Child supervision practices for drowning prevention in rural Bangladesh: a pilot study of supervision tools
- 14 June 2010
- journal article
- research article
- Published by BMJ in Journal of Epidemiology and Community Health
- Vol. 64 (7), 645-647
- https://doi.org/10.1136/jech.2008.080903
Abstract
Background Injuries are an increasing child health concern and have become a leading cause of child mortality in the 1–4 years age group in many developing countries, including Bangladesh. Methods Household observations during 9 months of a community-based pilot of two supervision tools—a door barrier and a playpen—designed to assess their community acceptability in rural Bangladesh are reported in this article. Results Statistical analysis of 2694 observations revealed that children were directly supervised or protected by a preventive tool in 96% of visits. Households with a supervision tool had a significantly lower proportion of observations with the child unsupervised and unprotected than households without a tool. Families that received a playpen had 6.89 times the odds of using it at the time of the visit than families that received a door barrier. Conclusions Interventions such as the playpen, when introduced to households through community-based programs, are accepted by parents. Field trials are urgently needed to establish the effectiveness of barrier-based interventions at reducing under-five drowning mortality rates in low-income countries like Bangladesh.Keywords
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