Community perceptions of unintentional child injuries in Makwanpur district of Nepal: a qualitative study

BMC Public Health

Dharma Manandhar²  Matthew Ellis¹  Paul Pilkington³  Elizabeth Towner³  Puspa Raj Pant³ 

[1] School of Social and Community Medicine, University of Bristol, Bristol, UK;Mother and Infant Research Activities (MIRA), Kathmandu, Nepal;Centre for Child and Adolescent Health, University of the West of England, Bristol, UK

关键词: Low income countries;    Nepal;    Child injuries;    Qualitative;    Child injury prevention;   

Others  :  1130508
DOI  :  10.1186/1471-2458-14-476

 received in 2013-12-03, accepted in 2014-05-08,  发布年份 2014

【 摘 要 】

Background

In Nepal, childhood unintentional injury is an emerging public health problem but it has not been prioritised on national health agenda. There is lack of literature on community perceptions about child injuries. This study has explored community perceptions about child injuries and how injuries can be prevented.

Methods

Focus group discussions were conducted with mothers, school students and community health volunteers from urban and rural parts of Makwanpur district in Nepal. FGDs were conducted in Nepali languages. These were recorded, transcribed and translated into English. A theoretical framework was identified and thematic analysis conducted.

Results

Three focus group discussions, with a total of 27 participants, took place. Participants were able to identify examples of child injuries which took place in their community but these generally related to fatal and severe injuries. Participants identified risk factors such as the child’s age, gender, behaviours and whether they had been supervised. Consequences of injuries such as physical and psychological effects, impact on household budgets and disturbance in household plans were identified. Suggestions were made about culturally appropriate prevention measures, and included; suitable supervision arrangements, separation of hazards and teaching about safety to the parents and children.

Conclusion

Community members in Nepal can provide useful information about childhood injuries and their prevention but this knowledge is not transferred into action. Understanding community perceptions about injuries and their prevention can contribute to the development of preventive interventions in low income settings.

【 授权许可】

   
2014 Pant et al.; licensee BioMed Central Ltd.

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