{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:44:35Z","timestamp":1787161475165,"version":"build-2736575974"},"reference-count":31,"publisher":"BMJ","funder":[{"name":"Australian Department of Foreign Affairs and Trade Direct Aid Program","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2026,8,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Drowning among school-aged children remains a burden in low- and middle-income countries (LMICs). Survival swim training is a WHO-recommended intervention that enables children to survive water-related mishaps. The project piloted the\n                      <jats:italic>SwimSafe<\/jats:italic>\n                      programme in two schools in the high-burden state of Kerala, India, and assessed for feasibility of implementation in this context.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Children aged 5\u201312 years with no swimming ability were enrolled in 12 sessions which taught float and swim skills in portable pools. Quantitative performance was assessed at baseline and endline against international standards, including the 30-second float and 25-metre swim. Qualitative data from participants, implementers and policy stakeholders assessed feasibility and acceptability. Data was analysed against the Acceptability, Practicability, Effectiveness, Affordability, Safety, Equity (APEASE) framework to assess context suitability and opportunities for scalability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>309 children participated, of which 68% attended all sessions and were assessed at endline. Of these, 15.9% passed all criteria though 53.1% swam at least 10\u2009m. Lower success was attributed to an inadequate number of classes. The programme was found to be acceptable and feasible to implement, provided long-term funding was identified for instructor salaries and pool maintenance. Lower performance was identified in younger children aged 6\u20137 years and girls. Younger children may have experienced discomfort due to chlorine and water depth, affecting learning. The infrastructure cost per pool was US$3600, and the running cost per student was US$8. No safety issues were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The\n                      <jats:italic>SwimSafe<\/jats:italic>\n                      pilot provided insights on how a broader drowning-prevention programme may be sustained in a school setting in high-risk LMIC regions.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2025-046057","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:20:20Z","timestamp":1787160020000},"page":"ip-2025-046057","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Piloting a portable pool-based survival swim programme in Kerala, India"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6558-8373","authenticated-orcid":false,"given":"Medhavi","family":"Gupta","sequence":"first","affiliation":[{"name":"Injury Division, The George Institute for Global Health India, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria","family":"Benny","sequence":"additional","affiliation":[{"name":"Injury Division, The George Institute for Global Health India, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Gyaase","sequence":"additional","affiliation":[{"name":"Injury Division, The George Institute for Global Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratishtha","family":"Singh","sequence":"additional","affiliation":[{"name":"Injury Division, The George Institute for Global Health India, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Penny","family":"Larsen","sequence":"additional","affiliation":[{"name":"Royal Life Saving Society Australia, Broadway, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5276-9095","authenticated-orcid":false,"given":"Jagnoor","family":"Jagnoor","sequence":"additional","affiliation":[{"name":"Injury Division, The George Institute for Global Health India, New Delhi, Delhi, India"},{"name":"Injury Division, The George Institute for Global Health, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"2026081910201190000_ip-2025-046057v1.1","unstructured":"World Health Organization . 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