Preventing Child Drowning in the Philippines: The Need to Address the Determinants of Health

Autor: Lolita L Cavinta, Jonathan P. Guevarra, Lita L. Orbillo, Rammell Eric Martinez, Joseph John R Madrilejos, Richard C. Franklin, John Juliard L. Go, Amy E. Peden, Maria Rosario Sylvia Z Uy
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Children, Vol 8, Iss 29, p 29 (2021)
Children
Volume 8
Issue 1
ISSN: 2227-9067
Popis: Drowning is a public health issue in the Philippines, with children at significantly increased risk. Determinants of health (DoH) such as education, socio-economic status, ethnicity, and urbanization are factors that impact drowning risk. As drowning is a multisectoral issue, a national drowning prevention plan can drive collaboration with relevant stakeholders. This study reports trends in unintentional child (0&ndash
14 years) drowning in the Philippines (incidence, rates, and trends over time for fatal and non-fatal (years lived with a disability (YLDs) and disability adjusted life years (DALYs) from 2008&ndash
2017 and conducts an analysis of the Philippines&rsquo
Multisector Action Plan (MSAP) on Drowning Prevention. From 2008&ndash
2017, 27,928 (95%UI [Uncertainty Interval]: 22,794&ndash
33,828) children aged 0&ndash
14 years died from drowning (52.7% aged 5&ndash
14 years old). Rates of drowning have declined among both age groups, with greater reductions seen among 0&ndash
4 year olds (y = &minus
0.3368x + 13.035
R2 = 0.9588). The MSAP has 12 child drowning-specific activities and 20 activities were identified where DoH will need to be considered during development and implementation. The MSAP activities, and work done to prevent drowning more generally, must consider DoH such as education, urbanization, water and sanitation health, and safe water transportation. A national drowning surveillance system and investment in research in the Philippines are recommended.
Databáze: OpenAIRE