Community Perceptions of Road Traffic Accident Causality in Central and Upper River Regions’ South of the Gambia: A Comprehensive Mixed-Methods Analysis for Evidence-Based Road Safety

Abstract

Road traffic accidents remain a devastating public health crisis in low and middle-income countries, which account for over 90% of global fatalities despite having less than 60% of the world's vehicles. This study investigates community perceptions of accident causes in The Gambia's Central River and Upper River Regions using a mixed-methods approach that combined surveys, open-ended responses, and direct observation of road conditions.