• In discussions with other countries, U.S. participants should cite the relationship of safety to infrastructure development and show appreciation for the need to focus on vulnerable users as a priority.

  • U.S. initiatives should reflect the recommendations of the World Report, which refer to the fundamental needs existing in most developing countries.

  • Activities that help other countries better identify their needs, such as building data and monitoring systems and developing research capacity, are a valuable form of assistance.

  • The experience gained in successful assistance projects, that is, projects that yield results valuable to the country receiving aid, should be seen as an indicator of needs. Some earlier, small-scale safety assistance projects that failed to produce sustainable benefits evidently were not targeting critical needs. The World Bank’s second-generation projects are structured according to a hypothesis about needs; if they are successful, the hypothesis is supported.

It was suggested that case studies of ongoing major cooperative international road safety activities are needed to document the history of each project’s development, organizational structure and participants, objectives and methods, and results to date. These case studies would ensure that the lessons learned in each initiative are preserved. A particularly valuable case study would be a history of the development of international cooperative health and road safety programs in Vietnam. The critical elements involved in organizing a U.S. contribution in that country were the leadership of State Department officials and partnership among the State Department, DHHS, and U.S. nongovernmental organizations.

Next Steps

Several participants suggested immediate next steps that U.S. government agencies could take toward developing a more effective U.S. response to the global road traffic safety problem. Creation of the permanent interagency body described above would be the first step. Several other suggested immediate actions could form the initial agenda of the interagency body. These include the following:

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