It’s obvious that road safety is causing large problems and costs in Iran with an enormous impact on the well-being of people, economy and productivity. The yearly number of fatalities and injuries is still unchanged. Motor vehicle injuries lead the list of injury deaths at the all ages during childhood and adolescence, even in children under 1 yrs of age. Understanding the actual of child road safety situation in Iran and present injury prevention strategies based on global road safety is necessary for improve the preventive rules. I try clearly show that driving habits and codified rules are both effective in child road injury. I stress the need for reliable accident data with special mention in child age group since there is a large underreporting. Reliable accident data are imperative to determine evidence based intervention strategies and monitor the success of these interventions and analyses.