Children's Burn Injury Prevention Program in Use in Addis Ababa, Ethiopia

Authors

  • Dr. Worku W. Herbaye Kalafhi Day Hospital
  • Dr. Shimeles G. Hamda Public Health Specialist, Addis Ababa
  • Prof. Veronica Ntsiea Wits University
  • Dr. Tefera B. Agizew Research Director, Addis Ababa
  • Prof. Ronel Roos Wits University

DOI:

https://doi.org/10.47604/jhmn.3866

Keywords:

Burn, Children, Prevention, Health Policy, Addis Ababa, Ethiopia

Abstract

Purpose: Burn injury is one of the most common injuries among children and is associated with a high risk of mortality and morbidity. In low-resource settings, where preventive initiatives are limited, 90% of burn-related deaths occur. Consistent and reliable data are essential for effective and efficient burn injury prevention programs. We aimed to assess the current childhood burn injury prevention practices in use in Addis Ababa. The aim of the study was to assess the current children's burn injury prevention program in use in Addis Ababa.

Methodology: A qualitative exploratory study was conducted in September 2023. The investigator conducted four qualitative interviews with key informants, including a federal representative (n = 1), a senior burn unit manager (n = 1), a parastatal organization representative (n = 1), and a community leader (n = 1) in Addis Ababa. Participants were selected using a purposive non-random sampling strategy.

Findings: Four categories (prevention, responsible office for burns, capacity-building training, and communication) and ten subcategories emerged from the data, with community involvement, law enforcement, and motivation identified as major themes. Health workers advised caregivers to pay attention to their children and avoid leaving children unattended at home. Furthermore, the study showed that only the Addis Ababa Fire Brigade has a scheduled school- and community-based burn prevention education program in Addis Ababa.

Unique Contribution to Theory, Practice and Policy: Burn injuries can be prevented through appropriate preventive practices. Health workers at the burn unit contribute to prevention efforts through caregiver education aimed at reducing future burns and related complications. Communication activities, including mass media approaches, can support community awareness. The findings highlight the importance of strengthening existing burn prevention activities and community involvement in Addis Ababa.

Downloads

Download data is not yet available.

References

Abubakar, A. I., Okpechi, S. C., Euguagie, O. O., & Ikpambese, A. A. (2023). Demographics and clinical characteristics of burn injuries in Nigeria: A tertiary hospital cohort. Nigerian Journal of Clinical Practice, 26(12), 1916-1920. https://www.ovid.com/jnls/njcp/toc/2023/12020

Adane, M.M., Admasie, A. and Shibabaw, T., (2023). Prevalence and risk factors of cooking- related burn injury among under-five-years old children in a resource-limited setting: a community-based cross-sectional study in Northwest Ethiopia. International journal of injury control and safety promotion, 30(2), pp.220-231.

Bassey, K., Okpokowuruk, F. S., Antai, M. S., Oghenedoro, O., & Ekpo, U. I. (2022). Pediatric flame burn injuries from adulterated kerosene explosion–A public health alert from Southern Nigeria. Burns Open, 6(3), 105-109.

Bergeijk, Ö. E. V., Hussain, A., Panagioti, M., Khoso, A. B., Zadeh, Z. F., Rehan, M., Kiran, T., Hodkinson, A., Wang, D., Blakemore, A., Brooks, H., Iqbal, T., Ullah, I., Bashir, M. M., Tasleem, S., Sanober, A., Soomro, N., Memon, R., Husain, N., .. Chaudhry, N. (2025). Addressing burn-injury stigma through health education and communication campaign in Pakistan: Study protocol. Frontiers in Public Health, 13, 1439214. https://doi.org/10.3389/fpubh.2025.1439214

Biru, W.J. and Mekonnen, F.T., 2020. Epidemiology and outcome of childhood burn injury in

Hawassa University Comprehensive Specialized Hospital, Hawassa, Southern Ethiopia. Indian Journal of Burns, 28(1), p.51. [Online] Accessed 16/04/2023 Available at;https://www.ijburns.com/article.asp?issn=0971-653X;year=2020;volume=28;issue=1;spage=51;epage=56;aulast=Biru

Creswell, J.W., Plano Clark, V.L., Gutmann, M.L. and Hanson, W.E., (2013). An expanded typology for classifying mixed methods research into designs. A. Tashakkori y C. Teddlie, Handbook of mixed methods in social and behavioral research, pp.209-240.

Creswell, J W.,(2013). Qualitative inquiry and Research Design, choosing among Five Approaches, the process of designing a qualitative study, Third edition, USA, Sage publication

De Young AC, Kenardy JA, Cobham VE, Kimble R., (2012) Prevalence, comorbidity and course of trauma reactions in young burn‐injured children. Journal of Child Psychology and Psychiatry. 2012 Jan;53(1):56-63

Denekew, B., Hebron, C., Mekonnen, A., Ayele, M., Negash, K., Desalegne, M., Price, P. and

Potokar, T., (2021). Investigating burn cases, knowledge, attitudes and practices to burn care and prevention in Ethiopia: a community-survey. Journal of Global Health Reports, 5, p. e2021050. https://www.joghr.org/article/24353-investigating-burn-cases-knowledge-attitudes-and-practices-to-burn-care-and-prevention-in-ethiopia-a-community-survey

Gebreab, et al, (2019). Review of the epidemiology of burn injuries in Ethiopia; implications for study design and prevention, Journals of Burns open, web page [Online][Accessed on 9/04/2022] available at: https://dog.org/10.1016/j.burnso.2019.05.002

Gete, B.C., Mitiku, T.D., Wudineh, B.A. and Endeshaw, A.S., (2022). Knowledge, attitude, and practice towards burn first aid and its associated factors among caregivers attending burn units in Addis Ababa, Ethiopia. A cross-sectional study. Annals of Medicine and Surgery, 81, p.104402.

Hyder, A.A., Kashyap, K.S., Fishman, S. and Wali, S.A., (2004). Review of childhood burn injuries in sub-Saharan Africa: a forgotten public health challenge: literature review. African Safety Promotion, 2(2), pp.43-58.

Janice M. Morse., (2023). Confusing categories and themes. [Online] Accessed on 10/06/23. Available at; https://journals.sagepub.com/doi/pdf/10.1177/1049732308314930

Kennedy, C.S. and Knapp, J.F., (1997). Childhood burn injuries related to gasoline can home storage. Pediatrics, 99(3), pp. e3-e3.

McGarry, S., Girdler, S., McDonald, A., Valentine, J., Wood, F. and Elliott, C., (2013). Paediatric medical trauma: The impact on parents of burn survivors. Burns, 39(6), pp.1114-1121.

M. Gupta, O.K. Gupta, R, K Yaduvansh, J. Uadhyaha., (1993). Burn Epidemiology. The pink city scene. [Online] [Accessed on 23/07/2025] available at:https://doi.org/10.1016/0305-4179(93)90100-M

Mortada, H., Malatani, N. and Aljaaly, H., (2020). Knowledge & awareness of burn first aid among health-care workers in Saudi Arabia: Are health-care workers in need for an effective educational program?. Journal of Family Medicine and Primary Care, 9(8), p.4259

Mock C, Peck M, Peden M, Krug E., (2008). A WHO plan for burn prevention and care. Geneva, World Health Organization.

Morgan, D.L., (1993). Focus groups. Annual review of sociology, 22(1), pp.129-152.

Museru M (1999). Injuries in Africa: The need to develop preventive strategies. East and Central African Journal of Surgery, 5(1): 51-55

Mulatu, D., Zewdie, A., Zemede, B., Terefe, B. and Liyew, B., (2022). Outcome of burn injury and associated factor among patient visited at Addis Ababa burn, emergency and trauma hospital: a two years’ hospital-based cross-sectional study. BMC emergency medicine, 22(1), pp.1-14. [online] Available at https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-022-00758-7 (Accessed 20 July 23)

Nega, Kidanu Estifanos, and Bernt Lindtjørn. "Epidemiology of burn injuries in Mekele Town, Northern Ethiopia: a community based study." The Ethiopian Journal of Health Development 16, no. 1 (2002).

Othman, N. and Kendrick, D., (2010). Epidemiology of burn injuries in the East Mediterranean Region: a systematic review. BMC public health, 10(1), p.83.

Peck, M, Henry Falk, David Meddings, David SugermanSumi Mehta and Michael Sage., (2016). The design and evaluation of a system for improved surveillance and prevention programmes in resource-limited settings using a hospital based burn injury questionnaire’s’, open access from BMJ injury prevention. Epidemiological approach, burn care research Journal Jan-February (34) 1

Peck, M., Molnar, J. and Swart, D., (2009). A global plan for burn prevention and care. Bulletin of the World Health Organization, 87, pp.802-803.

Potokar, T., (2019). Analysis of the psychosocial aspect of the burn injury. [Online] Available at www.interburns.org Online resource ( Accessed on 06 August 2021

Price, K., Lee, K.C., Woolley, K.E., Falk, H., Peck, M., Lilford, R. and Moiemen, N., (2021). Burn injury prevention in low-and middle-income countries: scoping systematic review. Burns & trauma, 9, p. tkab037.

Putri, A.C., Insani, I.B., Hasibuan, L., Faried, A. and Mose, J.C., (2021). Characteristics of liquefied petroleum gas (LPG) related burn injuries in Hasan Sadikin Bandung General Hospital. Annals of burns and fire disasters, 34(4), p.323.

Rencken, C.A., Harrison, A.D., Aluisio, A.R. and Allorto, N., (2021). a qualitative analysis of burn injury patient and caregiver experiences in Kwazulu-Natal, South Africa: enduring the transition to a post-burn life. European Burn Journal, 2(3), pp.75-87.

Safarnejad, A., Groot, W. and Pavlova, M., (2018). Study design and the estimation of the size of key populations at risk of HIV: lessons from Viet Nam. BMC international health and human rights, 18(1), p.7.

Shahid, F., Gondal, M.F., Sabah, N.U., Chaudhry, R., Aslam, H., Iftikhar, U., Fraz, O., Saeed, S., Basit, J. and Faraz, U., (2022). Psychosocial impact of electrical burn in children: a follow-up study conducted at a tertiary care hospital. Cureus, 14(12).

Tadele A (2014). Magnitude, Clinical presentation and outcome of pediatric burn injuries at Yekatiti12 Hospital Addis Ababa, Ethiopia, Submitted to the department of emergency medicine

Teshale, A.A. and Alemu, Z.A., (2017). Knowledge, Attitude and Practice of first aid and factors associated with practice among taxi drivers in Addis Ababa, Ethiopia. Ethiopian Journal of Health Development, 31(3), pp.200-207.

Wiechman, S.A. and Patterson, D.R., (2004). Psychosocial aspects of burn injuries. Bmj, 329(7462), pp.391-393.

Wanjeri, J.K., Kinoti, M. and Olewe, T.H., (2019). Correlation of burn injury and family history of burns among patients hospitalized at a public hospital in Nairobi, Kenya: A case–control study. Indian Journal of Burns, 26(1), p.24.

Wesson, H.K., Bachani, A.M., Mtambeka, P., Schulman, D., Mavengere, C., Stevens, K.A., Millar, A.J.W., Hyder, A.A. and Van As, A.B., (2013). Paediatric burn injuries in South Africa: a 15-year analysis of hospital data. Injury, 44(11), pp.1477-1482

WHO (2023). Enclose fires and limits the height of open flame in domestic environment [online] [Accessed on 1/02/2024] Available at https://www.who.int/news-room/fact-sheets/detail/burns

World Health Organization (WHO.), (2020). Burns, Key facts [Online] Available at http:// www.who.org (Accessed on 24 July 2022)

World Health Organization (WHO)., (2021). Burns, Key facts [Online] Available at https://www.who.int/news-room/fact-sheets/detail/burns (Accessed on 24 July2020)

World Health Organization (WHO)., (2022). Children burn injury global world health organization statistics [Online] Available at www.who.org https://www.google.com/search?q=Children+burn+injury+global+world+hesalth+organization+statistics&rlz=1C1JZAP_enBW927BW928&oq=Children+burn+injury++glo ( Accessed on 29 May 2023]

World Health Organization (WHO), (1986). Ottawa Model of Health Promotion Online https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global- conference/call-for-action.

Downloads

Published

2026-07-10

How to Cite

Herbaye, W., Hamda, S., Ntsiea, V., Agizew, T., & Roos, R. (2026). Children’s Burn Injury Prevention Program in Use in Addis Ababa, Ethiopia. Journal of Health, Medicine and Nursing, 12(4), 1–18. https://doi.org/10.47604/jhmn.3866

Issue

Section

Articles