Poorer countries have lower private vehicle ownership, high rates of passenger vehicle accidents, use of open-back vehicles (Nelson and Strueber, 1991), reliance on motorcycles (Falope, 1991) and `token compliance' with, for example, motorcycle helmet wearing (Conrad et al., 1995) or seat belt use (Hauswald, 1997). Of the 31 RTA deaths, five were children, or 16%, with 18 (58%) male adults and eight (26%) female adults. Countries experiencing the so-called `epidemiological transition', comprising a decline in mortality and morbidity from infectious diseases, tend to witness an increase in the relative importance of fatal and non-fatal injuries. Accident prevention raises fundamental issues about different cosmologies, different views on accident causation and on the desirability of particular courses of action. Midwifery Today Int Midwife. 125–128. Keywords. Thirdly, it may be possible for the authorities to pursue engineering measures to promote safety. It is possible to find out what life has in store by consulting the deity Orunmila, who was present when each person's destiny was decided. TOT or training of trainers of TBAs. Another study in Igbo-Ora found that 43.4% of apprentices to a variety of trades (including tailoring, motor mechanic, barbering, etc.) African Press, Ibadan, p. 91. B. and Brieger, W. R. (eds), 25 Years of the Ibarapa Community Health Programme. In Sidell, M., Jones, L., Katz, J. and Peberdy, A. There are measures which can be taken, however, to reduce accidents and their effects, and people's beliefs should not be taken to mean that they are satisfied with the status quo. A health worker explained that: If you want to travel out you need to go to the babalawo first and ask, `Now I want to go to Lagos' or you might ask for your sister and...he will say `Ah! The `belief that it is possible to be in charge of one's life' [see Tones et al., p. 13 (Tones et al., 1990)] is a key value of the modern health promotion movement. It was also their view that financial constraints in hospitals meant that delays in treatment were occurring. A. Open University Press, Buckingham. Secondly, there needs to be a more critical and self-reflexive critique of health promotion. (1995) Accidents and the risk society: some problems with prevention, in Bunton, R., Nettleton, S. and Burrows, R. (eds), The Sociology of Health Promotion. Sahdev et al. Many of the things we don't see are included in African belief systems, cultural and social values, philosophies, … The aims of this paper are to highlight the issue of accidents and unintentional injuries in developing countries, with a focus on Nigeria, and to question the suitability of transferring to poorer countries strategies formulated in Western, industrialized countries. Smith and Barss's (Smith and Barss, 1991) review of the literature suggests that this is, indeed, still a relatively neglected area. Health denotes perfect harmony and normalfunctioning of all the body system or state of completewellness whereas disease … This definition derives from Goodenough’s 8 definition of culture as that knowledge that one must possess to function adequately in society, but it incorporates as well recent insights from … Nursing 1st year 2. There have been `Dramatic increases in the proportion and absolute number of traffic fatalities in a number of developing countries' [see Odero et al., p. 445 (Odero et al., 1997)]. Although a focus on RTAs is essential [by 1982 these accounted for 10% of deaths between the ages of 5 and 44 in 11 developing countries (Jacobs and Sayer, 1983)], for children, the role of domestic accidents is also crucial. Needless to say, such research needs to be qualitative (Ramakrishna and Brieger, 1987). 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