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Complexity in Implementing Community Drowning Reduction Programs in Southern Bangladesh: A Process Evaluation

Medhavi Gupta1, Aminur Rahman2, Kamran Ul Baset3

  • 1The George Institute for Global Health, University of New South Wales, Level 5/1 King St, Newtown, NSW 2042, Australia. mgupta@georgeinstitute.org.au.

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Summary

Child drowning is a major risk in Bangladesh. This study evaluates Anchal (crèches) and SwimSafe (swimming classes) programs to improve their effectiveness and sustainability for child safety initiatives.

Keywords:
Bangladeshchildcommunity health workersdrowningeducationevaluation studiesinjuryprocess evaluationrural population

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Area of Science:

  • Child drowning prevention
  • Public health interventions
  • Community-based programs

Background:

  • Children in Bangladesh face high drowning risks due to living and geographical conditions.
  • The Anchal program offers safe childcare and early education for children aged 1-5 years.
  • The SwimSafe program provides swimming and water rescue skills for children aged 6-10 years.

Purpose of the Study:

  • To conduct a process evaluation and gender analysis of the Anchal and SwimSafe programs.
  • To identify implementation inefficiencies and contextual factors influencing program sustainability.
  • To provide practical strategies for improving program delivery and adaptability in rural, lower-middle-income settings.

Main Methods:

  • A mixed-method approach utilizing both qualitative and quantitative data.
  • Quantitative analysis of program utilization, delivery, and reach.
  • Qualitative data collection through key informant interviews, focus group discussions, and observations.

Main Results:

  • The study protocol outlines a comprehensive evaluation framework.
  • The process evaluation aims to identify areas for enhanced program delivery.
  • Gender analysis will explore program impact and equity.

Conclusions:

  • The evaluation will offer insights into optimizing community-based child safety programs.
  • Findings will guide implementers in improving program sustainability and contextual adaptability.
  • This research can inform future drowning prevention strategies in similar settings.