Caught between fear and tradition: parental knowledge, beliefs and emergency responses to paediatric snakebites in rural Sri Lanka.

IF 2.3 4区 医学 Q2 PEDIATRICS
Kavinda Dayasiri, Tharuka Perera, Indika Gawarammana, Shaluka Jayamanne
{"title":"Caught between fear and tradition: parental knowledge, beliefs and emergency responses to paediatric snakebites in rural Sri Lanka.","authors":"Kavinda Dayasiri, Tharuka Perera, Indika Gawarammana, Shaluka Jayamanne","doi":"10.1136/bmjpo-2025-003658","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Paediatric snakebite remains a critical yet underexplored public health issue in rural Sri Lanka, where children are particularly vulnerable due to ecological exposure, limited access to timely care and entrenched traditional beliefs. While biomedical advancements exist, parental knowledge, cultural practices and systemic barriers significantly shape prehospital responses and outcomes.</p><p><strong>Methods: </strong>This qualitative exploratory study employed 10 focus group discussions with 70 parents (45 mothers, 25 fathers) from snakebite-endemic rural communities in the Ampara and Polonnaruwa Districts. Participants were purposively selected, including those with direct or indirect exposure to snakebite incidents. Data were collected using a semistructured guide and analysed thematically, following Braun and Clarke's six-phase framework. Themes were validated through member checking and intercoder agreement.</p><p><strong>Results: </strong>Five interrelated themes emerged: (1) pervasive fear and psychological burden associated with snakebite risk, (2) fragmented and inconsistent knowledge of envenomation symptoms and first-aid, (3) environmental and structural vulnerabilities such as unsafe housing and proximity to snake habitats, (4) strong adherence to traditional beliefs and ritual practices and (5) a high demand for culturally tailored education and systemic support. Many parents employed harmful first-aid methods due to inherited practices and a lack of formal training. Despite challenges, participants expressed strong willingness to learn and adopt evidence-based strategies.</p><p><strong>Conclusions: </strong>Effective paediatric snakebite prevention and management require context-specific, culturally sensitive interventions that address both knowledge gaps and structural barriers. Engaging with local belief systems and improving healthcare accessibility are essential for reducing snakebite-related morbidity and mortality among children in rural Sri Lanka.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164603/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Paediatrics Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjpo-2025-003658","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Paediatric snakebite remains a critical yet underexplored public health issue in rural Sri Lanka, where children are particularly vulnerable due to ecological exposure, limited access to timely care and entrenched traditional beliefs. While biomedical advancements exist, parental knowledge, cultural practices and systemic barriers significantly shape prehospital responses and outcomes.

Methods: This qualitative exploratory study employed 10 focus group discussions with 70 parents (45 mothers, 25 fathers) from snakebite-endemic rural communities in the Ampara and Polonnaruwa Districts. Participants were purposively selected, including those with direct or indirect exposure to snakebite incidents. Data were collected using a semistructured guide and analysed thematically, following Braun and Clarke's six-phase framework. Themes were validated through member checking and intercoder agreement.

Results: Five interrelated themes emerged: (1) pervasive fear and psychological burden associated with snakebite risk, (2) fragmented and inconsistent knowledge of envenomation symptoms and first-aid, (3) environmental and structural vulnerabilities such as unsafe housing and proximity to snake habitats, (4) strong adherence to traditional beliefs and ritual practices and (5) a high demand for culturally tailored education and systemic support. Many parents employed harmful first-aid methods due to inherited practices and a lack of formal training. Despite challenges, participants expressed strong willingness to learn and adopt evidence-based strategies.

Conclusions: Effective paediatric snakebite prevention and management require context-specific, culturally sensitive interventions that address both knowledge gaps and structural barriers. Engaging with local belief systems and improving healthcare accessibility are essential for reducing snakebite-related morbidity and mortality among children in rural Sri Lanka.

Abstract Image

陷入恐惧与传统之间:斯里兰卡农村儿童蛇咬伤的父母知识、信仰和应急反应。
背景:在斯里兰卡农村地区,儿童蛇咬伤仍然是一个严重但尚未得到充分探讨的公共卫生问题,由于接触生态环境、获得及时护理的机会有限以及根深蒂固的传统信仰,儿童特别容易受到伤害。虽然生物医学进步存在,但父母的知识、文化习俗和系统性障碍在很大程度上影响了院前反应和结果。方法:本定性探索性研究采用10个焦点小组讨论,对来自Ampara和Polonnaruwa地区蛇咬病流行农村社区的70名家长(45名母亲,25名父亲)进行了讨论。参与者是有目的地选择的,包括那些直接或间接暴露于蛇咬伤事件的人。使用半结构化指南收集数据,并按照Braun和Clarke的六阶段框架进行主题分析。主题通过成员检查和编码间协议进行验证。结果:出现了五个相互关联的主题:(1)与蛇咬伤风险相关的普遍恐惧和心理负担;(2)对中毒症状和急救知识的碎片化和不一致;(3)环境和结构脆弱性,如不安全的住房和靠近蛇的栖息地;(4)对传统信仰和仪式习俗的强烈坚持;(5)对文化量身定制的教育和系统支持的高需求。由于遗传习惯和缺乏正规培训,许多父母采用了有害的急救方法。尽管面临挑战,但与会者表达了学习和采用循证战略的强烈意愿。结论:有效的儿科蛇咬伤预防和管理需要针对具体情况,具有文化敏感性的干预措施,以解决知识差距和结构障碍。参与当地信仰体系和改善保健可及性对于减少斯里兰卡农村儿童与蛇咬伤有关的发病率和死亡率至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信