PILLAR TWO – Basic burn care and prevention

Developing effective national systems of burn prevention at the primary health care and community levels

In order to deliver the second pillar, the Centre will work in partnership with Interburns, and a network of overseas partners across Nepal, Occupied Palestinian Territories (OPT), and Ethiopia –Sagun, Medical Aid for Palestinians (MAP) and AMREF (formerly the  African Medical and research Foundation)– to conduct research into whether a programme of burn care and prevention can have an impact on community level practices.

 Prevention is key to reducing the burden of burns in low and middle income countries (LMICs). To this end, primary prevention efforts have to take place at the community level and in the lower level primary health care facilities like health centres, health posts, dispensaries or clinics. These efforts should be based on local understanding of the burden and cause of burns, and led primarily by the community itself, however there is limited evidence of effective approaches in community led prevention efforts for injuries and burns, in particular in LMICs. There is a need to explore and define what works, and consider feasibility for scale up.

Pillar two will assess and evaluate the burden of burns in selected communities, and will draw on this information to develop a community led prevention program. It also aims to improve basic burn care at two levels in defined communities; by training primary health care providers (PHCP) and by training these primary health care workers to facilitate first aid training in their communities.

Findings from the study will then be used to develop policy and framework recommendations at the national level.

Pillar 2 is composed of three work streams;

Stream 2.1

Through our partners in Nepal, OPT and Ethiopia, this work stream will undertake research into the epidemiology and aetiology of burns in resource poor countries – i.e. we will conduct community surveys to gather baseline data on burn injuries, as well as community knowledge, attitudes and practices (KAP) around burn prevention and first aid. This data will then inform the development of community- led first aid and prevention initiatives.

Stream 2.2

Will pilot a basic burn care (BBC) module for PHCPs and community burn prevention and first aid programme. This work stream will use a participatory approach to develop a BBC programme for PHCP. It will also use information from Stream 2.1 to inform a training program for first aid of burns in the community (to be facilitated by PHCP) and a community developed and led prevention programme.

Stream 2.3

Based on the evidence base from Streams 2.1 and 2.2, the CGBIPR working with in-country partners will develop a model for country–specific national burn care and prevention strategies.

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