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Descriptive Epidemiology of Unintentional Childhood Injuries in India: An ICMR Taskforce Multisite Study

Shalini C Nooyi1, K N Sonaliya2, Bhavna Dhingra3

  • 1Ramaiah Medical College, Bangalore, Karnataka.

Indian Pediatrics
|June 28, 2021
PubMed

Insights

Unintentional injuries affect 4.7% of Indian children aged 6 months to 18 years, with falls being the most common cause. Home environments are the primary setting for these injuries, highlighting the need for safety policies.

Area of Science:

  • Public Health
  • Epidemiology
  • Child Safety

Background:

  • Children aged 0-14 years represent 31.4% of India's population.
  • Childhood injury magnitude and risk factors are understudied in India.
  • Unintentional injuries pose a significant public health concern for children.

Purpose of the Study:

  • To determine the prevalence of unintentional injuries in Indian children aged 6 months to 18 years.
  • To identify factors associated with unintentional injuries across diverse regions of India.
  • To inform child injury prevention strategies through epidemiological data.

Main Methods:

  • A multi-centric, cross-sectional, community-based study conducted across 11 Indian states.
  • Utilized a validated World Health Organization (WHO) child injury questionnaire adapted for Indian settings.
  • Collected data electronically from 25,751 households, covering 31,020 children over 12 months.

Main Results:

  • The prevalence of unintentional injuries (excluding minor ones) was 4.7% among children aged 6 months-18 years.
  • Fall-related injuries were the most common (54.8%), while drowning was the least common (0.2%).
  • Over 50% of unintentional injuries occurred within the home environment.

Conclusions:

  • Findings underscore the need for a comprehensive child injury prevention policy in India.
  • Recommends a three-pronged approach: child-safe schools, safe home environments, and road safety measures.
  • Emphasizes minimizing the incidence and severity of child injuries in both urban and rural settings.
Abstract

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