Care seeking behavior of the victims of unintentional injuries: A community-based study in a community development block of Purba Bardhaman District, West Bengal

Sankar Nath Jha, Soumyaneel Das, Archi Chandra, Anwesha Dey, Ramaprasad Roy
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Abstract

ABSTRACT Care-seeking after injury episodes is generally associated with major uncertainties concerning its incidence, care, and cure/disappearance, and the price of care. Though the utilization pattern of the population is shaped by social, economic, cultural and political factors, it varies widely for the rich and the poor. With this background, a community-based epidemiological study was conducted to determine the care-seeking behavior of victims of unintentional injuries. A cross-sectional study was conducted from May 2023–September 2023 in the Bhatar block of Purba Bardhaman district, West Bengal. Cluster random sampling was applied to select a required sample of 555 individuals from 24 villages. Study tools used were predesigned and pretested schedules developed by the researchers with the help of guidelines for conducting community surveys on injuries provided by the World Health Organization (WHO). The study had approval from the Institutional Ethics Committee. Descriptive statistics were performed using SPSS V16. Out of 49 injury episodes, 51.0% had received first aid. Out of 39 injury episodes seeking medical attention, a traditional practitioner, healer or bone setter was the type of first medical contact in the case of the majority of injury episodes (38.5%), followed by a hospital (35.9%). Low utilization of government healthcare facilities is a cause for concern. Reliance on unqualified informal healthcare providers is also a cause for concern. Our findings will help design community interventions to increase the provision of appropriate first aid in unintentional injuries.
意外伤害受害者的求医行为:对西孟加拉邦普尔巴-巴达汉地区一个社区发展区的社区研究
摘要 受伤后寻求护理通常与受伤的发生率、护理、治愈/消失以及护理价格等重大不确定因素有关。虽然人口的使用模式受社会、经济、文化和政治因素的影响,但富人和穷人的使用模式差异很大。在此背景下,我们开展了一项基于社区的流行病学研究,以确定意外伤害受害者的就医行为。 这项横断面研究于 2023 年 5 月至 2023 年 9 月在西孟加拉邦 Purba Bardhaman 区的 Bhatar 街区进行。研究采用集群随机抽样法,从 24 个村庄中选取了 555 个所需样本。所使用的研究工具是研究人员在世界卫生组织(WHO)提供的社区伤害调查指南的帮助下预先设计和测试的调查表。研究获得了机构伦理委员会的批准。研究人员使用 SPSS V16 进行了描述性统计。 在 49 次受伤事件中,51.0% 接受过急救。在 39 起寻求医疗救助的受伤事件中,大多数受伤事件(38.5%)的首次医疗接触是传统医师、医士或郎中,其次是医院(35.9%)。 政府医疗设施的利用率低是一个令人担忧的问题。对不合格的非正规医疗服务提供者的依赖也令人担忧。我们的研究结果将有助于设计社区干预措施,以增加对意外伤害提供适当的急救。
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