Identifying a Framework for Implementing Vision Zero Approach to Road Safety in Low- and Middle-Income Countries: A Qualitative Perspective

Road traffic fatalities in low- and middle-income countries (LMICs) are continuing to rise, posing significant socio-economic and public health challenges. To prevent these road deaths and avoid the corresponding costs, the World Health Organization (WHO) has recommended implementing the vision zero approach to road safety. Vision Zero aims to eliminate road deaths and reduce serious injuries. It has been adopted by many developed countries, however LMICs have faced difficulties implementing this approach due to a lack of guidance. This study aims to develop a framework for implementing vision zero in LMICs by examining the processes in India and Sweden. A qualitative research approach with a multiple-case study design was utilized, selecting 16 participants through purposive and snowball sampling. Data was collected via semi-structured interviews and analyzed using the Grounded Theory method based on Strauss and Corbin’s approach. The study identified five core implementation steps such as agenda setting, approval, planning, monitoring and evaluation, and continuous improvement. Also, a set of influencing conditions such as preconditions, objectives, strategies, intervening factors and contextual conditions were identified. Furthermore, 38 implementation proposals were suggested in the framework to guide policymakers. The proposed framework provides a road map for LMICs that is intended to act as a guide for policymakers and road safety practitioners to enhance road safety performance in LMICs.