Impact of first aid on treatment outcomes for non-fatal injuries in rural Bangladesh: Findings from an injury and demographic census

Dewan Md Emdadul Hoque, Md Irteja Islam, Shumona Sharmin Salam, Qazi Sadeq-Ur Rahman, Priyanka Agrawal, Aminur Rahman, Fazlur Rahman, Shams El-Arifeen, Adnan A. Hyder, Olakunle Alonge

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article number762
JournalInternational journal of environmental research and public health
Volume14
Issue number7
DOIs
StatePublished - Jul 12 2017

Keywords

  • Bangladesh
  • First-aid treatment
  • Medically trained providers
  • Non-fatal injury
  • Rural
  • Untrained medical providers

ASJC Scopus subject areas

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

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