Int. J. Environ. Res. Public Health 2017, 14(7), 762; https://doi.org/10.3390/ijerph14070762
Impact of First Aid on Treatment Outcomes for Non-Fatal Injuries in Rural Bangladesh: Findings from an Injury and Demographic Census
Dewan Md Emdadul Hoque 1,*
, Md Irteja Islam 1, Shumona Sharmin Salam 1, Qazi Sadeq-ur Rahman 1, Priyanka Agrawal 2, Aminur Rahman 3, Fazlur Rahman 3, Shams El-Arifeen 1, Adnan A. Hyder 2 and Olakunle Alonge 2
, Md Irteja Islam 1, Shumona Sharmin Salam 1, Qazi Sadeq-ur Rahman 1, Priyanka Agrawal 2, Aminur Rahman 3, Fazlur Rahman 3, Shams El-Arifeen 1, Adnan A. Hyder 2 and Olakunle Alonge 21
Maternal and Child Health Division, International Centre for Diarrheal Diseases Research, GPO Box 128, Dhaka 1000, Bangladesh
2
Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
3
Centre for Injury Prevention and Research, House #B-162, Road #23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
*
Author to whom correspondence should be addressed.
Received: 24 May 2017 / Revised: 3 July 2017 / Accepted: 9 July 2017 / Published: 12 July 2017
(This article belongs to the Collection A Million Person Household Survey: Understanding the Burden of Injuries in Bangladesh)
Abstract
Non-fatal injuries have a significant impact on disability, productivity, and economic cost, and first-aid can play an important role in improving non-fatal injury outcomes. Data collected from a census conducted as part of a drowning prevention project in Bangladesh was used to quantify the impact of first-aid provided by trained and untrained providers on non-fatal injuries. The census covered approximately 1.2 million people from 7 sub-districts of Bangladesh. Around 10% individuals reported an injury event in the six-month recall period. The most common injuries were falls (39%) and cuts injuries (23.4%). Overall, 81.7% of those with non-fatal injuries received first aid from a provider of whom 79.9% were non-medically trained. Individuals who received first-aid from a medically trained provider had more severe injuries and were 1.28 times more likely to show improvement or recover compared to those who received first-aid from an untrained provider. In Bangladesh, first-aid for non-fatal injuries are primarily provided by untrained providers. Given the large number of untrained providers and the known benefits of first aid to overcome morbidities associated with non-fatal injuries, public health interventions should be designed and implemented to train and improve skills of untrained providers. View Full-TextKeywords:
non-fatal injury; first-aid treatment; medically trained providers; untrained medical providers; rural; Bangladesh
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Hoque, D.M.E.; Islam, M.I.; Sharmin Salam, S.; Rahman, Q.S.-U.; Agrawal, P.; Rahman, A.; Rahman, F.; El-Arifeen, S.; Hyder, A.A.; Alonge, O. Impact of First Aid on Treatment Outcomes for Non-Fatal Injuries in Rural Bangladesh: Findings from an Injury and Demographic Census. Int. J. Environ. Res. Public Health 2017, 14, 762.
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