Nepal Injury Research Centre, Kathmandu Medical College Public Limited, Kathmandu, Nepal
Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
BMJ Open. 2021 Mar 25;11(3):e044273. doi: 10.1136/bmjopen-2020-044273.
Injuries are a global health problem. To develop context-specific injury prevention interventions, one needs to understand population perceptions of home and workplace injuries. This study explored a range of views and perceptions about injuries in a variety of settings and identified barriers and facilitators to injury prevention.
Qualitative study: interviews and focus groups.
Three administrative areas: Hetauda submetropolitan city, Thaha municipality and Bakaiya rural municipality in Makwanpur, Nepal.
Nine focus groups (74 participants) and nine one-to-one interviews were completed; workers from diverse occupations, residents (slum, traditional or modern homes) and local government decision-makers participated in the study between May and August 2019. The interviews and discussions were audio-recorded, transcribed verbatim, translated to English and analysed thematically.
Six themes were developed: unsafe home and workplace environment; inadequate supervision and monitoring; perceptions that injuries are inevitable; safety takes low priority: financial and behavioural considerations; safety education and training; and government-led safety programmes and enforcement. Key barriers to injury prevention were perceived to be lack of knowledge about injury risk and preventive measures both at the community level and at the workplace. Facilitators were community-level educational programmes and health and safety training to employees and employers. Participants stressed the importance of the role of the government in planning future injury prevention programmes in different environments.
This study highlighted that both home and workplace injuries are complex and multifactorial. Lack of knowledge about injury risks and preventive measures, both at the community level and at the workplace, was found to be a common barrier to injury prevention, perceived to be mitigated by educational programmes. Together with previously published epidemiological evidence, the barriers and facilitators identified in this study offer useful basis to inform policy and practice.
伤害是一个全球性的健康问题。为了制定特定于背景的伤害预防干预措施，需要了解人们对家庭和工作场所伤害的看法。本研究探讨了各种环境中对伤害的一系列看法和看法，并确定了伤害预防的障碍和促进因素。
定性研究：访谈和焦点小组。
尼泊尔马坎布尔的 Hetauda 次都市区、Thaha 市和 Bakaiya 农村自治市的三个行政区域。
2019 年 5 月至 8 月期间，完成了 9 个焦点小组（74 名参与者）和 9 个一对一访谈；来自不同职业的工人、居民（贫民窟、传统或现代住宅）和地方政府决策者参加了这项研究。采访和讨论被录音、逐字记录、翻译成英文并进行主题分析。
提出了六个主题：不安全的家庭和工作场所环境；监督和监测不足；认为伤害是不可避免的看法；安全优先级低：财务和行为考虑；安全教育和培训；以及政府主导的安全计划和执法。预防伤害的主要障碍被认为是社区一级和工作场所对伤害风险和预防措施缺乏了解。促进因素是社区一级的教育计划以及对员工和雇主的健康和安全培训。参与者强调了政府在不同环境中规划未来伤害预防计划的重要性。
本研究强调家庭和工作场所伤害都是复杂的和多因素的。发现社区一级和工作场所缺乏对伤害风险和预防措施的了解是伤害预防的常见障碍，通过教育计划可以减轻这种障碍。结合以前发表的流行病学证据，本研究确定的障碍和促进因素为制定政策和实践提供了有用的依据。
