Cenderadewi, Muthia, Devine, Susan G., Puspita Sari, Dian, and Franklin, Richard C. (2023) Fatal drowning in Indonesia: understanding knowledge gaps through a scoping review. Health Promotion International, 38 (5). daad130.

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Abstract

Little is known about unintentional drowning deaths in Indonesia, the world’s fourth most populous and largest archipelagic country. This study aimed to describe the epidemiology and risk factors of unintentional drowning in Indonesia and explore existing health promotion and drowning prevention approaches in Indonesia within a socio-ecological health promotion framework. A scoping review, guided by PRISMA-ScR, was conducted to locate peer-reviewed studies and government reports/policy documents published until May 2023, in English or Indonesian language, using MEDLINE (Ovid), CINAHL, Informit, PsycINFO (ProQuest), Scopus, SafetyLit, BioMed Central and Google Scholar, Indonesian journal databases (Sinta, Garuda) and government agencies websites around the terms: drown, swim, flood, hurricane, cyclone, disaster, water rescue and maritime/boat safety. This review identified 32 papers. However, a paucity of information on unintentional drowning rates, risk factors and prevention in Indonesia was noted. The unavailability of a coordinated national drowning data collection system in Indonesia, from which national and subnational subcategory data can be collected, underlines the possibility of under-representation of drowning mortality. The association between various exposures and drowning incidents has not been fully investigated. An over-reliance on individual-focused, behaviour-based, preventive measures was observed. These findings highlight the need for improving drowning surveillance to ensure the availability and reliability of drowning data; and strengthening research to understand the risk factors for drowning and delivery of drowning prevention programs. Further policy development and research focusing on health promotion approaches that reflect a socio-ecological approach to drowning prevention in Indonesia is imperative.

Item ID:	80741
Item Type:	Article (Research - C1)
ISSN:	1460-2245
Keywords:	Drowning, prevention, risk factors, epidemiology, injury, health promotion, health policy, health promoting policies, evidencebased health promotion, low- and middle-income countries, Indonesia
Copyright Information:	© The Author(s) 2023. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/ by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Date Deposited:	23 Oct 2023 23:30
FoR Codes:	42 HEALTH SCIENCES > 4206 Public health > 420604 Injury prevention @ 50% 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion @ 50%
SEO Codes:	20 HEALTH > 2004 Public health (excl. specific population health) > 200408 Injury prevention and control @ 50% 20 HEALTH > 2004 Public health (excl. specific population health) > 200499 Public health (excl. specific population health) not elsewhere classified @ 50%
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