Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh

<h4>Introduction</h4> In Bangladesh, injury is one of the leading causes of death and morbidity in children. All children under 5 years of age are at high risk for drowning though the risks are highest when children first learn to walk and crawl while they do not understand the danger of...

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Main Authors: Md. Al-Amin Bhuiyan, Priyanka Agrawal, Olakunle Alonge, Zobaer Alam, Lamisa Ashraf, Shirin Wadhwaniya, Md. Abu Talab, Qingfeng Li, Abdulgafoor M. Bachani, Fazlur Rahman, Aminur Rahman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9084520/?tool=EBI
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author Md. Al-Amin Bhuiyan
Priyanka Agrawal
Olakunle Alonge
Zobaer Alam
Lamisa Ashraf
Shirin Wadhwaniya
Md. Abu Talab
Qingfeng Li
Abdulgafoor M. Bachani
Fazlur Rahman
Aminur Rahman
author_facet Md. Al-Amin Bhuiyan
Priyanka Agrawal
Olakunle Alonge
Zobaer Alam
Lamisa Ashraf
Shirin Wadhwaniya
Md. Abu Talab
Qingfeng Li
Abdulgafoor M. Bachani
Fazlur Rahman
Aminur Rahman
author_sort Md. Al-Amin Bhuiyan
collection DOAJ
description <h4>Introduction</h4> In Bangladesh, injury is one of the leading causes of death and morbidity in children. All children under 5 years of age are at high risk for drowning though the risks are highest when children first learn to walk and crawl while they do not understand the danger of water. The Centre for Injury Prevention and Research, Bangladesh (CIPRB) in collaboration with Johns Hopkins International Injury Research Unit (JH-IIRU) has been implementing two drowning prevention interventions, providing playpens and community day care centres (anchal), or both in three rural sub-districts of Bangladesh under Saving of Lives from Drowning (SoLiD) project in Bangladesh. In CIPRB intervention areas, wooden playpens were distributed among the children nine months to three years at household (HH) level. <h4>Objective</h4> The aim of this study was to explore and understand the acceptability and perceptions of parents towards playpen and its relevance for drowning and injury related mortality and morbidity prevention. <h4>Methods</h4> Anchal mothers (‘anchal maa’ in Bangla) distributed 30,553 playpens and collected compliance information at the HH level using a structured questionnaire. 1600 trained anchal maas collected data via face to face interviews from May 2014 to November 2015. Playpen compliance visits were conducted periodically on the second and seventh days and every two months after delivering the playpen. Data were entered using standard data entry formats and analyzed using SPSS software version 23. <h4>Results</h4> Parents reported that playpen is a safe place and protects children from drowning and other injuries. During compliance data collection, anchal maa founds that 71.8% of all children were using playpen and 93.7% (of 71.8%) children were playing inside the playpen while mothers were busy with their household chores like cooking, washing dishes and clothes, taking care of their poultry and domestic animals etc. 95.7% parents reported playpen is being used for keeping the child safe. On an average, the children were placed two to six times per day in a playpen. 99.1% of the children who reported using a playpen did not get any injuries (falls, cuts and bruises) while using the playpen. Satisfaction level with the playpen intervention among mothers was 90.5%. Some respondents suggested improving the playpen utilization by providing toys, adding wheels for ease of mobility, and increasing the height. <h4>Conclusion</h4> The playpens were found to be well accepted and utilized for the children, especially when mothers were busy with their household chores.
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spelling doaj.art-1cf01d8a40d846bfa622d2ad860de9052022-12-22T02:54:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01175Compliance to playpen usages to enhance parental supervision of under-five children in rural community of BangladeshMd. Al-Amin BhuiyanPriyanka AgrawalOlakunle AlongeZobaer AlamLamisa AshrafShirin WadhwaniyaMd. Abu TalabQingfeng LiAbdulgafoor M. BachaniFazlur RahmanAminur Rahman<h4>Introduction</h4> In Bangladesh, injury is one of the leading causes of death and morbidity in children. All children under 5 years of age are at high risk for drowning though the risks are highest when children first learn to walk and crawl while they do not understand the danger of water. The Centre for Injury Prevention and Research, Bangladesh (CIPRB) in collaboration with Johns Hopkins International Injury Research Unit (JH-IIRU) has been implementing two drowning prevention interventions, providing playpens and community day care centres (anchal), or both in three rural sub-districts of Bangladesh under Saving of Lives from Drowning (SoLiD) project in Bangladesh. In CIPRB intervention areas, wooden playpens were distributed among the children nine months to three years at household (HH) level. <h4>Objective</h4> The aim of this study was to explore and understand the acceptability and perceptions of parents towards playpen and its relevance for drowning and injury related mortality and morbidity prevention. <h4>Methods</h4> Anchal mothers (‘anchal maa’ in Bangla) distributed 30,553 playpens and collected compliance information at the HH level using a structured questionnaire. 1600 trained anchal maas collected data via face to face interviews from May 2014 to November 2015. Playpen compliance visits were conducted periodically on the second and seventh days and every two months after delivering the playpen. Data were entered using standard data entry formats and analyzed using SPSS software version 23. <h4>Results</h4> Parents reported that playpen is a safe place and protects children from drowning and other injuries. During compliance data collection, anchal maa founds that 71.8% of all children were using playpen and 93.7% (of 71.8%) children were playing inside the playpen while mothers were busy with their household chores like cooking, washing dishes and clothes, taking care of their poultry and domestic animals etc. 95.7% parents reported playpen is being used for keeping the child safe. On an average, the children were placed two to six times per day in a playpen. 99.1% of the children who reported using a playpen did not get any injuries (falls, cuts and bruises) while using the playpen. Satisfaction level with the playpen intervention among mothers was 90.5%. Some respondents suggested improving the playpen utilization by providing toys, adding wheels for ease of mobility, and increasing the height. <h4>Conclusion</h4> The playpens were found to be well accepted and utilized for the children, especially when mothers were busy with their household chores.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9084520/?tool=EBI
spellingShingle Md. Al-Amin Bhuiyan
Priyanka Agrawal
Olakunle Alonge
Zobaer Alam
Lamisa Ashraf
Shirin Wadhwaniya
Md. Abu Talab
Qingfeng Li
Abdulgafoor M. Bachani
Fazlur Rahman
Aminur Rahman
Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
PLoS ONE
title Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
title_full Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
title_fullStr Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
title_full_unstemmed Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
title_short Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh
title_sort compliance to playpen usages to enhance parental supervision of under five children in rural community of bangladesh
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9084520/?tool=EBI
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