The Bangladesh Experience: A developing country's perspective on child drowning prevention

1. The Bangladesh Experience: a child drowning prevention program suitable for developing countries Aminur Rahman Centre for Injury Prevention and Research, Bangladesh (CIPRB)

2. Land of Rivers The Ganges The Brahmaputra The Meghna

3. Daily exposure to water bodies

4. Leading killers of children 1-17 17,000 children drown every year i.e. 46 each day 0 5 10 15 20 25 30 Drowning Pneumonia Malnutrition Diarrhoea Meningitis Transport Injuries Diarr + Pneu Suicide Animal bite Chicken pox Septicemia Rate per 100,000

5. Leading killers of children 1-4

7. Place of drowning

8. Distance to water bodies

10. Fundamental strategies of drowning prevention

11. How to do those? High Children Population Poor SES Risky Environment Lack of physical structure Lack of trained personnel Financial constrains ? Lack of awareness

12. Prevention of Child Injuries through Social-intervention and Education - PRECISE

16. Safe Home Safe school Safe Community Injury Surveillance PRECISE

23. Community Crèche - Infrastructure - Supervisor (Crèche mother ) - 20-25 Children 1-5 years - 9 a.m. to 1 p.m. (4 hours/day)

26. Collaboration Royal Life Saving Society Australia Standard water safety program Bangladesh Swimming Federation Training of Community Swimming Instructors (CSIs)

28. Platform Perimeter fence Deep water Shallow water Diagram: Typical instructional pond

29. Community Swimming Center

31. Training of CSIs BSF trained CSIs – 5 days in swimming pool – 2 days in modified ponds

34. Swim Centers Graduation 25m swim 90 sec treading 12 sessions needed

36. Awareness building activities

37. Communication materials Posters Video Docu-drama Booklet Flip-chart/flash card

38. School Safety Programme Teachers’ training Students learning

42. IMPACT ON CHILD DROWNING DEATHS Swim for Life (Children 4-10 yrs) 109 among 106,563 102.3/100,000 children 4-10 0 among 5,938 graduates 7 expected at baseline drowning rates Non-participant drowning rate Swim For Life graduates

47. Thank You