• Mekonnen Hagos Mekele University


Background: Childhood is a period characterized by increased physical activity. This, coupled with wrong judgment of dangerous and risky situations, leads to increased chances of injury, if daily activities and play are not supervised by care givers.

Objective: This study sets out to evaluate the burden of childhood injury and spotlight the common conditions that predispose to it with view to proffering some solutions.

Methods and Materials: A retrospective analysis was carried out in all children with injury admitted from 1 September 2010 to 30 August 2015 in Mekelle Hospital.

Results:  In this series, there were 508 childhood injuries and the age distribution was 135(26.6%) between 0-4years, 196(38.6%) between 5-9 years and 177(34.8%) between 10-14 years. Most, 196 (38.6.0%) childhood injuries occurred in ages between 5- 9 years  followed by10-14 years of life accounting for 177(34.8%) of the cases. Boys 348(68.5%)were more predominantly affected than girls 160(31.5%). The causes of injury were fall down accident (30.1%), road traffic accident (24.8%), burn injuries(23.8%), puncture wounds (11.2%) and non-fatal interpersonal violence (8.7%). Fall down and road traffic accidents were the top causes of injury in ages between 5–9 and 10-14 years. Among the injury types, fractures accounted for 30.7%. The overall mortality rate was 4.9%, most of which was due to road traffic crashes and burn injuries.

Conclusion: In this study, the rate of pediatric injury appeared to be low in early childhood, while it showed a significant increase in school ages for all kinds of injury. The evidence indicated that most childhood injuries are preventable and that effective preventive measures can significantly reduce injury related childhood morbidity and mortality.

Key wards: Children, Injury type, Outcomes.



Baker SP. The Injury fact book. 2nd edition, 1991; 1-368.

Mathers C. WHO Global burden of disease. 2004 up date; 27-53.

Peden M, Oyegbite K, Ozanne-Smith J, et al. WHO World report on child injury prevention, 2008; 1-22, 31-51.

Emin Kaya and Peter Gosling. A scientific basis for care. Trauma, first edition. 1999;32-67.

Dalton AB. Epidemiology of accidents. Trauma, first edition. 1999; 1-19.

Teklewold F. Accident in childhood. Ethiop Med J 1973; 55:41-6.

Mungadi IA, Abubakar U. Pattern of pediatric trauma in North Western Nigeria. SMJ 2004; Vol. 7(1):86-92.

Gedlu E. Accidental injuries among children in NW Ethiopia. East Afr Med J 1994; 71(12): 807-10.

Abantanga FA, Mock CN. A survey of pediatric trauma in Kumasi, a hospital based study. Ghana Med J 1998; 321:977-80.

Chapp–Jumbo, Adisa AC. Pattern of Trauma among Pediatric in–patients in Nigeria. The Abia State University Teaching Hospital Experience. Euro J of S Research 2009; Vol 29(3): 411-14.

Berhanu N, Abebe GM, Zerihum T. A two year review of injury related admissions to Jimma Hospital SW Ethiopia. Ethiop J health Sci.1998; 8(2):83-8.

Mbembati NAA, Museru L, Leshabari MT. Childhood burn injuries in children in Dar es Salam patterns and perception of prevention. African Safety Promotion 2002; 1(1):42-5.

Abebe GM, Minas WT, Joseph G. Pattern of Accidents Among Children Visiting Jimma University Hospital, SW Ethiopia. Ethiop Med J 2006; 44(4):339-45.

Mekonnen H. The Patterns of Pre-hospital Fatal injuries in Mekelle Hospital, Ethiopia. Ethiop Med J 2008; 46(2):179-83.






Original Article