470 Feasibility of an community mobilisation intervention to prevent childhood injuries in Bangladesh
470 Feasibility of an community mobilisation intervention to prevent childhood injuries in Bangladesh
复制标题
470 孟加拉国开展社区动员干预措施预防儿童受伤的可行性
DOI：
10.1136/injuryprev-2022-safety2022.215
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Bidgoli H
中科院分区：
文献类型：
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作者：
Bidgoli H
意外伤害是儿童死亡的主要原因之一，90%与伤害有关的死亡发生在低收入和中等收入国家。在孟加拉国，超过40%的儿童死亡是由伤害造成的，其中90%以上是溺水造成的。为了填补关于中低收入国家有效和具有成本效益的干预措施的证据空白，我们开发并评估了2021-2022年期间孟加拉国法里德普尔农村地区预防5岁以下儿童受伤的一揽子社区动员干预措施的可行性和可接受性。一揽子干预措施包括三个组成部分：1)参与性社区团体利用参与性学习和行动周期来确定和解决社区中意外伤害的风险因素；2)移动健康信息，提高对意外伤害风险因素和预防策略的认识；3)家访，就减少家庭环境中的伤害危险提供量身定制的建议。该干预措施建立在我们在资源有限的情况下（包括孟加拉国）参与性社区团体改善孕产妇和新生儿存活率和预防糖尿病的成功经验的基础上。该干预措施是通过与不同利益攸关方的接触共同制定的，并在法里德普尔地区的两个村庄进行了为期6个月的试点。对试点执行情况的评价正在最后完成，其结果将在会议上提出。我们以复杂干预的MRC过程评价指南为主要理论框架，评估干预的试点测试，并借鉴实施研究结果变量。
Unintentional injuries are among the leading causes of childhood deaths, with 90% of injury-related deaths occurring in low- and middle-income countries (LMICs). In Bangladesh, more than 40% of childhood deaths are due to injuries, with drowning responsible for over 90% of these. In order to fill the evidence gap on the effective and cost-effective interventions in LMICs, we developed and assessed the feasibility and acceptability of an integrated package of community mobilisation interventions in preventing injuries among under 5 children in rural Faridpur, Bangladesh during 2021–2022. The intervention package comprises of three components: 1) participatory community groups using participatory learning and action cycle to identify and address risk factors for unintentional injuries in their communities; 2) mhealth messages to generate awareness on unintentional injury risk factors and prevention strategies and, 3) household visits to provide tailored advice on reduction of injury hazards in the home environment. The intervention builds on our successful experience of participatory community groups in resource constrained settings, including Bangladesh, in improving maternal and newborn survival and diabetes prevention. The intervention was co-developed through engagement with different stakeholders, and piloted for 6 months in two villages in Faridpur district. Evaluation of the pilot implementation is being finalised and its findings will be presented at the conference. We used MRC guide to process evaluation for complex intervention as the main theoretical framework to evaluate pilot testing of intervention, as well as drawing on implementation research outcomes variables.