It is increasingly clear and evident that the accident and fatality situation in developing countries particularly in Africa are worsening while those in the developed world continues to improve. Analysis of accident occurrence between 1968 and 1990 revealed an increase of 350 per cent in Africa, compared to a reversing trend in industrialized countries where car ownership per 1000 inhabitants has been estimated to be ten times higher on the average than in Africa. A number of countries in Africa and other regions in South East Asia are reaching the second stage of motorization and research and experience elsewhere have revealed that when countries reach second stage of motorization accident and fatality increase. Recommendations: - Community based Road Safety structure and framework should be introduced in developing countries. - Organizations, Institutions in both the public and private sectors should develop company road safety policies and code of conduct for compliance. - Government in developing countries should encourage the establishment of credible NGOs to complement the efforts of lead Agencies in the improvement of Road Safety. - Health professional should partner traffic safety advocates. - Insurance industry should support Road safety activities by developing genuine and practical partnerships with Road Safety organizations.