

□ No child passengers allowed on motorized two-wheelers

□ Don't know

49. What are the mechanisms used for each of the following:


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49.1 To ENFORCE helmet use law

49.1.1 □ Road checks or blocks

49.1.2 □ Other (please specify)_____________

□ Don't know

49.2 To PENALISE transgressors of law(please tick all that apply)




49.2.4 □ Fines



□ Don't know

50. In your opinion, how effective is the enforcement of helmet laws (please rate enforcement on a

scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)

0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10


51. Does the law require that motorcycle helmets meet a recognised standard?

□ Yes

□ No

□ Don't know

51.1 If yes, please specify which standard?_____________

52. What is the best ESTIMATE of the percentage of helmet wearing among users of motorized two-

wheelers in your country? (If no official figures are provided, please include any research or

academic studies that may have been published on this issue. Please provide the date and source of

this estimate and attach the relevant hard copies of this information)

52.1 Percentage for ALL RIDERS: _______%

□ Don't know (skip to Section J)

52.1.1 Source of data _____________

52.1.2 Year published _____________


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52.1.3 Is this a national or subnational estimate?

□ National

□ Subnational

52.1.4 Source type. (see Instruction Booklet for more information)

□ Observational study

□ Police reports

□ Research survey

□ Other

52.2 Percentage for DRIVERS: _______%


52.2.1 Source of data _____________

52.2.2 Year published _____________


□ National

□ Subnational



□ Police reports

□ Research survey

□ Other

52.3 Percentage for PASSENGERS: _______%


52.3.1 Source of data _____________

52.3.2 Year published _____________


□ National

□ Subnational



□ Police reports

□ Research survey

□ Other


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SECTION J. SEAT-BELTS AND CHILD RESTRAINTS 53. In your country, is there NATIONAL legislation requiring seat-belt use among car occupants?

□ Yes (go to question 55)

□ No, but legislation set at provincial/state or local level

□ No (skip to question 60)

□ Don't know (skip to question 60)

54. If legislation on seat-belt use is set at a provincial/state level, is this legislation the same in all

states/provinces in the country?

□ Yes, please explain__________________

□ No (skip to question 60 )


□ Non applicable

55. Does this legislation require the use of seat-belts among all occupants (FRONT and REAR seats):

□ Yes

□ No

□ Don't know

56. Does this legislation require seat-belt use on all roads?

□ Yes

□ No

57. What are the mechanisms used for the following:

57.1 To ENFORCE seat-belt law

57.1.1 □ Road checks or blocks

57.1.2 □ Other (please specify) _____________

□ Don't know


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57.2 To PENALISE transgressors of law (please tick all that apply)




57.2.4 □ Fines



□ Don't know

58. In your opinion, how effective is enforcement of seat-belt use laws (please rate enforcement on a

scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)

0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10


59. What is the best ESTIMATE of seat-belt wearing rates in your country? (If no official figures are

provided, please include any research or academic studies that may have been published on this

issue. Please provide the date and source of this estimate and attach the relevant hard copies of this

information)

59.1 Percentage for drivers only: _______%


59.1.2 Source of data _____________

59.1.3 Year published _____________


□ National

□ Subnational

59.1.5 Source type (see instruction booklet for more information)


□ Police report

□ Research survey

□ Other

59.2 Percentage for FRONT seat occupants: _______%


59.2.1 Source of data _____________

59.2.2 Year published _____________



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□ National

□ Subnational



□ Police report

□ Research survey

□ Other

59.3 Percentage for REAR seat occupants: _______%


59.3.1 Source of data _____________

59.3.2 Year published _____________


□ National

□ Subnational



□ Police report

□ Research survey

□ Other

59.4 Percentage for ALL occupants: _______%


59.4.1 Source of data _____________

59.4.1 Year published _____________


□ National

□ Subnational



□ Police report

□ Research survey

□ Other


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60. In your country, is there NATIONAL legislation requiring the use of child restraints

□ Yes

□ No, but legislation set at provincial/state level (skip to Section K)

□ No (skip to Section K)

□ Other (please specify)______________________________________

□ Don't know (skip to Section K)

61. What mechanisms are used in your country to increase the use of child restraints? (please tick all

that apply)

61.1 □ Loan schemes to subsidize the cost of child restraints

61.2 □ Borrowing schemes to encourage use of child restraints

61.3 □ Enforcement checks by police to ensure correct use of child restraints

61.4 □ Penalties (such as fines) for non compliance with laws on child restraints

61.5 □ Other (please explain) ____________________________

□ Don't know

62. In your opinion, how effective is enforcement of child restraint use laws (please rate enforcement

on a scale of 0 to 10, where 0 is not effective at all and 10 is highly effective)

0---------1---------2---------3---------4---------5---------6---------7---------8---------9---------10


SECTION K. MOBILE PHONE USE 63. Are data ROUTINELY collected in your country on mobile phone use while driving?

63.1 □ data collected as part of regular police crash reports

63.2 □ data collected regularly through observational studies

□ No, but specific studies on this have been conducted (please provide any supporting

documents)

□ No

□ Don't know


24

64. Is there NATIONAL legislation in your country regulating the use of mobile phones while

driving?

□ Yes

□ No, but legislation set at provincial/state level

□ No

□ Don't know

If yes, does this legislation prohibit the use of: (please tick all that apply)

64.1 □ Hand-held mobile phones

64.2 □ Hand-held and hands-free mobile phones

64.3 □ Text messaging only

64.4 □ Other (please specify)_____________________________________

SECTION L. SURVEILLANCE SYSTEMS AND POST CRASH RESPONSE 65. Do you have a vital registration/death certification system in your country?

□ Yes

□ No

□ Don't know

If yes, what is the annual number of road traffic deaths recorded through this system. Please provide this data for 2010, or for the most recent year for which data are available.

65.1 Number of deaths estimated using vital registration data

_____________________

65.2 Year ______________________

□ Don't know

65.3 Does this information reflect:

□ The entire national case load

□ A sample (a proportion of total population covered)

______________________

66. Do you have a national Emergency Room-based injury surveillance system in your country?

□ Yes

□ No

□ Don't know


25

67. How many patients a year PRESENT to Emergency Rooms in your country as a result of a road traffic injury?

67.1 Number of patients presenting _____________________

67.2 Source ______________________

67.3 Year ______________________

□ Don't know



□ A sample (for example, government hospitals only, data from one city only, or a

sentinel system - please explain) ______________________

68. From your hospital data, how many patients in your country are ADMITTED to hospital wards

annually as a result of a road traffic injury?(see Instruction booklet)

68.1 Number of patients admitted _____________________

68.2 Source ______________________

68.3 Year ______________________

□ Don't know



□ A sample (for example, government hospitals only, data from one city only or a

sentinel system - please explain) ______________________

69. Is there a nationwide emergency access telephone number in your country (please tick all that

apply)?

69.1 □ Yes, one national number (please state what this number is________)

69.2 □ Yes, multiple national numbers (e.g. one for State-run ambulance services

and a different one for private ambulance providers)

69.3 □ No only State / provincial or city specific number(s)

69.4 □ Other (please specify) ________________________________

□ No nationwide number at all

□ Don't know


26

70. What percentage of all seriously injured persons (e.g. seriously injured enough

to need to be admitted to a hospital) are taken to hospital by an ambulance? (Please see Instruction

booklet).

□ less than 10 %,

□ 11–49 % ,

□ 50–74%

□ > 75 %

□ no ambulance services in my country (skip to Q72)

70.1 Please state if this figure is

□ Nationally representative data

□ Only representative of a specific area (please specify which area)________________

□ An estimate based on professional opinion

71. Is there a specialty of Emergency Medicine for MEDICAL DOCTORS that is recognized in your

country?

□ Yes

□ No

□ Don't know

72. Are formal post graduate training programmes in Emergency Medicine recognized for NURSES

involved in your country

□ Yes

□ No

□ Don't know

73. What is the estimated proportion of people injured in a road traffic crash in your country (i.e. those

presenting at an Emergency Room) who incur a permanent disability as a result of the crash?(See

Instruction booklet for details. Please provide a detailed source for this information or upload a

supporting document)

______ Estimated %

Source of this information______________

□ Don't know

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