Shahroud University of Medical siences International Journal of Health Studies (Undergoing change to Shahroud Journal of Medical Sciences) 2423-6594 2024 11 16 Effective interventions for the safety of pedestrians from urban traffic crash in Iran: an evidence-based report to local policy makers 29 30 10.22100/ijhs.v10i3.1131 eng Tahereh Jalali Department of clinical Sciences, School of medicine, Shahroud University of medical Sciences, Shahroud Iran. t.jalali.95@gmail.com Farideh Sadeghian Department of Clinical Sciences, School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.. farsadeghian@gmail.com 2024 09 17 2024 10 21 Pedestrians are 23% of the victims of road traffic crashes in Iran. The second cause of injuries in these accidents is also assigned to this group. The most important cause of this vulnerability is the behavior of pedestrians, Nevertheless the interventions to change behavior in solving this major problem have been the least effective. The cause of this lack of effectiveness is related to voluntary choice in behavior change, seen in all regions of the world. This brief report introduces the use of effective interventions to policymakers by explaining the role of public health in promoting the safety of pedestrians. Reducing the speed of vehicles in residential areas by implementing measures that will change speed control from a voluntary choice to a compulsory choice is a very effective strategy for improving the health and safety of pedestrians.