Prevalence and Factors Associated With Road Traffic Accidents Among Boda-Boda Riders in Gulu City, Northern Uganda

Abstract

Background: Road traffic injuries pose a disproportionate public health threat in the low and middle-income countries like Uganda, with 85% of all the fatalities and 90% of all disability-adjusted life years lost reported. Road accidents in Uganda continue to increase and occur from different regions and towns across the country including Gulu city. Objective: The main objective of this study was to establish the prevalence, and factors associated with road traffic accidents among Boda-boda motorcycle riders in Gulu city, Northern Uganda. Method: A cross-sectional study utilizing quantitative methods of data collection. A total of 276 randomly selected boda-boda riders were interviewed from 78 Boda-Boda stages in Gulu city. A kobo collect software was used to collect data. Data was analyzed using Stata version 15 software. Logistic regression was used to determine the prevalence of RTAs and the associated factors and obtained adjusted odds ratios (aORs). Result: The study findings revealed that road traffic accident among the boda-boda riders in Gulu city is (64.1%) and Boda-boda riders carrying passengers and luggage (aOR = 4.5, 95% CI:3.2-6.3, p < 0.001), not owning motorcycles (aOR = 2.9, 95% CI: [1.2-4.8], p = 0.016), consuming alcohol before riding (aOR = 2.5, 95% CI:1.1-3.9], p = 0.042). answering phone calls while riding (aOR =2.2, 95% CI:1.3-3.6], p = 0.026) and not having licenses (aOR =1.72, 95% CI: 0.3 – 0.8] p=0.04) were significantly associated with Road Traffic accident. Conclusion The study reveals a high prevalence of road traffic accidents (RTA) among Boda-Boda riders in Gulu City, highlighting the need to implement multi-sectoral interventions aimed at changing riders’ behavior. Coordinated efforts should involve the government, law enforcement agencies, and regulatory bodies to strengthen the enforcement of policies that ensure safer road use. Additionally, continuous awareness campaigns and stricter monitoring of compliance with traffic regulations to improve road safety.