Background Use of a child health record book has long been established in Malaysia. The objective of the study was to determine the proportion of optimum child health record book utilization and its associated factors among parents attending government child health clinics in Putrajaya, the administrative capital of Malaysia. Methods A cross‐sectional study was conducted among randomly selected group of 450 parents using a self‐administered questionnaire. Optimum utilization of the book was defined as respondents reading all sections and recording comments in the book. Independent variables studied were sociodemographic characteristics; antenatal and breastfeeding history; child health and immunization status; perceptions and level of knowledge on the book and child health; and healthcare providers' performance. A multiple logistic regression analysis was used to identify the associated factors of optimum utilization. Results Out of 450 study participants, 415 completed the questionnaire and 150 (36.1%) were found to optimally utilized the book. Participants who read all sections totalled 245 (59.0%), and 242 (58.3%) respondents reported to record some comments in the book. Optimum utilization of the book was associated with older parents' age (adjusted odds ratio [AOR]: 1.06, 95% confidence interval [CI] 1.01–1.11) and higher education attainment (AOR: 2.21, 95% CI 1.24–3.91), with a good level of knowledge on child health record books and general child health (AOR: 3.87, 95% CI 2.27–6.61; AOR: 2.05, 95% CI 1.25–3.36) and among parents who delivered their children in government hospitals (AOR: 2.93, 95% CI 1.11–7.73). Conclusions The prevalence of child health record book utilization was low at 36.1% but difficult to compare with other studies. Based on the findings, improving the parents' knowledge of the book and general child health, particularly among younger parents with lower educational levels, and delivering the book to institutions outside government hospitals might be useful to increase the utilization.

Background: Unintentional injuries to children have significant impact on child mortality and mortality. Health education is one of the important strategies in the childhood injury prevention which involve various methods and techniques. The aim of the review is to provide narrative findings of systematic review of different methods of delivery for health education intervention to reduce unintentional childhood injuries among parents and caregivers in primary care setting. Methods: The systematic review was guided by PRISMA guidelines. The searched databases included Medline, CINAHL, PubMed, ProQuest and Ovid. All report titles and abstracts were screened using pre-defined criteria. Peer-reviewed journal and grey literature published from 1 January 2010 to 31 May 2020 were included. Two independent reviewers select studies, extracted data, checked accuracy, assessed risk of bias and assessed the quality of each article selected. Articles were included if they were peer-reviewed and published in English language. Data was extracted and analysed using narrative synthesis approach. Results: 325 articles were identified during initial search strategy. Duplicates were removed and article were screened by title and abstract. Final eight articles were selected and reviewed. Risk of bias for each study were assessed using Cochrane Risk of Bias tool. The systematic review synthesized the characteristics of the selected studies and features of delivery methods of health education intervention. All the reviewed paper concluded their intervention was effective in achieving their objectives which is improving the knowledge, attitude, and safety practice for injury prevention. Majority of the intervention supplemented their education intervention with printed materials such as pamphlets and booklets. Half of the intervention were delivered by healthcare professionals. This review provides fresh narrative evidence on the latest delivery methods for health education in injury prevention to the parents and caregivers. Conclusion: Majority of the studies reported using a combination of various methods of delivery in their intervention and proven to be effective. However, there is a gap in term of use of technology and economic evaluation of each methods that can be addressed in future research and practice. Study registration: The study was registered with PROSPERO International Prospective Register of Systematic Review (CRD:42020202753).