A game of Chinese whispers in Malaysia: Contextual analysis of child road safety education

Document Type

Journal Article

Publication Date

11-1-2012

Journal

Qualitative Health Research

Volume

22

Issue

11

DOI

10.1177/1049732312457245

Keywords

Asia, South/Southeast; behavior change; children; developing countries; education, patient; interviews, semistructured; qualitative analysis; research, qualitative

Abstract

In 2006, the Malaysian government began implementing road safety education (RSE) programs in primary schools, involving numerous stakeholders. We interviewed 19 stakeholders. Thematic analysis led to the identification of four themes: road traffic injuries (RTIs) among children in Malaysia, the role of RSE, factors affecting successful implementation, and intersectoral involvement. The latter was identified as a significant strength of the overall approach to implementation, and is one of the first examples in Malaysia and in the region of such an approach. Lack of official documentation surrounding ownership, funding responsibilities, and roles among the various sectors led to resistance from some groups. Although we know from scientific studies what works in terms of reducing RTIs, the more important question is how such interventions can be successfully and sustainably implemented, particularly in low- and middle-income countries (LMIC). The results of this study permit stronger understanding of issues surrounding the implementation of RTI interventions in LMIC. © The Author(s) 2012.

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