Caregiver’s Perspective on Preventing Unintentional Childhood Injuries in South Karnataka, India – A Qualitative Study

Authors

  • Sheela Shetty Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0001-9661-3415
  • Baby S Nayak Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India https://orcid.org/0000-0001-9659-9860
  • Anice George Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Mamatha Shivananda Pai Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Shrikiran Hebbar Department of Pediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  • Judith A Noronha Department of OBG Nursing, Manipal College of Nursing; Manipal Academy of Higher Education, Manipal, Karnataka, India

DOI:

https://doi.org/10.55489/njcm.160120254820

Keywords:

Wellbeing, Public Health, Education, Poverty, Environment, Child Health, Prevention

Abstract

Background: Childhood unintentional injuries are the leading cause of death and disability among young children. Interventions to prevent unintentional injuries are multidimensional, and identifying key areas would facilitate a better understanding and implementation of preventive measures. The present research was conducted to explore and understand caregivers' perspectives on unintentional injuries, which might further contribute to developing injury prevention strategies.

Methods: The study adopted a qualitative approach. In-depth, open-ended, semi-structured, and individual interviews were conducted with caregivers of children between two and five-year-old age groups.

Results: The codes generated from the study are grouped under three major themes: ‘Child behaviour and development’, ‘Caregivers' knowledge and practices’, and ‘Safe environment’. The reasons for unintentional injuries and strategies to prevent them were reflected in the findings. Caregivers demonstrated awareness in a few of the areas by identifying the risk of injuries. Environmental determinants such as a lack of space or inadequate storage facilities were reported as barriers to injury prevention.

Conclusion: Understanding caregivers’ perspectives on injury prevention will enable them to change the behavior among caregivers. However, the barriers and facilitators to prevent injuries can be addressed during the development and implementation of the intervention package.

References

Morrongiello BA. Caregiver Supervision and Child-Injury Risk: I. Issues in Defining and Measuring Supervision; II. Findings and Directions for Future Research. J Pediatr Psychol. 2005;30:536-52. DOI: https://doi.org/10.1093/jpepsy/jsi041 PMid:16166243

The Global Burden of Disease Child and Adolescent Health Collaboration, Kassebaum N, Kyu HH, Zoeckler L, Olsen HE, Thomas K, et al. Child and Adolescent Health From 1990 to 2015: Findings From the Global Burden of Diseases, Injuries, and Risk Factors 2015 Study. JAMA Pediatr. 2017;171:573. Doi: http://doi.org10.1001/jamapediatrics.2017.0250

World Health Statistics 2015. Geneva: World Health Organization; 2015. Available from: https://www.who.int/docs/default-source/gho-documents/world-health-statistic-reports/world-health-statistics-2015.pdf

Jagnoor J, Bassani DG, Keay L, Ivers RQ, Thakur JS, Gururaj G, et al. Unintentional injury deaths among children younger than 5 years of age in India: a nationally representative study. Inj Prev.2011;17:151-5. DOI: https://doi.org/10.1136/ip.2010.029934 PMid:21493757

Sharma SL, Reddy N S, Ramanujam K, Jennifer MS, Gunasekaran A, Rose A, et al. Unintentional injuries among children aged 1-5 years: understanding the burden, risk factors and severity in urban slums of southern India. Inj Epidemiol. 2018;5:41. DOI: https://doi.org/10.1186/s40621-018-0170-y PMid:30393832 PMCid:PMC6215788

Mathur A, Mehra L, Diwan V, Pathak A. Unintentional Childhood Injuries in Urban and Rural Ujjain, India: A Community-Based Survey. Children. 2018;5:23. DOI: https://doi.org/10.3390/children5020023 PMid:29419791 PMCid:PMC5835992

Li C, Jiao J, Hua G, Yundendorj G, Liu S, Yu H, et al. Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019 : a prospective cohort study. Int J Surg. 2024. DOI: https://doi.org/10.1097/JS9.0000000000001131 PMCid:PMC11020088

National Strategy for prevention of unintentional injury. Available from: https://mohfw.gov.in/sites/default/files/Sep%207%20National%20Strategy%20for%20Prevention%20of%20%20Unintentional%20Injury.pdf

Nirgude A S, Haleema M. Epidemiological Profile of Unintentional Childhood Injuries in Urban Area of Mangaluru Taluk, Dakshina Kannada District, Karnataka State, India. Natl J Community Med. 2024;15:121-6. DOI: https://doi.org/10.55489/njcm.150220243434

Sethi D, Weltgesundheitsorganisation, editors. European report on child injury prevention. Copenhagen: WHO Regional Office for Europe; 2008. 98 p.

Bartlett SN. The problem of children's injuries in low-income countries: a review. Health Policy Plan. 2002;17:1-13. DOI: https://doi.org/10.1093/heapol/17.1.1 PMid:11861582

Nath A, Naik V. Profile of accidents in children less than five years of age belonging to a rural community in Belgaum district. Indian J Community Med. 2007;32:133. DOI: https://doi.org/10.4103/0970-0218.35653

Flavin MP, Dostaler SM, Simpson K, Brison RJ, Pickett W. Stages of development and injury patterns in the early years: a population-based analysis. BMC Public Health. 2006;6:187. DOI: https://doi.org/10.1186/1471-2458-6-187 PMid:16848890 PMCid:PMC1569842

Osborne JM, Davey TM, Spinks AB, McClure RJ, Sipe N, Cameron CM. Child injury: Does home matter? Soc Sci Med. 2016;153:250-7. DOI: https://doi.org/10.1016/j.socscimed.2016.02.017 PMid:26928586

Eldosoky RSH. Home-related injuries among children: knowledge, attitudes and practice about first aid among rural mothers. East Mediterr Health J. 2012;18:1021-7. DOI: https://doi.org/10.26719/2012.18.10.1021 PMid:23301356

Saluja G, Brenner R, Morrongiello BA, Haynie D, Rivera M, Cheng TL. The role of supervision in child injury risk: definition, conceptual and measurement issues. Inj Control Saf Promot. 2004;11:17-22. DOI: https://doi.org/10.1076/icsp.11.1.17.26310 PMid:14977501

Petrass LA, Finch CF, Blitvich JD. Methodological approaches used to assess the relationship between parental supervision and child injury risk. Inj Prev. 2009;15:132-8. DOI: https://doi.org/10.1136/ip.2008.019521 PMid:19346426

McKenzie LB, Roberts KJ, Collins CL, Clark RM, Smith KC, Manganello J. Maternal Knowledge, Attitudes, and Behavioral Intention after Exposure to Injury Prevention Recommendations in the News Media. J Health Commun. 2019;24:625-32. DOI: https://doi.org/10.1080/10810730.2019.1646357 PMid:31378155

Tsoumakas K, Dousis E, Mavridi F, Gremou A, Matziou V. Parent's adherence to children's home‐accident preventive measures. Int Nurs Rev. 2009;56:369-74. DOI: https://doi.org/10.1111/j.1466-7657.2009.00720.x PMid:19702812

Kendrick D, Young B, Mason‐Jones AJ, Ilyas N, Achana FA, Cooper NJ, et al. Home safety education and provision of safety equipment for injury prevention (Review). Evid-Based Child Health Cochrane Rev J. 2013;8:761-939. DOI: https://doi.org/10.1002/ebch.1911 PMid:23877910

Al Rumhi A, Al Awisi H, Al Buwaiqi M, Al Rabaani S. Home Accidents among Children: A Retrospective Study at a Tertiary Care Center in Oman. Oman Med J. 2020;35:e85. DOI: https://doi.org/10.5001/omj.2020.03 PMid:32042466 PMCid:PMC6975254

Larsson LS, Butterfield P, Christopher S, Hill W. Rural community leaders' perceptions of environmental health risks: improving community health. AAOHN J Off J Am Assoc Occup Health Nurses. 2006;54:105-12. DOI: https://doi.org/10.1177/216507990605400303

Ruiz-Casares M. Unintentional childhood injuries in sub-Saharan Africa: an overview of risk and protective factors. J Health Care Poor Underserved. 2009;20:51-67. DOI: https://doi.org/10.1353/hpu.0.0226 PMid:20168033

Larsson LS, Butterfield P, Christopher S, Hill W. Rural community leaders' perceptions of environmental health risks: improving community health. AAOHN J Off J Am Assoc Occup Health Nurses. 2006;54. DOI: https://doi.org/10.1177/216507990605400303 PMid:16562621 PMCid:PMC4550218

Alrimawi I, Watson MC, Hall C, Saifan AR. Preventing Unintentional Injuries to Children Under 5 in Their Homes: Palestinian Mothers' Perspectives. SAGE Open. 2019;9:215824401882448. DOI: https://doi.org/10.1177/2158244018824483

Munro SA, van Niekerk A, Seedat M. Childhood unintentional injuries: the perceived impact of the environment, lack of supervision and child characteristics. Child Care Health Dev. 2006;32:269-79. DOI: https://doi.org/10.1111/j.1365-2214.2006.00593.x PMid:16634972

Gielen AC, Wilson MEH, Faden RR, Wissow L, Harvilchuck JD. In-Home Injury Prevention Practices for Infants and Toddlers: The Role of Parental Beliefs, Barriers, and Housing Quality. Health Educ Q. 1995;22:85-95. DOI: https://doi.org/10.1177/109019819502200108 PMid:7721603

Morrongiello BA, Dayler L. A community-based study of parents' knowledge, attitudes and beliefs related to childhood injuries. Can J Public Health Rev Can Sante Publique. 1996;87:383-8.

Bennet Murphy LM. Adolescent mothers' beliefs about parenting and injury prevention: Results of a focus group. J Pediatr Health Care. 2001;15:194-9. DOI: https://doi.org/10.1067/mph.2001.112516 PMid:11462127

Ahmed A. Ontological, Epistemological and Methodological Assumptions: Qualitative versus Quantitative]. Taiwan; 2008 Apr p. 14. Available from: https://files.eric.ed.gov/fulltext/ED504903.pdf

Caelli K, Ray L, Mill J. 'Clear as Mud': Toward Greater Clarity in Generic Qualitative Research. Int J Qual Methods 2003;2:1-13. DOI: https://doi.org/10.1177/160940690300200201

Kahlke RM. Generic Qualitative Approaches: Pitfalls and Benefits of Methodological Mixology. Int J Qual Methods. 2014;13:37-52. DOI: https://doi.org/10.1177/160940691401300119

Fusch P, Ness L. Are We There Yet? Data Saturation in Qualitative Research. Qual Rep. 2015. DOI: https://doi.org/10.46743/2160-3715/2015.2281

Creswell JW, Creswell JW. Qualitative inquiry & research design: choosing among five approaches. 2nd ed. Thousand Oaks: Sage Publications; 2007. 395 p.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349-57. DOI: https://doi.org/10.1093/intqhc/mzm042 PMid:17872937

Hockenberry MJ, Wilson D, Rodgers CC, editors. Wong's essentials of pediatric nursing. Tenth edition. St. Louis, Missouri: Elsevier; 2017.

Ball JW, Bindler RM, Cowen KJ, Shaw MR. Principles of pediatric nursing: caring for children. Seventh edition. Hoboken, NJ: Pearson Education; 2017.

Sutton J. What Is Bandura's Social Learning Theory? 3 Examples. 2021.

Schnitzer PG, Dowd MD, Kruse RL, Morrongiello BA. Supervision and risk of unintentional injury in young children. Inj Prev J Int Soc Child Adolesc Inj Prev. 2015;21:e63-70 DOI: https://doi.org/10.1136/injuryprev-2013-041128 PMid:24848998 PMCid:PMC4293371

Siu G, Batte A, Tibingana B, Otwombe K, Sekiwunga R, Paichadze N. Mothers' perception of childhood injuries, child supervision and care practices for children 0-5 years in a peri-urban area in Central Uganda; implications for prevention of childhood injuries. Inj Epidemiol. 2019;6:34 DOI: https://doi.org/10.1186/s40621-019-0211-1 PMid:31388479 PMCid:PMC6670120

Naeem R, Ali A, Buksh A R, Quddusi A, Khan U R. Tip-over injuries among children: Data from an urban emergency department of Karachi, Pakistan. Injury. 2023. DOI: https://doi.org/10.1016/j.injury.2022.11.069 PMid:36481052

Thein MM, Lee BW, Bun PY. Childhood injuries in Singapore: A community nationwide study Singapore Med J. 2005;46:116-21.

Ablewhite J, Kendrick D, Watson M, Shaw I. Maternal perceptions of supervision in pre-school-aged children: a qualitative approach to understanding differences between families living in affluent and disadvantaged areas. Prim Health Care Res Dev. 2015;16:346-55. DOI: https://doi.org/10.1017/S1463423614000218 PMid:24871079

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Published

2025-01-01

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1.
Shetty S, Nayak BS, George A, Pai MS, Hebbar S, Noronha JA. Caregiver’s Perspective on Preventing Unintentional Childhood Injuries in South Karnataka, India – A Qualitative Study. Natl J Community Med [Internet]. 2025 Jan. 1 [cited 2025 Jan. 7];16(01):66-74. Available from: https://njcmindia.com/index.php/file/article/view/4820

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