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Most childhood unintentional injuries occur in the home; however, very little home injury prevention information is tailored to developing countries. Utilizing our previously developed information dissemination tools and a hazard assessment checklist tailored to a low-income neighborhood in Pakistan, we pilot tested and compared the effectiveness of two dissemination tools. Two low-income neighborhoods were mapped, identifying families with a child aged between 12 and 59 months. In June and July 2010, all enrolled households underwent a home hazard assessment at the same time hazard reduction education was being given using an in-home tutorial or a pamphlet. A follow up assessment was conducted 4-5 months later. 503 households were enrolled; 256 received a tutorial and 247 a pamphlet. The two groups differed significantly (p < 0.01) in level of maternal education and relationship of the child to the primary caregiver. However, when controlling for these variables, those receiving an in-home tutorial had a higher odds of hazard reduction than the pamphlet group for uncovered vats of water (OR 2.14, 95% CI: 1.28, 3.58), an open fire within reach of the child (OR 3.55, 95% CI: 1.80, 7.00), and inappropriately labeled cooking fuel containers (OR 1.86, 95% CI: 1.07, 3.25). This pilot project demonstrates the potential utility of using home-visit tutorials to decrease home hazards in a low-income neighborhood in Pakistan. A longer-term randomized study is needed to assess actual effectiveness of the use of allied health workers for home-based injury education and whether this results in decreased home injuries.




A., C., U.R., K., N., Z., A., F., S.S., de R., C.M., H., … A.A., H. (2013). Disseminating childhood home injury risk reduction information in Pakistan: results from a community-based pilot study. International Journal of Environmental Research and Public Health, 10(3), 1113–1124. https://doi.org/10.3390/ijerph10031113 LK  - http://sfx.aub.aau.dk/sfxaub?sid=EMBASE&issn=16604601&id=doi:10.3390%2Fijerph10031113&atitle=Disseminating+childhood+home+injury+risk+reduction+information+in+Pakistan%3A+results+from+a+community-based+pilot+study.&stitle=Int+J+Environ+Res+Public+Health&title=International+journal+of+environmental+research+and+public+health&volume=10&issue=3&spage=1113&epage=1124&aulast=Chandran&aufirst=Aruna&auinit=A.&aufull=Chandran+A.&coden=&isbn=&pages=1113-1124&date=2013&auinit1

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