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Qualitative assessment of caustic soda injury in Liberia
Jethro Zawolo1, Keri A Cohn2, Maima Kawah-Baysah1
1Pediatrics, Redemption Hospital, Monrovia, Liberia.
Objectives:
This study explored lye (caustic soda, sodium hydroxide) use in Liberia, knowledge about its risks and injury prevention programmes.
Design:
A qualitative semistructured interview study.
Setting:
Focus groups occurred in six Liberian counties between April and August 2016.
Patients:
Two previously identified stakeholder groups included parents of children under 5 years and adults identifying as soap makers.
Interventions:
Interview guides were written. Participants were recruited by convenience and snowball sampling. Transcribed audio-recorded discussions were analysed using the constant comparative approach.
Main Outcome Measures:
Participants were enrolled until thematic saturation was reached.
Results:
Ninety-six adults participated. Participants described how lye entered the home, its use, storage, lye-related injuries and treatments, and injury prevention programmes.
Conclusions:
Lye is commonly used and stored in Liberian homes despite recognition of its danger. A successful injury prevention programme must interrupt this cycle and find programming and legislative change to which the community is receptive.
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