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Preventing childhood injuries in Uganda

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:

  1. To describe the under 5 child injury context in Jinja, Uganda
  2. To explore practices and behaviours that put under-5s at risk of injury in the home environment
  3. To develop an appropriate child safety kit including supporting educational material for a low-income setting
  4. To test the impact of implementing a child safety kit versus traditional education
  5. 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.