The Health Benefits of Transport Projects : A Review of the World Bank Transport Sector Lending Portfolio

This paper reviews the contribution of the World Bank's transport lending portfolio to health outcomes, as background for the Independent Evaluation Group's (IEG) evaluation of the Bank's support for health, nutrition and population (HNP). Over the past decade (FY97-06), the World Bank committed nearly $28 billion to 229 new transport projects managed by the Transport Sector Board (TSB). Specifically, the paper reviews the extent to which these projects: cite potential health benefits or risks in design documents; include specific objectives with respect to improving health outcomes or mitigating health risks; propose environmental improvements that are likely to provide health benefits; target transport services, and both health and behavioral outcomes to the poor; and plans to collect evidence on changes in health outcomes as a result of transport interventions. For completed projects, it assesses the extent to which expected health benefits or objectives have been achieved. This review of health benefits in the transport lending portfolio over the past decade shows that in the majority of the cases the focus has been on improvements in road safety, as measured by a reduction in the fatality or injury rates. Among the 55 projects with health related objectives, 82 percent had objectives to improve road safety, while only 7 percent had objectives to improve safety of other modes of transport and only 2 percent each had HIV/AIDS prevention or air quality improvement objectives.

Bibliographic Details

Main Authors:	Freeman, Peter, Mathur, Kavita
Language:	English en_US
Published:	Washington, DC : World Bank 2008
Subjects:	ACCESS ROADS, ACCIDENT DATA, ACCIDENT RATES, ACCIDENT REDUCTIONS, ACCIDENTS, ACTIVE TRANSPORT, AIR, AIR POLLUTANTS, AIR POLLUTION, AIR TRANSPORT, AIR TRAVEL, AIRCRAFT, AIRPORTS, ALL WEATHER ROADS, AVIATION EMISSIONS, BICYCLE PATHS, BICYCLES, BORDER CROSSINGS, BUS, BUS PRIORITY, BUS PRIORITY LANES, BUS STATIONS, BUSWAYS, CAR, CARBON MONOXIDE, CITY TRANSPORT, CLEANER FUELS, CLIMATE CHANGE, COLLISIONS, COMMUNICABLE DISEASES, CONDOMS, CONSTRUCTION SITES, CRASH BARRIERS, CRASH FATALITIES, CRASHES, CROSSINGS, CYCLING, DIABETES, DIESEL, DIESEL ENGINES, DISABILITIES, DRIVER BEHAVIOR, DRIVERS LICENSES, DRIVING, DRIVING LIMITS, DRUNK DRIVING, DUST, EMERGENCY SERVICES, EMISSIONS, EMISSIONS STANDARDS, ENERGY CONSUMPTION, ENFORCEMENT OF REGULATIONS, ENGINE, ENVIRONMENTAL IMPACTS, EXHAUST EMISSIONS, EXTERNALITIES, FAMILIES, FATAL INJURY, FATALITIES, FATALITY, FATALITY RATE, FATALITY RATES, FIRST AID, FRAMEWORK, FUEL, FUEL PRICES, GASOLINE, GREENHOUSE GAS, GREENHOUSE GAS EMISSIONS, HEALTH CARE, HEALTH EFFECTS, HEALTH INDICATORS, HEALTH OUTCOMES, HEALTH SERVICES, HIGHWAY, HIGHWAY ADMINISTRATION, HIGHWAY IMPROVEMENT, HIGHWAY PROJECT, HIGHWAY REHABILITATION, HIGHWAYS, HIGHWAYS PROJECTS, IMPACT OF TRANSPORT, IMPROVEMENTS IN ROAD SAFETY, INCOME, INFECTIOUS DISEASES, INFLUENZA, INFRASTRUCTURE DEVELOPMENT, INFRASTRUCTURE REHABILITATION, INJURY, INJURY ACCIDENTS, INJURY PREVENTION, INJURY RATES, INLAND WATERWAY, INLAND WATERWAYS, LAND USE, LEISURE ACTIVITIES, MARITIME ACCIDENTS, MASS TRANSIT, MINISTRY OF TRANSPORT, MODE OF TRANSPORT, MODES OF TRANSPORT, MORTALITY, MOTOR VEHICLE, MOTORCYCLISTS, MOTORIZED ROAD USERS, MOTORIZED TRANSPORT, NATIONAL ROADS, NOISE, NOISE BARRIERS, NOISE POLLUTION, NUTRITION, OZONE, PEDESTRIAN, PEDESTRIAN CROSSINGS, PEDESTRIANS, PHYSICAL ACTIVITY, POLLUTION, POLLUTION REDUCTION, PORT ACCESS, PRIVATE MOTOR VEHICLES, PRIVATE VEHICLE, PUBLIC HEALTH, PUBLIC TRANSIT, PUBLIC TRANSPORT, PUBLIC TRANSPORT PRIORITY, PUBLIC TRANSPORT SYSTEM, PUBLIC TRANSPORT SYSTEMS, PUBLIC TRANSPORT USAGE, PUBLIC TRANSPORTATION, RAIL, RAILWAY, RAILWAY CROSSINGS, RAILWAYS, ROAD, ROAD ACCIDENTS, ROAD CONSTRUCTION, ROAD DEATHS, ROAD DESIGN, ROAD DESIGNS, ROAD IMPROVEMENT, ROAD INFRASTRUCTURE, ROAD MAINTENANCE, ROAD NETWORK, ROAD PROJECTS, ROAD SAFETY, ROAD SAFETY ACTION, ROAD SAFETY EDUCATION, ROAD SECTOR, ROAD SIGNAGE, ROAD TRAFFIC, ROAD TRAFFIC ACCIDENTS, ROAD TRANSPORT, ROAD USERS, ROADS, ROADWAYS, ROUTES, RURAL INFRASTRUCTURE, RURAL ROADS, RURAL TRANSPORT, SAFETY AGENCY, SAFETY CAMPAIGNS, SAFETY IMPACTS, SAFETY IMPROVEMENTS, SAFETY ISSUES, SAFETY MEASURES, SCIENTIFIC EQUIPMENT, SEAT BELT, SEAT BELT USE, SEAT BELTS, SIDEWALKS, SIGHT DISTANCE, SIGNAGE, SPEED, SPEED LIMITS, SPREADING, STATE HIGHWAY, STREET LIGHTS, STREETS, STRUCTURES, SUSTAINABLE TRANSPORT, TOLL, TOLL ROAD, TRAFFIC, TRAFFIC CALMING, TRAFFIC CALMING MEASURES, TRAFFIC CONGESTION, TRAFFIC FATALITIES, TRAFFIC INJURIES, TRAFFIC LAWS, TRAFFIC MANAGEMENT, TRAFFIC MANAGEMENT MEASURES, TRAFFIC MANAGEMENT SYSTEMS, TRAFFIC SAFETY, TRAFFIC SIGNALS, TRANSPORT, TRANSPORT ACCIDENTS, TRANSPORT CORRIDORS, TRANSPORT EMISSIONS, TRANSPORT FACILITATION, TRANSPORT IMPROVEMENT, TRANSPORT INFRASTRUCTURE, TRANSPORT MODES, TRANSPORT OFFICIALS, TRANSPORT POLICIES, TRANSPORT POLICY, TRANSPORT PROJECTS, TRANSPORT RESEARCH, TRANSPORT SAFETY, TRANSPORT SECTOR, TRANSPORT SERVICES, TRANSPORT STRATEGY, TRAVEL SPEEDS, TRAVEL TIME, TRIPS, TRUCK DRIVERS, UNDERPASSES, URBAN PLANNERS, URBAN PLANNING, URBAN ROAD, URBAN ROADS, URBAN TRAFFIC, URBAN TRAFFIC CONGESTION, URBAN TRANSPORT, URBAN TRANSPORTATION, VEHICLE, VEHICLE EMISSION, VEHICLE EMISSIONS, VEHICLE EXHAUST, VEHICLE INSPECTIONS, VEHICLE SAFETY, VEHICLE SPEEDS, VEHICLE USAGE, VEHICLE USERS, VEHICLES, VULNERABLE ROAD USERS, WALKING, WASTE, WATER POLLUTION, WORKERS,
Online Access:	http://documents.worldbank.org/curated/en/2008/02/9333852/health-benefits-transport-projects-review-world-bank-transport-sector-lending-portfolio https://hdl.handle.net/10986/6404
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