Large-scale evaluation of interventions designed to reduce childhood Drownings in rural Bangladesh: a before and after cohort study

Article


Alonge, Olakunle, Bishai, David, Wadhwaniya, Shirin, Agrawal, Priyanka, Rahman, Aminur, Hoque, Emdad Md. Dewan, Baset, Kamran Ul, Salam, Shumona Sharmin, Bhuiyan, Al-Amin, Islam, Md Irteja, Talab, Abu, Rahman, Qazi Sadeq-ur, Rahman, Fazlur, El-Arifeen, Shams and Hyder, Adnan A.. 2020. "Large-scale evaluation of interventions designed to reduce childhood Drownings in rural Bangladesh: a before and after cohort study ." Injury Epidemiology. 7 (1). https://doi.org/10.1186/s40621-020-00245-2
Article Title

Large-scale evaluation of interventions designed to reduce childhood Drownings in rural Bangladesh: a before and after cohort study

ERA Journal ID210594
Article CategoryArticle
AuthorsAlonge, Olakunle, Bishai, David, Wadhwaniya, Shirin, Agrawal, Priyanka, Rahman, Aminur, Hoque, Emdad Md. Dewan, Baset, Kamran Ul, Salam, Shumona Sharmin, Bhuiyan, Al-Amin, Islam, Md Irteja, Talab, Abu, Rahman, Qazi Sadeq-ur, Rahman, Fazlur, El-Arifeen, Shams and Hyder, Adnan A.
Journal TitleInjury Epidemiology
Journal Citation7 (1)
Article Number17
Number of Pages12
Year2020
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN2197-1714
Digital Object Identifier (DOI)https://doi.org/10.1186/s40621-020-00245-2
Web Address (URL)https://injepijournal.biomedcentral.com/articles/10.1186/s40621-020-00245-2
Abstract

Background: This paper estimates the impact on childhood drowning rates of community-based introduction of crèches or playpens or both in rural Bangladesh for children aged 0-47 months. Methods: A baseline census of the whole population of 270,387 households in 51 unions, 451 villages from 7 rural sub-districts in Bangladesh was conducted in 2013. The baseline census determined retrospective, age-specific, and cumulative drowning incidence rates (IR) experienced in the target households in the 12 months prior to the intervention. Beginning in late 2013, creches for drowning prevention were established across the study area. Acceptance into creches was provided and written assent to attend a creche was obtained for all children aged 9-47 months in all participating unions. Playpens were provided to 45,460 of these children, of which 5981 children received only the playpens. All children were followed-up until their 48-month birthday or administrative censoring (fixed timepoint to stop observing the drowning deaths), after a two-year implementation period (2014-2016). Drowning IR were estimated for children and compared to corresponding baseline rates from 2012. Age-specific drowning IR under different "as treated" categories (playpen-only, creche-only, and playpen-plus-creche) were compared to the baseline rates experienced by the categorized households prior to intervention. Results: A total of 3205 creches (average of 7 creches per village) were established, and 116,054 children aged 9-47 months were exposed to the intervention packages. Aggregated drowning IRs between age 0 and 47 were estimated per 100,000 population per year at 86.73 (95% CI: 69.67-107.97) and 43.03 (95% CI: 35.55-52.10) in the baseline and post implementation period, respectively. Risk ratios were 0.40 (95% CI: 0.28-0.57) overall, and 0.34 (95% CI: 0.13-0.90), 0.09 (95% CI: 0.02-0.36), and 0.04 (95% CI: 0.002-0.60) in children under the creche-only, aged, 1, 2, and 3 years old respectively. Inexplicably, drowning rates were statistically significantly higher post-intervention in children 0-11 months. There was no mortality reduction with playpen use (alone or in combination), and this group may actually have had a higher risk of drowning. Conclusions: Creches are effective for preventing childhood drowning in rural Bangladesh for children above age 1-year, and should be considered for further scale-up.

KeywordsBangladesh; Childhood; Creche; Daycare; Drowning; Effectiveness; Intervention; Low- and middle-income countries; Observational study
ANZSRC Field of Research 20204202. Epidemiology
Byline AffiliationsJohns Hopkins Bloomberg School of Public Health, United States
Center for Injury Prevention and Research (CIPRB), Bangladesh
International Center for Diarrhoeal Diseases Research, Bangladesh
George Washington University, United States
Permalink -

https://research.usq.edu.au/item/yz03z/large-scale-evaluation-of-interventions-designed-to-reduce-childhood-drownings-in-rural-bangladesh-a-before-and-after-cohort-study

Download files


Published Version
s40621-020-00245-2.pdf
License: CC BY 4.0
File access level: Anyone

  • 55
    total views
  • 22
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Factors associated with satisfaction of the australian rural resident medical officer cadetship program: results from a cross-sectional study
Kensit, Phillipa, Islam, Md Irteja, Ramsden, Robyn, Geddes, Louise, Guisard, Yann, Russell, Chris and Martiniuk, Alexandra. 2024. "Factors associated with satisfaction of the australian rural resident medical officer cadetship program: results from a cross-sectional study." BMC Medical Education. 24 (1). https://doi.org/10.1186/s12909-024-05737-z
A longitudinal study on impact of emergency cash transfer payments during the COVID pandemic on coping among Australian young adults
Islam, Md Irteja, Lyne, Elizabeth, Freeman, Joseph and Martiniuk, Alexandra. 2024. "A longitudinal study on impact of emergency cash transfer payments during the COVID pandemic on coping among Australian young adults." Scientific Reports. 14 (1). https://doi.org/10.1038/s41598-024-68027-0
Prevalence and associated factors of last dental visit and teeth cleaning frequency in Bangladesh, Bhutan, and Nepal: Findings from nationally representative surveys
GuptaI, Rajat Das, Haider, Shams Shabab, Jahan, Shah Saif, Islam, Md. Irteja, Mazumder, Ananna, Zafar, Muhammad Sohail, Siddika, Nazeeba and Apu, Ehsanul Hoque. 2024. " Prevalence and associated factors of last dental visit and teeth cleaning frequency in Bangladesh, Bhutan, and Nepal: Findings from nationally representative surveys." PLoS Global Public Health. 4 (7). https://doi.org/10.1371/journal.pgph.0003511
Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women
Pickard, Anita, Islam, Md Irteja, Ahmed, Md Sabbir and Martiniuk, Alexandra. 2024. "Role of internet use, mobile phone, media exposure and domestic migration on reproductive health service use in Bangladeshi married adolescents and young women." PLoS Global Public Health. 4 (3). https://doi.org/10.1371/journal.pgph.0002518
Mental health in children conceived by Assisted Reproductive Technologies (ARTs): Insights from a longitudinal study of Australian children
Islam, Md. Irteja, Chaffey, Oscar A., Chadwick, Verity and Martiniuk, Alexandra. 2024. "Mental health in children conceived by Assisted Reproductive Technologies (ARTs): Insights from a longitudinal study of Australian children." PLoS One. 19 (6). https://doi.org/10.1371/journal.pone.0304213
Prevalence, inequality and associated factors of overweight/obesity among Bangladeshi adolescents aged 15-19 years
Ahmed, Md Sabbir, Khan, Safayet, Islam, Mansura, Islam, Md Irteja, Hossain, Md Musharraf, Khan, Bayezid and Yunus, Fakir Md. 2024. "Prevalence, inequality and associated factors of overweight/obesity among Bangladeshi adolescents aged 15-19 years." International Health. https://doi.org/10.1093/inthealth/ihae012
Identifying social determinants and measuring socioeconomic inequalities in the use of four different mental health services by Australian adolescents aged 13-17 years: Results from a nationwide study
Islam, Md Irteja, Salam, Shumona Sharmin, Kabir, Enamul and Khanam, Rasheda. 2023. "Identifying social determinants and measuring socioeconomic inequalities in the use of four different mental health services by Australian adolescents aged 13-17 years: Results from a nationwide study." Healthcare. 11 (18). https://doi.org/10.3390/healthcare11182537
Job Satisfaction of Health Practitioners Providing Outreach Health Services during COVID-19 in Rural New South Wales (NSW) and the Australian Capital Territory (ACT), Australia
Islam, Md Irteja, Bagnulo, Sharif, Wang, Yiwen, Ramsden, Robyn, Wrightson, Trent, Masset, Amanda, Colbran, Richard, Edwards, Mike and Martiniuk, Alexandra. 2023. "Job Satisfaction of Health Practitioners Providing Outreach Health Services during COVID-19 in Rural New South Wales (NSW) and the Australian Capital Territory (ACT), Australia." Healthcare. 11 (1). https://doi.org/10.3390/healthcare11010003
Correction to: Working conditions and occupational stress among nurses in Bangladesh: a cross-sectional pilot study
Islam, Md Irteja, Alam, Kh Md Watin, Keramat, Syed Afroz, Murshid, Munzur E., Haque, Rezwanul, Kabir, Enamul, Khanam, Rasheda and Khan, Manjurul Haque. 2023. "Correction to: Working conditions and occupational stress among nurses in Bangladesh: a cross-sectional pilot study ." Journal of Public Health: Zeitschrift fuer Gesundheitswissenschaften. 31 (1), pp. 161-161. https://doi.org/10.1007/s10389-021-01482-5
The gap between perceived mental health needs and actual service utilization in Australian adolescents
Islam, Md Irteja, Yunus, Fakir Md, Isha, Samia Naz, Kabir, Enamul, Khanam, Rasheda and Martiniuk, Alexandra. 2022. "The gap between perceived mental health needs and actual service utilization in Australian adolescents." Scientific Reports. 12, pp. 1-13. https://doi.org/10.1038/s41598-022-09352-0
Mental health services use among adolescent bullying victims in Australia: results from a nationwide survey
Islam, Md Irteja, Yunus, Fakir Md., Salam, Shumona Sharmin, Kabir, Enamul and Khanam, Rasheda. 2022. "Mental health services use among adolescent bullying victims in Australia: results from a nationwide survey." Children and Youth Services Review. 132, pp. 1-11. https://doi.org/10.1016/j.childyouth.2021.106312
Depression and anxiety have a larger impact on bullied girls than on boys to experience self-harm and suicidality: a mediation analysis
Islam, Md Irteja, Khanam, Rasheda and Kabir, Enamul. 2022. "Depression and anxiety have a larger impact on bullied girls than on boys to experience self-harm and suicidality: a mediation analysis." Journal of Affective Disorders. 297, pp. 250-258. https://doi.org/10.1016/j.jad.2021.10.061
Working conditions and occupational stress among nurses in Bangladesh: a cross-sectional pilot study
Islam, Md Irteja, Alam, Kh Md Watin, Keramat, Syed Afroz, Murshid, Munzur E., Haque, Rezwanul, Kabir, Enamul, Khanam, Rasheda and Khan, Manjurul Haque. 2022. "Working conditions and occupational stress among nurses in Bangladesh: a cross-sectional pilot study." Journal of Public Health: Zeitschrift fuer Gesundheitswissenschaften. 30 (9), pp. 2211-2219. https://doi.org/10.1007/s10389-020-01415-8
Bullied Because of Their Teeth: Evidence from a Longitudinal Study on the Impact of Oral Health on Bullying Victimization among Australian Indigenous Children
Islam, Md Irteja, Chadwick, Verity, Esgin, Tuguy and Martiniuk, Alexandra. "Bullied Because of Their Teeth: Evidence from a Longitudinal Study on the Impact of Oral Health on Bullying Victimization among Australian Indigenous Children ." International Journal of Environmental Research and Public Health. 19 (9). https://doi.org/10.3390/ijerph19094995
Sorption of PFOS in 114 Well-Characterized Tropical and Temperate Soils: Application of Multivariate and Artificial Neural Network Analyses
Umeh, Anthony C., Naidu, Ravi, Shilpi, Sonia, Boateng, Emmanuel B., Rahman, Aminur, Cousins, Ian T., Chadalavada, Sreenivasulu, Lamb, Dane and Bowman, Mark. 2021. "Sorption of PFOS in 114 Well-Characterized Tropical and Temperate Soils: Application of Multivariate and Artificial Neural Network Analyses." Environmental Science and Technology. 55 (3), pp. 1779-1789. https://doi.org/10.1021/acs.est.0c07202
Identifying potential factors associated with PCR testing for COVID-19 among Australian young people: cross-sectional findings from a longitudinal study
Islam, Md Irteja, Chadwick, Verity and Martiniuk, Alexandra. 2022. "Identifying potential factors associated with PCR testing for COVID-19 among Australian young people: cross-sectional findings from a longitudinal study." BMC Public Health. 22 (1). https://doi.org/10.1186/s12889-022-14892-1
Experience of Bangladeshi Dental Students towards Online Learning during the COVID-19 Pandemic: A Web-Based Cross-Sectional Study
Islam, Md Irteja, Jahan, Shah Saif, Chowdhury, Mohammad Tawfique Hossain, Isha, Samia Naz, Saha, Arup Kumar, Nath, Sujan Kanti, Jahan, Mohammed Shahed, Kabir, Md. Humayun, Apu, Ehsanul Hoque, Kabir, Russell and Siddika, Nazeeba. 2022. "Experience of Bangladeshi Dental Students towards Online Learning during the COVID-19 Pandemic: A Web-Based Cross-Sectional Study." International Journal of Environmental Research and Public Health. 19 (13). https://doi.org/10.3390/ijerph19137786
Healthcare Avoidance before and during the COVID-19 Pandemic among Australian Youth: A Longitudinal Study
Islam, Md Irteja, Freeman, Joseph, Chadwick, Verity and Martiniuk, Alexandra. 2022. "Healthcare Avoidance before and during the COVID-19 Pandemic among Australian Youth: A Longitudinal Study." Healthcare. 10 (7). https://doi.org/10.3390/healthcare10071261
Does Long-Term Enrollment in Day-Care Maintain or Increase Early Developmental Gains—Findings from an Intervention Study in Rural Bangladesh
Agrawal, Priyanka, Nair, Divya, Salam, Shumona Sharmin, Islam, Md Irteja, Hamadani, Jena Derakhshani and Alonge, Olakunle. 2022. "Does Long-Term Enrollment in Day-Care Maintain or Increase Early Developmental Gains—Findings from an Intervention Study in Rural Bangladesh." Children. 9 (7). https://doi.org/10.3390/children9070929
Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children
Islam, Md Irteja, Sharwood, Lisa, Chadwick, Verity, Esgin, Tuguy and Martiniuk, Alexandra. 2022. "Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children." International Journal of Environmental Research and Public Health. 19 (15). https://doi.org/10.3390/ijerph19159131
Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study
Islam, Md Irteja, O'Neill, Claire, Kolur, Hibah, Bagnulo, Sharif, Colbran, Richard and Martiniuk, Alexandra. 2022. "Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study." Healthcare. 10 (8). https://doi.org/10.3390/healthcare10081391
Oral Healthcare during Pregnancy: Its Importance and Challenges in Lower-Middle-Income Countries (LMICs)
Jahan, Shah Saif, Apu, Ehsanul Hoque, Sultana, Zeeba Zahra, Islam, Md Irteja and Siddika, Nazeeba. 2022. "Oral Healthcare during Pregnancy: Its Importance and Challenges in Lower-Middle-Income Countries (LMICs)." International Journal of Environmental Research and Public Health. 19 (17). https://doi.org/10.3390/ijerph191710681
Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach
Islam, Md Irteja, Ormsby, Gail M., Kabir, Enamul and Khanam, Rasheda. 2021. "Estimating income-related and area-based inequalities in mental health among nationally representative adolescents in Australia: the concentration index approach." PLoS One. 16 (9), pp. 1-14. https://doi.org/10.1371/journal.pone.0257573
Obesity, disability and self-perceived health outcomes in Australian adults: a longitudinal analysis using 14 annual waves of the HILDA cohort
Keramat, Syed Afroz, Alam, Khorshed, Ahinkorah, Bright Opoku, Islam, Md Sariful, Islam, Md Irteja, Hossain, Md Zobayer, Ahmed, Sazia, Gow, Jeff and Biddle, Stuart J. H.. 2021. "Obesity, disability and self-perceived health outcomes in Australian adults: a longitudinal analysis using 14 annual waves of the HILDA cohort." ClinicoEconomics and Outcomes Research. 13, pp. 777-788. https://doi.org/10.2147/CEOR.S318094
Evaluating Risk and Protective Factors for Suicidality and Self-Harm in Australian Adolescents With Traditional Bullying and Cyberbullying Victimizations
Islam, Md Irteja, Yunus, Fakir Md, Kabir, Enamul and Khanam, Rasheda. 2022. "Evaluating Risk and Protective Factors for Suicidality and Self-Harm in Australian Adolescents With Traditional Bullying and Cyberbullying Victimizations." American Journal of Health Promotion. 36 (1), pp. 73-83. https://doi.org/10.1177/08901171211034105
Understanding the determinants and socioeconomic inequality of behavioural and mental health problems, and services utilization among Australian adolescents
Islam, Md Irteja. 2021. Understanding the determinants and socioeconomic inequality of behavioural and mental health problems, and services utilization among Australian adolescents. PhD Thesis Doctor of Philosophy. University of Southern Queensland. https://doi.org/10.26192/5a31-yr03
Effect of internet use and electronic game‑play on academic performance of Australian children
Islam, Md Irteja, Biswas, Raaj Kishor and Khanam, Rasheda. 2020. "Effect of internet use and electronic game‑play on academic performance of Australian children." Scientific Reports. 10 (1). https://doi.org/10.1038/s41598-020-78916-9
Interaction between the place of residence and wealth on the risk of overweight and obesity in Bangladeshi women
Ahmad, Kabir, Khanam, Taslima, Keramat, Sayed Afroz, Islam, Md. Irteja, Kabir, Enamul and Khanam, Rasheda. 2020. "Interaction between the place of residence and wealth on the risk of overweight and obesity in Bangladeshi women." PLoS One. 15 (12), pp. 1-15. https://doi.org/10.1371/journal.pone.0243349
Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey
Ahmed, Md. Sabbir, Islam Md Irteja, Das, Manik Chandra, Khan, Arifuzzaman and Yunus, Fakir Md. 2021. "Mapping and situation analysis of basic WASH facilities at households in Bangladesh: Evidence from a nationally representative survey ." PLoS One. 16. https://doi.org/10.1371/journal.pone.0259635
Cost-effectiveness analysis of a large-scale crèche intervention to prevent child drowning in rural Bangladesh
Alfonso, Y. Natalia, Hyder, Adnan A., Alonge, Olakunle, Salam, Shumona Sharmin, Baset, Kamran, Rahman, Aminur, Hoque, Dewan Md Emdadul, Islam, Irteja, Rahman, Fazlur, El-Arifeen, Shams and Bishai, David. 2021. "Cost-effectiveness analysis of a large-scale crèche intervention to prevent child drowning in rural Bangladesh ." Injury Epidemiology. 8 (1). https://doi.org/10.1186/s40621-021-00351-9
Bullying victimization, mental disorders, suicidality and self-harm among Australian high schoolchildren: Evidence from nationwide data
Islam, Md. Irteja, Khanam, Rasheda and Kabir, Enamul. 2020. "Bullying victimization, mental disorders, suicidality and self-harm among Australian high schoolchildren: Evidence from nationwide data." Psychiatry Research. 292. https://doi.org/10.1016/j.psychres.2020.113364
The use of mental health services by Australian adolescents with mental disorders and suicidality: findings from a nationwide cross-sectional survey
Islam, Md. Irteja, Khanam, Rasheda and Kabir, Enamul. 2020. "The use of mental health services by Australian adolescents with mental disorders and suicidality: findings from a nationwide cross-sectional survey." PLoS One. 15 (4). https://doi.org/10.1371/journal.pone.0231180
Suicidality, mental disorder and the utilization of mental health services among Australian adolescents
Islam, Md. Irteja, Kabir, Enamul and Khanam, Rasheda. 2020. "Suicidality, mental disorder and the utilization of mental health services among Australian adolescents." Children and Youth Services Review. 111. https://doi.org/10.1016/j.childyouth.2020.104821
Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual period (LMP) dates in rural Bangladesh
Salam, Shumona Sharmin, Ali, Nazia Binte, Rahman, Ahmed Ehsanur, Tahsina, Tazeen, Islam, Md. Irteja, Iqbal, Afrin, Hoque, Dewan Md. Emdadul, Saha, Samir Kumar and El-Arifeen, Shams. 2018. "Study protocol of a 4- parallel arm, superiority, community based cluster randomized controlled trial comparing paper and e-platform based interventions to improve accuracy of recall of last menstrual period (LMP) dates in rural Bangladesh ." BMC Public Health. 18 (1). https://doi.org/10.1186/s12889-018-6258-z
The Burden of Suicide in Rural Bangladesh: Magnitude and Risk Factors
Salam, Shumona Sharmin, Alonge, Olakunle, Islam, Md Irteja, Hoque, Dewan Md Emdadul, Wadhwaniya, Shirin, Baset, Md Kamran Ul, Mashreky, Saidur Rahman and El-Arifeen, Shams. 2017. "The Burden of Suicide in Rural Bangladesh: Magnitude and Risk Factors ." International Journal of Environmental Research and Public Health. 14 (9). https://doi.org/10.3390/ijerph14091032