Table 3.
List of top questions for pillars 1–5 with scores in rounds 2 and 3
| Scores* | ||
| Pillar 1: Road safety management | R2 | R3 |
| How can implementing agencies be made more accountable for road safety in urban and rural areas? | 92 | 91 |
| What are the barriers to conducting road safety audits at all stages of road construction and implementation of their recommendations? | 85 | 91 |
| How can urban and rural roads construction and management be governed to ensure improved road safety? | 92 | 91 |
| How can the traffic management system be improved to ensure it improves the safety of all road users? | 85 | 91 |
| What are the barriers to the implementation of existing laws related to road safety in Nepal? | 69 | 91 |
| Pillar 2: Safer roads | ||
| What is the effectiveness of different safety features installed on roads in terms of crash reduction? | 94 | 100 |
| What are the barriers and facilitators for achieving safer roads in Nepal? | 88 | 100 |
| What kind of institutional setup is needed at central, provincial, and local levels for the promotion of road safety ownership and accountability? | 94 | 93 |
| What are the economic benefits of the installation of safety features during road construction, regular maintenance, and upgrading of roads? | 82 | 93 |
| How should different types of roads, and roads in different geographical locations, be designed to make them safer for all road users? | 82 | 93 |
| Pillar 3: Safer vehicles | ||
| What are the factors affecting fitness condition and roadworthiness of vehicles to the extent that it leads to road traffic crashes? | 86 | 100 |
| What should be the minimum criteria for the establishment of standard vehicular maintenance workshops? | 93 | 92 |
| What are the capacity development and training needs for currently working human resources and additional jobs to improve the safety of vehicles in Nepal? | 71 | 92 |
| What improvements in policies and institutional setup are needed to ensure vehicle safety of all types and routes? | 79 | 92 |
| What is the role of motor parts used for vehicle maintenance for fitness condition of the vehicles and road crashes? | 93 | 83 |
| How does overloading impact the safety of the vehicles? | 71 | 83 |
| What are the vehicle-related factors causing road crashes in Nepal? | 71 | 83 |
| Pillar 4: Safer road users | ||
| How can the driver licensing system be made more effective to ensure safer vehicle drivers? | 100 | 93 |
| What are the main factors increasing the risk of public vehicle crashes? What interventions would improve the safety of travel on public vehicles? | 94 | 93 |
| How can licensing and crash data collection systems be improved? | 94 | 93 |
| What are the major causes of road crashes in Nepal? What percentage of road crashes are due to unsafe road user behaviours? | 94 | 87 |
| What content should be included in awareness campaigns for different types of road users, and how are these campaigns best delivered? | 83 | 87 |
| What are the barriers to the implementation of laws regarding safer road user behaviour? Review of existing policies related to safer road users. | 78 | 87 |
| Pillar 5: Postcrash response | ||
| What standards should be applied to ambulance services? (includes standards for personnel and training, equipment carried, and the vehicles) | 100 | 100 |
| What is the standard of care at health centres and hospitals for road traffic injury patients across the country, and how can they be improved? | 79 | 92 |
| What is the current average time taken for a road traffic injury patient to receive first response at the scene and the average time taken to arrive at a healthcare setting able to meet their care needs? How can any delays be reduced? | 93 | 92 |
| What factors influence the ability of the postcrash emergency response service to get to the patient and then get them to the right hospital in the best possible time? | 86 | 92 |
| What should be included in the training curriculum for the different levels of postcrash responders? | 93 | 85 |
| How should policies and legislation be further developed to support the postcrash response for road traffic injury victims? | 71 | 85 |
| What is the optimal model of insurance to minimise death & disability following a road traffic crash? What are the barriers and facilitators to implementing such an insurance system? | 71 | 85 |
The phrasing of questions presented in this table reflects the direct translation from Nepali to English of the research questions used in the ranking process.
*Percent of participants ranked ‘very important’ or ‘important’; R2=round 2; R3=round 3.