The Overseas Development Institute (ODI) launched a publication titled “Securing safe roads: the politics of change” which is an output of the project: The politics of road safety. Over the past 10 years, road safety has been escalated to an issue of international concern. Together with the World Resources Institute Ross Center for Sustainable Cities, ODI undertook research in three middle-income cities: Nairobi, Kenya; Mumbai, India; and Bogotá, Colombia. In this report, ODI synthesizes the findings from these case studies concluding with a series of strategies to improve road safety.