Building Road Safety Institutions in Low- and Middle-Income Countries

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dc.creatorBhalla, Kavi
dc.creatorShotten, Marc
dc.date2019-07-12T20:25:52Z
dc.date2019-07-12T20:25:52Z
dc.date2019-03-08
dc.date.accessioned2026-07-01T00:41:02Z
dc.descriptionTraffic injuries remain a leading health concern in most low- and middle-income countries (LMICs). However, most LMICs have not established institutions that have the legislative mandate and financial resources necessary to coordinate large-scale interventions. Argentina provides a counterexample. Argentina is a federal country where the decentralization of authority to provincial governments was a key barrier to effective national interventions. In 2008, Argentina passed a law establishing a national road safety agency and subsequently received a World Bank loan to build the agency’s capacity to coordinate actions. Although traffic injuries in Argentina have not yet begun to decline, these developments raise important questions:Why did Argentina come to view road safety as a problem?Why was institutional reform the chosen solution? What was the political process for achieving reform? What are the broader implications for institutional reform in LMICs?We explore these questions using a descriptive case study (single-case, holistic design) of Argentina. The case illustrates that focusing events, like the Santa Fe tragedy that killed nine children, and advocacy groups are important for raising political attention and creating an opportunity for legislative reform. It highlights the importance of policy entrepreneurs who used the opportunity to push through new legislation. Though the political dynamic was predominantly local, international actors worked with local advocates to build demand for safety and develop solutions that could be deployed when the opportunity arose. Most important, the case emphasizes the importance of developing institutions with the resources and authority necessary for managing national road safety programs.
dc.formatapplication/pdf
dc.identifierHealth Systems and Reform
dc.identifier2328-8604
dc.identifierhttps://hdl.handle.net/10986/32085
dc.identifier10.1596/32085
dc.identifier.urihttp://hdl.handle.net/123456789/409072
dc.publisherTaylor and Francis
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rightsWorld Bank
dc.subjectHEALTH SYSTEM REFORM
dc.subjectINSTITUTIONAL REFORM
dc.subjectROAD TRAFFIC INJURIES
dc.subjectROAD SAFETY
dc.subjectSAFETY SYSTEMS
dc.subjectFEDERALISM
dc.subjectNATIONAL GOVERNANCE
dc.titleBuilding Road Safety Institutions in Low- and Middle-Income Countries
dc.titleThe Case of Argentina
dc.typeJournal Article
dc.typeArticle de journal
dc.typeArtículo de revista

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