Community-Based Strategies to Prevent Child Injuries in Rural China

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In a cluster randomized trial across 24 rural Chinese communities, CnC-HSS was evaluated in 360 households with children aged 3 to 12 years.
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Trained civil society social workers delivered three monthly home visits and a month 4 follow-up using standardized home safety and first aid tool kits.
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Over 4 months, injury incidence was 11.8% in intervention households and 19.1% in control households; adjusted odds of injury were lower with intervention (aOR, 0.36; 95% CI, 0.18-0.73).
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At month 4, adjusted caregiver supervisory behavior scores were 17.08 points higher and household environmental hazard scores were 36.66 points lower in the intervention group.
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The trial showed short-term proof of concept, but longer follow-up, stronger injury outcome ascertainment, and delivery-cost assessment are needed to inform broader implementation.

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