Parents’ Perception about Unintentional Childhood Injuries and its Prevention in Rural Bangladesh: A Qualitative Study in a Local Community
Authors: Salim Mahmud Chowdhury, Mohammed A. Halim, Leif Svanström, Lars-Gunnar Hörte, Ross Cox and Fazlur Rahman
Abstract: Injury is the leading killer of children aged 1 to 17 years in low and middle-income countries. In Bangladesh, like other low and middle-income countries, children exposed much higher levels of environmental hazards during their developmental stages that they do not have knowledge of safety and risk avoidance. But very little is known about parental knowledge regarding common childhood injuries which is very important for developing any intervention. Objective: The study was conducted to ascertain parental knowledge regarding common childhood injuries and their prevention practices in rural Bangladesh. Methods: Participants were selected purposely from rural Bangladesh. Four focus group discussions (FGDs), ten in-depth interviews and five focused observations were conducted during November and December 2006 for this study. Results: Respondents stated that younger children appeared to be the victims of injury and the majority of these injuries occurred in and around the household. From the focused observations, different injury prevention measures seem to be practiced in a few households albeit unknowingly. Supervision and putting physical barriers (e.g. door barrier, fencing ponds etc.) were suggested as preventive measures. Participants also recommended government’s involvement in raising mass awareness using different communication channels. Conclusions: The results of this study may be considered when designing childhood injury prevention programs for rural Bangladesh and also for similar socio-cultural settings in other low-income countries.