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Challenging Inequities in HealthFrom Ethics to Action$
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Timothy Evans, Margaret Whitehead, Finn Diderichsen, Abbas Bhuiya, and Meg Wirth

Print publication date: 2001

Print ISBN-13: 9780195137408

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195137408.001.0001

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Kenya: Uncovering the Social Determinants of Road Traffic Accidents

Kenya: Uncovering the Social Determinants of Road Traffic Accidents

(p.210) Chapter 15 Kenya: Uncovering the Social Determinants of Road Traffic Accidents
Challenging Inequities in Health



Oxford University Press

Road traffic accidents are a burgeoning public health problem worldwide. Globally, the problem is ranked ninth among the major causes of mortality and disability, forecast to rise to third position by the year 2020. Africa has experienced a rapid growth in this cause of death. In the Kenyan analysis of road traffic accidents, this chapter takes a creative approach to analyzing policy issues in the transport and road safety sectors. It debunks the myth of purely behavioral explanations for the growing burden of road traffic accidents in Kenya. It points instead to systematic corruption, inadequate labor protection, and lack of alternatives for low-income passengers as root causes of the problem. Rather than fall back on putative and ineffective efforts to influence driver behavior through crippling fines, the chapter recommends a variety of policies aimed at engaging stakeholders and tackling the structural antecedents of the problem.

Keywords:   Kenya, road traffic accidents, policy, mortality, disability, systematic corruption

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