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Community perceptions of childhood injuries and its prevention measures in Nepal: a qualitative study . Puspa Raj Pant 1 , Prof Elizabeth Towner 1 , Matthew Ellis 2 and Paul Pilkington 1 1 University of the West of England; 2 University of Bristol Email: firstname.lastname@example.org.
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Puspa Raj Pant1 , Prof Elizabeth Towner1,
Matthew Ellis2 and Paul Pilkington1
1University of the West of England;
2University of Bristol
To obtain an in-depth understanding of people’s perception about the causes and their concepts of prevention of childhood injuries in Nepal.
“It is usual to have small cut bruises [to children.]” (Mother #7)
“These all [showing scar on their hands] were the marks of cut we had in the past. You get cuts when you are cutting grass. [We don't think] it is important to mention here.” (Mother #9)
“It [injury] is said to happen because of an ill-fate. They are supposed to be unfortunate [children].” (all mothers equivocally)
“...early in the morning his grandma cursed him – may this (boy) die in the mill. What she said happened. He died. The poor boy was pulled in by the belt [of the flour mill]” (Mother #6)
“In spite of his uncle and father's prohibition of using a motorcycle since he doesn't know how to ride it properly he took it without listening to them. After some time he ploughed the motorbike into the field near Chundada[all participants laugh on this statement]. Then he returned and was lying down on the bed. We asked him what happened to him but he didn't tell anything. When we checked his body we found he had bruises and wounds everywhere on his body.” (health volunteer #7)
“This is either unawareness or ignorance. If they have knowledge sometimes it is the negligence of family members [about potential risks of accidents]. Secondly, they really don’t know anything. Thirdly, they don’t follow our suggestions! These are three main things [for accidents in our community].”(health volunteer #2)
“The children come to hospital after falling from trees. They [parents] sell a quintal of maize, or paddy or other grains [to cover treatment costs]…… Many of those [children] with fractures have to go to private clinics; many have to go to Bharatpur medical college. There are ambulance costs and other costs. All of them are not able to bear these costs…… I have seen some parents talking to doctors – Doctor, please do it here, whatever possible, I cannot take him/her to Bharatpur for further treatment because I am short of money. Many of them return to home [without treatment].” (KI #3)
Special attention to child supervision was the most frequently expressed measure of injury prevention to young children.
Imparting skills around child injury prevention to mothers and community people
Introduction of injury prevention awareness in the community