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BMC Public Health. 2012; 12: 71.
Published online Jan 23, 2012. doi:  10.1186/1471-2458-12-71
PMCID: PMC3293026
Evaluation of interventions on road traffic injuries in Peru: a qualitative approach
Luis Huicho,corresponding author1,2,3,4 Taghreed Adam,5 Edmundo Rosales,4,5,6,7 Ada Paca-Palao,4 Luis López,4,8 Diego Luna,4,9 and J Jaime Miranda1,4,10, PIAT Working Group
1Facultad de Medicina, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, Lima LI31, Peru
2Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Av. Grau 755, Lima LI01, Peru
3Instituto Nacional de Salud del Niño, Av. Brazil 600, Lima LI05, Peru
4Programa de Investigación en Accidentes de Tránsito (PIAT), Salud Sin Límites Perú, Calle Ugarte y Moscoso 450, Lima LI17, Peru
5Alliance for Health Policy and Systems Research, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland
6Centro de Trastornos Respiratorios del Sueño (CENTRES), Clínica Anglo Americana, Alfredo Salazar 350, Lima LI27, Peru
7Hospital Clínic de Barcelona, Villarroel 170, Barcelona 08036, Spain
8Programa Nacional de Empleo Juvenil Jóvenes a la Obra, Ministerio de Trabajo y Promoción del Empleo, Av. Salaverry 655, Lima LI11, Peru
9Departamento de Ciencias Sociales y Políticas, Universidad del Pacífico, Av. Salaverry 2020, Lima LI27, Peru
10CRONICAS, Centro de Excelencia en Enfermedades Crónicas, Universidad Peruana Cayetano Heredia, Av. Armendáriz 497, Lima LI18, Peru
corresponding authorCorresponding author.
Luis Huicho: lhuicho/at/gmail.com; Taghreed Adam: adamt/at/who.int; Edmundo Rosales: edmundo.rosales/at/gmail.com; Ada Paca-Palao: ada.paca/at/gmail.com; Luis López: llopez.29.06/at/gmail.com; Diego Luna: dluna10/at/gmail.com; J Jaime Miranda: mirandajj/at/gmail.com
Received September 3, 2011; Accepted January 23, 2012.
Abstract
Background
Evaluation of interventions on road traffic injuries (RTI) going beyond the assessment of impact to include factors underlying success or failure is an important complement to standard impact evaluations. We report here how we used a qualitative approach to assess current interventions implemented to reduce RTIs in Peru.
Methods
We performed in-depth interviews with policymakers and technical officers involved in the implementation of RTI interventions to get their insight on design, implementation and evaluation aspects. We then conducted a workshop with key stakeholders to analyze the results of in-depth interviews, and to further discuss and identify key programmatic considerations when designing and implementing RTI interventions. We finally performed brainstorming sessions to assess potential system-wide effects of a selected intervention (Zero Tolerance), and to identify adaptation and redesign needs for this intervention.
Results
Key programmatic components were consistently identified that should be considered when designing and implementing RTI interventions. They include effective and sustained political commitment and planning; sufficient and sustained budget allocation; training, supervision, monitoring and evaluation of implemented policies; multisectoral participation; and strong governance and accountability. Brainstorming sessions revealed major negative effects of the selected intervention on various system building blocks.
Conclusions
Our approach revealed substantial caveats in current RTI interventions in Peru, and fundamental negative effects on several components of the sectors and systems involved. It also highlighted programmatic issues that should be applied to guarantee an effective implementation and evaluation of these policies. The findings from this study were discussed with key stakeholders for consideration in further designing and planning RTI control interventions in Peru.
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