Qualitative assessment of caustic soda injury in Liberia

Abstract

ObjectivesThis study explored lye (caustic soda, sodium hydroxide) use in Liberia, knowledge about its risks and injury prevention programmes.DesignA qualitative semistructured interview study.SettingFocus groups occurred in six Liberian counties between April and August 2016.PatientsTwo previously identified stakeholder groups included parents of children under 5 years and adults identifying as soap makers.InterventionsInterview guides were written. Participants were recruited by convenience and snowball sampling. Transcribed audio-recorded discussions were analysed using the constant comparative approach.Main outcome measuresParticipants were enrolled until thematic saturation was reached.ResultsNinety-six adults participated. Participants described how lye entered the home, its use, storage, lye-related injuries and treatments, and injury prevention programmes.ConclusionsLye is commonly used and stored in Liberian homes despite recognition of its danger. A successful injury prevention programme must interrupt this cycle and find programming and legislative change to which the community is receptive.