Exploring the relationship between child pedestrian safety perception and injury outcomes on routes to school: the Case of Cape Coast metropolitan area

Authors: Regina Obilie Amoako-Sakyi*, University of Cape Coast, Kwabena Koforobour Agyemang, University of Cape Coast, Prince Kwame Odame, National Disaster Management Organisation, Kingsley Nana Osei, University of Cape Coast, Richard Adade, University of Cape Coast
Topics: Transportation Geography, Geography and Urban Health, Africa
Keywords: Pedestrian crashes, captive walkers, walking, Children, Ghana, Injury outcomes
Session Type: Paper
Day: 4/4/2019
Start / End Time: 9:55 AM / 11:35 AM
Room: Congressional B, Omni, West
Presentation File: No File Uploaded


Among Low and Middle-Income countries, children are more likely to walk to school. They are often exposed to some hazards including child pedestrian crashes, threats to security and face harsh weather conditions especially for self-reported captive walkers. In this study, the relationship between children’s perception of their safety from pedestrian crashes on various segments of their routes to school and actual injury outcomes on these segments are explored further. The study employs Police accident data (pedestrian road crashes) recorded in 2013 and data from a road user survey conducted in 2014 among 792 school pupils from 25 Basic schools within the Cape Coast Metropolis. The key findings show that, while rural areas had more exclusive pedestrian paths which protected school pupils from directly coming into contact with motorised vehicles, more than half of all route segments used by urban school pupils form part of a larger multi-modal network, some of which include high volume roads. For a little over half of the respondents, they indicated they did not feel safe crossing such roads on their way to school. Ironically, route segments perceived as safe by children were found to be associated with more serious injury outcomes (r=0.905, P=0.013). With a total of 50 reported pedestrian crash incidents, 36% of victims were children who sustained various degrees of injuries with 27.8% fatality rate. This paper recommends that routes identified as used by children to school should be integrated with the appropriate pedestrian infrastructure to protect them from injuries associated with RTCs.

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