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International Journal of Pediatrics
Volume 2012, Article ID 203204, 7 pages
Research Article

Childhood Unintentional Injuries: Need for a Community-Based Home Injury Risk Assessments in Pakistan

1International Injury Research Unit (IIRU), Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA
2Department of Emergency Medicine, Aga Khan University, Karachi 74800, Pakistan

Received 15 August 2011; Revised 27 January 2012; Accepted 30 January 2012

Academic Editor: Julie Blatt

Copyright © 2012 Adnan A. Hyder et al. 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.


Background. A substantial proportion of the annual 875,000 childhood unintentional injury deaths occur in the home. Very few printed tools are available in South Asia for disseminating home injury prevention information. Methods. Three tools were planned: an injury hazard assessment tool appropriate for a developing country setting, an educational pamphlet highlighting strategies for reducing home injury hazards, and an in-home safety tutorial program to be delivered by a trained community health worker. Results. The three tools were successfully developed. Two intervention neighborhoods in Karachi, Pakistan, were mapped. The tools were pretested in this local setting and are now ready for pilot testing in an intervention study. Conclusion. Planning for an innovative, community-based pilot study takes considerable time and effort in a low-income setting like Pakistan. The primary outcome of the pre-testing phase of the study was the development of three important tools geared for low-income housing communities in Pakistan.