IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i3p272-d1347031.html
   My bibliography  Save this article

Voices from the Ground: Community Perspectives on Preventing Unintentional Child Injuries in Low-Income Settings

Author

Listed:
  • Prasanthi Puvanachandra

    (The George Institute for Global Health, UK, Imperial College London, London W12 7RZ, UK
    School of Public Health, Imperial College London, London W12 7RZ, UK
    School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

  • Anthony Mugeere

    (Makerere School of Public Health, Kampala P.O. Box 7072, Uganda)

  • Charles Ssemugabo

    (Makerere School of Public Health, Kampala P.O. Box 7072, Uganda)

  • Olive Kobusingye

    (Makerere School of Public Health, Kampala P.O. Box 7072, Uganda)

  • Margaret Peden

    (The George Institute for Global Health, UK, Imperial College London, London W12 7RZ, UK
    School of Public Health, Imperial College London, London W12 7RZ, UK
    School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia)

Abstract

Unintentional injuries significantly contribute to mortality and morbidity among children under five, with higher prevalence in low- and middle-income countries (LMICs). Deprived communities in these regions face increased injury risks, yet there is limited research on child safety tailored to their unique challenges. To address this gap, we conducted focus group discussions in rural Uganda, involving parents, village health workers, community leaders, teachers, and maids. The objective was to understand community perceptions around child safety and determine what culturally and age-appropriate solutions may work to prevent child injuries. Analysis of discussions from ten focus groups revealed five main themes: injury causes, child development and behavior, adult behavior, environmental factors, and potential safety kit components. Common injuries included falls, burns, drowning, and poisoning, often linked to environmental hazards such as unsafe bunk beds and wet floors. Financial constraints and limited space emerged as cross-cutting issues. Participants suggested educational resources, first aid knowledge, and practical devices like solar lamps as potential solutions. The study presents invaluable insights into child safety in rural Ugandan homes, emphasizing the role of community awareness and engagement in designing effective, accessible interventions. It underscores the importance of context-specific strategies to prevent childhood injuries in similar resource-constrained environments.

Suggested Citation

  • Prasanthi Puvanachandra & Anthony Mugeere & Charles Ssemugabo & Olive Kobusingye & Margaret Peden, 2024. "Voices from the Ground: Community Perspectives on Preventing Unintentional Child Injuries in Low-Income Settings," IJERPH, MDPI, vol. 21(3), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:272-:d:1347031
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/3/272/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/21/3/272/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cashman, S.B. & Adeky, S. & Allen III, A.J. & Corburn, J. & Israel, B.A. & Montaño, J. & Rafelito, A. & Rhodes, S.D. & Swanston, S. & Wallerstein, N. & Eng, E., 2008. "The power and the promise: Working with communities to analyze data, interpret findings, and get to outcomes," American Journal of Public Health, American Public Health Association, vol. 98(8), pages 1407-1417.
    2. Khaula Khatlani & Olakunle Alonge & Aminur Rahman & Dewan Md. Emdadul Hoque & Al-Amin Bhuiyan & Priyanka Agrawal & Fazlur Rahman, 2017. "Caregiver Supervision Practices and Risk of Childhood Unintentional Injury Mortality in Bangladesh," IJERPH, MDPI, vol. 14(5), pages 1-12, May.
    3. Minkler, M., 2010. "Linking science and policy through community-based participatory research to study and address health disparities," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 81-87.
    4. Cacari-Stone, L. & Wallerstein, N. & Garcia, A.P. & Minkler, M., 2014. "The promise of community-based participatory research for health equity: A conceptual model for bridging evidence with policy," American Journal of Public Health, American Public Health Association, vol. 104(9), pages 1615-1623.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ryan Petteway & Mahasin Mujahid & Amani Allen & Rachel Morello-Frosch, 2019. "Towards a People’s Social Epidemiology: Envisioning a More Inclusive and Equitable Future for Social Epi Research and Practice in the 21st Century," IJERPH, MDPI, vol. 16(20), pages 1-21, October.
    2. Alana M. W. LeBrón & Ivy R. Torres & Enrique Valencia & Miriam López Dominguez & Deyaneira Guadalupe Garcia-Sanchez & Michael D. Logue & Jun Wu, 2019. "The State of Public Health Lead Policies: Implications for Urban Health Inequities and Recommendations for Health Equity," IJERPH, MDPI, vol. 16(6), pages 1-28, March.
    3. Ward, Melanie & Schulz, Amy J. & Israel, Barbara A. & Rice, Kristina & Martenies, Sheena E. & Markarian, Evan, 2018. "A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships," Evaluation and Program Planning, Elsevier, vol. 70(C), pages 25-34.
    4. Jennifer S. Carrera & Kent Key & Sarah Bailey & Joseph A. Hamm & Courtney A. Cuthbertson & E. Yvonne Lewis & Susan J. Woolford & E. Hill DeLoney & Ella Greene-Moton & Kaneesha Wallace & DeWaun E. Robi, 2019. "Community Science as a Pathway for Resilience in Response to a Public Health Crisis in Flint, Michigan," Social Sciences, MDPI, vol. 8(3), pages 1-25, March.
    5. Dana H. Z. Williamson & Sheryl Good & Daphne Wilson & Na’Taki Osborne Jelks & Dayna A. Johnson & Kelli A. Komro & Michelle C. Kegler, 2023. "Using the Collaborative Problem-Solving Model: Findings from an Evaluation of U.S. EPA’s Environmental Justice Academy," Sustainability, MDPI, vol. 15(20), pages 1-24, October.
    6. Barbara L. Allen & Johanna Lees & Alison K. Cohen & Maxime Jeanjean, 2019. "Collaborative Workshops for Community Meaning-Making and Data Analyses: How Focus Groups Strengthen Data by Enhancing Understanding and Promoting Use," IJERPH, MDPI, vol. 16(18), pages 1-19, September.
    7. Sophie Staniszewska & Kirstie Haywood & Jo Brett & Liz Tutton, 2012. "Patient and Public Involvement in Patient-Reported Outcome Measures," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 5(2), pages 79-87, June.
    8. Constantine E. Kontokosta, 2016. "The Quantified Community and Neighborhood Labs: A Framework for Computational Urban Science and Civic Technology Innovation," Journal of Urban Technology, Taylor & Francis Journals, vol. 23(4), pages 67-84, October.
    9. Jeni Hebert-Beirne & Jennifer K. Felner & Teresa Berumen & Sylvia Gonzalez & Melissa Mosley Chrusfield & Preethi Pratap & Lorraine M. Conroy, 2021. "Community Resident Perceptions of and Experiences with Precarious Work at the Neighborhood Level: The Greater Lawndale Healthy Work Project," IJERPH, MDPI, vol. 18(21), pages 1-18, October.
    10. Tremblay, Melissa & Gokiert, Rebecca & Kingsley, Bethan & Mottershead, Karen & Pei, Jacqueline, 2020. "Using developmental evaluation and community-based participatory research to develop a model of supportive housing," Evaluation and Program Planning, Elsevier, vol. 82(C).
    11. Pinto, R.M. & Rahman, R. & Williams, A., 2014. "Policy advocacy and leadership training for formerly incarcerated women: An empowerment evaluation of ReConnect, a program of the Women in Prison Project, Correctional Association of New York," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 71-81.
    12. Andrew Binet & Vedette Gavin & Leigh Carroll & Mariana Arcaya, 2019. "Designing and Facilitating Collaborative Research Design and Data Analysis Workshops: Lessons Learned in the Healthy Neighborhoods Study," IJERPH, MDPI, vol. 16(3), pages 1-15, January.
    13. Samerski, Silja, 2019. "Health literacy as a social practice: Social and empirical dimensions of knowledge on health and healthcare," Social Science & Medicine, Elsevier, vol. 226(C), pages 1-8.
    14. Garett Sansom & Philip Berke & Thomas McDonald & Eva Shipp & Jennifer Horney, 2016. "Confirming the Environmental Concerns of Community Members Utilizing Participatory-Based Research in the Houston Neighborhood of Manchester," IJERPH, MDPI, vol. 13(9), pages 1-12, August.
    15. Jennifer K. Felner & Talia Kieu & Andrew Stieber & Hunter Call & Daniel Kirkland & Amanda Farr & Jerel P. Calzo, 2020. "“It’s Just a Band-Aid on Something No One Really Wants to See or Acknowledge”: A Photovoice Study with Transitional Aged Youth Experiencing Homelessness to Examine the Roots of San Diego’s 2016–2018 H," IJERPH, MDPI, vol. 17(13), pages 1-24, June.
    16. Wagemakers, Annemarie & Vaandrager, Lenneke & Koelen, Maria A. & Saan, Hans & Leeuwis, Cees, 2010. "Community health promotion: A framework to facilitate and evaluate supportive social environments for health," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 428-435, November.
    17. Esther Min & Deric Gruen & Debolina Banerjee & Tina Echeverria & Lauren Freelander & Michael Schmeltz & Erik Saganić & Millie Piazza & Vanessa E. Galaviz & Michael Yost & Edmund Y.W. Seto, 2019. "The Washington State Environmental Health Disparities Map: Development of a Community-Responsive Cumulative Impacts Assessment Tool," IJERPH, MDPI, vol. 16(22), pages 1-16, November.
    18. Barbara Fallon & Joanne Filippelli & Tara Black & Nico Trocmé & Tonino Esposito, 2017. "How Can Data Drive Policy and Practice in Child Welfare? Making the Link in Canada," IJERPH, MDPI, vol. 14(10), pages 1-15, October.
    19. Dana H. Z. Williamson, 2022. "Using the Community Engagement Framework to Understand and Assess EJ-Related Research Efforts," Sustainability, MDPI, vol. 14(5), pages 1-26, February.
    20. Erdem, Seda & Campbell, Danny & Thompson, Carl, 2014. "Elimination and selection by aspects in health choice experiments: Prioritising health service innovations," Journal of Health Economics, Elsevier, vol. 38(C), pages 10-22.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:272-:d:1347031. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.