Introduction Road traffic injuries (RTIs) are a leading cause of morbidity, disability and mortality in low income countries. 93% of child road deaths occur in low and middle income countries. Good data are needed to raise awareness of the scale of the problem and to develop and target injury prevention programmes.

Objective Investigate the magnitude of and risk factors for childhood RTIs in Bangladesh.

Methodology A cross sectional study was conducted to determine the current childhood road traffic injury situation in Bangladesh. Face-to-face interviews were used. Multi stage cluster sampling was used to select the sample.

Result Nationally representative data were collected from 171 366 rural and urban households. In the sampled households 351 651 children aged 0–17 years were identified; 178 285 were males and 173 366 females. The rate of non-fatal RTI among children under 18 years of age was calculated as 186.55 per 100 000 child-year. The highest incidence (216.06/100 000 child-year) was found among the 5–9 years age group. Among the total children with non-fatal RTI 75.3% were male and 24.7% were female. The incidence of childhood RTI was found to be three times higher in rural children than urban children. Most of the childhood RTIs were pedestrian injuries. The rate of fatal RTI was 5.97 per 100 000 per year among all children.

Conclusion The study has confirmed that childhood RTI is a major public health problem in Bangladesh particularly in rural areas. An appropriate prevention programme is urgently required to prevent fatal and nonfatal RTIs in rural areas.