Effectiveness of mobile short message service intervention to increase parental socio-demographic knowledge of drowning prevention in Bangladesh

Mosharaf Hossain, Kulanthayan K. C. Mani


Background: Drowning is the third leading cause of death for children aged 0–4 years in many Asian countries, and is a serious but neglected health problem in low and middle-income countries (LMICs) like Bangladesh. In Bangladesh, drowning rates are 10 to 20 times more than those in other developed countries. The aim of this study is the efficiency of mobile SMS intervention for increasing parental socio-demographic knowledge of drowning prevention in Bangladesh.

Methods: A cluster randomized community trial with 788 parents of children aged under five in a rural community of Bangladesh. The intervention was the mobile short message service (SMS) for parents of children under five years concerning the prevention of drowning. The main outcome of this study was the differences in knowledge of parents with socio-demographic factors concerning the prevention of drowning between the baseline and immediate follow-up after the intervention, and after three months.

Results: There was a significant improvement in knowledge in the intervention group compared to the control group at different time points. There is a significant association with parental age, education, gender, and income and to improve childhood drowning prevention knowledge of parents to compare control group of parents.

Conclusions: Special programmes and training could be increase knowledge about childhood drowning prevention in Bangladesh and should be broadcast on the radio and television networks.


Bangladesh, Knowledge of patents on drowning prevention, Socio-demographic factors, SMS intervention

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Peden M, McGee K. The epidemiology of drowning worldwide. Int J Injury Control Safety Prom. 2008;10:195-9.

Peden M, Oyegbite K, Smith OJ, Hyder AA, Branche C, Rahman AKMF, et al. World report on child injury prevention. Geneva: World Health Organization 2008; 211.

BBC News. Swimming lessons in Bangladesh made law to stop drowning; 2015. Available at: Accessed on 13 January 2020.

WHO. Turning the tide: Injury and violence prevention in China, Beijing. World Health Organization. 2015.

ICDDR'B. Available at: http:// www. icddrb. org/ component/content/article/10030news/2068-drowning-kills-more-children-aged-1-to-4-than-any-disease; 2015. Accessed on 18 January 2020.

World Health Organization. Global report on drowning: Preventing a leading killer; 2015. Geneva, Switzerland. Available at: http:// Accessed on 18 January 2020.

Wintemute GJ. Childhood drowning and near drowning in the United States. Am J Dis Child. 1990;144:663-9.

Loney T, Chin A, Daniel GH. An analysis of the health status of the United Arab Emirates: the ‘Big 4’ public health issues. Global Health Action. 2013;6:201.

Ahmed MK, Rahman M, Ginneken JV. Epidemiology of child death due to drowning in Matlab, Bangladesh. Int J Epidemiol. 1999;28:306-11.

Rahman A. Bangladesh health and injury survey: report on children. Dhaka, Government of the People’s Republic of Bangladesh, ICMH, UNICEF and TASC. 2005.

Centers for Disease Control and Prevention. Drowning fact sheet. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2007. Available at: http:// Accessed on 13 January 2020.

Hossain M, Mani KK, Sidik SM, Hayati KS, Fazlur RA. Randomized controlled trial on drowning prevention for parents with children aged below five years in Bangladesh: a study protocol. BMC Public Health. 2015;15(1):e484.

BHIS. Bangladesh Health and Injury Survey; 2005. Dhaka, Bangladesh.

Bloom’s, B.S. Bloom’s Taxonomy of Educational Objectives; 1956. New York: David McKay.

Aktür U, Erci B. Determination of knowledge, attitudes and behaviors regarding factors causing home accidents and prevention in mothers with a child aged 0-5 years. J Edu Practice. 2016;7:18.

Barss P, Smith GS, Baker S, Mohan D. Injury prevention: an international perspective. Epidemiology, surveillance and policy. Oxford University Press. 2005;151-65.

Kotani K, Morii M, Asai Y, Sakane N. Application of mobile-phone cameras to home health care and welfare in the elderly: experience in a rural practice. Aust J Rural Health. 2005;13(3):193-4.

Lafta RK, Sahar AA, Seba A. Mothers' knowledge of domestic accident prevention involving children in Baghdad City. Qatar Med J. 2013;17.

Rahman A, Giashuddin SM, Svanström L. Drowning a major but neglected child health problem in rural Bangladesh: implications for low income countries. Int J Injury Control Safety Promotion. 2006;13(2):101-5.

IDRC. International Drowning Research Centre; 2013. Dhaka, Bangladesh. Available at: http:// Accessed on 13 January 2020.

Rahman A, Mashreky SR, Chowdhury SM, Giashuddin MS, Uhaa IJ, Shafinaz S, Hossain M, Linnan M, Rahman F. Analysis of the childhood fatal drowning situation in Bangladesh: exploring prevention measures for low-income Countries. Injury Prevention.2009;15:75-9.

TASC. Drowning: a public health emergency; 2008. Available at

Fang Y, Dai L, Jaung MS, Chen X, Yu S, Xiang H. Child drowning deaths in Xiamen city and suburbs, People’s Republic of China, 2001–2005. Injury Prevention.2007;13:339-43.

Mitchell R, Williamson AM, Olivier J. Estimates of drowning morbidity and mortality adjusted for exposure to risk. Injury Prevention. 2010;16:261-6.

Franklin V, Waller A, Pagliari C. A randomized controlled trial of Sweet Talk, a text-messaging system to support young people with diabetes. Diabet Med. 2006;23:1332-8.

Langley JD, Warner M, Smith GS, Wright C. Drowning-related deaths in New Zealand, 1980–94. Australia NZJ Public Health. 2010;25:451-7.

Kohn M, Duthu R, Flood H, Hall G, Wiley G, Benson KH. Drowning Louisiana, 1998. JAMA. 2011;286:913-4.

Lindholm P, Steensberg J. Epidemiology of unintentional drowning and near-drowning in Denmark in 1995. Injury Prevention. 2012;6:29-31.

Sheikhazadi A, Ghadyani M.H. Epidemiology of drowning in Isfahan province, center of Iran. J Res Med Sci. 2009;14(2):79-87.

Ma WJ, Nie S.P, Xu H.F, Xu Y.J, Song X.L, Guo Q.Z, et al. An analysis of risk factors of non-fatal drowning among children in rural areas of Guangdong Province, China: a case–control study. BMC Public Health. 2010;10:156.

Aksakal FNB, Çetin FE, Ozdemirkan T, Tunca MZ, Aygün R. Home injuries: What parents of children 0-6 years of knowledge, attitude and behavior detection. 15th National Public Health Congress. 2012.

Afkar MR, Supportive strategies regarding accidents. Prevention for mothers of children under five years old. J Biol Agricult Healthcare. 2013;3:20.

Karatepe T, Akış N. The frequency of having home accident among 0-6 aged children and related factors. J Uludag Med. 2013;39(3):165-8.

Boztaş G. Identification of children 0-48 months of home injuries affecting results of mothers and their views on the behavior of the resulting injury factor. Thesis, Hacettepe University Faculty of Medicine, Department of Public Health, Ankara. 2008.

Bryant BK. The child’s perspective of sibling caretaking and its relevance to understanding social-emotional functioning and development. In P. G. Zukow (Ed.), Sibling interaction across culture: Theoretical and methodological issues. 1989; 143-164.

Kamel EG, Emam SA, Sameh EM. Knowledge, attitude and practice among rural mothers about Home-related injuries in a rural area in El-Minia Governorate, Egypt. Sci J Public Health. 2014;2(6):653-9.

Thein MM, Lee BW, Bun PN. Knowledge, attitude and practices of childhood injuries and their prevention by primary caregivers in Singapore. Singapore Med J. 2005;46(3):122.

World Health Organization. Drowning: Fact sheet; 2014. Geneva, Switzerland. Available at: Accessed on 13 January 2020.

World Health Organization. Global report on drowning: Preventing a leading killer. Geneva, Switzerland. Available at: Accessed on 13 January 2020.