Preventing childhood injuries in Uganda
Globally, nearly 650,000 children lose their lives to injuries every year. This study project aimed to reduce unintentional injuries in the home among under-5 years in Jinja, Uganda through the provision of a child safety kit and parental education.
The specific objectives included:
- To describe the under 5 child injury context in Jinja, Uganda
- To explore practices and behaviours that put under-5s at risk of injury in the home environment
- To develop an appropriate child safety kit including supporting educational material for a low-income setting
- To test the impact of implementing a child safety kit versus traditional education
- To explore opportunities for scale-up across other low-income countries
The study was conducted in two phases:
• Phase 1 was formative and was guided by a community-based participatory approach using mixed methods (in-depth interviews, focus group discussions, market surveys) to contextualise the child injury problem (identifying accurate incidence rates from which to define a sample size for Phase 2) and develop a child safety kit and educational material/training. Working with Design without Boarder, five (5) environmental modified prototypes were developed, these included fixed cooking station, cooking cages, outdoor cooking ring, sharps box and multipurpose mat.
• Phase 2 was about measuring the behaviour change and reductions in injuries through a cluster Randomised Control Trial (RCT). The developed prototypes were installed in identified homes in the study area (Jinja District) and these were tested for a period of 1 month.