Abstract Students who walk to school often have to deal with traffic, weather conditions and other distractions along the way. Every hour, nearly 150 children between ages 0 and 19 are treated in emergency departments for injuries sustained in motor vehicle crashes. More children ages 5 to 19 die from crash-related injuries than from any other type of injury. In this research road safety situation around 7 primary schools along Khorasan Razavi province rural roads were assessed using the Star Rating for Schools (SR4S) methodology. Safety improvement treatments were done in 3 schools and reassessment of schools showed meaningful safety enhancement both in allocated score and star rating. Background Road crashes have been shown to be the leading cause of death of children and young adults aged 5–29 (WHO, 2018), indicating that compared to other causes of unintentional injuries, road injuries account for more years of potential life lost (YPLL) (Gardner & Sanborn, 1990 pp. 322) for the children. Estimates show that everyday more than 500 children lose their lives due to road crashes (WHO, 2015). Star Rating for Schools (SR4S) has been claimed to be the first ever systematic and evidence-based tool developed by iRAP (International Road Assessment Programme).
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