MCHbest. NPM 7: Injury Hospitilization
Strategy. Home Visiting Interventions to Prevent Child Injury
Approach. Conduct home visiting programs that include safety discussions, informational materials, and free safety devices to reduce household hazards.
Overview. Home visitors can play an essential role in raising awareness about injury hazards, identifying risk and protective factors in the home, and teaching parents and caregivers how to prevent injuries in a culturally competent and developmentally appropriate way.1, 2
Evidence. Moderate. Research shows that home visiting can be highly effective in preventing unintentional injuries that happen in and around the home, such as fires, burns and scalds, falls, poisoning and general home safety. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Parents/caregivers.
Outcome. Reduction of unintentional child injuries in the home. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the “Intervention Results” for each study.
Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM. You may also want to look at evidence that supports educational programs in other NPM topic areas that can be translated to this specific topic area.
Sample ESMs. Using the approach “Conduct home visiting programs with safety discussions, informational materials, and free safety devices to reduce household hazards,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Duchossois GP, Nance ML, Garcia-Espana JF, & Flores J. Sustainability of an in-home fire prevention intervention. Journal of Trauma Nursing 2009; 16(4): 194–200.
2 Odendaal W, van Niekerk A, Jordaan E, Seedat M. The impact of a home visitation programme on household hazards associated with unintentional childhood injuries: A randomised controlled trial. Accident Analysis and Prevention 2009; 41(1): 183-190.