Abstract
BackgroundBangladesh has one of the highest drowning mortality rates in the world. The use of unregulated water transportation may contribute to this burden, with 38% of all passenger traffic occurring by water. The present study aims to identify provider and end user perception on water transport related drowning risk, and barriers and facilitators for improving water safety practices.MethodsA qualitative study was conducted in a riverine area of Bangladesh, the Barishal division. Data was collected through 18 in-depth interviews, two small group discussions and six observations in February–March 2016. Content analysis was conducted, guided by domains of Haddon’s matrix for injury prevention.ResultsA range of unsafe behaviours, practices and conditions were identified at pre event, event and post event stages of water transport related drownings. It was also recognised it is not only the regulation of water transport but other factors such as occupational insecurities, poor access to rescue services and healthcare, migration and capacity for skill development among providers that contribute to unsafe water transport practices and drowning risk.ConclusionThere are some immediate measures that can be implemented, with some monitoring and accountability processes for water transport safety. However, there is need for robust data to quantify transport related drowning, making a case for prioritization and action by relevant stakeholder such as government and transport providers.
Highlights
Bangladesh has one of the highest drowning mortality rates in the world
Drowning is the third leading cause of unintentional injury mortality worldwide [1] with over 90% of drowning deaths occurring in low- and middle-income countries (LMICs) [2]
To bring greater focus onto the issue of water transport safety in Bangladesh, this study identified a number of high-risk practices associated with the use of water transport in the Barishal Division of Bangladesh and the contributing factors
Summary
Bangladesh has one of the highest drowning mortality rates in the world. The use of unregulated water transportation may contribute to this burden, with 38% of all passenger traffic occurring by water. Travelling over water can increase exposure to drowning risk and as a result, stringent safety requirements exist for water transport vessels in many high-income countries (HICs). These include legislation surrounding boat licencing and registration, requirements for lifejackets and safety equipment on board vessels, enforcement of safe speeds. Waterways are a common avenue of transport in many LMICs including India, South America, Vietnam and Cambodia [4] In this context, water transport is significantly less regulated than in HICs, with informal transportation sector, competing priorities and limited resources [5]. By identifying the major gaps in water transport system safety, priority can be given to the implementation of relevant and effective interventions addressing safety issues of primary concern
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
