Conclusion: These findings indicate that despite the inconsistent helmet wearing, commercial motorcyclists had positive attitude towards helmet wearing. Helmet wearing is associated with the level of education and having a positive attitude towards helmet wearing. There is a high disparity on the observed helmet wearing between riders and passengers. Very few among the later were found to be wearing helmet.
Recommendations: There is a need to strengthen legal enforcement of helmet wearing and ensuring the availability and accessibility of quality helmet to the majority of commercial motorcyclists. There is also a need for regular education campaigns to foster positive attitude towards helmet use. Further explorative studies on the quality of helmet and the factors associated with the use and non-use of helmet among motorcycle passengers are recommended.