Developing Healthcare and Safety (HCS) Framework to Reduce Mortality in Childcare Centres

Authors

  • Sitti Fatimah Ajui Faculty of Health Sciences, Universiti Teknologi MARA, Penang Branch Bertam Campus, Pulau Pinang, Malaysia
  • Rusnani Ab. Latif Faculty of Health Sciences, Universiti Teknologi MARA, Penang Branch Bertam Campus, Pulau Pinang, Malaysia
  • Wan Ismahanisa Ismail Faculty of Health Sciences, Universiti Teknologi MARA, Penang Branch Bertam Campus, Pulau Pinang, Malaysia
  • Abdul Nasir Faculty of Vocational Studies, Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.21834/e-bpj.v10iSI35.7490

Keywords:

Child Mortality, Healthcare and Safety Framework (HCS), Childcare Centres, Delphi technique

Abstract

Child mortality in Malaysian childcare centres remains a concern due to limited caregiver training and inadequate safety practices. This paper reports on an ongoing study aimed at developing a Healthcare and Safety (HCS) framework to mitigate deaths in registered childcare centres. Using a mixed-method exploratory sequential design, Phase I involves focus group discussions with 20 childcare workers in Seberang Perai Tengah, Penang. Phase II uses a three-round Delphi technique with ten expert panels to validate framework. The findings may inform improvements to existing childcare modules and support Sustainable Development Goal 3, promoting safer childcare environments and better health outcomes.

References

Abdul Mutalib, M. (2022). Enhancing physical environment of childcare centres in Malaysia through legal analysis. Southeast Asia Early Childhood Journal, 11(2), 125–134. https://doi.org/10.37134/saecj.vol11.2.8.2022

Abuhammad, S. (2021). Parents' knowledge and attitude towards COVID-19 in children: A Jordanian study. International Journal of Clinical Practice, 75(2), e13671. https://doi.org/10.1111/ijcp.13671

Anom. (2020). 80% pengasuh taska tak miliki kelayakan minimum. Berita Harian. https://www.bharian.com.my/berita/nasional/2018/08/461004/80-pengasuh-taska-tak-miliki-kelayakan-minimum

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191

Chakraborty, D., & Siddika, M. (2024). Health and safety protocols in early childhood education: Best practices and challenges. Global Mainstream Journal. https://doi.org/10.62304/jhmhm.v4i01.224

De Oliveira Maia, M., Brandão, E., & Morais, I. (2025). A importância da continuidade da assistência de enfermagem na primeira infância: Uma revisão narrativa. Revista FT. https://doi.org/10.69849/revistaft/pa10202506252011

Dzulkifli, S. (2025, November 4). Rise in children at risk in Malaysia. Asia News Network. https://asianews.network/rise-in-children-at-risk-in-malaysia/

Ghanbari, S., Ramezankhani, A., Montazeri, A., & Mehrabi, Y. (2021). Health belief model as a predictor of sun protective behaviors among female students: A theory-based interventional study. Health Education Research, 36(2), 180–191. https://doi.org/10.1093/her/cyab001

Jabatan Kebajikan Masyarakat (JKM). (2020). Laporan statistik 2020. Putrajaya: Bahagian Kawalan Standard, Jabatan Kebajikan Masyarakat, Kementerian Pembangunan Wanita, Keluarga dan Masyarakat.

JABATAN KEBAJIKAN MALAYSIA. (2023). LAPORAN STATISTIK 2023. https://www.jkm.gov.my/uploads/content-downloads/file_20241025161832.pdf

Jullien, S. (2021). Prevention of unintentional injuries in children under five years. BMC Pediatrics, 21. https://doi.org/10.1186/s12887-021-02517-2

Madewell, Z., Whitney, C., Velaphi, S., Mutevedzi, P., Mahtab, S., Madhi, S., Fritz, A., Swaray-Deen, A., Sesay, T., Ogbuanu, I., Mannah, M., Xerinda, E., Sitoe, A., Mandomando, I., Bassat, Q., Ajanovic, S., Tapia, M., Sow, S., Mehta, A., ... Blau, D. (2022). Prioritizing health care strategies to reduce childhood mortality. JAMA Network Open, 5. https://doi.org/10.1001/jamanetworkopen.2022.37689

Mendes, P., De Jesus Mateus, L., & Costa, P. (2020). Does a playful intervention promote hand hygiene? Compliance and educator’s beliefs about hand hygiene at a daycare center. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2019.08.017

Michel, J., Ilg, T., Neunhoeffer, F., Hofbeck, M., & Heimberg, E. (2022). Implementation and evaluation of resuscitation training for childcare workers. Frontiers in Pediatrics, 10. https://doi.org/10.3389/fped.2022.824673

Mutalib, M., Saimin, R., Khan, I., Ghafar, A., & Saleh, N. (2024). Legal requirements of home-based childcare centres in Malaysia: Are childcare providers aware? Malaysian Journal of Syariah and Law. https://doi.org/10.33102/mjsl.vol12no2.517

Oloo, L., Elsey, H., Abboah-Offei, M., Kiyeng, M., Amboka, P., Okelo, K., Kitsao-Wekulo, P., Kimani-Murage, E., Langa’t, N., & Nampijja, M. (2023). Developing an intervention to improve the quality of childcare centers in resource-poor urban settings: A mixed methods study in Nairobi, Kenya. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1195460

Ova. (2025, February 21). KPWKM: 8 cases of child deaths, 34 cases of child abuse at childcare centres from 2020 to 2024. Ova. https://ova.galencentre.org/kpwkm-8-cases-of-child-deaths-34-cases-of-child-abuse-at-child-care-centres-from-2020-to-2024/

Robb, K. A., Gatting, L., & Wardle, J. (2020). What impact do questionnaire length and monetary incentives have on mailed health psychology survey response? British Journal of Health Psychology, 22(4), 671–685. https://doi.org/10.1111/bjhp.12255

Saari, E., Aziz, N., Rasli, R., Mustafa, M., & Yassin, S. (2022). Early childhood education of children with special needs in Malaysia: A focus on current issues, challenges, and solutions. World Journal of English Language. https://doi.org/10.5430/wjel.v12n2p274

Sleet, D. A. (2020). The global challenge of child injury prevention. International Journal of Environmental Research and Public Health, 15(9), 1921. https://doi.org/10.3390/ijerph15091921

Tavares, L., & Adamson-Macedo, E. (2023). Child mortality remains a serious public health problem. Journal of Human Growth and Development. https://doi.org/10.36311/jhgd.v33.14383

World Bank. (2021). Under-five mortality rate (per 1,000 live births) – Malaysia. World Bank Open Data. https://data.worldbank.org/

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Published

2025-11-30

How to Cite

Ajui, S. F., Ab. Latif, R., Ismail, W. I., & Nasir, A. (2025). Developing Healthcare and Safety (HCS) Framework to Reduce Mortality in Childcare Centres . Environment-Behaviour Proceedings Journal, 10(SI35), 69–75. https://doi.org/10.21834/e-bpj.v10iSI35.7490

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