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Hoque DME, Islam MI, Sharmin Salam S, Rahman QSU, Agrawal P, Rahman A, Rahman F, El-Arifeen S, Hyder AA, Alonge O. Impact of First Aid on Treatment Outcomes for Non-Fatal Injuries in Rural Bangladesh: Findings from an Injury and Demographic Census. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14070762. [PMID: 28704972 PMCID: PMC5551200 DOI: 10.3390/ijerph14070762] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Revised: 07/03/2017] [Accepted: 07/09/2017] [Indexed: 11/16/2022]
Abstract
Non-fatal injuries have a significant impact on disability, productivity, and economic cost, and first-aid can play an important role in improving non-fatal injury outcomes. Data collected from a census conducted as part of a drowning prevention project in Bangladesh was used to quantify the impact of first-aid provided by trained and untrained providers on non-fatal injuries. The census covered approximately 1.2 million people from 7 sub-districts of Bangladesh. Around 10% individuals reported an injury event in the six-month recall period. The most common injuries were falls (39%) and cuts injuries (23.4%). Overall, 81.7% of those with non-fatal injuries received first aid from a provider of whom 79.9% were non-medically trained. Individuals who received first-aid from a medically trained provider had more severe injuries and were 1.28 times more likely to show improvement or recover compared to those who received first-aid from an untrained provider. In Bangladesh, first-aid for non-fatal injuries are primarily provided by untrained providers. Given the large number of untrained providers and the known benefits of first aid to overcome morbidities associated with non-fatal injuries, public health interventions should be designed and implemented to train and improve skills of untrained providers.
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Affiliation(s)
- Dewan Md Emdadul Hoque
- Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh.
| | - Md Irteja Islam
- Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh.
| | - Shumona Sharmin Salam
- Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh.
| | - Qazi Sadeq-Ur Rahman
- Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh.
| | - Priyanka Agrawal
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
| | - Aminur Rahman
- Centre for Injury Prevention and Research, House #B-162, Road #23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh.
| | - Fazlur Rahman
- Centre for Injury Prevention and Research, House #B-162, Road #23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh.
| | - Shams El-Arifeen
- Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh.
| | - Adnan A Hyder
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
| | - Olakunle Alonge
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
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