This week the editor of the International Journal of Social Sciences and Managementemailed that the paper ‘Drowning Prevention should be a Public Health Issue in Nepal‘ [1] had been published. This is the first paper for our Ph.D. student Md. Shafkat Hossain. Shafkat co-authored this paper drowning prevention experts in Nepal, Dr. Bhagabati Sedain and Dr. Puspa Rai Pant and Prof. Aminur Rahman based at CIPRB (the Centre for Injury Prevention and Research, Bangladesh).
Shafkat’s thesis is part of the interdisciplinary Sonamoni project on drowning prevention in toddlers under the age of two in Bangladesh. This newly published paper takes lessons learnt from Bangladesh and offers them as ideas to be considered in Nepal. Nepal is prone to a range of natural disasters; earthquakes being the most widely recognised one. However, many people are at risk of drowning as the serious flooding in the autumn of 2024 showed, but this is not recognised as a serious public health risk in Nepal. Drowning relates to people’s everyday activities such as crossing rivers, bathing and swimming and should be treated as a social and public health problem.
The Sonamoni project is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), CIPRB in Bangladesh and Design Without Borders in Uganda. It funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
As we are reaching the end of Open Access Week is worth highlighting that this paper is fully Open Access, and hence freely available in both Nepal and Bangladesh!
Last week colleagues from our Sonamoni project co-hosted a workshop with TGI Australia (The George Institute for Global Health) at the 15th World Conference on Injury Prevention and Safety Promotion (Safety 2024) which was held in New Delhi (India). Focusing on the strengths of the Human-Centred Design (HCD) approach, this workshop first introduced the design principles to participants and demonstrated how they can be employed to reduce risks and prevent accidents. These design principles have been applied for many years in designing consumer products and, more recently, in the fields of health and social systems.
In this well-attended workshop researchers presented case studies from Bangladesh (including the Sonamoni project) and Tanzania to illustrate how the process is employed with communities to co-develop interventions aimed at reducing the risk of drowning among fishing folk and vulnerable children. The team proposed a framework which integrates HCD methodology and traditional research methodologies, creating a more user-centred and multidimensional approach to intervention design. Outputs of the process included user risk journeys, stakeholder mapping and systems diagrams that can be used with communities and wider stakeholders to visualise the problem and bring to life the environment in which interventions are to be designed. These outputs can also be support advocacy and donor engagement.
The proposed framework provides a mechanism for closer collaboration between researchers, practitioners, and communities to work together to co-design context-specific solutions that are culturally and environmentally appropriate. Workshop participants were asked for their expert opinion on the proposed framework, to help us refine the framework and inform future practice.
Our Sonamoni project recently had its own video recording on YouTube.Sonamoni is a public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website. Sonamoni is coordinated by Bournemouth University in collaboration with Centre for Injury Prevention and Research, Bangladesh (CIPRB), the University of the West of England, Bristol, the University of Southampton, the Royal National Lifeboat Institution (RNLI), and design Without Borders (DWB) Africa.
This week Notan Dutta, from our collaborating research organisation CIPRB (Centre for Injury Prevention and Research Bangladesh) presented a poster on ‘Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh’ at the 15th World Conference on Injury Prevention & Safety Promotion (Safety 2024). One of the co-authors of this poster presentation is Bournemouth University’s PhD student Md. ShafkatHossain. Shafkat also attended the conference in India. Shafkat was in Delhi funded by Bloomberg Philanthropies as part of its Emerging Leaders in Drowning Prevention programme. This initiative brings together a cohort of younger leaders to join national and international efforts to raise awareness and strengthen solutions and political commitment towards drowning.
Our research into drowning prevention of under two-year old children in rural Bangladesh is funded by the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information about our ongoing collaborative research in Bangladesh, please see the NIHR website. This is an interdisciplinary project between Bournemouth University, CIPRB, the RNLI (Royal National Lifeboat Institute), the University of the West of England, the University of the West of England, and Design Without Borders (DWB) in Uganda.
Prof. Edwin van Teijlingen & Dr. Mavis Bengtsson
Centre for Midwifery & Women’s Health
Reference:
Dutta N, Hossain S, Morshed G, et al. (2024) 197 Identifying the strengths and challenges from the perspective of primary caregivers of drowning prevention interventions in Bangladesh,Injury Prevention30:A39-A40.
This week our collaborators on the Sonamoni project traveled from Bangladesh and Uganda to Dorset for a set of research planning meetings. The visitors represented CIPRB (The Centre for Injury Prevention and Research, Bangladesh) and DWB (Design without Borders). They were hosted by colleagues from Bournemouth University, the RNLI (Royal National Lifeboat Institute) and from the University of Southampton. Since Monday we managed to have an intensive week of design workshops, reviewing and incorporating local-community prioritised interventions for child drowning prevention (aged <2years) in Bangladesh. I say ‘we managed’, but I have been at home all week with COVID-19. The past few days I was beginning to feel quite well again, so I was unpleasantly surprised that I was still positive when I tested yesterday, and even more so this morning. Consequently, missing the whole week working with our visiting collaborators.
The Sonamoni project recently presented its own video recording on YouTube,which you can watch here!
Sonamoni is a public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
All the members of the Sonamoni team would like to congratulate Dr. Aminur Rahman, the Co-PI of our project for his award this week from HRH Prince Michael of Kent. Dr. Rahman from CIPRB (Centre for Injury Prevention and Research, Bangladesh) was awarded the HRH Prince Michael of Kent Certificate of Merit for services rendered to water safety. Dr. Rahman is visiting Bournemouth this week as part of a planning meeting for our project. This Sonamoni project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
In Bangladesh, drowning is the leading cause of death in children between one and two years old. This low-income country has one of the highest rates of drowning, especially among children, in the world.
Just being near blue spaces (the sea, rivers and lakes) can make us feel more relaxed because water triggers our parasympathetic nervous system, helping our body rest and digest. This calming effect, which slows our heart rate and lowers blood pressure, explains why so many people find joy and solace in water-related activities.
But enjoying the water also has serious risks that can’t be ignored. In the UK, drowning is a leading cause of accidental deaths, surpassing even home fires and cycling accidents. Each year, around 400 people drown accidentally in the UK’s coastal and inland waters.
Notably, 40% of these incidents occur when people aren’t even planning to be in the water, such as when they’re caught off guard by a rising tide while walking along the coast or jumping in to rescue a dog. This is a glaring reminder that it isn’t just traditional water users who get into danger.
According to the Royal Society for the Prevention of Accidents, there are over 100,000 water rescues each year. These rescues are tragedies which leave lasting impact, with survivors (and their families) often suffering from severe injuries or post-traumatic stress disorder.
Incident report data tells us that globally, men are 80% more likely to drown than women, especially middle-aged men and teenage boys. This higher risk is attributed to men spending more time in the water and engaging in riskier behaviours like swimming alone, at night, drinking alcohol, and neglecting life jackets. Social pressures and a tendency to underestimate risks (by assuming the water looks safe when it isn’t) contribute to the higher drowning rates among men too.
My team of neuroscience and communication academics at Bournemouth University are working with the Royal National Lifeboat Institution to research how to improve water safety communications using virtual reality simulations to record brain activities when immersed in water.
By using emotional sensors in smart glasses, we’re discovering how emotional loads, like fear, are experienced during virtual reality scenarios, when falling into water unexpectedly from a boat or cliff. We’ll be demonstrating the technology at an exhibition at Bournemouth University during August 2024 to highlight the risks of being near water and to collect more data.
So far, our research has highlighted the challenges and complexities of human emotions in making safer decisions in the water and the role that instinct plays in decision making in respect to gender. Men seem to exhibit a different perception of risk and a tendency towards impulsive decision-making, whereas women tend to be more precautionary and a greater inclination towards safety and risk avoidance.
Activities also affect the risk in the water. People tend to prepare for activities like paddleboarding and kayaking with the right gear and skills. This means they are usually safer than in-water play on inflatable toys such as lilos which are often used without preparation and are also easily swept out in a strong current.
Unexpected water entry, such as being caught by tides while walking along the shore, or taking a selfie at the edge of a clifftop is even more dangerous due to the element of surprise and lack of preparation when falling into the water. This unpreparedness significantly increases the risk of drowning as well as the fact that some people who unexpectedly fall into water are usually fully clothed and may also have a fear of water too.
Drowning fatalities often occur on inland waterways because these canals, streams, lochs and lakes are much colder than the sea, deceptively calm and hide numerous dangers. For instance, the water could be unexpectedly deep, there could be hidden currents or rubbish such as broken glass or an old bicycle. The water may be polluted and be a serious threat to health or it could just be difficult to get out of because of steep and slippery banks.
Float to live
Instincts play a crucial role in how we respond to water. We could be relaxed and swimming one minute, then water conditions quickly change and a rip current can catch you off guard. Our instincts are often to swim hard against the rip current, but the best thing to do is swim parallel to the shore to escape the rip. People who aren’t experienced and educated around rip currents probably won’t know how to spot a rip current, let alone know how to get out of one safely.
On sudden entry into cold water, our bodies react automatically to heighten our alertness and adrenaline levels due to cold water shock. That makes us gasp, hold our breath and try to swim hard until the point of exhaustion. Overriding that instinct could save your life.
Swimming, sailing, even just building a sandcastle – the ocean benefits our physical and mental wellbeing. Curious about how a strong coastal connection helps drive marine conservation, scientists are diving in to investigate the power of blue health.
This article is part of a series, Vitamin Sea, exploring how the ocean can be enhanced by our interaction with it.
Whether you’re planning a refreshing dip, a leisurely stroll along the coastline or a run along a canal, it’s crucial to know how to stay safe. This knowledge can be the difference between a safe outing and a tragic accident. Research shows that following these five simple steps are highly effective. They are easy to remember and can be done by anyone, regardless of swimming ability or whether you are in freshwater or saltwater.
First, keep your head back with your ears submerged to keep your airways open. Resist the urge to panic, try to relax and breath normally. Gently move your hands paddling them as this will aid in keeping afloat. Don’t fret if your legs sink, everyone’s buoyancy is different. Finally, spread your arms and legs as this really helps maintain your stability in the water.
And if you spot someone in distress, don’t jump in to rescue them: instead, shout out the “float to live” steps and immediately call 999 to ask for the coastguard.
Staff in the Faculty of Health & Social Sciences at Bournemouth University (BU) would like to take this opportunity to congratulate the charity the RNLI (Royal National Lifeboat Institution) on its 200th anniversary! Some of us have personal experience of working with the RNLI. For example, Adam Bancroft, Programme Lead in Paramedic Science and Senior Lecturer in Paramedic Science, in the Department of Midwifery & Health Sciences has been a lifeboat volunteer Adam and his wife Paula were both volunteer crew at Tower RNLI on the banks of the river Thames, which is still the busiest RNLI station in the UK. They would commit to at least two shifts a month where they would be at a state of readiness to launch at moments notice on the pier, ready to respond.
The picture of Adam and Paula was taken in 2013 for the RNLI as part of a photo shoot that was published in the Lifeboat magazine featuring volunteers and the different walks of life from across the UK and Ireland and the Channel Islands. I am not sure Adam wants me to share this, but on their wedding day the ‘car’ for Paula was the spare RNLI boat, crewed by volunteer and full-time crew who gave their time to deliver her to the party boat for the service. Adam did say that sadly neither of them able to volunteer now.
In a very different way of working with the RNLI, BU academics currently are involved in a collaborative research project with RNLI to prevent the drowning of toddlers under the age of two in rural Bangladesh. This project called Sonamoni. BU is leading this interdisciplinary study of nearly £1.7 million funded by the UK National Institute for Health and Care Research (NIHR).
This interdisciplinary project is a collaboration of BU’s Centre for Midwifery & Women’s Health (CMWH), BU’s Department in Accounting, Finance & Economics and Department of Design & Engineering, and external partners, namely the University of the West of England, the University of Southampton, the Poole-based RNLI and in Bangladesh the research organisation CIPRB (Centre for Injury Prevention and Research, Bangladesh), and in Uganda Design Without Borders (DWB). The Bournemouth University team comprises staff from three faculties: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen, and one PhD student Mr. Md. Shafkat Hossain.
Today we held the first International Advisory Group for the Sonamoni project. Sonamoni is a BU research project with CIPRB (the Centre for Injury Prevention and Research, Bangladesh) which aims to design and develop interventions to reduce the number of young children drowning in Bangladesh. The public health project is funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
We are grateful to the members of our International Advisory Board for volunteering to do this important work. We were struck by the dedication of the international team members this morning. We especially admire the International Advisory Board member who was online at 21.00 local time in Australia and even more perhaps our member in Canada for whom the local time was 3.00 in the morning.
Sonamoni is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, and the Royal National Lifeboat Institution (RNLI). This project, with Prof. Dr. Aminur Rahman as Bangladesh lead, includes a BU-based PhD project. The interdisciplinary team at Bournemouth University covers three faculties through: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.
Worldwide drowning has caused over 2.5 million deaths in the last decade. The overwhelming majority of these deaths (90%) happen in low-middle-income countries. Globally, the highest drowning rates occur among children aged 1–4 years.
To mark this year’s World Drowning Prevention Day, the World Health Organisation (WHO) is raising awareness of drowning interventions such as teaching school-age children basic swimming water safety and safe rescue skills. Drowning is a public health issue, through their World Drowning Prevention Day campaign, WHO will be reminding people that: “Anyone can drown, but no one should.”
In Bangladesh, drowning is the leading cause of death in children over the age of one. Globally, the country has one of the highest rates of drowning, especially among children. Additionally, the risk of drowning in rural areas is twice as likely in comparison to cities. Some of the reasons for this are due to access to hazards, e.g., because there are a significant number of ponds and ditches, creating natural drowning hazards for very young children.
Bournemouth University and the Centre for Injury Prevention and Research, Bangladesh (CIPRB) jointly have received funding for research into the number of children drowning deaths in Bangladesh. The project, called ‘Sonamoni’, is being coordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, and the Royal National Lifeboat Institution (RNLI). We are working with CIPRB to reduce drownings among newly-mobile children, generally under two years old. The project, with Prof. Dr. Aminur Rahman as Bangladesh lead, includes a PhD project by BU’s Mr. Shafkat Hossain. Shafkat’s thesis focuses on aspects of the Human-Centred-Design element of the Sonamoni project.
This £1.6m project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
The interdisciplinary team at Bournemouth University cover three faculties supported by the following academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.
FHSS PhD student Md. Shafkat Hossain was invited last week to speak at the event’Accelerating Action on Global Drowning Prevention’ in London. On the 12th July the Royal Life Saving Society (RLSS) hosted a meeting on 12 July at Marlborough House, home of the Commonwealth Secretariat. This event was a partnership with the Royal National Lifeboat Institution (RNLI), and included presentations from Dr David Meddings, Drowning Prevention Lead at the World Health Organization. Our PhD student Md Shafkat Hossain presented in the event, which was well attended by staff from various High Commissions in London, representatives from the NIHR Global Health Research Programme, UNICEF, the Ministry of Health and Social Care, the International Maritime Organisation.
Shafkat spoke about Bangladesh’s experience of and contribution to drowning prevention. He introduced the NIHR-funded Sonamoni project with the title ‘Prevention of drowning for under-2 years old in Bangladesh’. The Sonamoni project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website. Bournemouth University (BU) is the joint lead organisation for the project with Centre for Injury Prevention and Research, Bangladesh (CIPRB) with as key partners the RNLI, the University of West of England, and the University of Southampton. BU’s involvement spans three faculties, namely the Faculty of Health & Social Sciences, the Faculty of Science & Technology and the Bournemouth University Business School.
Today we decided on the name of our interdisciplinary research project on ‘Drowning Prevention for newly mobile infants under two’s in Bangladesh’. We were looking for one or two words in Bangla (or Bengali) that also sounded good in English and which was not already used for another research project in Bangladesh. A team from BU and CIPRB (Centre for Injury Prevention and Research, Bangladesh) using Human-Centred Design (HCD) tools came up with the name. The wider research team, after some debate and and checking for its current use in the research field, settled for the word Sonamoni (golden pearl).
BU is leading on a new interdisciplinary study of nearly £1.7 million funded by the UK National Institute for Health and Care Research (NIHR). Sonamoni aims to reduce the deaths of newly-mobile toddlers from drowning in rural Bangladesh. This multidisciplinary project is a collaboration of BU’s Centre for Midwifery & Women’s Health (CMWH), BU’s Department in Accounting, Finance & Economics and Department of Design & Engineering, and external partners, namely the University of the West of England, the University of Southampton, the Poole-based Royal National Lifeboat Institution (RNLI) and the already mentioned CIPRB.
The Sonamoni project has been made possible thanks to a grant from the National Institute for Health and Care Research (NIHR) through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website.
In Bangladesh, drowning is the leading cause of death in children between one and two years old. This low-income country has one of the highest rates of drowning, especially among children in the world. This four-year project will be working with communities to apply human-centred design techniques in Bangladesh. Together they will identify and prioritise potential solutions, develop prototype interventions, and assess the acceptability and usability of proposed interventions.
Late in 2022 we started a new interdisciplinary study funded by the UK National Institute for Health and Care Research (NIHR). The research aims to reduce the deaths of newly-mobile toddlers from drowning in rural Bangladesh. This project called Sonamoni is being co-ordinated by Bournemouth University in collaboration with the University of the West of England, Bristol, the University of Southampton, the Poole-based Royal National Lifeboat Institution (RNLI) and the Centre for Injury Prevention and Research, Bangladesh (CIPRB).
In Bangladesh, drowning is the leading cause of death in children between one and two years old. This low-income country has one of the highest rates of drowning, especially among children in the world. The risk of drowning in rural areas is twice that in cities, because there are significant numbers of ponds and ditches, creating natural drowning hazards for very young children. CIPRB has implemented several effective drowning prevention solutions focused on children over the past 15 years, including a successful daycare model to keep young children safely away from water. However, enrollment and attendance rates for children under two years (those at the highest risk of accidental drowning) have been low.
The team will be working with communities to apply human-centred design techniques in Bangladesh. Together they will identify and prioritise potential solutions, develop prototype interventions, and assess the acceptability and usability of proposed interventions.
This research is an excellent example of BU’s FUSION. BU endeavours to bring together Research, Education and Practice to create something that is greater than the sum of its parts. FUSION is central to our Bangladesh project, the Research is focusing on social sciences and public health, the Education is around health education of people in rural communities as well as training of the research team members, whilst Practice will be the outcome of the human-centred design approach, when we test the best interventions.
The £1.6m project has been made possible thanks to a grant from the NIHR through their Research and Innovation for Global Health Transformation programme. For more information, visit the NIHR website. NIHR uses aid from the UK government to support global health research.
Prof. Edwin van Teijlingen
CMMPH (Centre for Midwifery, Maternal & Perinatal Health)
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