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Open Access Highly Accessed Research article

Children’s perceptions about falls and their prevention: a qualitative study from a rural setting in Bangladesh

Salim Mahmud Chowdhury12*, Leif Svanström1, Lars-Gunnar Hörte1, Rabiul Awal Chowdhury2 and Fazlur Rahman12

Author Affiliations

1 Division of Social Medicine, Department of Public Health Sciences, Karolinska Institutet, 171 76 Stockholm, Sweden

2 Centre for Injury Prevention and Research, Bangladesh (CIPRB), Mohakhali, Dhaka 1207, Bangladesh

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BMC Public Health 2013, 13:1022  doi:10.1186/1471-2458-13-1022

Published: 29 October 2013

Abstract

Background

Childhood falls is a major public health problem in Bangladesh. In-depth understanding of the situation by the target groups and their families is necessary for successful development, implementation and evaluation of any intervention. The study aimed at knowing the views of Bangladeshi rural children about childhood falls and their suggestions for prevention.

Methods

Children of 10–17 were selected purposely from 4 villages of Sherpur Sadar upazila (sub-district), Sherpur district of Bangladesh. Six focus group discussions and ten in-depth interviews were conducted during July-August 2010 for this study. Gender and education of the participants were considered. Major themes were identified, coded and categorized from content analysis.

Results

Participants stated that young children (<5 years of age) and boys appeared to be the main victims of falls and majority of these injuries occurred in and around the households. Boys commonly fall from the tree around their premises and high places. Girls usually fall when they remain busy in household chores and playing with friends around their premises. Participants also mentioned that children mostly sustained injury when they are unsupervised. Supervision, public awareness and putting barriers (e.g. door barrier, putting pillow and use net around the bed etc.) were suggested as the preventive measures.

Conclusion

Findings of this study could be considered as part of knowledge-base in designing interventions to address childhood falls.

Keywords:
Perception; Falls; Children; Prevention; Bangladesh; Rural