Gupta, Anupam Datta, Gupta, Koninika Datta, and Kleinig, Timothy (2024) Implementation of stroke care & road safety in India: Lessons from Australia. Indian Journal of Medical Research, 159 (3 & 4). pp. 267-273.

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Abstract

India is home to one-fifth of the world’s population and is currently the fastest-growing economy. As the health industry is growing, India needs to develop robust implementation of evidence-based health care addressing the major public health issues. Two of such issues India is grappling with are the establishment of stroke care and the reduction of road accidents. Australia has achieved notable success in implementing stroke care and reducing road accidents. In stroke, Australian initiatives include dedicated stroke units, the development of clinical guidelines, the implementation of acute interventions, the establishment of a national stroke foundation, and the stroke registry. As a result, the combined, primary, and secondary prevention measures, acute treatment, and rehabilitation have reduced the total disease burden of stroke from 2003 to 2023 by 53 per cent, from 7.4 to 3.5 Disability Adjusted Life Years (DALYS) per 1,000 population, which is a 56 per cent decline in fatal burden and 23 per cent decline in non-fatal burden. For road safety, Australia implemented evidence-based practices such as education, legislation including mandatory use of seat belts, and other road safety initiatives. Data show that seat belt use reached 98 per cent in Australia in 2023. Furthermore, about 20 per cent of drivers as well as passengers who were killed in crashes in 2024 did not wear seat belts. The reduction of speed limits in built-up areas, the adoption of monitoring technology, and the clever use of infrastructure are proving to be effective in reducing fatalities and serious injuries. Australia’s implementation research can provide valuable insights into the efforts of mitigating the impact of stroke and enhancing road safety in India.

Item ID:	86018
Item Type:	Article (Research - C1)
ISSN:	0971-5916
Copyright Information:	© 2024 Indian Journal of Medical Research, published by Scientific Scholar for Director-General, Indian Council of Medical Research. This open access publication is protected under CC-BY-NC-SA 4.0
Date Deposited:	01 Jul 2025 23:33
FoR Codes:	42 HEALTH SCIENCES > 4202 Epidemiology > 420207 Major global burdens of disease @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420604 Injury prevention @ 50%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200104 Prevention of human diseases and conditions @ 100%
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