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Helmet wearing in Kenya: prevalence, knowledge, attitude, practice and implications
A M Bachani1, Y W Hung1, S Mogere2
1Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Public Health
|March 15, 2017
Summary
Motorcycle helmet use in Kenya remains low, despite proven effectiveness in reducing head injuries. A multi-faceted approach beyond legislation is needed to improve safety and prevent fatalities.
Area of Science:
- Public Health
- Road Safety
- Injury Prevention
Background:
- Increasing motorcycle prevalence in Kenya necessitates safety interventions.
- Helmet use is a critical factor in preventing head injuries and fatalities from motorcycle crashes.
Purpose of the Study:
- To assess helmet use prevalence, knowledge, attitudes, and practices (KAP) among motorcyclists in two Kenyan districts (Thika and Naivasha) from 2010-2014.
- To evaluate the impact of a traffic amendment bill on helmet usage rates.
Main Methods:
- Systematic observational studies of helmet use conducted quarterly.
- Roadside Knowledge, Attitude, and Practice (KAP) surveys administered biannually.
- Secondary analysis of trauma registry data and logistic regression for risk factor analysis.
Main Results:
- Overall helmet use prevalence was 35.12% in Thika and 37.42% in Naivasha.
- Helmet use prevalence showed no statistically significant change after the traffic amendment bill.
- Despite recognizing benefits, motorcyclists cited inconvenience as a reason for not wearing helmets.
- Helmet wearing was significantly associated with a reduced risk of head injuries (aOR: 0.472).
Conclusions:
- Low helmet use prevalence in Kenya poses a significant public health risk.
- Legislative changes alone had a minimal impact on increasing helmet use.
- A comprehensive strategy involving media campaigns, consistent enforcement, and legislative reform is crucial for improving motorcycle safety.
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