Volume 14 Supplement 1

Proceedings of the 7th Postgraduate Forum on Health Systems and Policies

Open Access

Public expenditure on road safety policy and programmes: right or wrong direction to achieve the decade of action on road safety goal in Thailand

  • Pudtan Phanthunane1,
  • Jirakom Sirisrisakulchai1Email author,
  • Thaweesak Taekratoke1 and
  • Supasit Pannarunothai1
BMC Public Health201414(Suppl 1):O18

https://doi.org/10.1186/1471-2458-14-S1-O18

Published: 29 January 2014

Background

The objectives of the study were (1) to explore the pattern of public spending on road safety programmes corresponding to 5-E strategy (i.e. evaluation, engineering, education, enforcement and emergency medical service), and (2) to investigate road safety policy directions.

Materials and methods

The government budget documents from 5 ministries including Ministry of Transport, Education, Interior, Public Health and Royal Thai Police were reviewed. Two researchers identified budget used in road safety projects with 5-E strategies independently; the kappa analysis was used to test inter-rater reliability. Information from Thai Health Promotion Foundation and Road Safety Fund was also gathered using a developed excel-based template. Semi-structured interviews were conducted among road safety experts. Some mathematical and statistical analyses were applied to evaluate the efficiency of road safety policy.

Results

Thailand devoted around 18 billion Baht each year to prevent road traffic accidents. The majority of public budget was allocated to engineering strategies (50%), followed by enforcement (23%), emergency medical services (12%), evaluation (8%) and education (7%). The road safety experts, however, suggested that the strategies of education, enforcement and particularly evaluation are Thailand‘s key success factors. Thus, an area-based road safety information system should be developed. Data Envelopment Analysis suggested an inefficiency of law-enforcement system in Thailand by comparison with other countries worldwide.

Conclusions

Despite insufficient data and evidence to clarify the outcomes of road safety policy and programmes, it is possible to conclude that (1) there is an underinvestment in road safety in Thailand and (2) the government allocates budget inappropriately. This study suggests allocating more public spending on road safety management data systems that empower local service providers to access and analyse current accident information. Investing in strategies of education and enforcement effectively influencing road user behaviour would be the right way to achieve the ultimate goal.

Authors’ Affiliations

(1)
Centre for Health Equity Monitoring, Naresuan University

Copyright

© Phanthunane et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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