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。目前的急救反应通常涉及家庭补救措施，如使用食用油、糖、鸡蛋和其他食品材料、商业面霜、牙膏、肥皂或传统药物，如尿液、泥土或牛粪。然而，最好的做法是简单地用清水冷却烧伤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，并确定最佳交付机制。我们的研究利用了我们之前在乌干达社区取得的成功，以及马凯雷雷大学在贫民窟社区开展的广泛工作。我们将开发一种低成本的以教育为基础的干预措施，目标是提高父母和照顾者对儿童烧伤的知识和适当的急救反应。我们将培训乡村卫生工作者，向护理人员提供有关冷却烧伤和何时就医的教育和建议。为了最大限度地扩大这项干预措施的覆盖范围和取得成功，我们将探索多种可能的干预措施提供点，包括通过信仰组织、学校和家庭探访。授权护理人员对烧伤作出适当反应是减少烧伤短期和长期后果的关键。确定一种廉价、有效和影响深远的措施来改变乌干达城市贫民窟社区目前的做法，有可能大大减轻这些社区和其他类似资源匮乏环境中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.