RECOVERY AND REHABILITATION OF CRASH VICTIMS FROM THE ROAD NETWORK.
Emergency services and health care are provided to a generally sound level, through SAMU (Ambulance), fire services, and police. On State concession operated roads the concession operator must supply emergency response, and the team witnessed this occurring at one serious rural crash (as shown earlier in Figure) as well as others.
In some states there are helicopter rescue nodes. Figure 25 shows the areas covered by these services in Sao Paulo as an advanced example. These are appropriately concentrated in large population clusters. The areas depicted represent approximately the reach of the services in a 20 minute flying range. Other positive features of emergency response include that ambulances often have doctors, doctors may use motorcycles to reach crash scenes more quickly in heavy traffic, hospitals are selected for transport of patients based on daily updated information on bed and service availability, and GRAU (the Emergency Care Rescue Group) supply doctors to fire brigades.
There are other key concerns:
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In all states, the multiple phone numbers for the public to request help add to delays. This should be addressed.
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Some municipal councils have no access to SAMU, adding to delays in emergency response.
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Improved collaboration between SAMU and the Health Department could improve locations of ambulances for effective coverage.
Figure 25. Map of coverage of aerial rescue services in São Paulo state showing quite incomplete coverage (Source of information for map: São Paulo Health Secretary).
ENCOURAGING AND FACILITATING REDUCED ROAD USE The value of non-road transport as a means of reducing road use and thus crashes, deaths and injuries.
Improved understanding of the Road Safety value of supplying and encouraging use of non-road transport, is of value. Public transport (metro, rail, shipping, air) are all typically safer than road use. Thus, policies and infrastructure which cause a modal shift from road to other transport modes provide Road Safety value and overall safety improvements. Improved Road Safety can reasonably be identified and cost savings estimated as part of the overall assessment of investment in non-road based transport.
The Situation in Brazil
Further expansions of water, rail transport will assist Road Safety. These expansions reduce road based traffic exposure.
Brazil has a huge coastline, many ports and navigable rivers. Brazil has 8500 km of navigable coast. The Brazilian port complex handled 931 million tons of bulk cargo in 2013, an increase of 2.9% compared to 2012. According to Antaq (National Agency for Water Transports), Brazil transported via inland waterways routes, 38 million tons in the first half of 2014. According to the survey for economically navigable (and viable) routes, conducted by ANTAQ (2014), the main waterways in the country are: Amazon (17,651 km), Tocantins-Araguaia (1360 km), Parana-Tiete (1359 km), Paraguay (591 km), San Francisco (576 kilometers), south (500 km). Further expansion is feasible and is occurring.
Increased use of metro transport is also of value provided that the pedestrian movements created are well managed for safety. Salvador’s metro system has also been doubled (to 12km) and Sao Paulo’s expanded in recent years.
ANNEX 6 – Proposed Structure for the National Lead Agency
Figures below show the suggested structures around the Lead Agency and within the Agency, based on the functions required as identified elsewhere in this report.
Proposed organizational chart of relationships for the Road Safety Lead Agency (with broken lines indicating influence rather than direct control)
President’s office
(Minister for Road Safety)
CONTRAN
Lead Agency
A Thematic secretariat
Consultation Committee
Various NGOs Government Departments supported and partnered in Road Safety
Various state and municipal Government Departments influenced and guided in Road Safety
Various Federal Government Departments influenced and guided in Road Safety
Suggested organizational chart of the Road Safety Lead Agency for Brazil
Personal Assistant
Director of NLA
Deputy Director of NLA
Personal Assistant
Safe Roads
Safe Speeds
Strategy & Analyses
Law, Budget & Procurement
Stakeholder & Committee relationships
Safer People
Safe Vehicles
Safe Behavior Policy
Advertising, Communications & Promotion
State and Municipal level relationships and consultation
Stakeholder relationships
CONTERAN and Consultation Committee liaison and secretariat
Education
Road Safety Observatory- Research & Analyses
Road Safety Observatory- data management
Strategy & Monitoring
Features of the Suggested Sstructure
The following features are identified as important advantages of the proposed structure, based on required functions, sound management processes, and organizational psychology:
The Director should have a deputy director to allow for a sufficiently senior position to act for the director in his or her absence. The deputy director role also allows for the Director to have less direct reporting staff, which will be important for the director to manage the large number of external facing relationships which will need to be managed at a high level. Finally, the deputy director role allows for more effective career progression and succession planning in the organization.
The structure is aligned with Safe System Principles by including sections for each pillar of safe systems (roads and roadsides, speed, people, and vehicles) explicitly in the proposed structure
The breadth of required interactions across the different levels of government and the required committees are addressed
The need for strategy development and performance monitoring are accommodated
The critical need for the development of sound data systems is also addressed
A significant (and possibly growing) number of people will be required to manage the budget of the Lead Agency, depending on how much funding is dedicated to Road Safety and managed via the Lead Agency.
Staff Numbers
Staff numbers for the Lead Agency are inevitably challenging to determine. The right numbers balance the need to retain as much of the Road Safety budget as possible for direct delivery of Road Safety policy and actions yet allows sufficient staff to ensure that the best polices and delivery mechanisms are chosen, to ensure that delivery occurs, to monitor outputs and outcomes, refine actions and report activity to government and the public. The complexity and multiple strand nature of Road Safety mean that this is a significant number of staff. For example, the lead agencies for Road Safety in Slovenia, Sweden, France, and in the state of New South Wales (Australia) all contain over 100 staff.
The following staff numbers are a suggested minimum, which should be revised after a period of operation to ensure that functions are effectively covered and to ensure that areas are not over-staffed the event that the role of the Lead Agency in specific areas is not as envisaged here.
Suggested approximate staff numbers for the lead Agency as an initial complement to be reviewed once functioning
Section
|
Staff numbers
|
Director, Deputy Director, Assistants
|
4
|
Strategy and Analysis
|
14
|
Safe Roads
|
8
|
Safe Speeds
|
7
|
Safe Vehicles
|
4
|
Safe People
|
13
|
Stakeholder and Committee Relationships
|
8
|
Law, Budget and Procurement
|
10
|
TOTAL
|
67
|
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