COMMUNITY

BASED STUDY OF CHILDHOOD IN

INJURIES

ADAMITULU

DISTRICT,ETHIOPIA

BY SOLOMON DEMAMU MD

presented to the school of graduate studles at AUdis Ababa in part i a 1 fu 1fill men t of the reau i rements for the -~ Masters of Public Health.
91

TABLE

OF CONTENTS

Acknowledgment Table of contents List of tables List of figures Abstract Introduction Study objectives Review

1 1

iii

;v
v

2 3
12 16 31

iterature ethods esults iscussion ontlusions eference ppendix

and recommendation

35
37

40

ABSTRACT A cross-sect iona 1 study -wo urban and eleven - June 9, 1990. : ries were asked _er age 15. of ch i 1 dhood inJ U r1es v-Iasconducted during the period April

rural associations

The occurrence in randomly

of intentional selected

and unlntentional with chi idren were also

households

Agent-host-environmental Two an hundred overall bodies and

characteristics of

stered. for

thi rty six cases incidence

injuries of

-=_-_ ....rt.e d
sand.

annual were

rate

--/

-yY~

were per and

700.8

Foreign

the major

causes

(27%).

Home

a yards were the location cerrt of

for 78% of all injuries. una t t.eride d .

Thirty-three

in.i u r ies happened

For' non-fore i gn-body 27% at all injuries. In

ies, the head, neck and face received of cases nothing ed at health 9 a was done to treat Living head
12),

the injury

whi le 29% were area, mother

institutions. househo 1 d
1 -

ln an urban

housewi fe,

and

ch i 1 d 's mother- at tended or oxen put

a 1 educat ion (grades --dren at an increased

and hav i ng no cows rn.j r y . u were For

risk

of

severe

rnj ur re s , associated.

=-de\ homes.. and urban _an residence

residence

significantly to be a risky

is persistently

shown

environment.

ible explanations

and recommendations

are disGussed.

predict

injury

risk to children
wi 11 be useful

in a community. as a basis for for future Inand

e hope this study stud ies and

as a source

of

data

hea 1th p I ann ing

=-~lon programmes

in the district

and elsewhere.

STUDY OBJECTIVES

Objective determine - onal and the occurence and identify risk

1

factors n

for

unintentional

childhood

injuries

Adami tul u

c Objectives To determine To describe the incidence injuries by: of chi ldhood injuries

a. host factors b. agent/ mechanism of lnJury

c. environment d. severity and location on the body. risk

To identify factors which put children at an increased for injury.

REFERENCES . ivara F.P,1987. - juries.Journal :. World H~alth The eoidemiolgy and causes of childhood

of social

issues;43. 1985. Proceedings of an

Organization, course

-nternattional niversity Ann Taket,

organised

by the Johns Hopkins

and World Health 1986.Accident

Organization. mortality in children, adolescents and

young children. Michael and

Wld.hlth.statist.qllart.39. Accidents public in children,adolescents health

m. & C.J.Romer,1986. children.A

young

major

ob1em.Wld.hlth.statist.quart.39. ~. Bangdiwal S.I,et al.1990.The incidence of injuries ln young

people:I,Int' Hatton

.J.of Epid.19. al,1986.Measurment of accident

F,et

rbidity.Wld.hlth.statist.quart.39. -.Rivara F.P,et al.1989.Population and impact -based study of unintentional J. pblic

injury incidence hlth;79:992-4.

during

childhood.Am.

Susan S.G. et a1 1984. The among 87,000 Massachussets hlth;74. Westfelt accidents. O.Sibert J.R. P.F et a1,1982. Acta Pediatrica 1981. Childhood

incidenace children

of chldhood

infuries Am.J.public

and adolescents.

Environmental Scandinavica. accid8nt

factors

in childhood

2(SUDpl). of epidemic

- an endemic

proportion. 1. Ministry

Arch. Dis. Child;56. of Health of Ethiooi8.

1~8R.

~0mnrehen

lye health

service 12.So1omon

directory. D. Health

Addis Profile

Abqba. of Hykochina Butajira Awraja. Shoa,

Eth. (unpubl ished). 13.Ephriem EthioD. et al, 1990. Analysis Sv-/edish Childrens' of Surgical in Addis Admissions ,ll,baba, th. E to the Eth.

Hospital

Med. J;28. 14.Teklewold 15.Sarah. F. ,1973.Accidents

1n

childhood.

Eth. Med.J;11. in childhood Accident

S.B. et al,1986.

Case definition

studies.

lnt'. J.of Epid.15. 1986. Epidemiological and young quart. people 39. to the epidemiology 31. among of studies problems of accident morbidity

16.Ann Tursz.

in chil1dren Wld.hlth.

of Methodology.

statist.

17. Bernard, childhood

G. et al.

1985. An approach Paed.clinics

injuries. Mark

of North America. Acc identsi

18. Raf i A 1wash, children

McCarthy, Ethnic

19BB.

n the home

under-five.

di f f e rce s or social

disadvantage.

Br. ~Jjed. J;296. 19.A.A.O.Ladita, childhood. 20. Marcusson in selected 21 .Vita Barell Israel. 22. Niranjan 1987. Accidental of Tropical Scalds and burns 1n infancy and

Journal

Paediatrics;33. Accident mortality in childhood

H.& Ohmisch,1977. countries

of different

continents,1950-1971. mortality from accidents 1n

et al. 1990. Childhood Isr. J. Med

1980-84. Kisson,

.Sci;26. trauma: differences compared in with

et a1. 1990. Pediatric nat~prn

,J.

patho-physiology,injuries adu 1t trauma.

and treatment 1Ll?

(1)

Can. Med. assoc.

23. v./illiam, S.N, Maine. 24. Murdock, fifteen. 25. Schor,

et a1.

1985.

Childhood

death

and

poverty

in

Paediatrics. R. et 8r. E.L. al.

75. 1974. Home accident to children under

Med.
1987.

J. 3.
Non+ i rrt.errti on al child:
1988. 1.1.1.

injury 1280-

patterns

within

families. 26. Pally, birth 27. mother 28. and

Am.J.Dis. et al. Social

E.8., order.

Child~ood and

accidents. 26.

family

size

and

science

medicine.
i

1'975. Social acc i dent S.I in young C.J.

c la s s p s ych i at r t c disorder Feb. 18. The Incidence 19. and

of

to ch i 1d. Lancet,
&

Bangdiwala, injuries

An zo la+Pe re z , E. people: M.
11.

1990.
\

of

Int.

J. Epid. Research Wld.

29. Romer,

& Manciaux,
in the field

1986.

intersectoral statistic.

cooperation Quart. 39.

of accidents.

hlth.