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

烧伤在生活在乌干达城市贫民窟社区的儿童中非常常见。目前的急救反应往往涉及家庭补救措施，如使用食用油、糖、鸡蛋和其他食物材料、商业乳膏、牙膏、肥皂或尿液、泥或牛粪等传统药物。然而，最好的做法是只需用清水冷却烧伤20分钟，然后如果需要的话，寻求正式的医疗护理，以减少并发症和残疾。因此，这项研究旨在共同开发一项干预措施，以改善坎帕拉Kisenyi贫民窟5岁以下儿童对烧伤的早期反应，并确定最佳实施机制。我们的研究利用了我们之前与乌干达社区合作的成功经验，以及Makerere大学与贫民窟社区的广泛合作。我们将开发一种以教育为基础的低成本干预措施，旨在增加父母和照顾者对儿童烧伤的知识和适当的急救反应。我们将培训乡村保健员，为照顾者提供有关烧伤降温和何时求医的教育和建议。为了最大限度地扩大干预的范围和取得成功，我们将探索多个潜在的干预传递点，包括通过以信仰为基础的组织(FBO)、学校和VHT家访。增强护理人员对烧伤作出适当反应的能力是减少烧伤短期和长期后果的关键。找出一种廉价、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，有可能大大减少这些社区和其他类似的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.