Disseminating Childhood Home Injury Risk Reduction Information in Pakistan: Results from a Community-Based Pilot Study

Abstract

Background: Most childhood unintentional injuries occur in the home; however, very little home injury prevention information is tailored to developing countries. Utilizing our previously developed information dissemination tools and a hazard assessment checklist tailored to a low-income neighborhood in Pakistan, we pilot tested and compared the effectiveness of two dissemination tools. Methods: Two low-income neighborhoods were mapped, identifying families with a child aged between 12 and 59 months. In June and July 2010, all enrolled households underwent a home hazard assessment at the same time hazard reduction education was being given using an in-home tutorial or a pamphlet. A follow up assessment was conducted 4–5 months later. Results: 503 households were enrolled; 256 received a tutorial and 247 a pamphlet. The two groups differed significantly (p < 0.01) in level of maternal education and relationship of the child to the primary caregiver. However, when controlling for these variables, those receiving an in-home tutorial had a higher odds of hazard reduction than the pamphlet group for uncovered vats of water (OR 2.14, 95% CI: 1.28, 3.58), an open fire within reach of the child (OR 3.55, 95% CI: 1.80, 7.00), and inappropriately labeled cooking fuel containers (OR 1.86, 95% CI: 1.07, 3.25). Conclusions: This pilot project demonstrates the potential utility of using home-visit tutorials to decrease home hazards in a low-income neighborhood in Pakistan. A longer-term randomized study is needed to assess actual effectiveness of the use of allied health workers for home-based injury education and whether this results in decreased home injuries.

Effect of education on mothers' capability of identification of safety precautions of home accidents

“…Altundağ ve Öztürk ev kazalarına yönelik yüz yüze eğitim verilen annelerde, eğitim sonrasında bilgi düzeyinin anlamlı olarak arttığını bulmuşlardır 7 . Ev kazalarına yönelik bilgi düzeyindeki artışın aynı zamanda annelerin tutumlarına da yansı-dığı çeşitli çalışmalarda saptanmıştır [17][18][19] . Çalışmamız kapsamında, annelerle bire bir görüşülerek, eğitim gereksinimlerine göre interaktif eğitim verilmesi ve eği-tim kitapçığının kullanılmasının ev kazalarına yönelik güvenlik önlemlerini tanımlama skorunu arttırdığı düşünülmektedir.…”

“…Sosyoekonomik durum bütün yaş gruplarında kasıtsız yaralanmalara yol açan risk faktörlerinin temel belirleyicisidir 28 . Ebeveynlerin ev güvenliği ile ilgili inanç-ları ve tutumları kültürel ve sosyoekonomik faktörler ile ilişkilidir 5,19 . Düşük gelir seviyesine sahip annelerin ölçek puan ortalamalarının az olmasının sebebi, bu annelerin eğitim seviyesinin de az olması olabilir.…”

Acidentes na infância: casuística de um serviço terciário em uma cidade de médio porte do Brasil.

“…Approximately 90% of unintentional injuries can be avoided through preventive measures 4 . Several studies prove the reduction in accident rates after the implementation of educational, legislative, and environmental prevention strategies [8][9][10][11] . These prevention activities can be optimized if elaborated based on aspects of local reality, considering the main risk factors and everyday situations related to the occurrence of accidents 4 .…”

A Narrative Synthesis of Childhood Injury Prevention Programs for Pre-school Children

“…Despite this, there is a dearth of research evidence that focuses specifically on childhood injury prevention programs targeted at pre-school children. Much of the literature for injury prevention in the 0-6 years age group has a parental education intervention [17][18][19]. This is understandable, given that injury risks to toddlers can be a result of parental neglect to control risks [1].…”