Community Participation in Risk Factor Analysis and the Strategic Development to Reduce Road Traffic Accidents in Khao Thong Subdistrict, Phayuha Khiri District, Nakhon Sawan Province

Abstract

Road traffic accidents remain a major public health concern in Thailand, contributing to high rates of injury and mortality. This study aimed to enhance community participation in identifying risk factors and develop appropriate strategies to reduce road accidents in Khao Thong Subdistrict, Phayuha Khiri District, Nakhon Sawan Province. A participatory action research (PAR) approach was employed with engagement from local authority organizations, government organizations, educational institutions, and people resided in the community in Moo 5, Khao Thong Subdistrict. Data was collected using structured questionnaires and five community health network tools. Risk analysis based on “the Health Determinant Triangle” indicated significant associations and relative statistical significance between road accidents and personal factors such as age and education level, as well as vehicle inspection behavior and behavioral factors related to vehicle maintenance (p<0.05). Key interventions included the formation of local working groups, collaborative partnerships, safety campaigns, (e.g., public education, platform campaigns, and infrastructure improvements, e.g., traffic sign repairs). vehicle inspection, and traffic sign improvement. Following the intervention, over 60% of participants demonstrated significant improvements in safety knowledge and safety behavior. Additionally, community-led policy proposals emerged, fostering sustainable accident prevention efforts.