INTRODUCTION
death
DISEASE
The disease burden of child drowning remains at a high level, such that it is among the top 10 leading causes of death among children and young people worldwide [The rates of child drowning exhibited a continuing decline in high-income countries (HICs). Prevention strategies in view of the peculiar characteristics of child drowning included promoting multisectoral collaboration, strengthening public awareness of drowning through communication, establishing a national water safety plan and conducting research on the prevention of drowning in HICs [In low- and middle-income countries (LMICs), different prevention strategies may be required according to area due to the significant variation in the characteristics of drowning. Many integral health promotion programs were developed with specific objectives, which included improving health care, developing health behaviours and monitoring the number of accidents. Scholars suggested educating guardians to master supervision skills as a key measure in the prevention of child injury [In China, drowning is the leading cause of death in children aged 1–14 years [In China, three health education programs on the prevention of child drowning for children or parents were implemented in rural areas in Guangdong, Jiangsu, Zhejiang Province, which reduced morbidity/mortality related to drowning in childhood [Intervention strategies, such as enhancing the quality of caregivers through education, which were effective in other countries, may not be feasible in rural areas in China due to regional differences [The study, which used a repeated-measure intervention-control design, conducted a 3-year program to provide intervention to prevent drowning for rural students. The integrated intervention project aimed to explore an effective pattern of prevention for child drowning in rural areas and to examine the feasibility of implementing the program to other LMICs.