Abstract
BackgroundChildhood falls is a major public health problem in Bangladesh. In-depth understanding of the situation by the target groups and their families is necessary for successful development, implementation and evaluation of any intervention. The study aimed at knowing the views of Bangladeshi rural children about childhood falls and their suggestions for prevention.MethodsChildren of 10–17 were selected purposely from 4 villages of Sherpur Sadar upazila (sub-district), Sherpur district of Bangladesh. Six focus group discussions and ten in-depth interviews were conducted during July-August 2010 for this study. Gender and education of the participants were considered. Major themes were identified, coded and categorized from content analysis.ResultsParticipants stated that young children (<5 years of age) and boys appeared to be the main victims of falls and majority of these injuries occurred in and around the households. Boys commonly fall from the tree around their premises and high places. Girls usually fall when they remain busy in household chores and playing with friends around their premises. Participants also mentioned that children mostly sustained injury when they are unsupervised. Supervision, public awareness and putting barriers (e.g. door barrier, putting pillow and use net around the bed etc.) were suggested as the preventive measures.ConclusionFindings of this study could be considered as part of knowledge-base in designing interventions to address childhood falls.
Highlights
Childhood falls is a major public health problem in Bangladesh
Socio-demographic characteristics Overall, it was apparent from the In-Depth Interview (IDI) and Focus Group Discussion (FGD) that children aged 0–4 years are the most vulnerable to falls
A common response from both IDIs and FGDs was that boys are more vulnerable than girls, though both are at risk of falls
Summary
Childhood falls is a major public health problem in Bangladesh. In-depth understanding of the situation by the target groups and their families is necessary for successful development, implementation and evaluation of any intervention. The study aimed at knowing the views of Bangladeshi rural children about childhood falls and their suggestions for prevention. Childhood falls and their complications is a leading cause of the global burden of disease [1]. Investigation of the context and mechanism are an essential part of the childhood falls prevention knowledge base like other injuries [11]. In-depth understanding of situation by the target groups and their families is necessary for the successful development, implementation and evaluation of programmes [13]. The study aimed to gain in-depth understanding of the event by exploring perception of falls among Bangladeshi rural children and their suggestions for prevention
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