Understanding the prevention of unintentional child injuries at home setting: a qualitative study in Iran

Barat, Atena (2017) Understanding the prevention of unintentional child injuries at home setting: a qualitative study in Iran. PhD thesis, University of Nottingham.

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Abstract

Background: Injuries include potentially life-threatening problems associated with increased hospital admission and permanent disability among children, with considerable financial, emotional and social effects on the child and the family as well as on the community and society as a whole. The preventability of injuries through adopting a variety of interventions necessitates stakeholders (e.g. parents, health professionals and policymakers) supporting and implementing such interventions. There is paucity of evidence in Iran regarding the needs for controlling home injuries among children.

Objectives: To explore the practice of parents, health professionals and policy makers associated with the prevention of home injuries among urban children under 5 years; and to identify barriers to and facilitators of success for such practices in Iran.

Methods: A generic qualitative approach was adopted with home observation and semi-structured interviews undertaken with: 18 parents attending urban health centres in Tehran for childhood immunization; 28 health professionals whose scope of duty was child health and safety and working in the urban health centres; and 19 policymakers working as top-level managers in different organisations concerned with child health and safety. The recorded interviews were transcribed verbatim and the data were analysed using thematic analysis.

Results: Children are living in hazardous environments which increase their risk for home injuries. All parents adopted a range of insufficient child proofing measures at the study time. They need to be supported, particularly financially and educationally, to enhance the safety level of their homes. Health professionals can potentially be supportive to meet their needs, but practice is hampered by the lack of a comprehensive national strategy. Policymakers who are responsible for tackling this problem have confronted barriers at the individual (e.g. lack of awareness) and societal (e.g. lack of rules and enforcement) levels.

Conclusion: Child home injury is a complex and multifaceted subject whose prevention is affected by a wide range of facilitators and barriers to be considered in developing new strategies and revising the current initiatives. This study has implications for advocating policies that improve safety culture throughout society as well as mobilizing communities to solve the issue.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Watson, Michael Craig
Mulvaney, Caroline A.
Keywords: Unintentional injury, Child, Home injury, Qualitative
Subjects: W Medicine and related subjects (NLM Classification) > WO Surgery
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Health Sciences
Item ID: 43306
Depositing User: Barat, Atena
Date Deposited: 29 Aug 2017 10:37
Last Modified: 29 Aug 2017 20:07
URI: http://eprints.nottingham.ac.uk/id/eprint/43306

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