Drowning--a major but neglected child health problem in rural Bangladesh: implications for low income countries

Int J Inj Contr Saf Promot. 2006 Jun;13(2):101-5. doi: 10.1080/17457300500172941.


This study was intended to estimate the magnitude and explore the determinants of childhood drowning in rural Bangladesh. A cross-sectional survey as well as a population-based case - control study was conducted. By multistage cluster sampling 51 147 children aged 1 - 4 years were identified from 108 827 rural households. All drownings in children aged 1 - 4 years in the preceding 5 years were identified and recruited as cases and two living children of the same age group were selected from the same localities as controls. Socio-economic, demographic, environmental and other related information was collected from mothers of both cases and controls by face-to-face interview with the help of structured questionnaires. The incidence of drowning among children aged 1 - 4 years old was 156.4 per 100 000 children-year. The highest rate (328.1 per 100 000; 95% CI 254.8 - 421.7) was observed in 1 year old male children. The proportional mortality due to drowning in the children was 27.9%. Mothers' age and literacy and family income were identified as risk factors. Drowning is one of the major causes of 1 - 4 years childhood mortality in Bangladesh. One-year-old male children from poor families were at great risk of drowning in rural Bangladesh.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Distribution
  • Bangladesh / epidemiology
  • Case-Control Studies
  • Child, Preschool
  • Cross-Sectional Studies
  • Developing Countries*
  • Drowning / mortality*
  • Female
  • Humans
  • Infant
  • Male
  • Risk Factors
  • Rural Health*
  • Sex Distribution
  • Socioeconomic Factors