A game of Chinese whispers in Malaysia: Contextual analysis of child road safety education

Prasanthi Puvanachandra, Subramaniam Kulanthayan, Adnan Ali Hyder

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


In 2006, the Malaysian government began implementing road safety education (RSE) programs in primary schools, involving numerous stakeholders. We interviewed 19 stakeholders. Thematic analysis led to the identification of four themes: road traffic injuries (RTIs) among children in Malaysia, the role of RSE, factors affecting successful implementation, and intersectoral involvement. The latter was identified as a significant strength of the overall approach to implementation, and is one of the first examples in Malaysia and in the region of such an approach. Lack of official documentation surrounding ownership, funding responsibilities, and roles among the various sectors led to resistance from some groups. Although we know from scientific studies what works in terms of reducing RTIs, the more important question is how such interventions can be successfully and sustainably implemented, particularly in low- and middle-income countries (LMIC). The results of this study permit stronger understanding of issues surrounding the implementation of RTI interventions in LMIC.

Original languageEnglish (US)
Pages (from-to)1476-1485
Number of pages10
JournalQualitative Health Research
Issue number11
StatePublished - Nov 2012
Externally publishedYes


  • Asia, South/Southeast
  • behavior change
  • children
  • developing countries
  • education, patient
  • interviews, semistructured
  • qualitative analysis
  • research, qualitative

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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