| Summary: | Current literature does not adequately discuss India's quickly changing transportation scenario, especially road traffic crash (RTC) concerns. The objectives of this work were to (a) present the national RTC framework and a case study of Andhra Pradesh (AP); (b) analyze and identify risk types; (c) discuss trends and data deficiencies; and (d) recommend prevention strategies. During the period 1970–2009, the nation's road length increased at a compounded annual growth rate (CAGR) of 3.2%, whereas the number of registered vehicles, RTCs, and fatalities grew at 12%, 3.8%, and 5.7% CAGR respectively. Exposure risk dropped from 103 to 11 fatalities per 10 000 vehicles but increased from 2.7 to 10.8 fatalities per 100 000 people.
In 2001, AP had 7.5% of the nation's population but 10.4% fatalities. In 2009, the share of urban:rural RTCs was 40%:60%, while 4%, 7%, 4.3%, and 7.1% of fatal crashes occurred near schools, bus stops, gas stations, and pedestrian crossings respectively. In 2009, 22% of fatal crashes were due to heavy vehicles, while motorized two-wheeler fatalities more than tripled during the 2001–2009 period. Vehicles under four years old were involved in 43% of the fatal crashes while 11% to 14% of the fatal crashes were due to ‘overturning’ and ‘head-on’ collisions; more than 75% of crashes were due to driver error. 42% of RTCs occurred at ‘uncontrolled’ intersections, while the crash risk at police-regulated locations was 40% less than at traffic signals.
Recommended prevention strategies include: developing a road accident recording system and an access management policy; integrating safety into corridor design and road construction; undertaking capacity-building efforts; and expanding emergency response services.
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