Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA.
Centre for Injury Prevention and Research, Bangladesh (CIPRB), House # B-120, Road # 07, New DOHS, Mohakhali, Dhaka 1206, Bangladesh.
Int J Environ Res Public Health. 2022 Aug 3;19(15):9537. doi: 10.3390/ijerph19159537.
Drowning was one of the most prevalent causes of death worldwide for children under five in 2020. Drowning was the second leading cause of death for children under five in Bangladesh, while 58% of all deaths in the 1-5 years old age group resulted from drowning. Adult supervision helps prevent child drowning in rural areas where water bodies are easily accessible and located very close to homes. This paper aims to assess caregivers' compliance and perception of community daycare centers in rural Bangladesh, piloted as a child drowning prevention intervention. In this longitudinal study, each child enrolled in the daycare intervention was visited and data on compliance and satisfaction with the daycare were collected. Descriptive statistics on daycare attendance, patterns of supervision, and caregivers' perceptions about daycare were reported. When inquired about daycare attendance ( = 226,552), a total of 77.4% of children ( = 175,321) were found to attend daycare. The distance from homes and an adult's unavailability to take the child to daycare were the most common reasons for not attending or discontinuing enrollment. The majority of children (76.4%) were supervised by their mothers during daycare closures. A total of 67.7% of respondents perceived daycare to be a safe place, where children also developed cognitive (51.7%) and social skills (50.6%). There were no incidences of drowning among children while attending daycare. Rural families were found to be compliant with the daycare and professed it to be a safe place protecting children from drowning and other injuries, while allowing them to focus on household chores or income-generating activities. These findings indicate a potential for the expansion of this intervention in rural Bangladesh and similar settings.
2020 年，溺水是全球五岁以下儿童最常见的死亡原因之一。溺水是孟加拉国五岁以下儿童的第二大死因，而所有 1-5 岁年龄组死亡人数中有 58%是溺水造成的。在农村地区，成人监督有助于防止儿童溺水，因为那里的水体容易接近，而且离家庭非常近。本文旨在评估孟加拉国农村社区日托中心的照顾者的遵守情况和认知，该中心是作为预防儿童溺水的干预措施试点。在这项纵向研究中，对每个入读日托干预的儿童进行了访问，并收集了有关遵守和对日托的满意度的数据。报告了日托出勤率、监督模式和照顾者对日托的看法的描述性统计数据。当询问日托出勤率时（n=226552），发现共有 77.4%的儿童（n=175321）参加了日托。不上学或退学的最常见原因是离家的距离和成年人无法带孩子去日托。在日托关闭期间，大多数儿童（76.4%）由母亲监督。共有 67.7%的受访者认为日托是一个安全的地方，孩子们还可以在那里发展认知（51.7%）和社交技能（50.6%）。在参加日托的儿童中没有发生溺水事件。研究发现，农村家庭对日托非常遵守，并认为日托是一个保护儿童免受溺水和其他伤害的安全场所，同时让他们专注于家务或创收活动。这些发现表明，在孟加拉国农村和类似环境中扩大这种干预措施具有潜力。
