427 Unveiling insights through social autopsy: enhancing drowning prevention in rural Bangladesh

<h3>Background</h3> This study investigates the circumstances of drowning incidents in rural Bangladesh, initiating a social autopsy led by the Center for Injury Prevention and Research, Bangladesh (CIPRB) under Project BHASA. The aim is to delve into the specifics of these incidents, seeking to understand the underlying circumstances and contributing elements. This proactive approach aims to gather critical insights that can inform strategies for prevention and safety measures. <h3>Objective</h3> Focused on three intervention areas, the study aims to comprehensively understand factors contributing to drowning deaths, especially among children, and subsequently increase community awareness of preventive measures. <h3>Program Description</h3> Between January 2022 and October 2023, 27 children 15 girls and 12 boys lost their lives to drowning in the three intervention areas. CIPRB conducted social autopsies with additional assessments in progress. A total of 2570 people participated in those social autopsy events, including 569 females and 1611 males. The social autopsy in Tiakhali Union involved key stakeholders, such as the Upazila administration, elected local government representatives, journalists, teachers, community people, parents, and others. Additionally, the autopsies were conducted through direct communication with the parents of the casualties, providing firsthand accounts. <h3>Outcomes and Learnings</h3> Stakeholders initiated the closure of hazardous canals prone to child drowning and undertook initiatives to raise community awareness about drowning prevention. Insights from this event highlighted the importance of community involvement, prompt response mechanisms, and the need for infrastructure improvements to prevent similar tragedies. The study also identified the need for infrastructure improvements, such as fencing for identified water bodies, to prevent similar tragedies. <h3>Implications</h3> The findings underscore the urgency of community-based interventions, emphasizing the pivotal role of local leaders and authorities. Recommendations include enhancing water reservoirs, conducting community education on water safety, and establishing channels for immediate assistance to affected families. <h3>Conclusions</h3> The social autopsy provides valuable insights into the complexities surrounding drowning incidents. Collaborative efforts between CIPRB, local authorities, and the community are crucial for preventing future tragedies. Ongoing social autopsies and targeted interventions will further contribute to building a safer environment around water bodies.