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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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Keyword: drowning prevention

On May 16, 2019, leadership and faculty from the Johns Hopkins International Injury Research Unit (JH-IIRU) traveled to St. Charles, Illinois to share assessment findings and initiate a new phase of its partnership with the Michael Phelps Foundation.

JH-IIRU Director Dr. Abdul Bachani and Research Associate Priyanka Agrawal were on hand to share their assessment of MPF’s “IM” Program, which launched in 2010 and includes swim instruction and drowning prevention lessons. The evaluation assessed the program’s effectiveness in training more than 20,000 children across nearly 40 Boys and Girls Clubs of America.

“Through our evaluation of the IM Program, we found significant success in terms of access and reach,” said Dr. Bachani. “Nearly 4,500 additional families had access to swim training that otherwise would not have had any. And the program helped participating children overcome a number of different obstacles, including fear, anxiety, and depression.”

Dr. Bachani and the JH-IIRU team will continue to work with the Foundation through the next phase of evaluations, when they’ll conduct a systematic evaluation focusing on the program’s impact.

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JH-IIRU's Dr. Abdul Bachani and Priyanka Agrawal traveled to St. Charles, Illinois to share evaluation findings with the Michael Phelps Foundation.

On April 8-10, 2019, Johns Hopkins International Injury Research Unit (JH-IIRU) Director Dr. Abdul Bachani, PhD MHS and Associate Director Dr. Qingfeng Li, PhD participated in the Bloomberg Philanthropies Initiative to Prevent Drowning partner meeting in Dhaka, Bangladesh.

Dr. Bachani and Dr. Li joined leadership from Bloomberg Philanthropies and international partners such as the World Health Organization (WHO), U.S. Centers for Disease Control and Prevention (CDC), the Global Health Advocacy Incubator, Makerere University, Centre for Injury Prevention and Research, Bangladesh (CIPRB) and International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b) to share progress of their work in drowning prevention and strategize on upcoming initiatives across Bangladesh, Vietnam, Uganda, and globally.

“I’m pleased to represent the Johns Hopkins International Injury Research Unit and join together with partners and other passionate researchers from around the world,” said Dr. Bachani. “Through our work in drowning prevention, we’ve already found such encouraging preliminary results. This meeting will serve as a jumping-off point for making continued progress in Bangladesh and beyond.”

Beginning in 2012, JH-IIRU – with support from Bloomberg Philanthropies and in partnership with CIPRB and icddr,b – implemented a study to test the large-scale effectiveness of interventions to prevent and reduce childhood drowning in Rural Bangladesh. In total, more than 70,000 children have enrolled in 3,000+ community-run crèches across seven area sub-districts.

Preliminary results show that creches were effective in reducing drowning deaths among children 9-36 months old. Crèches were also found to be highly acceptable in the community, where they provide a safe environment for learning, and to enhance cognitive development.

During the partner meeting, attendees participated in project overviews, strategy breakouts, and field visits to the Ministry of Health and Lions Aggragati Shikkhaniketan School, where they observed a survival swimming class led by CIPRB.

On Wednesday, Dr. Bachani joined Bloomberg Philanthropies’ Kelly Larson and Becky Bavinger – as well as leadership from Vietnam, WHO, CIPRB, and Synergos – for a special media panel, where each representative had the opportunity to highlight the impact of their projects and share key findings and lessons learned. The following day, Dr. Li joined colleagues from Bloomberg Philanthropies, Synergos, CDC, CIPRB, and icddr,b for a field visit to Manohardi, Narshingdi. The group observed crèche activities, Anchal Maa training, and survival swimming teaching; they also met with parents of Anchal children and community leaders.

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Dr. Li and colleagues participated in a field visit to Manohardi, Narshingdi to observe survival swimming instruction, among other activities. 

Every day, more than 32 children between the ages of 1-4 die in Bangladesh due to drowning. That's more than 12,000 children a year. In fact, while the mortality rates of childhood diseases like diarrhea or malaria have decreased, in large part due to disease prevention and nutritional interventions, the rate of child drowning has increased, especially in low-income countries like Bangladesh, because there has not been a similar investment in prevention. It's not surprising, then, that drowning is the leading cause of death for this age group in the country. But drowning, like most unintentional injuries, is a preventable cause of death.

The Johns Hopkins International Injury Research Unit (JH-IIRU) is committed to reducing the burden of child injuries around the world. That's why, on February 27, 2014, JH-IIRU joined Bloomberg Philanthropies in Dhaka, Bangladesh, to launch the Drowning Prevention Project, a $10 million initiative aimed at identifying scalable drowning interventions in this low-lying South Asian country.

As part of this project, JH-IIRU will work in collaboration with the International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b) and the Center for Injury Prevention and Research Bangladesh (CIPRB), to initiate the Saving of Lives from Drowning (SoLiD) in Bangladesh. SoLiD is an implementation study that has been established to test the effectiveness of two interventions to prevent and reduce the burden of childhood drowning in Bangladesh. The interventions will be implemented along with family education and community awareness on drowning prevention.

Adnan A. Hyder, MD, MPH, PhD, director of JH-IIRU, will lead a team that will directly address two major factors in preventable child drowning deaths in a country where 7% of its surface is covered in water-lack of supervision and easy access to water. The project will test two interventions: community daycare centers (sometimes referred to as "crèches" or "anchals") playpens. Attendance in crèches during the period when drowning injury is most likely to occur reduces the risk of drowning by both supervising the child and removing the child from the hazard. Similarly, playpens, which will be locally manufactured, restrict child mobility, thus creating a barrier between the child and the hazard. They are also an aid to adult supervision, which, in turn, minimizes exposure to the risk of drowning.

The goal of the project is to monitor and evaluate the effectiveness of these interventions for 80,000 children, 1-4 years of age over a two-year period.

"The rate of drowning for young children in Bangladesh is alarming," said Hyder. "It is imperative that we explore the feasibility of appropriate and cost-effective drowning prevention interventions for child survival."

"This project represents a tremendous opportunity for continuing to improve child health care in Bangladesh and is a strong commitment to injury research," said Olakunle Alonge, assistant scientist in JH-IIRU and program manager for SoLiD.

Bloomberg Philanthropies is also supporting the World Health Organization (WHO) to publish an evidence-based global report on drowning prevention later this year and provide expert guidance on effective strategies to combat this burgeoning epidemic and save thousands of lives.

More information here

On September 18, Drs. AKM Fazlur Rahman and Animesh Biswas from the Centre for Injury Prevention and Research, Bangladesh (CIPRB) visited JH-IIRU.  Drs. Rahman and Biswas are currently working with JH-IIRU  faculty member Kunle Alonge, as well as project coordinators, Shirin Wadhwaniya and Siran He and director, Adnan Hyder, on a project that aims to reduce the shocking number of childhood deaths from drowning in the country.

As part of the visit, Dr. Rahman gave a lecture in which he discussed the state of morbidity and mortality in Bangladesh and the risk factors for injuries and fatalities, as well as the challenges of developing research capacity in the country.

Dr. Rahman discussed the epidemic of child mortality in Bangladesh, where drowning is the single largest killer of children 1-4 years old, and 22 children between the ages of 5-9 years old die each day, with 60% due to drowning.

The CIPRB was established in 2005 to address this neglected public health issue in Bangladesh and has become one of the world’s leading non-profit research organizations working to prevent injuries in low- and middle-income countries (LMICs).

At the conclusion of the presentation, Dr. Biswas shared some of his award-winning photographs showing  images of at-risk children as well as pedestrians and drivers.

To learn more about the CIPRB, visit the website at http://www.ciprb.org/index.php?id=1

Drowning is a leading cause of death in children ages 1 to 4 in Bangladesh. To help address the problem,Dr. Adnan Hyder, director of the Johns Hopkins International Injury Research Unit, and his colleague, Dr. Alain Labrique, assistant professor in International Health, are pilot testing the functionality and acceptability of a personal wireless alarm device for toddlers. The latest special technology issue of Johns Hopkins Public Health highlights the work Drs. Hyder and Labrique are doing with the Safety Turtle "gadget" and how the device might be used to save thousands of lives every year. Click here to read the article.

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