Challenges in Documenting Non-Fatal Drowning Disability in Bangladesh: A Community-Based Survey

Jagnoor Jagnoor, Medhavi Gupta, Aliki Christou, Rebecca Q. Ivers, Soumyadeep Bhaumik, Kamran Ul Baset, Kris Rogers and Aminur Rahman
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Jagnoor Jagnoor: The George Institute for Global Health India, New Delhi 110025, India
Medhavi Gupta: The George Institute for Global Health, Newtown, NSW 2042, Australia
Aliki Christou: School of Population Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2042, Australia
Rebecca Q. Ivers: School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW 2042, Australia
Soumyadeep Bhaumik: The George Institute for Global Health India, New Delhi 110025, India
Kamran Ul Baset: Centre for Injury Prevention and Research, Dhaka 1206, Bangladesh
Kris Rogers: The George Institute for Global Health, Newtown, NSW 2042, Australia
Aminur Rahman: Centre for Injury Prevention and Research, Dhaka 1206, Bangladesh

IJERPH, 2021, vol. 18, issue 18, 1-11

Abstract: Limited access to health care and the lack of robust data systems means non-fatal drownings are largely missed in low-and middle-income countries. We report morbidity among individuals who experienced non-fatal drowning in the Barishal Division, Bangladesh. A representative household survey was conducted in the Barishal Division in southern Bangladesh between September 2016 and February 2017, covering a population of 386,016. The burden of non-fatal drowning was assessed using the WHODAS 2.0 disability assessment tool, a generic assessment instrument for health and disability. A total of 5164 non-fatal drowning events occurred in the one year preceding the survey. Among these 18% were multiple events. From these, 4235 people were administered the WHODAS 2.0 questionnaire. Non-fatal drowning incidence rates were highest in children aged 1–4 years at 5810 per 100,000 population, and among males. Non-fatal drowning was associated with lower socio-economic status and larger family sizes. Few respondents (6.5%; 95% CI: 4.5–8.4%) reported some level of disability (WHODAS-12 score > 8). Incidence of non-fatal drowning is high in the population, however limited impact on morbidity was found. There is a need to develop tools and methodologies for reliable and comparable data for non-fatal drowning, especially to capture post-event disability in children.

Keywords: drowning; non-fatal drowning; disability; morbidity; low-and middle-income country; household survey (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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