1
|
Coulibaly A, Sogo AE, Bara A, Wildhaber BE, Inglin S. Domestic Accidents of Children in the Orodara District of Burkina Faso: Mothers' Knowledge of First-Aid Practices. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:523. [PMID: 38791738 PMCID: PMC11121147 DOI: 10.3390/ijerph21050523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 04/04/2024] [Accepted: 04/09/2024] [Indexed: 05/26/2024]
Abstract
First-aid practices after a domestic accident are not always known, especially in Africa. This study aimed to measure mothers' knowledge of emergency procedures and attitudes in the event of domestic accidents in children. We conducted a cross-sectional study in the Orodara health district, Kénédougou province, Burkina Faso, among mothers of children aged 0-14 years. The dependent variable was the mothers' knowledge of domestic accident first-aid practices, and the independent variables were the sociodemographic characteristics of the households and the mothers. Determinants were identified using linear regression with a threshold of 5%. A total of 798 mothers were surveyed. The mean knowledge score was 6.9 (standard deviation = 1.5) out of 19. Upon our multivariate analysis, the factors associated with the mothers' knowledge about first-aid practices were the mothers' age, the number of children under 14 years old living in the same household, the household size, the score for knowledge of non-recommended attitudes, the mothers' level of education, and the place of residence. This study showed that awareness campaigns, especially in rural areas, seem important in improving mothers' knowledge of first-aid practices in domestic accidents and, therefore, reducing the morbidity and mortality associated with domestic accidents.
Collapse
Affiliation(s)
- Abou Coulibaly
- Biomedical and Public Health Department, Research Institute of Health Sciences, National Center for Scientific and Technological Research, Ouagadougou P.O. Box 7047, Burkina Faso;
| | - Armel Emmanuel Sogo
- Biomedical and Public Health Department, Research Institute of Health Sciences, National Center for Scientific and Technological Research, Ouagadougou P.O. Box 7047, Burkina Faso;
| | - Anata Bara
- Ministry of Health and Public Hygiene, Ouagadougou P.O. Box 7009, Burkina Faso;
| | - Barbara E. Wildhaber
- Division of Pediatric Surgery, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, 1205 Geneva, Switzerland; (B.E.W.); (S.I.)
| | - Sophie Inglin
- Division of Pediatric Surgery, Department of Pediatrics, Gynecology and Obstetrics, University Hospitals of Geneva, University of Geneva, 1205 Geneva, Switzerland; (B.E.W.); (S.I.)
| |
Collapse
|
2
|
Khan UR, Ali A, Khudadad U, Raheem Buksh A, Zia N, Azam I, Chandran A, Razzak JA, Hyder AA. Follow-up household assessment for child unintentional injuries two years after the intervention: A community-based study from Karachi, Pakistan. Injury 2023; 54 Suppl 4:110519. [PMID: 36481051 DOI: 10.1016/j.injury.2022.11.062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 11/15/2022] [Accepted: 11/26/2022] [Indexed: 12/03/2022]
Abstract
BACKGROUND Unintentional childhood injuries are a growing public health concern, and the home is the most common location for non-fatal injuries in children less than 5 years of age. This study describes the long-term effects of two injury prevention educational interventions for caregivers-an educational pamphlet and an in-home tutorial guide-by comparing the change in the prevalence of home injury hazards before and after the interventions. METHODS This was a pre- (June and July 2010) and post-study with short-term follow-up (November-December 2010) and long-term follow-up (November 2012- January 2013). Neighborhood one included households that received only educational pamphlets after completing a baseline assessment; neighborhood two included households that received an in-home tutorial guide after completing the baseline assessment and receiving the educational pamphlet. The main outcome of this study was the reduction in home injury hazards for children under 5 years of age. RESULTS A total of 312 households participated in the long-term phase to compare the effect of the interventions. Between the short-term to long-term follow-up, injury hazards significantly reduced in neighborhood two compared to neighborhood one. These included fall hazards (walker use) (IRR 0.24 [95% CI 0.08-0.71]), drowning hazards (open bucket of water in the courtyard and uncovered water pool) (IRR 0.45 [95% CI 0.85-0.98] and IRR 0.46 [95% CI 0.76-0.94]), burn hazards (iron, water heater within reach of child) (IRR 0.56 [95% CI 0.33-0.78] and IRR 0.58 [95% CI 0.32-0.91]), poisoning hazards (shampoo/soap and medicine within reach of child) (IRR 0.53 [95% CI 0.44-0.77] and IRR 0.7 [95% CI 0.44-0.98]) and breakable objects within reach of child (IRR 0.62 [95% CI: 0.39-0.99]). CONCLUSION An injury prevention tutorial to caretakers of children supplemented with pamphlets could significantly decrease the incidence of falls, drowning, burns, poisoning, and cut injury hazards for children under 5 years of age in their homes in a low-resource setting. This intervention has the potential to be integrated in existing public health programs, such as Lady Health Visitors (LHVs), to disseminate injury prevention information in routine home health visits.
Collapse
Affiliation(s)
- Uzma Rahim Khan
- Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan.
| | - Asrar Ali
- Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| | - Umerdad Khudadad
- Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| | - Ahmed Raheem Buksh
- Department of Emergency Medicine, Aga Khan University Hospital, Karachi, Pakistan
| | - Nukhba Zia
- Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Iqbal Azam
- Community Health Sciences, Medical College, Aga Khan University, Karachi, Pakistan
| | - Aruna Chandran
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Junaid Abdul Razzak
- Centre of Excellence for Trauma and Emergencies, Aga Khans University, Karachi 74800, Pakistan; Weill Cornell Medicine, New York, NY, USA
| | - Adnan Ali Hyder
- Milken Institute School of Public Health, George Washington University, Washington, DC, USA
| |
Collapse
|
3
|
Camilo BHN, Freitas LBD, Okido ACC. Contributions of telesimulation to the knowledge of mothers about foreign body airway obstruction. Rev Gaucha Enferm 2023; 44:e20220241. [PMID: 37377273 DOI: 10.1590/1983-1447.2023.20220241.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 11/21/2022] [Indexed: 06/29/2023] Open
Abstract
OBJECTIVE To analyze the contributions of telesimulation to the knowledge of mothers faced with foreign body airway obstruction in children under 1 year of age and identify the related factors. METHODS A quasi-experimental study of the pre- and post-test design carried out between April and September 2021 with 49 mothers from a city in São Paulo. It was organized into four stages: pre-test, telesimulation, immediate and late post-test (60 days later). All steps were carried out remotely via the free online platform Google Hangouts® and Google Forms®. Data analyzed by descriptive and analytical statistics. RESULTS There was a significant difference in the knowledge score between the assessments (p<0.001). Statistically significant relationships were identified between pre-test knowledge and choking experience (p=0.012), promotion of immediate knowledge and another child's choking (p=0.040) and schooling (p=0.006) and promotion of late knowledge with occupation (p=0.012) and choking of another child (p=0.011). CONCLUSIONS There was a significant improvement in knowledge after telesimulation, especially among those who had never experienced a choking situation and had a higher level of education.
Collapse
Affiliation(s)
- Beatriz Helena Naddaf Camilo
- Universidade Federal de São Carlos (UFSCar), Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Enfermagem. SãoCarlos, São Paulo, Brasil
| | - Larissa Bono de Freitas
- Universidade Federal de São Carlos (UFSCar), Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Enfermagem. SãoCarlos, São Paulo, Brasil
| | - Aline Cristiane Cavicchioli Okido
- Universidade Federal de São Carlos (UFSCar), Centro de Ciências Biológicas e da Saúde, Programa de Pós-Graduação em Enfermagem. SãoCarlos, São Paulo, Brasil
| |
Collapse
|
4
|
Shaban MM, Sharaa HM, Nashwan AJ. Effect of community-based intervention on knowledge and practice of rural mothers toward children home injuries. INTERNATIONAL JOURNAL OF AFRICA NURSING SCIENCES 2023; 19:100593. [DOI: 10.1016/j.ijans.2023.100593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/11/2023] Open
|
5
|
Alpman N, Tekiner AS. Investigating the Approaches and Knowledge Levels of Parents of Children at the Ages of 0-14 About Basic First Aid. EURASIAN JOURNAL OF FAMILY MEDICINE 2022. [DOI: 10.33880/ejfm.2022110203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim: The accidents experienced in childhood are a public health problem due to their potential outcomes, and they require collaboration with family physicians. This study aimed to investigate the basic first aid approaches and knowledge levels of parents who bring their children to the outpatient clinics of the Department of Family Medicine and Social Pediatrics at Ankara University School of Medicine.
Methods: This descriptive and cross-sectional study conducted between 19 October 2020 and 16 November 2020 was approved by the Ankara University Human Research Ethics Committee. The data were collected face-to-face using a survey form and were analyzed using the IBM SPSS 15.0 package program.
Results: In this study, 229 parents in total were reached. 55.9% of the participants had first aid training and a higher rate of considering themselves adequate about first aid. The participants with first aid training, those with high income, those with high education levels, and those with a driver's license answered more questions correctly.
Conclusion: Although our study participants had relatively very high education levels, there were issues about which their first aid knowledge was lacking, and these results revealed the importance of providing parents with first aid training once again.
Keywords: family practice, child care, parents, first aid, accidents
Collapse
|
6
|
Lael-Monfared E, Rakhshanderou S, Ramezankhani A, Ghaffari M. Educational and ecological assessment for unintentional injuries among children under 7 years: directed qualitative research based on PRECEDE-PROCEED model. Inj Prev 2022; 28:365-373. [PMID: 35246473 DOI: 10.1136/injuryprev-2022-044521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 02/10/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND Child injury is not seen as a new issue in medical science and public health; however, for years it has been either generally brushed aside or been conspicuously absent from the world health agenda. This study aims at investigating the factors leading to house injuries and attempts to highlight mothers' pivotal role to provide a safe place for children at home. METHODS A qualitative research method was used. There were 29 interviews in total: 12 interviews with mothers, 9 with cure and prevention specialists and 8 with researchers. The data were gathered through semistructured interviews conducted in participants' workplaces namely universities, research centres, health centres and in some cases through telephone in 3 months from February 2021 to May 2021 in Tehran, Iran. The participants were selected through non-probability and purposive sampling. All of the recorded interviews and notes were accurately evaluated and data analysis was performed based on the content analysis. RESULTS In this study, 29 participants' views were examined: 12 mothers (41.37%), 8 researchers (27.5%) and 9 treatment and prevention experts (31%). After the analysis of the interviews, 96 codes, 14 subcategories and 3 main categories were extracted. The main categories included the predisposing factors, reinforcing factors and enabling factors. The subcategories included perceived sensitivity, perceived susceptibility, health control centre, perceived benefits, observational or peripheral learning, social support, family support, abstract norms, valuing children's health, background factors, skills, rules and regulations, child's character traits and self-efficacy to overcome barriers. CONCLUSION House injuries among children are a complicated and multifaceted issue that requires a comprehensive investigation to determine the contributing factors.
Collapse
Affiliation(s)
- Elaheh Lael-Monfared
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Sakineh Rakhshanderou
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Ramezankhani
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohtasham Ghaffari
- Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Al-Bshri SA, Jahan S. Prevalence of home related injuries among children under 5 years old and practice of mothers toward first aid in Buraidah, Qassim. J Family Med Prim Care 2021; 10:1234-1240. [PMID: 34041157 PMCID: PMC8140277 DOI: 10.4103/jfmpc.jfmpc_2265_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 12/24/2020] [Accepted: 01/21/2021] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Unintentional injuries are reported to be the most common mechanism of childhood injuries; large proportion of these occur in or around home. Quick response and appropriate first aid is vital in saving life and preventing negative outcomes. OBJECTIVES The aim of this study was to determine prevalence of home injuries among children five years old and younger and to explore their mothers' knowledge, attitude and practice toward first aid. METHODS A cross-sectional study was conducted among 250 mothers attending well baby clinics at primary health care centers (PHCC) in Buraidah city. The survey was conducted from February to June 2020. Simple random sampling was used to select PHCCs and systematic random sampling was used for participant selection. A self-administered, semi-structured questionnaire was used to collect data. RESULTS A history of home-related injury to the youngest child was reported by 114 (46.3%) mothers. The common home injuries were falls (50%), cut wounds (15.2%) and burns (10.7%). Among less than one-year age, injuries were more prevalent among males (41.4%) as compared to females (27.6%). Majority (58.2%) of mothers had fair knowledge about first aid. Internet websites (53.6%) followed by social media (47.6%) were the main sources of their knowledge. Mothers showed appropriate practice in dealing with suspected fracture (85.9%) and foreign body ingestion (80%) while burn (55.5%) and choking (43.2%) had the lowest appropriate practice. CONCLUSION Home injuries are common among children. However, mothers' knowledge and practice of first aid is inadequate. To reduce the injuries' related morbidity and mortality, increasing awareness and organizing first aid training courses are recommended.
Collapse
Affiliation(s)
| | - Saulat Jahan
- Research and Innovation Unit, Family Medicine Academy, Qassim Health Cluster, Saudi Arabia
| |
Collapse
|
8
|
Mehta K, Gyedu A, Otupiri E, Donkor P, Mock C, Stewart B. Incidence of childhood burn injuries and modifiable household risk factors in rural Ghana: A cluster-randomized, population-based, household survey. Burns 2020; 47:944-951. [PMID: 33077331 PMCID: PMC8019680 DOI: 10.1016/j.burns.2020.09.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/23/2020] [Accepted: 09/23/2020] [Indexed: 01/23/2023]
Abstract
BACKGROUND We aimed to determine the incidence of childhood burn injuries in rural Ghana and describe modifiable household risk factors to inform prevention initiatives. METHODS We performed a cluster-randomized, population-based survey of caregivers of children in a rural district in Ghana, representing 2713 households and 14,032 children. Caregivers were interviewed regarding childhood burn injuries within the past 6 months and household risk factors. RESULTS 357 households were sampled. Most used an open fire with biomass fuel for cooking (85.8%). Households rarely cooked in a separate kitchen (10%). Stove height was commonly within reach of children under five years (<1 m; 96.0%). The weighted annualized incidence of CBI was 63 per 1000 child-years (6.4% of children per year); reported mean age was 4.4 years (SD 4.0). The most common etiology was flame burn. Older age (OR 0.89, 95% CI 0.8-1.0) and households with an older sibling ≥12 years (OR 0.58, 95% CI 0.3-1.3) seemed to be associated with lower odds of CBI. CONCLUSIONS Childhood burn injury is common in rural Ghana. Opportunities exist to reduce the risk of childhood burn injury childhood burns in rural settings by supporting the transition to safer cooking arrangements, child barrier apparatuses in homes without older children, and/or development of formal childcare programs.
Collapse
Affiliation(s)
- Kajal Mehta
- Department of Surgery, University of Washington, Seattle, WA, USA.
| | - Adam Gyedu
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Easmon Otupiri
- Department of Population, Family and Reproductive Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Peter Donkor
- Department of Surgery, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Charles Mock
- Department of Surgery, University of Washington, Seattle, WA, USA; Harborview Injury Prevention & Research Center, Seattle, WA, USA; Department of Global Health, University of Washington, Seattle, WA, USA.
| | - Barclay Stewart
- Department of Surgery, University of Washington, Seattle, WA, USA; Harborview Injury Prevention & Research Center, Seattle, WA, USA.
| |
Collapse
|