Driver characteristics associated with child safety seat usage in Malaysia : a cross-sectional study.

Background: The rapidly motorizing environment in Malaysia has made child occupant safety a current public health concern. The usage of child safety seats (CSS) is a widely regarded intervention to enhance child occupant safety, yet no study has been conducted on CSS in Malaysia. This study aims to determine the CSS usage rates in Malaysia and to assess driver characteristics that are associated with CSS usage. Methods: Nine variables - urban versus rural study location, age, gender, marital status, educational status, monthly family income, number of children present in the vehicle, distance traveled to the study location, and attitude - were examined through a cross-sectional study of interviewing drivers of 230 vehicles transporting at least one child <10 years of age at the time of the study. The vehicles were also observed for whether or not there was a CSS present. The interviews were conducted at six sampling locations - three urban and three rural - in the state of Melaka. Results: 27.4% of the drivers were found to be using at least one CSS at the time of the survey. Among the nine variables studied, three of the driver characteristics showed statistical significance (p < 0.05) with CSS usage: age (p = 0.047), educational status (p = 0.009), and attitude (p = 0.009). Discussion: This study begins to create knowledge on child occupant safety in Malaysia. The results indicate that interventional efforts should focus on educational programs geared toward drivers that are less educated or extended family members who inconsistently transport young children. Furthermore, any educational efforts could be strongly enhanced by legislation mandating the use of CSS. Every effort should be made to thoroughly assess the effectiveness of any educational or legislative activities that are implemented

Development and validation of a survey instrument on drowning prevention and water safety among parents of primary school children

Introduction: Malaysia has limited educational material on drowning prevention and water safety. Currently, no formal regulations or acts applicable to drowning prevention were identified such as requiring lifeguards to be present in all public pools, pool fencing and wearing floatation devices for children when engaging in water activities. Limited awareness messages are available on drowning prevention, especially for parents. Assessment of parental knowledge, attitude and practice on childhood drowning and its preventive measures will assist in designing essential educational package for childhood drowning prevention and water safety. Aim: To design and evaluate the survey instrument examining knowledge, attitude and practice on drowning prevention and water safety among parents and guardians of primary school children. Materials and Methods: Prior to designing the questionnaire, documents analysis and literature reviewed were employed to provide an insight into the research topic. Six experts evaluated content validity with the score of Content Validity Index (CVI). The questionnaire was designed and cross-sectional study was conducted among 130 parents/guardians of primary school children in Selangor, Malaysia. Construct validity was estimated using Exploratory Factor Analysis (EFA); utilising principal components method and varimax rotation. The reliability of the questionnaire was evaluated by face validity and Cronbach’s alpha respectively. Results: An agreement obtained from the panel experts on the adequacy of the instrument; based on the I-CVI score ≥0.83 and scale-level content validity (S-CVI/Ave) characteristics of relevancy, clarity, simplicity and unambiguity of each item in the questionnaire ≥90%. Exploratory factor analysis resulted in 10 factor-solutions (69.4% total variance) constructed for attitude domain whereas nine factor-solutions (65.8% total variance) emerged for practice domain. The reliability for knowledge was KR20=0.58 whereas internal consistency using Cronbach’s alpha for attitude and practice was 0.81 and 0.84. Conclusion: The drowning prevention and water safety questionnaire developed is useful and reliable for quantifying parental knowledge, attitude and practice characteristic related to water safety and drowning prevention for their children

Determinants of certified motorcycle helmet use among postal delivery riders at rural areas in Peninsular Malaysia

This study aims to identify the determinants of certified helmet use among postal delivery riders (PDRs) in rural areas of Peninsular Malaysia. A cross-sectional study was done among 269 PDRs from 50 postal distribution centres (DC) nationwide. Data collection was achieved through observation of the helmets and a questionnaire.The quality of the motorcycle helmets was determined by the presence of the certification label issued by the Standards and Industrial Research Institute of Malaysia (SIRIM). The response rate was 99.3%. The odds of full-shell helmets having the SIRIM label were 37.1 times more than that of the half-shell helmets. The odds of non-purchased helmets having the SIRIM label were 14.9 times more than that of the purchased helmets. The odds of expensive helmets having the SIRIM label were 4.4 times more than that for cheaper motorcycle helmets.The odds of helmets owned by riders without a previous crash history having the SIRIM label were 1.9 times more than helmets owned by riders with a crash history. Full-shell helmets with SIRIM standard certification, non-pur-chased helmets, helmet price of US$11.00 or more, and motorcycle riders without any previous crash history were determinants that contributed towards the use of a certified motorcycle helmet. Multiple logistic regression indicated that two variables significantly predicted the use of a certified motorcycle helmet among PDRs–helmet type and cost. An employer that provides the employees with full-shell motorcycle helmets with SIRIM standard certification label that costs at least US$11.00 and hiring motorcycle riders without any previous crash history gives a higher chance of compliance with standard certified motorcycle helmet usag

How safe are standard certified motorcycle safety helmets? Malaysian postal delivery riders scenario

Objective: The objective of this study was to determine the proportion of motorcycle safety helmets (MSHs) used by postal delivery riders (PDRs) that comply with the Standards and Industrial Research Institute of Malaysia’s (SIRIM) MSH standard guidelines and identify factors that contribute toward compliance of used MSHs with the standards. Methods: The presence of SIRIM certification label, the status of MSH, type of chinstrap, MSH crash history, and duration of MSH use were observed. The dependent variable was the results of the SIRIM testing procedures (SIRIM tests). MSHs that passed the SIRIM tests were considered “standard certified” MSHs. Results: The odds of the complimentary MSHs passing all of the SIRIM tests were 3.7 times the odds of the self-purchased MSHs passing the tests. The odds of MSHs with the SIRIM certification label passing all of the SIRIM tests were 24.2 times the odds of MSHs without the SIRIM certification label, and the odds of MSHs used <3 years passing the SIRIM tests were 3.75 times the odds of the MSHs used ≥3.8 years. Conclusion: PDRs provided with complimentary MSHs with the SIRIM certification label by the employer for their daily delivery routines and duration of MSH used for less than 3 years were found to be safe MSHs for male occupational riders in Malaysia

PA 07-6-2657 research to intervention: preventing fire and burn safety education initiative for primary school children in Malaysia

Burn injuries are a serious public health problem globally and Malaysia in not exceptional to it where we lose one child every fourteen days from a burn injury which is preventable. The aim of this exercise was to understand the magnitude of the Fire and Burn Injury problem and followed by developing and implementing an intervention program as a solution. The study was a cross-sectional survey among 640 parents of children attending primary schools (children age 7–12) in Sentul, Kuala Lumpur. A total of 9 primary schools out of 558 were chosen for this study. Questionnaires for the parents were given and collected through the identified children. Prevalence of fire in the past two years were 6.4% and burn injury among children were alarmingly standing at 54%. The top five frequent occurring cause of burn injuries reported by the parents for their children were: touching hot utensils (24.4%), hot iron (21.7%), hot water heater (17.2%), motorcycle hot exhaust pipe (16.7%) and playing with fire crackers (14.4%). In conclusion, an educational intervention program on preventing fire and burn was developed based on the top five causes of burn and also focusing on what need to be done in an event of fire as well as injury. The four module education program was intervened to the 6000 primary school children for a duration of 180 min combining both classroom teaching session and field demonstration on how to escape and fight fire with the assistance from Fire and Rescue Department as our program partner. This initiative has a potential policy implication where this pilot intervention program if succeeds, it is recommended the program to be scaled up for the betterment and benefit for more children

Integrating ethics, health policy and health systems in low and middle income countries : case studies from Malaysia and Pakistan.

Scientific progress is a significant basis for change in public-health policy and practice, but the field also invests in value-laden concepts and responds daily to sociopolitical, cultural and evaluative concerns. The concepts that drive much of public-health practice are shaped by the collective and individual mores that define social systems. This paper seeks to describe the ethics processes in play when public-health mechanisms are established in low- and middle-income countries, by focusing on two cases where ethics played a crucial role in producing positive institutional change in public-health policy. First, we introduce an overview of the relationship between ethics and public health; second, we provide a conceptual framework for the ethical analysis of health system events, noting how this approach might enhance the power of existing frameworks; and third, we demonstrate the interplay of these frameworks through the analysis of a programme to enhance road safety in Malaysia and an initiative to establish a national ethics committee in Pakistan. We conclude that, while ethics are gradually being integrated into public-health policy decisions in many developing health systems, ethical analysis is often implicit and undervalued. This paper highlights the need to analyse public-health decision-making from an ethical perspective

A need for new accident theories in Malaysia?

Workplace accident is a big challenges for a safety professional. Workplace accidents may lead from minor to serious effects to both employees and employers alike. Accident is an unexpected and undesirable event, especially those resulting in damage, harm or unforeseen incidents. This paper also discussed all available accident theories that are commonly used in workplace as fundamental to mitigating accident. Throughout this paper, the author justified that a new or updated accident theory is needed in Malaysia. The author stated that current accident theories are based on different environments and are different in terms physical of the employee who involved in the accident. This author also stated that technology changes is also another factor which can be supporting the new or updated accident theory needed in Malaysia

Needlestick and sharp injuries among health care workers in Saudi hospitals: a review

This paper explains Needlestick and Sharp Injuries among Healthcare Workers in Saudi Hospitals. Presently there are number of factors that are responsible for health care workers injuries. Lack of secure environment and ignorance to safety measures can lead to injuries due to Needlestick and Sharp objects. There is a significant need of providing better working environment for health care workers in Saudi Arabia. Following daily practices and World Health Organization’s measures for taking the preventive steps for these injuries is necessary. Trying to avoid utilizing needles whenever secure and efficient substitutes are present, providing needle containers, avoiding re-capping and wearing gloves on both hands are some of the measures that could be taken to make sure these problems do not recur

Randomized controlled trial on drowning prevention for parents with children aged below five years in Bangladesh: a study protocol

Background: Drowning is the third leading cause of death for children aged 0–4 years in many Asian countries, and is a serious but neglected health problem in low and middle-income countries like Bangladesh. The aim of the study is to outline the study protocol of a trial to test the efficacy of a mobile coach based intervention for the prevention of childhood drowning. Method/design: A two-arm cluster randomized community trial will be conducted to test the efficacy of the mobile coach intervention for childhood drowning on parents with children below five years of age and compared to an assessment only control group. A total of 1680 parents in the villages with children aged below five years of age will participate. The village will be used as a randomized unit, randomly assigned to an intervention group (N = 840) receiving the mobile coach based intervention or an assessment only control group (N = 840). An individualized mobile coach intervention based on the demographic data and the individual will be developed, and SMSs, audio messages, videos and images about childhood drowning will be sent to the participants of the intervention group over a period of six months. The participants will receive per week one text message (SMS) and image and one video and audio text per month. The primary outcome measure will be increased knowledge and safety awareness, and behaviour practice about childhood drowning assessed at the six-month follow-up, and the secondary outcome measure will be the reduced incidence of childhood drowning in Bangladesh. The study assistants conducting the baseline and the follow-up assessments will be blinded regarding the group assignment. Discussion: This is the first study testing a fully mobile coach intervention for childhood drowning prevention in Bangladesh. It is hoped that the programme will offer an effective and inexpensive way to prevent childhood drowning among children aged below five years and also increase the awareness of parents concerning the risks to their children from drowning

Risk factors analysis: work-related musculoskeletal disorders among male traffic policemen using high-powered motorcycles

Introduction: The occupational safety and health issues for police riders and other professional riders are often related to ergonomic hazards and risks. The purpose of this research was to identify the factors that contribute to the health effects in developing work-related musculoskeletal disorders (WMSDs) among male traffic policemen using high-powered motorcycles. Materials and methods: A cross-sectional study was conducted using 137 police riders. A set of questionnaires including the Standardised Nordic Questionnaire (SNQ) and human vibration meter (Svantek 106) was used in this study. Results: The prevalence of WMSDs was 67.9%. Multiple logistic regression analysis revealed that the duration of riding a motorcycle (OR = 0.175, 95% CI:0.052, 0.581), years of service (OR = 0.152, 95% CI: 0.040, 0.567), and hand-arm vibration, HAV (OR = 3.053, 95% CI: 1.126, 8.280) were significant risk factors for the prevalence of WMSDs. Discussion: The majority of riders reported symptoms of WMSDs within the past 12 months. Riding duration, years of service, and hand-arm vibration (HAV) were found to be the most important risk factors for WMSDs in this rider group. The results highlight that in the context of ergonomic interaction, high-powered motorcycles and the police riders are not a good fit. Hence, further study is needed to improve the safety and health of the police riders