Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground
Drowning is a leading cause of child death in the coastal Sundarbans region of India due to the presence of open water, lack of supervision and poor infrastructure, but no prevention programs are currently implemented. The World Health Organization has identified interventions that may prevent child...
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doaj-795d3770b2304268a73afc2aafdb7ea82021-04-02T20:43:53ZengMDPI AGChildren2227-90672020-12-01729129110.3390/children7120291Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the GroundMedhavi Gupta0Sujoy Roy1Ranjan Panda2Pompy Konwar3Jagnoor Jagnoor4The George Institute for Global Health Australia, University of New South Wales, Level 5, 1 King St, Newtown, NSW 2042, AustraliaChild in Need Institute, Daulatpur, Pailan, South 24 Parganas, West Bengal 700104, IndiaChild in Need Institute, Daulatpur, Pailan, South 24 Parganas, West Bengal 700104, IndiaInjury Division, The George Institute for Global Health India, 311-312, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, IndiaInjury Division, The George Institute for Global Health India, 311-312, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, IndiaDrowning is a leading cause of child death in the coastal Sundarbans region of India due to the presence of open water, lack of supervision and poor infrastructure, but no prevention programs are currently implemented. The World Health Organization has identified interventions that may prevent child drowning in rural low-and middle-income country contexts, including the provision of home-based barriers, supervised childcare, swim and rescue training and first responder training. Child health programs should consider the local context and identify barriers for implementation. To ensure the sustainability of any drowning prevention programs implemented, we conducted a qualitative study to identify the considerations for the implementation of these interventions, and to understand how existing government programs could be leveraged. We also identified key stakeholders for involvement. We found that contextual factors such as geography, cultural beliefs around drowning, as well as skillsets of local people, would influence program delivery. Government programs such as accredited social health activists (ASHAs) and self-help groups could be leveraged for program implementation, while Anganwadi centres would require additional support due to poor resourcing. Gaining government permissions to change Anganwadi processes to provide childcare services may be challenging. The results showed that adapting drowning programs to the Sundarbans context presents unique challenges and program customisation.https://www.mdpi.com/2227-9067/7/12/291drowningchild healthinjurylow-and middle-income countryIndiapreventative medicine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Medhavi Gupta Sujoy Roy Ranjan Panda Pompy Konwar Jagnoor Jagnoor |
spellingShingle |
Medhavi Gupta Sujoy Roy Ranjan Panda Pompy Konwar Jagnoor Jagnoor Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground Children drowning child health injury low-and middle-income country India preventative medicine |
author_facet |
Medhavi Gupta Sujoy Roy Ranjan Panda Pompy Konwar Jagnoor Jagnoor |
author_sort |
Medhavi Gupta |
title |
Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground |
title_short |
Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground |
title_full |
Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground |
title_fullStr |
Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground |
title_full_unstemmed |
Interventions for Child Drowning Reduction in the Indian Sundarbans: Perspectives from the Ground |
title_sort |
interventions for child drowning reduction in the indian sundarbans: perspectives from the ground |
publisher |
MDPI AG |
series |
Children |
issn |
2227-9067 |
publishDate |
2020-12-01 |
description |
Drowning is a leading cause of child death in the coastal Sundarbans region of India due to the presence of open water, lack of supervision and poor infrastructure, but no prevention programs are currently implemented. The World Health Organization has identified interventions that may prevent child drowning in rural low-and middle-income country contexts, including the provision of home-based barriers, supervised childcare, swim and rescue training and first responder training. Child health programs should consider the local context and identify barriers for implementation. To ensure the sustainability of any drowning prevention programs implemented, we conducted a qualitative study to identify the considerations for the implementation of these interventions, and to understand how existing government programs could be leveraged. We also identified key stakeholders for involvement. We found that contextual factors such as geography, cultural beliefs around drowning, as well as skillsets of local people, would influence program delivery. Government programs such as accredited social health activists (ASHAs) and self-help groups could be leveraged for program implementation, while Anganwadi centres would require additional support due to poor resourcing. Gaining government permissions to change Anganwadi processes to provide childcare services may be challenging. The results showed that adapting drowning programs to the Sundarbans context presents unique challenges and program customisation. |
topic |
drowning child health injury low-and middle-income country India preventative medicine |
url |
https://www.mdpi.com/2227-9067/7/12/291 |
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