Knowledge and practices related to wound care among rural adults in Aligarh, India: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20264088Keywords:
Wound care, First aid, Rural population, Traditional practices, WHO guidelinesAbstract
Background: Wounds are common in rural Indian communities, often due to occupational hazards and accidents. Although evidence-based acute wound care guidelines exist, local beliefs, limited resources, and low awareness often lead to traditional remedies of uncertain safety and efficacy. Proper wound care is essential to prevent infection, delayed healing, and complications. This study aimed to assess wound care knowledge and practices among rural adults in Aligarh district and examine their association with educational status.
Methods: A community-based cross-sectional study was conducted from April to June 2026 among 378 adults aged ≥18 years in a village served by the Rural Health Training Centre of J. N. Medical College, Aligarh. Participants were selected by systematic random sampling. A pretested semi-structured questionnaire assessed sociodemographic characteristics, wound care knowledge, and practices. Descriptive statistics and chi-square tests were used, with p<0.05 considered significant.
Results: Of the participants, 55.3% were female and 62.2% were illiterate or educated up to primary level. Nearly half (49%) used traditional substances such as turmeric, ash, or toothpaste on wounds. Only 19.8% cleaned wounds with plain water, 19.0% with soap and water, 38% knew about tetanus prophylaxis, and 30.9% sought medical consultation within 24 hours. Higher education was significantly associated with correct wound care practices (p<0.001).
Conclusions: The study shows major gaps in wound care knowledge and practices among rural adults in Aligarh, with education influencing safer practices. Community-based education and integration of WHO wound care guidance into primary healthcare are needed to improve outcomes.
References
Shabadi N, Anil D, Vanmathi A, Hegde S, Nagendra L, Kruthika BN, Kumar S. Are farmers aware of first aid measures for their injuries-a survey in rural Karnataka, India. Int J Commu Med Publ Heal. 2023;10(3):1161-5.
Sarma B, Choudhury K, Sarma D. Experience with burn prevention program in north eastern India. Med Res Arch. 2021;9(7).
World Health Organization. Wound management: best practice safety protocols, 2023.Available at: https://www.who.int/docs/default-source/documents/publications/prevention-and-management-of-wound-infection.pdf. Accessed on 3 July 2026.
Pallavisarji U, Gururaj G, Girish RN. Practice and perception of first aid among lay first responders in a southern district of India. Arch Trauma Res. 2013;1(4):155-60.
Semwal J, Juyal R, Singh M, Kandpal SD. Rapid assessment of first aid awareness amongst the rural community of Doiwala block, Dehradun. Ind J Commu Health. 2013;25(3):262-4.
Wound Care University. Effective Wound Care Management: 20 Key Principles To Know, 2024. Available at: https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://woundcareuniversity.com/effective-wound-care-management-20-key-principles-to-know/&ved=2ahUKEwjHk9CIopWWAxUua2wGHeTVJooQFnoECCwQAQ&usg=AOvVaw3MDnpWFHa1KATDFnwqqdxU. Accessed 10 August 2026.
Yilmaz E, Andsoy II. Traditional and modern practices in wounds and burn injuries in a population of North Western Turkey. Burns. 2020;46(6):1436-1443.
Sharma A, Srivastava V, Shankar R, Yadav AK, Ansari MA, Gupta SK, et al. Epidemiological profile of chronic wounds in an Indian population: a community-based cross-sectional observational study. Cureus. 2024;16(9).
Sahu RK, Jena H, Jana S, Chakraborty D. Cross sectional study of knowledge, attitude and practices regarding prevention and first aid details of burn injuries among rural caregivers in field practice area of tertiary health care hospital in Odisha. Int Medi. 2024;10(1).
Rekha Sonavane RS, Aravind Kasturi AK, Deepthi Kiran DK, Chikkaraju C, Rathna Kumari RK. Knowledge and assessed practice regarding first aid among mothers of under 15 years children-a community based study in a rural area of south India. Al-ameen J Med Sci. 2014;7:284-90.
Abdalla S, Abdel Aziz M, Basheir I, Sudan Household Health Survey 2010 national management team. Seeking care from a traditional healer after injury in Sudan: an exploratory cross-sectional analysis. Int Health. 2020;12(3):177-83.
Alkalash SH, Alzubaidi KM, Alessa SZ, Alzubaidi RH, Alharbi KA, Alshihabi FH, et al. Public knowledge, attitude and practice towards wound care in the Saudi western region: a cross-sectional study. J Advan Trends Med Res. 2025;2(4):862-75.
Bal A, Vaidya S, Parakh R, Belehalli P, Periasamy M, Thomas J, et al. Assessment of chronic wound patients' journey in India: a survey of the perspectives of healthcare professionals and patients. Wounds Int. 2023;14(4):22.
Wadagni AC, Yao TA, Diez G, Balle FH, Koffi AP, Aoulou P, et al. Community based integrated wound care: Results of a pilot formative research conducted in Benin and Côte d’Ivoire, West Africa. PLOS Global Public Health. 2024;4(2):e0002889.
Allegranzi B, Bischoff P, De Jonge S, Kubilay NZ, Zayed B, Gomes SM, et al. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. Lancet Infect Dis. 2016;16(12):e276-87.
Chen P, Vilorio NC, Dhatariya K, Jeffcoate W, Lobmann R, McIntosh C, et al. Guidelines on interventions to enhance healing of foot ulcers in people with diabetes (IWGDF 2023 update). Diabetes/Metabolism Res Rev. 2024;40(3):e3644.
The Royal Childrens Hospital, Melbourne. Nursing guidelines: Wound assessment and management. Available at: https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_assessment_and_management. Accessed 01 June 2026.
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