Publications
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Road Users
Drink-Driving: A Road Safety Manual for Decision-Makers and Practitioners (2nd ed.)
November 2022
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- international literature and good practices on motorcycle safety;
- assessment of motorcycle crashes, regulations, risk exposure data, risk indicators in African countries (with more detailed analysis of Burkina Faso, Cameroon, Rwanda, and Uganda); and
- consultations with stakeholders.
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This manual provides guidance and evidence for decision-makers and practitioners that should lead to an increase in the use of vehicle occupant restraints, such as seat-belts for adults and car seats for babies and children. It draws on experience from countries that have succeeded in achieving and sustaining high levels of vehicle occupant restraint use, and builds on new evidence, including from low and middle-income countries.

Safe, quality helmets reduce the risk of death in a road crash by over six times, and reduce the risk of brain injury by up to 74%. Head trauma is the leading cause of death for riders, and motorcycles continue to proliferate rapidly. Yet the use of helmets in many low and middle-income countries remains low.
The second edition of the Helmets Manual offers guidance to help decision makers and practitioners put in place the comprehensive set of laws, regulations and actions needed to increase the use of safe, quality helmets to save lives.

This manual provides guidance for decision-makers and practitioners to reduce the prevalence of drink driving and associated road trauma. It draws on experience from countries that have succeeded in achieving and sustaining reductions in alcohol-related road trauma, and includes recommendations for developing and implementing drink driving legislation, and advice on how to monitor and evaluate progress.

Walking is a predominant mode of travel in Addis Ababa representing more than half of the daily trips. The mild climate in Addis Ababa is conducive for this healthy and green mode of transport. However, sidewalks are often narrow, uneven, obstructed, or non-existent, causing discomfort and road safety risks to the most vulnerable road users: pedestrians. Studies done by the WHO and the Government showed that AA has disproportionately high pedestrian fatalities.
The study on Addis Ababa Sidewalk Safety and Improvement takes the approach of integrating digital technology and Urban Inventory in sidewalk surveys, applies the Global Walkability Index in sidewalk assessments, and adapts the global best practice to the local context. The Addis Ababa Sidewalk Design and Maintenance Guidelines seek to promote the development of quality pedestrian infrastructure and environments, based on the condition’s assessment and global best practices. The design specifications and visual rendering provide recommendations for the policy makers to consider when developing the City’s design and maintenance standards for urban roads, sidewalks, public spaces, and transit-oriented development, some of which are being carried out as part of the technical assistance program of the World-Bank financed Transport Systems Improvement Project (TRANSIP).

In developing countries with inadequate public transport and road infrastructure, motorcycles present a fast, cheap, and efficient transport alternative. Motorcycles are widely used in many African countries for personal and public transport, as well as for service delivery. In some African countries, motorized two and three-wheelers constitute the largest proportion of the motorized vehicle population. However, despite their benefits, motorcycles expose their riders and passengers to a high risk of serious injury or death in the event of crashes. Motorcycle safety is therefore a significant problem in Africa. On average, 22.5% of road traffic deaths in 2016 involved riders/passengers of two- and three-wheelers, according to the last data published by World Health Organization (WHO, 2018).
This research study presents comprehensive strategic recommendations on how to improve motorcycle safety in Africa. The study will serve as policy advice and technical assistance to the Bank’s regional member countries (RMCs). The study focuses on motorcycle safety conditions in Cameroon, Burkina Faso, Rwanda, and Uganda, where the use of motorcycles for daily activities is reputedly high. Recommendations are predicated on an examination of the major causes of motorcycle crashes and injuries, as well as an extensive body of knowledge from various sources, notably:

After almost two decades of experience with Road Safety Audit (RSA) Worldwide, this procedure is now recognized as one of the most efficient engineering tools. RSA is a highly efficient and cost-effective engineering tool for improvement of safety on roads. It is much cheaper to identify road safety deficiencies in the process of design than later after construction is completed. RSAs are among the most cost-effective investments a Road Authority can undertake.
With its EU Directive No. 2008/96 and amendment 2019/1936 on road infrastructure safety management, the European Union (EU) made a clear decision that RSA will be mandatory for the Trans-European Road Network (TERN) and main roads. This Directive contains another tool called Road Safety Inspection (RSI) on safety deficiencies of existing roads. The RSI is very similar to the process of Road Safety Audit in the pre-opening phase of newly constructed roads. RSIs are essential for the redesign and upgrading of existing roads, and these are done in many countries to give the designers insights and direction for safety improvements. Given that, the purpose of this practical guide is to provide practical guidance to those doing RSAs and RSIs, the examples of typical design deficiencies shown should be useful to both road safety inspectors and road safety auditors.
This document draws on the more comprehensive guidelines and manuals on Safety engineering mentioned in the acknowledgements but deliberately focuses only on these issues of direct relevance to road safety auditors/inspectors and to the road safety reports that they must prepare, including of recommendations for improvements.
This is a special edition of the guide, adapted for Ukraine road safety conditions and legislation, funded by the World Bank‘s Global Road Safety Facility (GRSF) under the Bloomberg Philanthropies Initiative for Global Road Safety (BIGRS).

This guide focuses on elements of safe road and roadside designs for road networks that can provide safe mobility to all road users
A substantial reduction in road deaths will only be feasible if concerted efforts are made, following the “Safe System” approach involving all elements of road safety, management, and delivery. This includes all pillars of the Safe System—starting from road safety management, safe roads and roadsides, safe speed, safe vehicles, safe road users, and post-crash care. This guide focuses on elements of safe road and roadside designs for road networks that can provide safe mobility to all road users, as well as complementary changes to improve speeds, vehicle safety, road user behaviors, and post-crash care. A balanced road design must take into account these complementary system elements to maximize safety benefits. The energy carried by a moving object is proportional to the square of its speed. A well-designed “forgiving roadside” ensures that this energy is dispersed in a crash, and as a result, less energy is transferred to the occupants.
Road infrastructure design plays a vital role in road safety outcomes. Safe infrastructure supports other road safety pillars by encouraging appropriate road user behavior (such as appropriate speed and correct lane position) and by providing a forgiving road environment if things go wrong. Poorly designed road infrastructure can give rise to dangerous road user behavior. One of the key realizations of the Safe System approach is that drivers make mistakes and will continue to do so, even if we can reduce how often these occur. This road user error has long been recognized as a significant contributor to poor road safety outcomes. However, roads of any given speed can be designed to reduce the likelihood of crashes occurring, and there is very clear evidence that the severity of outcomes when crashes do occur is significantly influenced by the road design. Even if a crash still occurs, improved road infrastructure can save many lives and prevent debilitating injuries.
The Safe System approach highlights that a shared response is required to address road safety. This means that road users will continue to take responsibility for their actions, for instance by being alert and compliant with road rules. However, it is also recognized that road managers and designers have a significant responsibility to provide a road system that protects all road users. This can be achieved through appropriate designs of roads.

Nearly 30% of all road traffic deaths reported to WHO involve powered two- and three-wheeled vehicles, such as motorcycles, mopeds, scooters and electrical bikes (e-bikes). As these vehicles become increasingly widespread, particularly in low-and middle-income countries, the proportion of deaths involving them is increasing.
The second edition of the Powered- Two and Three-Wheeler Safety Manual offers guidance to help decision makers and practitioners put in place the comprehensive set of laws, regulations and actions needed to save lives. Rooted in new case studies and evidence, including from low- and middle-income countries, it includes guidelines on developing safer roads, ensuring safer mobility for all road users, vehicle safety standards, and actions to improve emergency responses to crashes.

Cycling has many health and environmental benefits. Yet every year 41 000 cyclists die in road traffic-related crashes worldwide. Many leave their homes as they would on any normal day – for school, work, worship, or meeting friends – never to return. Millions more people are injured in road traffic-related crashes while cycling, some of whom become permanently disabled. These incidents cause much suffering and grief, as well as economic hardship for families and loved ones.
However, the growing focus on sustainable mobility – an increasing effort to shift more travel from motorized transport to the use of public transport, walking and cycling – makes cyclists’ safety an increasingly important component of road safety efforts. Cyclist collisions, like other road traffic crashes, are predictable and preventable and therefore should not be accepted as inevitable.
Cyclist safety: an information resource for decision-makers and practitioners describes the magnitude of cyclist death and injury, the key risk factors, and effective interventions. The document stresses the importance of a comprehensive, holistic approach that includes legislation, enforcement and behavioral measures specifically for cyclists; design of the built environment; as well as integrating cyclist safety into overall road safety and transport strategies. It also draws attention to the benefits of cycling, which should be promoted as an important mode of transport given its potential to improve health and preserve the environment.
We hope that this resource, which is designed for a multidisciplinary audience including engineers, planners, law enforcement officers, public health professionals and educators, will contribute towards strengthening national and local capacity to implement cyclist safety measures in various settings worldwide. We encourage all to bring this resource to the attention of those who will use it to save the lives of cyclists.
The World Health Organization (WHO) coordinated the production of this resource. Soames Job, Head GRSF and Global Lead Road Safety, World Bank was one of the principal writers of this document. GRSF contributions to this document were supported by UK Aid.