Designing a multifaceted, community-driven, behavioural change intervention to improve first response to childhood burns (Cool-Burn20)

烧伤在乌干达城市贫民窟社区的幼儿中极为常见。目前的急救反应经常涉及家庭补救措施，如涂抹食用油、糖、鸡蛋和其他食物材料、商业面霜、牙膏、肥皂或传统药物，如尿液、泥浆或牛粪。然而，最佳做法是用清水冷却烧伤20分钟，然后，如果有必要，寻求正规的医疗护理，以减少并发症和残疾。因此，本研究旨在共同开发一种干预措施，以改善坎帕拉Kisenyi贫民窟5岁以下儿童烧伤的早期反应，并确定最佳的实施机制。我们的研究利用了我们以前与乌干达社区合作的成功经验，以及马凯雷雷大学与贫民窟社区的广泛合作。我们将开发一种低成本的教育为基础的干预措施，目标是增加知识，以及适当的急救反应的父母和照顾者对儿童烧伤。我们将培训乡村卫生工作者（VHTs），为护理人员提供有关冷却烧伤以及何时寻求医疗护理的教育和建议。为了最大限度地扩大这种干预的范围和成功，我们将探索多个潜在的干预提供点，包括通过信仰组织（FBO），学校和VHT家访。使护理人员能够对烧伤做出适当的反应是减少烧伤短期和长期后果的关键。确定一项廉价、有效和影响深远的措施来改变乌干达城市贫民窟社区的现行做法，有可能大大减少这些社区和其他类似低资源环境中因烧伤造成的健康负担。

Burn injuries are extremely common among young children living in urban slum communities in Uganda. Current first aid responses frequently involve home remedies such as applying cooking oil, sugar, eggs and other food materials, commercial creams, toothpaste, soap or traditional medicines such as urine, mud or cow dung. Yet best practice involves simply cooling the burn for 20 minutes with clean water and then, if indicated, seeking formal medical care to reduce complications and disability. This study, therefore, aims to codevelop an intervention to improve the early response to burns in children <5 years in Kisenyi slum in Kampala and to identify the best delivery mechanism. Our study leverages our previous success working with communities in Uganda, and Makerere University's extensive work with slum communities. We will develop a low-cost education-based intervention that targets increased knowledge as well as appropriate first-aid responses by parents and carers to childhood burns. We will train Village Health Workers (VHTs) to provide education and advice to carers on cooling the burn and when to seek medical attention. To maximise the reach and success of this intervention, we will explore multiple potential intervention delivery points including through Faith-based Organizations (FBOs), schools and during VHT home visits. Empowering carers to respond appropriately to burns is key to reducing short- and long-term consequences of burns. Identifying an inexpensive, effective and far-reaching measure to change current practices in urban slum communities in Uganda has the potential to significantly reduce the health burden attributable to burns in these communities and other similar low-resource settings.