Developing an educational intervention for parents to promote preschool child safety in Nepal

为尼泊尔家长制定教育干预措施以促进学前儿童安全

• 批准号: MR/Z503903/1
• 负责人: Santosh Bhatta
• 金额: $ 19.28万
• 依托单位: University of the West of England
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FZ503903%2F1
• 关键词: Developing; educational; intervention; parents; promote

Injuries are a leading cause of preventable death and lifelong disability among pre-school children in Nepal. Child injuries place major pressures on household income (due to associated care costs) and have implications for parents' ability to work (due to providing care for an injured child). Such injuries can therefore have an impact on individuals, communities and societies. It's common for injuries to be seen as unavoidable and prevention is rarely considered. As with many diseases, most unintentional child injuries are caused by events that are predictable, and therefore preventable. Injuries to preschool children usually happen in the home and with their parents close by. Therefore, parents and other family caregivers have the greatest opportunity to keep young children safe. Currently, there are no research-based programmes in Nepal to support parents to keep their children safe at home. This project will be conducted in Sunkoshi rural municipality, in Sindhupalchowk district of Nepal.Our study aims to develop an intervention to improve the knowledge and skills of parents in rural Nepal to reduce injury hazards in and around their homes. To explore the social, cultural and health education systems that influence how parents make decisions about safety, we will work with families and stakeholders who are interested in child health and development to co-produce the intervention. Such stakeholders include Female Community Health Volunteers (FCHVs) who are frontline practitioners working directly with parents to improve maternal and child health in their local communities. FCHVs often deliver community health programmes and could deliver our intervention if shown to be effective. In rural Nepal, groups of mothers meet monthly to discuss health issues, facilitated by leaders and FCHVs. These 'Mother's Groups' occur across Nepal. We will work with mother's groups to identify parents of preschool children and explore whether these groups are an appropriate way to engage parents in the intervention. We will involve other community stakeholders to develop the intervention including health coordinators, schoolteachers, health-post staff, local leaders, municipality representatives and ward chairs.Once the intervention has been agreed and prepared, we will run a small project to test the possibility of evaluating the intervention in a later, bigger study. In this small test, we will engage six mothers' groups and their FCHVs across two wards. In one, the FCHVs will be trained to deliver the intervention to mothers, in the other an activity not related to injury prevention will be offered. We will explore whether it is possible to deliver the intervention and the alternative activity and engage parents in completing baseline and follow-up assessments. Through this process, we will learn if any modifications are needed for the intervention and subsequent study.Potential beneficiaries include parents empowered to reduce injury risks at home, protecting their children from injury and reducing avoidable economic hardship. Children may benefit by reduced exposure to injury hazards and reduced injuries. Hazard identification and mitigation may improve injury risk in village communal areas and benefit wider groups. FCHVs may benefit by improved knowledge of how to support parents and promote safety in the communities they support. Health facilities may experience fewer visits due to reduced injuries, lessening the load on healthcare practitioners. Government authorities could make informed decisions on child safety policies. Researchers has the potential to contribute to the evidence base of effective child injury prevention strategies.

伤害是尼泊尔学龄前儿童可预防的死亡和终身残疾的主要原因。儿童受伤对家庭收入造成重大压力（由于相关的护理费用），并影响父母的工作能力（由于照顾受伤儿童）。因此，这种伤害可能对个人、社区和社会产生影响。受伤被认为是不可避免的，很少考虑预防。与许多疾病一样，大多数儿童意外伤害是由可预测的事件引起的，因此是可以预防的。学龄前儿童的伤害通常发生在家中，父母也在附近。因此，父母和其他家庭照顾者有最大的机会保护幼儿的安全。目前，尼泊尔没有支持父母将子女安全地留在家中的研究方案。该项目将在尼泊尔Sindhupalchowk区的Sunkoshi农村市进行，我们的研究旨在制定干预措施，以提高尼泊尔农村父母的知识和技能，减少家中和周围的伤害危险。为了探索影响父母如何做出安全决策的社会，文化和健康教育体系，我们将与对儿童健康和发展感兴趣的家庭和利益相关者合作，共同制作干预措施。这些利益攸关方包括女性社区卫生志愿者，她们是直接与父母合作的一线从业人员，旨在改善当地社区的孕产妇和儿童健康。FCHV通常提供社区卫生计划，如果证明有效，可以提供我们的干预措施。在尼泊尔农村，母亲团体每月聚会一次，在领导人和家庭保健志愿者的协助下讨论保健问题。这些“母亲团体”遍布尼泊尔。我们将与母亲团体合作，确定学龄前儿童的父母，并探讨这些团体是否是让父母参与干预的适当方式。我们将让其他社区利益相关者参与制定干预措施，包括健康协调员、学校教师、卫生站工作人员、地方领导、市政代表和病房主席。一旦干预措施得到同意和准备，我们将运行一个小项目，以测试在以后更大的研究中评估干预措施的可能性。在这个小测试中，我们将在两个病房中邀请六个母亲团体及其FCHV。在一项活动中，FCHV将接受培训，为母亲提供干预措施，在另一项活动中，将提供与伤害预防无关的活动。我们将探讨是否有可能提供干预和替代活动，并让家长参与完成基线和后续评估。通过这一过程，我们将了解是否需要对干预措施和后续研究进行任何修改。潜在的受益者包括父母，他们有权减少在家受伤的风险，保护他们的孩子免受伤害，并减少可避免的经济困难。儿童可以通过减少接触伤害危险和减少伤害而受益。危险识别和缓解可改善村庄公共区域的伤害风险，并使更广泛的群体受益。FCHV可以通过提高如何支持父母的知识和促进他们所支持的社区的安全而受益。由于受伤减少，医疗机构可能会减少就诊次数，减轻医疗保健从业人员的负担。政府当局可以就儿童安全政策作出知情的决定。研究人员有可能为有效的儿童伤害预防策略提供证据基础。