ArticleFrontiers in public health2025
What safety can we talk about when all we see is difficulty? The impact of geographic and cultural determinants of unintentional injury in rural and mountainous Mugu, Nepal.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
Introduction: Unintentional injuries are a significant health concern in rural Nepal, where geographic isolation and limited healthcare infrastructure exacerbate their impact. In the remote district of Mugu, primary caregivers of children navigate complex physical and social landscapes daily. This study explores how primary caregivers perceive the determinants of injury. By examining the interplay of environmental, social, and infrastructural determinants shaping injury risks, the findings provide insights into the unique challenges of injury in rural settings. Methods: In 2017, seven focus group discussions were conducted with 56 participants (95% female) in Mugu, Nepal. Using Braun and Clarke's thematic analysis framework, transcripts were analysed inductively, using NVivo 14 to assist with coding and identification of themes. Results: Five themes were identified; "Precarious environment," "Limited choices due to life precarity," "Gendered labour roles," "Perceived control over injuries," and "Healthcare access and quality," with environment and gender underpinning all themes. Unintentional injuries were normalised, and outdoor environmental risks perceived as beyond primary caregivers' control. Conversely, some agency was expressed in home safety practices. Fatalistic beliefs served as coping mechanisms. Barriers to healthcare access led to reliance upon traditional remedies, adversely affecting injury outcomes. Discussions: Environmental, gender and socio-cultural factors shape injury patterns and prevention opportunities in Mugu. Primary caregivers face constrained options for prevention. However, local, municipality level policies which are socio-culturally relevant and tailored to meet caregiver needs, alongside infrastructure improvements, provide an opportunity to mitigate injury risks and also reduce associated socioeconomic impacts.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.