Facilitators and barriers to reducing motorcyclist casualties in Thailand: A qualitative study of stakeholder perspectives

OBJECTIVE: Motorcycle-related fatalities account for most road deaths in Thailand, yet systemic barriers hinder progress. This study explores stakeholders' perspectives on challenges and opportunities for improving motorcycle safety. METHODS: Ten semi-structured interviews were conducted with stakeholders from government, law enforcement, health, NGOs, and academia. Data were analyzed using template analysis guided by Haddon's Matrix. RESULTS: Key barriers included inadequate infrastructure, weak enforcement, sociocultural norms, fragmented institutional coordination, and underutilization of data and technology. Suggested strategies included speed management, enforcement of drink-driving laws, helmet detection systems, improved licensing, and national-level coordination. CONCLUSIONS: A locally adapted Safe System approach integrating infrastructure, enforcement, education, and technology is essential. Findings offer hypothesis-generating insights for policy and future research in LMICs.