الفهرس 
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Abstract
Conclusion
There were many factors associated with unintended home injuries in under-5 children in Sohag governorate, so these injuries could be preventable. The present study included 610 caregivers of under-5 children, however, mothers took higher responsibility for their children. The current study included mothers in the age range of 18 to 50 years with mean age 30.75 + 5.79 years.
The study concluded that, the prevalence of unintended home injuries in under-5 children in Sohag governorate was (60.33%), more than half of the injured under-5 children (57.6%) were males.
The most frequent types of unintended home injuries in under-5 children in Sohag governorate were falls with a percentage of (45.1%), followed by cut wounds (23.6%), the majority of them took place in the living room.
The socio-demographic risk factors of unintended home injuries in under-5 children in Sohag governorate were maternal education, low monthly income of the studied families, and higher total number of children per family.
The reported home environmental safety measures that associated with unintended home injuries in under-5 children in Sohag governorate were presence of electrical shock hazards, unsafe edges of the furniture, holding the child while cooking, keeping small spherical toys in the house and giving the child small rounded foods.
Recommendations
We recommend that:
1. Primary health care physicians should be informed about the risks of unintended home injuries and how to be avoided.
2. Mothers of under-5 children should be educated about the home environmental precautions to prevent unintended home injuries among their children.
3. Health education sessions should be given to the mothers of under-5 children regarding first-aid measures for unintended home injuries.
4. Further studies should be conducted to evaluate unintended home injuries in older children.
5. Health programs should be launched to overcome the risks of unintended home injuries.
Summary
Childhood injuries are an increasingly universal public health problem. They are a major area of interest from the age of one year and progressively add more to overall rates of death until children reach adulthood. Many children die each year from injuries or violence, or they may suffer the outcomes of unintended injuries.
Injury was defined as the physical harm done to the human body as a result of exposure to excessive force that exceeds the body’s physiological tolerance limit, unintended injuries were harms that are not knowingly or purposefully produced.
The home was believed to be the safest place for the child, but many dangerous injuries can occur there, however, most of the unintended injuries in under-5 children occurred at home.
There were many advances in the prevention and control of infectious diseases, so injuries became of public health concern, unintended injuries were stated as one of the preventable causes of death among under-5 children
In Egypt, a WHO study was conducted in four urban cities in developing countries. Of these countries, Egypt had the highest prevalence of childhood injuries which was (32%), also, in a rural village in Sharkia governorate, the prevalence of unintended home injuries in under-5 children was (84.7 %).
Another study was conducted in Ain Shams University Hospital, Cairo governorate, and stated that the prevalence of unintended home injuries in under-5 children was (61%). In addition to that, another cross-sectional study was in a rural area in Qalioubiya governorate determined that the prevalence of home injuries among under-5 children was (69.3%).
The probability of a child being injured was associated with multiple risk factor including education of the parents, age of the parents, occupation of the parents, large family size, residence of the child, socio-economic status and home environmental risk factors which can be modified.
Studies on unintended home injuries in under-5 children are insufficient in Sohag Governorate; such injuries can cause disabilities that are either temporary or permanent and necessitate ongoing medical treatment. Hospital-based research may overlook small-scale injuries that couldn’t be reported since only a small percentage of child home injuries result in hospitalization.
This study was a cross-sectional analytical study which was conducted in Sohag Governorate with the public health department and Faculty of Medicine Sohag University campaigns for the needy Sohag villages during the study period. The study targeted under-5 children with their caregivers and the sample included 610 caregivers of under-5 children who attended pediatric clinics in Salama Abdullah MCH center and campaigns that were made by the faculty of medicine at Sohag University for the needy villages in Sohag governorate.
Data were collected through personal interviews with the caregivers of under -5 children who experienced home injuries or not by using a semi-structured questionnaire adapted after two previous studies one of them was national and conducted at Ain Shams University (H. O. Mohammed et al., 2019) and the other adapted after a CHASE Tool (child housing assessment for safe environment ) (Shields WC et al., 2020)which was done at Johns Hopkins School of Public Health and modified to co-apt with the upper Egypt housing environment, cultures, traditions, and taboos provided there.
The study concluded that, the prevalence of unintended home injuries in under-5 children in Sohag governorate was (60.33%), the most reported age of unintended home injury in under-5 children was the age group from 1 to 2 years (28.0%), followed by the age group from 2 to 3 years (26.4%) were in. The least reported age group of injured under-5 children was from 4 to 5 years with a percentage of (9.5%). More than half of the injured under-5 children (57.6%) were males and females comprised (42.4%) of the injured under-5 children.
The most frequent unintended home injuries in under-5 children in Sohag governorate were falls with a percentage of (45.1%), followed by cut wounds (23.6%). The third most common type of unintended home injuries in under-5 children in Sohag governorate was scalds (13.32%). Choking cases represented (5.4%) of the cases, while poisonings and electric burns had the same percentage of (4.9%). There were no cases of drowning and strangulation in the current study. As regards the place of injury, The living room was the most reported place of injury (40.5%), followed by the adults’ bedroom (22.3%) and the least reported place of injury was the bathroom (2.7%).
There was a statistically significant difference between under-5 children who reported unintended home injuries and those who didn’t regarding maternal education, monthly income, total number of children and number of under-5 children per family (P-value < 0.05).
As regards home environmental safety measures, there was a statistically significant difference between under-5 children who reported unintended home injuries and those who didn’t in home environmental safety measures regarding, poison storage, electrical shock hazards elimination, accidental strangulation, cut wounds, drowning, sclads and choking (P-value < 0.05).
We recommended that primary health care physicians and mothers should be educated about risks of unintended home injuries in under-5 children and how to avoid.