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The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers
BACKGROUND: Injuries accounted for 23% of all deaths in children and adolescents in Nepal during 2010 (n = 3,700). Despite this, there is no national death registration or injury surveillance system. Non-fatal injuries are many times more common than fatal injuries and may leave the injured person w...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418066/ https://www.ncbi.nlm.nih.gov/pubmed/25928451 http://dx.doi.org/10.1186/s12889-015-1783-5 |
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author | Pant, Puspa Raj Budhathoki, Bharat Ellis, Matthew Manandhar, Dharma Deave, Toity Mytton, Julie |
author_facet | Pant, Puspa Raj Budhathoki, Bharat Ellis, Matthew Manandhar, Dharma Deave, Toity Mytton, Julie |
author_sort | Pant, Puspa Raj |
collection | PubMed |
description | BACKGROUND: Injuries accounted for 23% of all deaths in children and adolescents in Nepal during 2010 (n = 3,700). Despite this, there is no national death registration or injury surveillance system. Non-fatal injuries are many times more common than fatal injuries and may leave the injured person with lifelong consequences. Children in low-income settings are exposed to widespread risks of injuries but there is little awareness of how they can be prevented. Community mobilisation has been shown to be effective to reduce maternal and neonatal morbidity. This study aimed to develop a child safety programme and assess the feasibility of delivering the programme through a community mobilisation approach. METHODS: We developed a culturally appropriate, educational programme for Female Community Health Volunteers that included both primary and secondary prevention materials for unintentional child injuries. We determined the feasibility of evaluating its effectiveness through the mobilisation of women’s groups in rural Nepal. Ten women’s groups across 9 wards in one village development committee area completed the programme during 6 monthly meetings. Parent-reported injuries were collected through a notification system established for this study. Experience of the programme by women’s group participants and leaders was assessed through a structured questionnaire and process measures assessed the delivery and reach of the programme. RESULTS: Programme resources were developed for this setting and adapted following feedback from users. Nine FCHVs received first-aid training and shown how to use the facilitation manual and injury prevention resources. The FCHVs convened 10 women’s groups to run over 6 months with 24–29 mothers attending each meeting (290 mothers participated in total). Each group presented their views on child injury risks and proposed prevention activities at local public meetings. Women reported 155 injuries to children under 18 years during 7 months of follow up using the notification system. CONCLUSIONS: It is feasible to develop and implement a community mobilisation intervention where women’s groups work together with local FCHVs to prevent injuries in children. The intervention was well received by the women’s groups and by community members. The effectiveness and cost effectiveness of the intervention should now be evaluated through an experimental study. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-1783-5) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4418066 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44180662015-05-05 The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers Pant, Puspa Raj Budhathoki, Bharat Ellis, Matthew Manandhar, Dharma Deave, Toity Mytton, Julie BMC Public Health Research Article BACKGROUND: Injuries accounted for 23% of all deaths in children and adolescents in Nepal during 2010 (n = 3,700). Despite this, there is no national death registration or injury surveillance system. Non-fatal injuries are many times more common than fatal injuries and may leave the injured person with lifelong consequences. Children in low-income settings are exposed to widespread risks of injuries but there is little awareness of how they can be prevented. Community mobilisation has been shown to be effective to reduce maternal and neonatal morbidity. This study aimed to develop a child safety programme and assess the feasibility of delivering the programme through a community mobilisation approach. METHODS: We developed a culturally appropriate, educational programme for Female Community Health Volunteers that included both primary and secondary prevention materials for unintentional child injuries. We determined the feasibility of evaluating its effectiveness through the mobilisation of women’s groups in rural Nepal. Ten women’s groups across 9 wards in one village development committee area completed the programme during 6 monthly meetings. Parent-reported injuries were collected through a notification system established for this study. Experience of the programme by women’s group participants and leaders was assessed through a structured questionnaire and process measures assessed the delivery and reach of the programme. RESULTS: Programme resources were developed for this setting and adapted following feedback from users. Nine FCHVs received first-aid training and shown how to use the facilitation manual and injury prevention resources. The FCHVs convened 10 women’s groups to run over 6 months with 24–29 mothers attending each meeting (290 mothers participated in total). Each group presented their views on child injury risks and proposed prevention activities at local public meetings. Women reported 155 injuries to children under 18 years during 7 months of follow up using the notification system. CONCLUSIONS: It is feasible to develop and implement a community mobilisation intervention where women’s groups work together with local FCHVs to prevent injuries in children. The intervention was well received by the women’s groups and by community members. The effectiveness and cost effectiveness of the intervention should now be evaluated through an experimental study. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12889-015-1783-5) contains supplementary material, which is available to authorized users. BioMed Central 2015-04-28 /pmc/articles/PMC4418066/ /pubmed/25928451 http://dx.doi.org/10.1186/s12889-015-1783-5 Text en © Pant et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Pant, Puspa Raj Budhathoki, Bharat Ellis, Matthew Manandhar, Dharma Deave, Toity Mytton, Julie The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title | The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title_full | The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title_fullStr | The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title_full_unstemmed | The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title_short | The feasibility of community mobilisation for child injury prevention in rural Nepal: a programme for female community health volunteers |
title_sort | feasibility of community mobilisation for child injury prevention in rural nepal: a programme for female community health volunteers |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418066/ https://www.ncbi.nlm.nih.gov/pubmed/25928451 http://dx.doi.org/10.1186/s12889-015-1783-5 |
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