Method A survey was carried out amongst 51 health visitors and 7 nursery nurses attached to practices (n=47) from deprived areas who participated in a large injury prevention randomised controlled trial.
Results The response rate was 97%. The most commonly cited barrier to injury prevention work in deprived areas was finance/cost to families and this was mentioned by 59% (n=32) of the respondents. Parental attitudes and understanding was considered to be important for nearly half (48%, n=26) the respondents. Their views about what actions could be initiated at national and local levels to improve injury prevention work in deprived areas are described. At a national level 52% (n=27) of respondents suggested public awareness should be raised, and 14 (25%) of these mentioned using television for this purpose. Approximately one-third (32%, n=17) commented that at a local level, parental awareness should be raised in as many places as possible.
Conclusions Health visitors and nursery nurses who responded appear to focus on child injury prevention at the micro level rather than at a broader public health level. In addition, many commented on barriers or constraints placed upon them. Further support will be needed if they are to develop a family centred public health approach.
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