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.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Callaghan JA,Hyder AA,Khan R,Blum LS,Arifeen S,Baqui AHdoi
10.1136/jech.2008.080903subject
Has Abstractpub_date
2010-07-01 00:00:00pages
645-7issue
7eissn
0143-005Xissn
1470-2738pii
64/7/645journal_volume
64pub_type
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