Centre for Injury Prevention and Research, Bangladesh.
Burns. 2011 Aug;37(5):770-75. doi: 10.1016/j.burns.2011.02.005. Epub 2011 Mar 10.
A comprehensive community-based burn prevention framework was developed for rural Bangladesh taking into consideration the magnitude, consequences of burns, risk factors of childhood burn, health seeking behaviour of parents after a burn injury of a child and the perception of community people. This paper explains the comprehensive framework of the childhood burn prevention programme and describes its acceptability, feasibility and sustainability. A number of methodologies were adopted in developing the framework, such as, (i) building up relevant information on childhood burn and prevention methods, (ii) arranging workshops and consultation meetings with experts and related stakeholders and (iii) piloting components of the framework on a small scale. Lack of supervision of the children, hazardous environment at home and the low level awareness about childhood burn and other injuries were identified as the major attributes of childhood burn in Bangladesh. To address these factors "Triple S" strategies were identified for the prevention framework. These strategies are: Safe environment. Supervision. Skill development. According to these strategies, home safety, community crèche, school safety, formation of community groups and general awareness activities were identified as the different components of the childhood burn prevention framework in rural Bangladesh. The framework was piloted in a small scale to explore its feasibility acceptability and sustainability. The framework was found to be acceptable by the community. It is also expected to be feasible and sustainable as very low cost and locally available technology and resources were utilized in the framework. Large scale piloting is necessary to explore its effectiveness and ability to scale up all over the whole country.
为孟加拉国农村地区制定了一个综合性的基于社区的烧伤预防框架，考虑到烧伤的规模、后果、儿童烧伤的危险因素、儿童烧伤后父母的求医行为以及社区居民的看法。本文解释了儿童烧伤预防计划的综合框架，并描述了其可接受性、可行性和可持续性。在制定该框架时采用了多种方法，例如：(i) 收集有关儿童烧伤和预防方法的相关信息，(ii) 与专家和相关利益攸关方举办研讨会和协商会议，(iii) 在小规模试点框架的组成部分。缺乏对儿童的监督、家庭环境中的危险以及对儿童烧伤和其他伤害的认识水平低，被确定为孟加拉国儿童烧伤的主要特征。为了解决这些因素，确定了“三重 S”策略作为预防框架。这些策略是：安全的环境、监督、技能发展。根据这些策略，确定了家庭安全、社区托儿所、学校安全、社区团体的形成以及一般意识活动作为孟加拉国农村地区儿童烧伤预防框架的不同组成部分。该框架已在小规模试点，以探索其可行性、可接受性和可持续性。该框架得到了社区的认可。预计该框架具有可行性和可持续性，因为框架中利用了低成本和本地可用的技术和资源。需要进行大规模试点，以探索其效果和在全国范围内推广的能力。
