The number of cars in Kathmandu Valley has increased tenfold over the last 15 years, largely because banks have had few other viable investment opportunities amid deteriorating security conditions. According to the Department of Transport Management, there are 444,700 registered vehicles in Bagmati zone, most in the Kathmandu Valley. Kathmandu Valley claims to have one of the highest mortality from pedestrian accidents in South Asia. There is no single day that passes without the news of road accidents claiming lives of the people. Nepal needs to come up with an integrated framework on pedestrian road safety, urban planning and transport infrastructures that will promote sustainable urban modes of transport in the country. This integrated framework must coordinate all actions of government ministries and departments working on road safety, infrastructures and traffic issues.