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Article ; Online: Traffic, training, and turnover: Experiences of research personnel in collecting road safety data in Hyderabad, India.

Lakshmi, Josyula K / Tetali, Shailaja / Moran, Dane / Wadhwaniya, Shirin / Gupta, Shivam / Gururaj, Gopalkrishna / Hyder, Adnan A

WHO South-East Asia journal of public health

2022 Volume 10, Issue 1, Page(s) 47–52

Abstract: We describe the experiences of research personnel in collecting road safety data, using a range of quantitative and qualitative methods to collect primary and secondary data, in the course of monitoring and evaluating the impact of road safety ... ...

Abstract	We describe the experiences of research personnel in collecting road safety data, using a range of quantitative and qualitative methods to collect primary and secondary data, in the course of monitoring and evaluating the impact of road safety interventions under the Bloomberg Philanthropies Global Road Safety Program, in Hyderabad, India. We detail environmental, administrative, and operational barriers encountered, and individual, systemic, and technical enablers pertaining to the conduct of road safety research in Hyderabad, India, but bearing relevance to broader public health research and practice and the implementation and evaluation of projects. From our experiences of the challenges and the solutions developed to address them, we set out recommendations for research teams and for administrators in road safety as well as in various other streams of public health research and practice. We propose actionable strategies to enhance data-collectors' safety; build effective partnerships with various stakeholders, including research collaborators, administrators, and communities; and strengthen data quality and streamlining systems, particularly in similar geo-political settings.
MeSH term(s)	Accidents, Traffic/prevention & control ; Automobile Driving ; Humans ; India ; Research Personnel
Language	English
Publishing date	2022-01-19
Publishing country	India
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2676354-0
ISSN	2304-5272 ; 2304-5272 ; 2224-3151
ISSN (online)	2304-5272
ISSN	2304-5272 ; 2224-3151
DOI	10.4103/WHO-SEAJPH.WHO-SEAJPH_37_21
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Article ; Online: Pre-travel consultation without injury prevention is incomplete.

Wadhwaniya, Shirin / Hyder, Adnan A

Journal of travel medicine

2013 Volume 20, Issue 4, Page(s) 217–220

MeSH term(s)	Health Knowledge, Attitudes, Practice ; Humans ; Patient Acceptance of Health Care ; Physicians, Primary Care/organization & administration ; Referral and Consultation ; Travel ; Travel Medicine/methods
Language	English
Publishing date	2013-07-01
Publishing country	England
Document type	Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't ; Comment
ZDB-ID	1212504-0
ISSN	1708-8305 ; 1195-1982
ISSN (online)	1708-8305
ISSN	1195-1982
DOI	10.1111/jtm.12041
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Article ; Online: Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh.

Bhuiyan, Md Al-Amin / Agrawal, Priyanka / Alonge, Olakunle / Alam, Zobaer / Ashraf, Lamisa / Wadhwaniya, Shirin / Talab, Md Abu / Li, Qingfeng / Bachani, Abdulgafoor M / Rahman, Fazlur / Rahman, Aminur

PloS one

2022 Volume 17, Issue 5, Page(s) e0264902

Abstract: Introduction: In Bangladesh, injury is one of the leading causes of death and morbidity in children. All children under 5 years of age are at high risk for drowning though the risks are highest when children first learn to walk and crawl while they do ... ...

Abstract	Introduction: In Bangladesh, injury is one of the leading causes of death and morbidity in children. All children under 5 years of age are at high risk for drowning though the risks are highest when children first learn to walk and crawl while they do not understand the danger of water. The Centre for Injury Prevention and Research, Bangladesh (CIPRB) in collaboration with Johns Hopkins International Injury Research Unit (JH-IIRU) has been implementing two drowning prevention interventions, providing playpens and community day care centres (anchal), or both in three rural sub-districts of Bangladesh under Saving of Lives from Drowning (SoLiD) project in Bangladesh. In CIPRB intervention areas, wooden playpens were distributed among the children nine months to three years at household (HH) level. Objective: The aim of this study was to explore and understand the acceptability and perceptions of parents towards playpen and its relevance for drowning and injury related mortality and morbidity prevention. Methods: Anchal mothers ('anchal maa' in Bangla) distributed 30,553 playpens and collected compliance information at the HH level using a structured questionnaire. 1600 trained anchal maas collected data via face to face interviews from May 2014 to November 2015. Playpen compliance visits were conducted periodically on the second and seventh days and every two months after delivering the playpen. Data were entered using standard data entry formats and analyzed using SPSS software version 23. Results: Parents reported that playpen is a safe place and protects children from drowning and other injuries. During compliance data collection, anchal maa founds that 71.8% of all children were using playpen and 93.7% (of 71.8%) children were playing inside the playpen while mothers were busy with their household chores like cooking, washing dishes and clothes, taking care of their poultry and domestic animals etc. 95.7% parents reported playpen is being used for keeping the child safe. On an average, the children were placed two to six times per day in a playpen. 99.1% of the children who reported using a playpen did not get any injuries (falls, cuts and bruises) while using the playpen. Satisfaction level with the playpen intervention among mothers was 90.5%. Some respondents suggested improving the playpen utilization by providing toys, adding wheels for ease of mobility, and increasing the height. Conclusion: The playpens were found to be well accepted and utilized for the children, especially when mothers were busy with their household chores.
MeSH term(s)	Bangladesh/epidemiology ; Child, Preschool ; Drowning/prevention & control ; Humans ; Infant ; Parents ; Rural Population ; Surveys and Questionnaires
Language	English
Publishing date	2022-05-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0264902
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Article ; Online: Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh.

Bhuiyan, Md Al Amin / Agrawal, Priyanka / Wadhwaniya, Shirin / Li, Qingfeng / Alonge, O / Rahman, Akm Fazlur / Rahman, Aminur

BMJ open

2019 Volume 9, Issue 11, Page(s) e030039

Abstract: Objective: This study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh.: Design and setting: A cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June ... ...

Abstract	Objective: This study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh. Design and setting: A cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June 2013 to September 2013. Participants: A total of approximately 1.17 million individuals across all age and gender profiles were included in the survey. The participants had to be residents of the seven subdistricts and have provided consent to participate in the study. Primary and secondary outcome measures: Animal-related injury characteristics and demographic information was collected in the study. Frequency, proportion and 95% CIs of variables such as type of animal, type of animal attack, activity of the person prior to attack and the seasonality of the injury were reported. Data was then statistically analysed for associations between injury and sociodemographic characteristics. Results: The incidence rate of fatal and non-fatal animal-related injuries across all ages were 0.7 (95% CI 0.4 to 1.4) and 1635.3 (95% CI 1612.0 to 1658.0) per 100 000 populations, respectively. Non-fatal animal-related injury rates were highest among adults 18 years and older (1820.6 per 100 000 population (1777.2 to 1865.1)), and in males across all age groups. The most common animal injury was wasp/hornet/bee sting (49%), followed by cow/buffalo (25%), dog bite (9%) and snake bites (9%). Conclusions: Animal-related injuries are an important public health issue in rural Bangladesh. The incidence of animal-related morbidities was found high in the study area. Males, school-going and productive age groups were at high risk. Immediate attention should be given to prevent these events.
MeSH term(s)	Adolescent ; Adult ; Age Factors ; Animals ; Bangladesh/epidemiology ; Bites and Stings/epidemiology ; Buffaloes ; Cattle ; Child ; Child, Preschool ; Cross-Sectional Studies ; Dogs ; Female ; Humans ; Incidence ; Infant ; Male ; Rabies/epidemiology ; Risk Factors ; Rural Population/statistics & numerical data ; Sex Factors ; Wounds, Nonpenetrating/epidemiology ; Wounds, Penetrating/epidemiology ; Young Adult
Language	English
Publishing date	2019-11-02
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2019-030039
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Article ; Online: Pattern of Road Traffic Injuries in Rural Bangladesh: Burden Estimates and Risk Factors.

Ul Baset, Md Kamran / Rahman, Aminur / Alonge, Olakunle / Agrawal, Priyanka / Wadhwaniya, Shirin / Rahman, Fazlur

International journal of environmental research and public health

2017 Volume 14, Issue 11

Abstract: Globally, road traffic injury (RTI) causes 1.3 million deaths annually. Almost 90% of all RTI deaths occur in low- and middle-income countries. RTI is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills ...

Abstract	Globally, road traffic injury (RTI) causes 1.3 million deaths annually. Almost 90% of all RTI deaths occur in low- and middle-income countries. RTI is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills over 21,000 people in the country annually. This study describes the current magnitude and risk factors of RTI for different age groups in rural Bangladesh. A household census was carried out in 51 unions of seven sub-districts situated in the north and central part of Bangladesh between June and November 2013, covering 1.2 million individuals. Trained data collectors collected information on fatal and nonfatal RTI events through face-to-face interviews using a set of structured pre-tested questionnaires. The recall periods for fatal and non-fatal RTI were one year and six months, respectively. The mortality and morbidity rates due to RTI were 6.8/100,000 population/year and 889/100,000 populations/six months, respectively. RTI mortality and morbidity rates were significantly higher among males compared to females. Deaths and morbidities due to RTI were highest among those in the 25-64 years age group. A higher proportion of morbidity occurred among vehicle passengers (34%) and pedestrians (18%), and more than one-third of the RTI mortality occurred among pedestrians. Twenty percent of all nonfatal RTIs were classified as severe injuries. RTI is a major public health issue in rural Bangladesh. Immediate attention is needed to reduce preventable deaths and morbidities in rural Bangladesh.
Language	English
Publishing date	2017-11-07
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph14111354
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Article ; Online: E-mentoring for violence and injury prevention: early lessons from a global programme.

Wadhwaniya, Shirin / Meddings, David / Gururaj, Gopalkrishna / Ozanne-Smith, Joan / Ameratunga, Shanthi / Hyder, Adnan A

Global public health

2015 Volume 10, Issue 4, Page(s) 501–519

Abstract: To address the growing burden of violence and injuries, especially in low- and middle-income countries, in 2007 the World Health Organization launched MENTOR-VIP, a global violence and injury prevention (VIP)-mentoring programme. The programme aims to ... ...

Abstract	To address the growing burden of violence and injuries, especially in low- and middle-income countries, in 2007 the World Health Organization launched MENTOR-VIP, a global violence and injury prevention (VIP)-mentoring programme. The programme aims to develop human resource capacity through 12-month mentoring arrangements between individual VIP experts (mentors) and less-experienced injury practitioners (mentees). In this paper, we review the first five years of the programme (2007-2011) using a systems analysis and SWOT (Strengths, Weaknesses, Opportunities and Threats) frameworks, discuss programme findings and make recommendations. A well-defined programme with clear instructions, successful matching of mentorship pairs with similar interests and language, a formal accord agreement, institutional support and effective communication were identified as programme strengths. Overambitious projects, lack of funds and difficulties with communications were identified as programme weaknesses. Mentorship projects that require institutional permissions or resources could be potential threats to the success of mentorship. The study resulted in the four following recommendations to strengthen the programme: (1) institute additional steps in selection and matching mentor-mentee pair; (2) train mentors on e-mentoring; (3) conduct special orientation for mentees to the programme; and (4) maintain effective and open communication throughout the programme.
MeSH term(s)	Adult ; Capacity Building/methods ; Capacity Building/organization & administration ; Developing Countries ; Female ; Global Health/standards ; Global Health/statistics & numerical data ; Humans ; Interinstitutional Relations ; Male ; Mentors/education ; Middle Aged ; Organizational Case Studies ; Program Evaluation ; Public Policy ; Systems Analysis ; Violence/prevention & control ; Violence/statistics & numerical data ; World Health Organization ; Wounds and Injuries/mortality ; Wounds and Injuries/prevention & control
Language	English
Publishing date	2015
Publishing country	England
Document type	Journal Article
ZDB-ID	2234129-8
ISSN	1744-1706 ; 1744-1692
ISSN (online)	1744-1706
ISSN	1744-1692
DOI	10.1080/17441692.2014.1001766
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Article ; Online: The validity of self-reported helmet use among motorcyclists in India.

Wadhwaniya, Shirin / Gupta, Shivam / Tetali, Shailaja / Josyula, Lakshmi K / Gururaj, Gopalkrishna / Hyder, Adnan A

WHO South-East Asia journal of public health

2015 Volume 4, Issue 1, Page(s) 38–44

Abstract: Background: Motorcyclists are the most vulnerable vehicle users in India. No published study has assessed the validity of self-reported estimates of helmet use in India. The objectives of this study were to assess helmet use by comparing observed and ... ...

Abstract	Background: Motorcyclists are the most vulnerable vehicle users in India. No published study has assessed the validity of self-reported estimates of helmet use in India. The objectives of this study were to assess helmet use by comparing observed and self-reported use and to identify factors influencing use among motorcyclists in Hyderabad, India. Methods: Population-based observations were recorded for 68 229 motorcyclists and 21 777 pillion riders (co-passengers). Concurrent roadside observations and interviews were conducted with 606 motorcyclists, who were asked whether they "always wear a helmet". Multivariate logistic regression analyses were conducted to determine factors influencing helmet use. Results: In the population-based study, 22.6% (n = 15,426) of motorcyclists and 1.1% (n = 240) of pillion riders (co-passengers) were observed wearing helmets. In roadside interviews, 64.7% (n = 392) of the respondents reported always wearing a helmet, 2.2 times higher than the observed helmet use (29.4%, n = 178) in the same group. Compared with riders aged ≥40 years, riders in the age groups 30-39 years and 18-29 years had respectively 40% (95% confidence interval [CI]: 0.4 to 1.0, P < 0.05) and 70% (95% CI: 0.2 to 0.5, P < 0.001) lower odds of wearing a helmet after controlling for other covariates. Riders with postgraduate or higher education had higher odds of wearing a helmet (adjusted odds ratio [OR]: 4.1, 95% CI: 2.5 to 6.9, P < 0.001) than those with fewer than 12 grades of schooling. After adjusting for other covariates, younger riders also had 40% (95% CI: 0.3 to 0.9, P< 0.05) lower odds of self-reporting helmet use, while those with postgraduate or higher education had 2.1 times higher odds (95% CI: 1.3 to 3.3, P < 0.01) of reporting that they always wear a helmet. Police had stopped only 2.3% of respondents to check helmet use in the three months prior to the interview. Conclusion: Observed helmet use is low in Hyderabad, yet a larger proportion of motorcyclists claim to always wear a helmet, which suggests that observational studies can provide more valid estimates of helmet use. Interview findings suggest that a combination of increased enforcement, targeted social marketing and increased supply of standard helmets could be a strategy to increase helmet use in Hyderabad.
Language	English
Publishing date	2015-01
Publishing country	India
Document type	Journal Article
ZDB-ID	2676354-0
ISSN	2304-5272 ; 2224-3151 ; 2224-3151
ISSN (online)	2304-5272 ; 2224-3151
ISSN	2224-3151
DOI	10.4103/2224-3151.206619
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Article ; Online: Epidemiology of Fall Injury in Rural Bangladesh.

Wadhwaniya, Shirin / Alonge, Olakunle / Ul Baset, Md Kamran / Chowdhury, Salim / Bhuiyan, Al-Amin / Hyder, Adnan A

International journal of environmental research and public health

2017 Volume 14, Issue 8

Abstract: Globally, falls are the second leading cause of unintentional injury deaths, with 80% occurring in low-and middle-income countries. The overall objective of this study is to describe the burden and risk factors of falls in rural Bangladesh. In 2013, a ... ...

Abstract	Globally, falls are the second leading cause of unintentional injury deaths, with 80% occurring in low-and middle-income countries. The overall objective of this study is to describe the burden and risk factors of falls in rural Bangladesh. In 2013, a large household survey covering a population of 1,169,593 was conducted in seven rural sub-districts of Bangladesh to assess the burden of all injuries, including falls. The recall periods for non-fatal and fatal injuries were six and 12 months, respectively. Descriptive, bivariate and multiple logistic regression analyses were conducted. The rates of non-fatal and fatal falls were 36.3 per 1000 and 5 per 100,000 population, respectively. The rates of both fatal and non-fatal falls were highest among the elderly. The risk of non-fatal falls was higher at extremes of age. Lower limb and waist injuries were frequent following a fall. Head injuries were frequent among infants (35%), while lower limb and waist injuries were frequent among the elderly (>65 years old). Injuries to all body parts (except the waist) were most frequent among men. More than half of all non-fatal falls occurred in a home environment. The injury patterns and risk factors of non-fatal falls differ by sociodemographic factors.
Language	English
Publishing date	2017-08-10
Publishing country	Switzerland
Document type	Journal Article
ISSN	1660-4601
ISSN (online)	1660-4601
DOI	10.3390/ijerph14080900
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Article ; Online: Epidemiology of road traffic injury patients presenting to a tertiary hospital in Hyderabad, India.

Howley, Isaac W / Gupta, Shivam / Tetali, Shailaja / Josyula, Lakshmi K / Wadhwaniya, Shirin / Gururaj, Gopalkrishna / Rao, Mohan / Hyder, Adnan A

Surgery

2017 Volume 162, Issue 6S, Page(s) S77–S84

Abstract: Background: Road traffic injuries kill more people in India than in any other country in the world, and these numbers are rising with increasing population density and motorization. Official statistics regarding road traffic injuries are likely subject ... ...

Abstract	Background: Road traffic injuries kill more people in India than in any other country in the world, and these numbers are rising with increasing population density and motorization. Official statistics regarding road traffic injuries are likely subject to underreporting. This study presents results of a surveillance program based at a public tertiary hospital in Hyderabad, India. Methods: All consenting patients who presented to the casualty ward after a road traffic injury over a 9-month period were enrolled. Interviews were performed and data abstracted from clinical records by trained research assistants. Data included demographics, injury characteristics, risk factors, safety behaviors, and outcomes. Results: A total of 5,298 patients were enrolled; their mean age was 32.4 years (standard deviation 13.8) and 87.3% were men; 58.2% of patients were injured while riding a motorcycle or scooter, 22.5% were pedestrians, and 9.2% used motorized rickshaws. The most frequent collision type was skid or rollover (40.9%). Male victims were younger than female victims and were overrepresented among motorized 2-wheeler users. Patients were most frequently injured from 1600 to 2400. A total of 27.3% of patients were admitted. Hospital mortality was 5.3%, and 48.2% of deaths were among motorized 2-wheeler users. Conclusion: This is one of the few prospective, hospital-based studies of road traffic injury epidemiology in India. The patient population in this study was similar to prior hospital-based studies. When compared to government surveillance systems, this study showed motorized 2-wheeler users to be more frequently represented among the overall population and among fatalities. Further research should be done to develop interventions to decrease mortality associated with 2-wheeled vehicles in India.
Language	English
Publishing date	2017-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2017.01.029
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Article: A framework for addressing implementation gap in global drowning prevention interventions: experiences from Bangladesh.

Hyder, Adnan A / Alonge, Olakunle / He, Siran / Wadhwaniya, Shirin / Rahman, Fazlur / El Arifeen, Shams

Journal of health, population, and nutrition

2014 Volume 32, Issue 4, Page(s) 564–576

Abstract: Drowning is the commonest cause of injury-related deaths among under-five children worldwide, and 95% of deaths occur in low- and middle-income countries (LMICs) where there are implementation gaps in the drowning prevention interventions. This article ... ...

Abstract	Drowning is the commonest cause of injury-related deaths among under-five children worldwide, and 95% of deaths occur in low- and middle-income countries (LMICs) where there are implementation gaps in the drowning prevention interventions. This article reviews common interventions for drowning prevention, introduces a framework for effective implementation of such interventions, and describes the Saving of Lives from Drowning (SoLiD) Project in Bangladesh, which is based on this framework. A review of the systematic reviews on drowning interventions was conducted, and original research articles were pulled and summarized into broad prevention categories. The implementation framework builds upon two existing frameworks and categorizes the implementing process for drowning prevention interventions into four phases: planning, engaging, executing, and evaluating. Eleven key characteristics are mapped in these phases. The framework was applied to drowning prevention projects that have been undertaken in some LMICs to illustrate major challenges to implementation. The implementation process for the SoLiD Project in Bangladesh is used as an example to illustrate the practical utilization of the framework. Drowning interventions, such as pool fencing and covering of water hazards, are effective in high-income countries; however, most of these interventions have not been tested in LMICs. The critical components of the four phases of implementing drowning prevention interventions may include: (i) planning-global funding, political will, scale, sustainability, and capacity building; (ii) engaging-coordination, involvement of appropriate individuals; (iii) executing-focused action, multisectoral actions, quality of execution; and (iv) evaluating-rigorous monitoring and evaluation. Some of the challenges to implementing drowning prevention interventions in LMICs include insufficient funds, lack of technical capacity, and limited coordination among stakeholders and implementers. The SoLiD Project in Bangladesh incorporates some of these lessons and key features of the proposed framework. The framework presented in this paper was a useful tool for implementing drowning prevention interventions in Bangladesh and may be useful for adaptation in drowning and injury prevention programmes of other LMIC settings.
MeSH term(s)	Adolescent ; Bangladesh/epidemiology ; Child ; Child, Preschool ; Developing Countries ; Drowning/epidemiology ; Drowning/prevention & control ; Health Plan Implementation ; Humans ; Infant ; Poverty ; Risk Factors
Language	English
Publishing date	2014-12
Publishing country	Bangladesh
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2025045-9
ISSN	2072-1315 ; 1606-0997
ISSN (online)	2072-1315
ISSN	1606-0997
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