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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 7: Injury Hospitilization

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Strategy. Legislation to Prevent Drowning and Other Injuries

Approach. Support policies and legislation promoting barrier-isolation to protect young children from drowning and other injuries.

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Overview. Mandated safety legislation and policy level interventions have strengthened the reach and impact of injury prevention efforts including drowning.1

Evidence. Moderate. Research has demonstrated the effectiveness of policy interventions to prevent drownings through safety legislation for barrier isolation. 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. State/National leaders.

Outcome. Reduction of childhood injury caused by drowning. 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 “Adopt legislation with barrier-isolation to protect young children from drowning,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of communities with barrier-isolation legislation in place to prevent drowning.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of communities with barrier-isolation legislation in place to prevent drowning.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of parents who use barrier-isolation protection in their homes to prevent drowning as a result of state policies.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of parents who use barrier-isolation protection in their homes to prevent drowning as a result of state policies.

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).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


References:

1 Solomon R, Giganti M, Weiner A, Akpinar-Elci M. Water safety education among primary school children in Grenada. International Journal of Injury Control and Safety Promotion 2013; 20(3): 266–270.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.