Disseminating childhood home injury risk reduction information in Pakistan: results from a community-based pilot study.

Aruna Chandran, Uzma Rahim Khan, Nukhba Zia, Asher Feroze, Sarah Stewart de Ramirez, Cheng Ming Huang, Junaid A. Razzak, Adnan A. Hyder

Research output: Contribution to journalArticle

Abstract

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. 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. 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). 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.

Original languageEnglish (US)
Pages (from-to)1113-1124
Number of pages12
JournalInternational Journal of Environmental Research and Public Health
Volume10
Issue number3
DOIs
StatePublished - Mar 2013

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Pakistan
Risk Reduction Behavior
Pamphlets
Wounds and Injuries
Education
House Calls
Information Dissemination
Cooking
Checklist
Caregivers
Developing Countries
Mothers
Water
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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Disseminating childhood home injury risk reduction information in Pakistan : results from a community-based pilot study. / Chandran, Aruna; Khan, Uzma Rahim; Zia, Nukhba; Feroze, Asher; de Ramirez, Sarah Stewart; Huang, Cheng Ming; Razzak, Junaid A.; Hyder, Adnan A.

In: International Journal of Environmental Research and Public Health, Vol. 10, No. 3, 03.2013, p. 1113-1124.

Research output: Contribution to journalArticle

Chandran, Aruna ; Khan, Uzma Rahim ; Zia, Nukhba ; Feroze, Asher ; de Ramirez, Sarah Stewart ; Huang, Cheng Ming ; Razzak, Junaid A. ; Hyder, Adnan A. / Disseminating childhood home injury risk reduction information in Pakistan : results from a community-based pilot study. In: International Journal of Environmental Research and Public Health. 2013 ; Vol. 10, No. 3. pp. 1113-1124.
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