Complexity in Implementing Community Drowning Reduction Programs in Southern Bangladesh: A Process Evaluation Protocol

Medhavi Gupta, Aminur Rahman, Kamran ul Baset, Rebecca Ivers, Anthony B. Zwi, Shafkat Hossain, Fazlur Rahman and Jagnoor Jagnoor
Additional contact information
Medhavi Gupta: The George Institute for Global Health, University of New South Wales, Level 5/1 King St, Newtown, NSW 2042, Australia
Aminur Rahman: Centre for Injury Prevention and Research, Bangladesh, House 162B, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Kamran ul Baset: Centre for Injury Prevention and Research, Bangladesh, House 162B, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Rebecca Ivers: School of Public Health and Medicine, Faculty of Medicine, UNSW Australia, Wallace Wurth Building, Botany Street, Kensington, NSW 2052, Australia
Anthony B. Zwi: School of Social Sciences, Faculty of Arts and Social Sciences, UNSW Australia, Morven Brown Building, Kensington, NSW 2052, Australia
Shafkat Hossain: Centre for Injury Prevention and Research, Bangladesh, House 162B, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Fazlur Rahman: Centre for Injury Prevention and Research, Bangladesh, House 162B, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
Jagnoor Jagnoor: The George Institute for Global Health, University of New South Wales, 311-312, Third Floor, Elegance Tower, Plot No. 8, Jasola District Centre, New Delhi 110025, India

IJERPH, 2019, vol. 16, issue 6, 1-18

Abstract: Living and geographical conditions in Bangladesh expose children to a high risk of drowning. Two programs operating in the Barishal Division of Bangladesh aim to reduce drowning risk through the provision of crèches (Anchal) and swim and rescue classes (SwimSafe). Anchal provides a safe environment with early childhood education to children aged 1–5 years old, while SwimSafe teaches children aged 6–10 years old basic swimming and rescue skills. Despite evidence for their effectiveness, it is unclear under which conditions these programs best operate. This protocol describes a project that seeks to conduct a process evaluation and gender analysis to identify implementation inefficiencies and contextual considerations for improved sustainability of the programs. A mixed- method approach using both qualitative and quantitative data will be used. Quantitative program data will be analysed to measure program utilisation, delivery and reach, while qualitative data will be collected via key informant in-depth interviews (IDIs), focus group discussions (FGDs) and observations. The process evaluation of the Anchal and SwimSafe programs provides an opportunity for implementers to identify practical strategies to improve program delivery and improve contextual adaptability of these programs. Furthermore, the findings may provide guidance to other implementers aiming to deliver community-based programs in rural lower-middle income contexts.

Keywords: drowning; process evaluation; evaluation studies; community health workers; rural population; child; education; Bangladesh; injury (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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