Journal of Epidemiology & Community Health 2010;64(7):645-647

J A Callaghan, A A Hyder, R Khan, L S Blum, S Arifeen, A H Baqui

Abstract
Background: Injuries are an increasing child health concern and have become a leading cause of child mortality in the 1–4 years age group in many developing countries, including Bangladesh.

 

Methods: Household observations during 9 months of a community-based pilot of two supervision tools—a door barrier and a playpen—designed to assess their community acceptability in rural Bangladesh are reported in this article.

 

Results: Statistical analysis of 2694 observations revealed that children were directly supervised or protected by a preventive tool in 96% of visits. Households with a supervision tool had a significantly lower proportion of observations with the child unsupervised and unprotected than households without a tool. Families that received a playpen had 6.89 times the odds of using it at the time of the visit than families that received a door barrier.

 

Conclusions: Interventions such as the playpen, when introduced to households through community-based programs, are accepted by parents. Field trials are urgently needed to establish the effectiveness of barrier-based interventions at reducing under-five drowning mortality rates in low-income countries like Bangladesh.