Strengths and Weakness in Relation to Other Studies Rate of Unsafe Households

27 Home Safety Practices for Prevention of Poisoning in Young Children lower in this study as the denominator includes all children in the household aged 0-12 years of age.

5.4 Meaning of the Study Possible Mechanism and Implication for Clinicians Policymakers

The high rate of unsafe households i.e. between 60-71 of urban and semi-urban households calls for some intervention to improve the situation. The single most powerful means of change is the Home Safety Audit Tool.

5.5 Unanswered Questions and Future Research

One concern is whether parents will sustain good home poison safety practices after this study is over. The fact that caregiver were aware that health personnel were returning for an audit may have contributed to them maintaining safe home practices. This could be answered by an unannounced audit one year after the 3 rd Audit. It was uncertain from the study what impacts the use of a safety device had in changing the household behaviour to prevent poisoning. Finally, the rate of unsafe household in rural communities is not known and needs to be investigated.

6.0 CONCLUSION RECOMMENDATIONS

This study shows between 60-71 of urban and semi-urban households in Perak have unsafe home safety practices to prevent poisoning in young children. The intervention package, mainly the Home Safety Practices Audit developed by the researchers for this study, significantly improved home poisoning safety practices. 75.7- 85.3 of urban and semi-urban households in Perak had a safe home to prevent poisoning in children at the end of the study. Addition of the safety device with the Home Safety Practices Audit further improves home poisoning safety practices. Knowledge and perception does not ensure a safe household in preventing poisoning in young children. Recommendation: 1. There is a need to support parents to make their home poison safe. 2. The Audit Mechanism and Package used in this study should be used by the Family Health Development Division of the Ministry Of Health Malaysia so that public health nurses can enable caregivers to improve poison safety practices in homes. 28 Home Safety Practices for Prevention of Poisoning in Young Children REFERENCES 1. K Chatsantiprapa, J Chokkanapitak N Pinpradit Host and environment factors for exposure to poisons: a case-control study of preschool children in Thailand. Injury Prevention 2001;7, 214-217. 2. E Towner, T Dowswell, S Jarvis. Updating the evidence. A systematic review of what works in preventing childhood unintentional injuries; Part 1. Injury Prevention 2001;7:161-164. 3. E Towner, T Dowswell and S Jarvis.Updating the evidence. A systematic review of what works in preventing childhood unintentional injuries; Part 2. Injury Prevention 2001;7:249-253. 4. L T Lam. Childhood and adolescence poisoning in NSW, Australia: an analysis of age,sex,geographic, ad poison types. Injury Prevention 2003;9:338-342. 5. Audrey T Hingley. Preventing Childhood Poisoning. FDA Consumer magazine March 1996. 6. Sibel Erkal, Sukran Safak. An evalution of the poisoning accidents encountered in children age 0-6 years in Kirikkale. The Turkish Journal of Pediatrics 2006;48:294-300 7. C Chien, JL Marriott, K Ashby, J Ozanne-Smith. Unintentional ingestion of over the counter medications in children less than 5 years old. J Puediatr Child Health 2003, 39, 264-269. 8. Accident Poisoning in Children. http:www.alegent.com 9. H M Wiseman, K Guest, V S Murray, G N Volans. Accident poisoning in childhood: a multicentre survey. 2. The role of packaging in accidents involving medications. Hum Toxicol. 1987 Jul; 6, 4, 303-14 3623576, P, S, E, B, Cited:1. 10. National Poison Prevention Week. www.poisonprevention.org. 11. T Schroeder, M S, C Irish, other staf member. Nonfatal, Unintentional Medication Exposures Among Young Children-United States, 2001-2003. JAMA. 2006;295 8: 882-884 12. How To Manage Your Medications. Bahagian Perkhidmatan Farmasi Kementrian Kesihatan Malaysia, Gabungan Persatuan-Persatuan Pengguna-Pengguna Malaysia. 13. K Chatsantiprapa, J Chokkanapitak, N Pinpradit. Host and environment factors for exposure to poisons: a case-control study of preschool children in Thailand. Injury Prevention 2001;7:214-217. 14. F Cheraghali, M Taymori. Epidemiological Study Of Drug Intoxication In Children. Acta Medica Iranica, 44 1:37-40;2006. 15. L Gibbs, E Waters, J Sherrard, J Ozanne-Smith, J Robinson, S Young, A Hutchinson. Understanding parental motivators and barriers to uptake of child poison safety strategies: a qualitative study. Inj Prev 2005;11;373-377. 16. John O’Donnell, Fiona D Brown, Thomas F Beattie. Accidental child poisoning, Child resistant packaging should be used on all over the counter drugs. BMJ Volume 316 9 May 1998, 1460.