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247 Knowledge of, attitude toward and practice of helmet use among motorcycle passengers in Cambodia
  1. Kim Pagna,
  2. Chanpha Khun,
  3. Mirjam Sidik,
  4. Katherine Klaric,
  5. Bui Truong
  1. Asia Injury Prevention Foundation


Background Road crashes constitute Cambodia’s most serious non-communicable public health crisis, claiming on average 6 lives per day and seriously injuring 17 more. In 2014, over 70% of victims were motorcyclists, only 12% of whom wore a helmet. AIP Foundation is implementing the USAID-DIV supported “Head Safe. Helmet On” (HSHO) project, from 2014 to 2016 to increase helmet use, through three main components: school-based education, high-level advocacy, and behaviour change communications (BCC).

Methods Under BCC, a knowledge, attitude, and behaviour survey including 400 interviews in HSHO target provinces was implemented at baseline in August 2014 and at midline in August 2015. Based off of findings, BCC designs nation-wide mass media campaigns, including television and radio commercials, to address the public’s stated reasons for not wearing a helmet and raise awareness on the importance of helmet use.

Results In the mid-term evaluation, most respondents (about 87%) reported exposure to a helmet safety message in the last year. When prompted with an HSHO BCC image, 86% of respondents recalled seeing it on a TV commercial. Respondents who reported that passenger helmet use is important increased from about 45% to 60%. The percentage of respondents who reported that they were likely or very likely to be stopped by police for not wearing a helmet as a passenger increased from 25% to 66%. However, 67% of respondents replied that they are unlikely to be stopped by police if a child is not wearing a helmet. Awareness of the passenger helmet law, expected to be enforced in January 2016, increased from 69% to 91%. Respondents reporting that they “always” wear a helmet increased from 10% at baseline to 20% at midterm.

Conclusions BBC can increase public knowledge of and attitude toward the importance of motorcycle helmet use, and thereby improve citizens’ practices.

  • road safety
  • injury prevention
  • road crash
  • helmet use
  • behaviour change

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