| Titre : | Child supervision practices for drowning prevention in rural Bangladesh : a pilot study of supervision tools. (2010) |
| Auteurs : | J.A. CALLAGHAN ; S. ARIFEEN ; A.H. BAQUI ; L.S. BLUM ; A.A. HYDER ; R. KHAN ; International Center for Diarrhoeal Disease Research. Dhaka. BGD ; International Injury Research Unit. Department of International Health. Johns Hopkins Bloomberg School of Public Health. Baltimore. MD. USA |
| Type de document : | Article |
| Dans : | Journal of epidemiology and community health (vol. 64, n° 7, 2010) |
| Pagination : | 645-647 |
| Langues: | Anglais |
| Mots-clés : | Enfant ; Noyade ; Prévention santé ; Milieu rural ; Outil ; Homme ; Asie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS nR0xDGk7. Diffusion soumise à autorisation]. 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. |
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