Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol

Intentional and unintentional pesticide poisoning is an important public health problem, especially in low- and middle-income countries. Individuals who have been exposed to toxic pesticides, particularly organophosphorus insecticides, need early treatment. Atropine autoinjector devices offer a pote...

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Main Authors: Janet Perkins, Alice Street, Upul Wickramasinghe, Manjula Weerasinghe, Michael Eddleston, Jane Brandt Sørensen
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2024.2434372
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author Janet Perkins
Alice Street
Upul Wickramasinghe
Manjula Weerasinghe
Michael Eddleston
Jane Brandt Sørensen
author_facet Janet Perkins
Alice Street
Upul Wickramasinghe
Manjula Weerasinghe
Michael Eddleston
Jane Brandt Sørensen
author_sort Janet Perkins
collection DOAJ
description Intentional and unintentional pesticide poisoning is an important public health problem, especially in low- and middle-income countries. Individuals who have been exposed to toxic pesticides, particularly organophosphorus insecticides, need early treatment. Atropine autoinjector devices offer a potential solution, allowing storage of effective treatment near agricultural workers’ fields and homes that could be reached within minutes by the worker or fellow villagers to provide first-line emergency care. Here we present the design of a qualitative, formative study that will constitute the first phase of an implementation science study exploring the introduction of atropine autoinjectors in rural villages. This study will employ a qualitative design to investigate the feasibility and operational opportunities and challenges in providing pre-hospital emergency care with atropine autoinjectors in rural communities in Sri Lanka. We will conduct semi-structured interviews, ethnographic observations, oral history interviews, participatory mapping, and focus group discussions in villages and in hospitals. This study will allow the design of an autoinjector intervention that is tailored to specific needs of rural communities, maximise the potential benefits in the villages where they are placed, and contribute to knowledge related to biomedical technologies designed for use in LMICs. It will also contribute to social science scholarship in the context of pesticide poisoning. Study approvals have been obtained from the University of Edinburgh Medical School Research Ethics Committee (23-EMREC-039) and from Ethics Review Committee, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka (ERC/2023/4).
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spelling doaj-art-e49fa579341748cf832f1790564608622025-02-05T12:46:14ZengTaylor & Francis GroupGlobal Health Action1654-98802024-12-0117110.1080/16549716.2024.24343722434372Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocolJanet Perkins0Alice Street1Upul Wickramasinghe2Manjula Weerasinghe3Michael Eddleston4Jane Brandt Sørensen5University of EdinburghUniversity of EdinburghUniversity of PeradeniyaUniversity of EdinburghUniversity of EdinburghUniversity of CopenhagenIntentional and unintentional pesticide poisoning is an important public health problem, especially in low- and middle-income countries. Individuals who have been exposed to toxic pesticides, particularly organophosphorus insecticides, need early treatment. Atropine autoinjector devices offer a potential solution, allowing storage of effective treatment near agricultural workers’ fields and homes that could be reached within minutes by the worker or fellow villagers to provide first-line emergency care. Here we present the design of a qualitative, formative study that will constitute the first phase of an implementation science study exploring the introduction of atropine autoinjectors in rural villages. This study will employ a qualitative design to investigate the feasibility and operational opportunities and challenges in providing pre-hospital emergency care with atropine autoinjectors in rural communities in Sri Lanka. We will conduct semi-structured interviews, ethnographic observations, oral history interviews, participatory mapping, and focus group discussions in villages and in hospitals. This study will allow the design of an autoinjector intervention that is tailored to specific needs of rural communities, maximise the potential benefits in the villages where they are placed, and contribute to knowledge related to biomedical technologies designed for use in LMICs. It will also contribute to social science scholarship in the context of pesticide poisoning. Study approvals have been obtained from the University of Edinburgh Medical School Research Ethics Committee (23-EMREC-039) and from Ethics Review Committee, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka (ERC/2023/4).http://dx.doi.org/10.1080/16549716.2024.2434372pesticide poisoningatropineautoinjectorsimplementation sciencequalitative researchanthropologysri lanka
spellingShingle Janet Perkins
Alice Street
Upul Wickramasinghe
Manjula Weerasinghe
Michael Eddleston
Jane Brandt Sørensen
Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
Global Health Action
pesticide poisoning
atropine
autoinjectors
implementation science
qualitative research
anthropology
sri lanka
title Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
title_full Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
title_fullStr Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
title_full_unstemmed Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
title_short Situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in Sri Lanka – a study protocol
title_sort situational analysis of pesticide poisoning and perceptions of autoinjector devices in rural communities in sri lanka a study protocol
topic pesticide poisoning
atropine
autoinjectors
implementation science
qualitative research
anthropology
sri lanka
url http://dx.doi.org/10.1080/16549716.2024.2434372
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