Balancing the three-legged pot: Benchmarking road safety institutional frameworks across SADC member states

Road deaths and injuries constitute a major global burden of disease, with Africa the worst affected region. Two successive UN Global Decades of Action (2011-2020 and 2021-2030) have focused on pillars of action aimed at halving road deaths. Pillar 1, Road Safety Management, requires a road safety institutional framework (RSIF) containing three legs: i) a road safety lead agency, ii) road safety funding, and iii) a national road safety strategy with timebound death reduction targets. We used a regional benchmarking approach to examine RSIFs in the 16 member states of the Southern African Development Community (SADC), which make up 26% of Africa's population and a third of its land mass. Using data from the World Health Organization's 2018 Global Status Report on Road Safety, we computed an RSIF score for each state and visually depicted its RSIF as a three-legged pot with full, partial, or missing legs. We also performed correlational analyses to determine whether there were relationships between member states' RSIF scores and WHO-estimated death rates, GDP per capita, governance scores on the BertelsmanStiftung Transformation Index (BTI-g) and scores on the Human Development Index (HDI). In 2018, most SADC member states' RSIFs consisted of "wobbly three-legged pots". Leg i (road safety lead agency) was most present, being evident in 80% of the member states. Legs ii (funding) and iii (national road safety strategy) were each present in 73%; however, in most cases, they were deficient compared with global best practice. The only statistically significant correlation we found was between RSIF scores and BTI-g scores. The SADC lagged behind the continent as a whole with respect to lead agencies, with other researchers noting that >90% of African countries had such agencies. The two member states with the highest RSIF scores and lowest death rates (Mauritius and Seychelles) are amongst the wealthiest in the region and have extremely small populations. Overall, the SADC was skewed towards low RSIF scores (correlated with poor governance scores) and high death rates. Almost all SADC member states require strengthening of all three RSIF legs to bring them into line with global best practice for Pillar 1, Road Safety Management. Collective regional improvement could be facilitated by longstanding intergovernmental cooperation (with high levels of cross-border traffic) and growing civil society involvement in road safety. If the SADC could become an exemplar on the continent this would boost the chances of halving African road deaths and substantially reducing global deaths by 2030.