Disseminating childhood home injury risk reduction information in Pakistan: results from a community-based pilot study.
Publication Type | Academic Article |
Authors | Chandran A, Khan U, Zia N, Feroze A, de Ramirez S, Huang C, Razzak J, Hyder A |
Journal | Int J Environ Res Public Health |
Volume | 10 |
Issue | 3 |
Pagination | 1113-24 |
Date Published | 03/15/2013 |
ISSN | 1660-4601 |
Keywords | Accidents, Home, Health Education |
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. |
DOI | 10.3390/ijerph10031113 |
PubMed ID | 23502323 |
PubMed Central ID | PMC3709307 |