PA 05-7-2279 Utilization of community crèches as a drowning prevention intervention in rural bangladesh

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Drowning accounts for 43% of childhood mortality among 1–4 years old in Bangladesh. The Saving of Lives from Drowning (SoLiD) project was implemented in seven rural sub-districts of Bangladesh to assess the effectiveness of child drowning prevention interventions including community crèches.ObjectiveThe objective of this paper is to describe utilization and acceptability of community crèches implemented in four sub-districts of rural Bangladesh. Approximately 27 000 children aged 9–36 months were enrolled in the crèche intervention in the four sub-districts. Information on utilization of crèches were collected from caregivers every 4–6 months. This paper describes information on utilization collected between March – November 2015 from 25 742 caregivers. Around 59% of the caregivers reported that their child was currently attending crèches, 21% reported that their children formerly attended crèches whilst 32% mentioned that their child did not attend crèches even after being enrolled. Among those currently attending, 56% and 32% of children attended crèches regularly (20 or more days) or often (10–19 days), respectively in the past month. The main reasons for sending children to crèches included child education and early childhood development (81%), child safety (70%), caregivers remain tension free (66%), ability of caregivers to carry out household chores (59%). The main reasons for children dropping out or never attending crèches included the crèche being too far, none to take the child to the crèche and the child not willing to leave the mother. This study demonstrated that the utilization of crèches were high and considered to be beneficial to caregivers. However, care should be taken in selecting the crèches as well as mechanisms need to be initiated to ensure attendance. Given the benefits of crèches in preventing injury and early childhood development, initiatives should be undertaken to sustain crèches in the community.

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