Prevalence and Factors Associated with Boda-Boda Morbidity and Mortality at Fort Portal Regional Referral Hospital.

TABLE OF CONTENTS

DECLARATION ............................................................................................................................. i

APPROVAL ................................................................................................................................... ii

ACKNOWLEDGEMENT.............................................................................................................iii

LIST OF ABBREVIATIONS AND ACRONYMS ...................................................................... iv

OPERATIONAL DEFINITIONS................................................................................................... v

LIST OF FIGURES ....................................................................................................................... ix

LIST OF TABLES.......................................................................................................................... x

ABSTRACT................................................................................................................................... xi

CHAPTER ONE: INTRODUCTION............................................................................................. 1

1.1. BACKGROUND ................................................................................................................. 1

1.2. PROBLEM STATEMENT.................................................................................................. 2

1.3. STUDY OBJECTIVES........................................................................................................ 3

1.3.1. BROAD OBJECTIVE...................................................................................................... 3

1.3.2. SPECIFIC OBJECTIVES..................................................................................................... 3

1.4. RESEARCH QUESTIONS ................................................................................................. 3

1.5. JUSTIFICATION OF THE STUDY ................................................................................... 3

1.6. STUDY SCOPE....................................................................................................................... 4

1.6.1. GEOGRAPHICAL SCOPE.................................................................................................. 4

1.6.2. CONTENT SCOPE .............................................................................................................. 4

1.6.3. TIME SCOPE ....................................................................................................................... 4

1.7. CONCEPTUAL FRAMEWORK ........................................................................................ 5

CHAPTER TWO: LITERATURE REVIEW................................................................................. 6

2.0. INTRODUCTION ................................................................................................................... 6

2.1. PREVALENCE OF BODA-BODA RELATED ACCIDENTS.............................................. 6

vii

2.2. RIDER-RELATED FACTORS ASSOCIATED WITH BODA-BODA ACCIDENTS ......... 8

2.3. COMMON INJURIES AND OUTCOMES OF BODA_BODA ACCIDENTS..................... 8

CHAPTER THREE: METHODOLOGY ..................................................................................... 10

3.0. INTRODUCTION ............................................................................................................. 10

3.1. STUDY DESIGN................................................................................................................... 10

3.2. STUDY POPULATION........................................................................................................ 10

3.2.1. INCLUSION CRITERIA.................................................................................................... 10

3.2.2. EXCLUSION CRITERIA .................................................................................................. 10

3.3. SAMPLE SIZE DETERMINATION .................................................................................... 10

3.4. SAMPLING TECHNIQUE ................................................................................................... 11

3.5. DATA COLLECTION METHOD ........................................................................................ 11

3.6. DATA COLLECTION TOOLSAND PROCEDURE........................................................... 11

3.7. QUALITY CONTROL.......................................................................................................... 11

3.8. DATA ANALYSIS................................................................................................................ 11

3.9. ETHICAL CONSIDERATIONS........................................................................................... 11

CHAPTER FOUR: STUDY FINDINGS ..................................................................................... 13

4.0. INTRODUCTION ............................................................................................................. 13

4.1. PREVALENCE OF BODA-BODA RELATED ACCIDENTS............................................ 13

4.1.1. BODA-BODA ACCIDENT VICTIMS BY AGE.............................................................. 13

4.1.2. BODA-BODA ACCIDENT VICTIMS BY SEX............................................................... 14

4.2. RIDER-RELATED FACTORS ASSOCIATED WITH BODA-BODA ACCIDENTS ....... 15

4.2.1. Motorcycle ownership, training, permit possession, diurnal distribution of the boda-boda

accidents, Time of closing work (N=304) .................................................................................... 15

4.2.2. Safety Practices to minimize accidents and injuries sustained by rider and passenger

(N=656)......................................................................................................................................... 15

4.2.3. Alcohol use and use of mobile phone while riding (N=304).............................................. 16

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4.3. INJURIES SUSTAINED & OUTCOMES OF VICTIMS OF BODA-BODA ACCIDENTS

(N=696)......................................................................................................................................... 16

CHAPTER FIVE: DISCUSSIONS, CONCLUSIONS AND RECOMMENDATIONS ............. 18

5.0. INTRODUCTION ............................................................................................................. 18

5.1. DISCUSSIONS...................................................................................................................... 18

5.1.1. Prevalence of boda-boda-related injuries............................................................................ 18

5.1.2. Rider-related factors associated with boda-boda accidents................................................ 19

5.1.3. Injuries sustained and outcomes of boda-boda accidents................................................... 20

5.2. CONCLUSIONS.................................................................................................................... 20

5.3. RECOMMENDATIONS....................................................................................................... 20

5.3.1. To the boda-boda riders and their passengers..................................................................... 20

5.3.2. To the surgical staff at FPPRH ........................................................................................... 20

5.3.3. To fellow researchers.......................................................................................................... 21

5.4.4. To the governing authorities............................................................................................... 21

REFERENCES ............................................................................................................................. 22

APPENDICES .............................................................................................................................. 25

APPENDIX ONE: CONSENT FORM......................................................................................... 25

APPENDIX TWO: DATA COLLECTION TOOL...................................................................... 26

APPENDIX THREE: LIST OF SEVERAL INJURIES SUSTAINED & OUTCOMES OF

VICTIMS OF BODA-BODA ACCIDENTS................................................................................ 29

APPENDIX FOUR: MAP OF UGANDA SHOWING THE LOCATION OF KABAROLE

(RED STAR) DISTRICT WHERE FORT-PORTAL IS FOUND............................................... 30

APPENDIX FIVE: APPROVAL LETTER.................................................................................. 31

ABSTRACT Introduction: Road traffic accidents are the number nine cause of death worldwide. Due to their affordability and the opportunity they offer towards self-employment, many young Africans have taken up business as boda-boda riders. A business they have delved into without appropriate training on riding, road traffic rules and safety. In Uganda, many cases of motorcycle related accidents have been reported daily. This can be attributed to many factors, among which boda-bodas, being the chief means of transport within and around Fort-Portal town, are ridden by unqualified, drunk and reckless riders. No similar study has been conducted on the magnitude of the problem especially in Fort-Portal. For this reason, the researcher felt that a study on this is warranted and proposed to conduct such a study. Objective:To determine the magnitude of boda-boda related morbidity and mortality among victims attending FPRRH, and factors associated with boda-boda related accidents. Method: A descriptive questionnaire-based cross-sectional study design was used and it involved 696 boda-boda accident victims. Results: Prevalence of boda-boda accidents was 20% with rider associated factors including lack of training with lack of rider’s permit, riding long hours into the night by male young riders. Common injuries were lower limb, head and upper limb injuries followed by full recovery. Conclusion: The prevalence of boda-boda related injuries at FPRRH surgical wards is the highest of all RTA related injuries. Though lower than other studies conducted previously, this still warrants intervention. The rider-related factors found significant were male sex, age younger than 35 years, riding at night of a motorcycle that did not belong to the rider, lack of use of PPEs, lack of formal riding training and lack of a rider’s permit. Common injuries included lower limb injuries, head injuries and upper limb injuries. Other injuries reported were spinal cord injuries, bruises, abrasions and contusions which were followed mainly by full recovery with no complications.