Integrated intervention
DISEASE, CROSS
This program was implemented from July 2014 to December 2016. The intervention group received the integrated intervention, which included systematic health education, community actions, policies promotion strategies and environmental improvement (Components of integrated intervention and measurement timesFurthermore, all students and their families and teachers in the intervention group underwent health education. For students, the Guangdong Provincial Centre for Disease Control and Prevention and the Red Cross Society of Guangdong Province and its volunteers provided regular systematic health education (knowledge about drowning, prevention skills about water safety training, self-rescue skills, rescue skills through health manuals, bulletins and lectures). The guardians of students in the intervention group (including new students in Grade 3) received health manuals, bulletins and lessons in water safety, high-risk factors and supervision skills. Demonstrations of drowning prevention skills (self-rescue and rescue skills) were performed in all schools for the intervention group for the majority of teachers (class teachers, gym teachers and Principals of Security).Community actions were conducted by village committees, which organized villagers to establish river patrol parties and childcare teams to monitor the water and supervise students. The local government issued a document that outlined the responsibilities of relevant institutions in implementing environmental improvement and the rescue of drowning children. These strategies included surrounding the water with bamboo fences or barriers and building self-latching gates for houses.For the control group, general safety education manuals were distributed to the participants (including their guardians and teachers). After the project, the control group also received the same intervention for drowning prevention (Model for the implementation of the integrated intervention for the prevention of children drowning in Guangdong Province, China, using a cluster randomized controlled trial.