Encouraging Caregiver Use of Zinc and ORS for the Treatment of Pediatric Diarrheas

MacDonald, Vicki; Banke, Kathryn; Sanders, Emily

doi:10.9734/ejnfs/2015/21128

Cited by 2 publications

(3 citation statements)

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“…Diarrhea is still the major cause of death in children under 5 years of age in Pakistan, contributes 20-30% of these deaths [26]. Our approach of combining effective interventions of low osmolality ORS, Zinc, water purification sachets coupled with education and counseling and delivering this pack at domestic level through community health workers was found to be effective for the treatment of diarrhea in young children.…”

Section: Discussionmentioning

confidence: 99%

“…Pakistan has a high diarrhea burden and is consistent over a decade the latest PDHS revealed a 22% prevalence of diarrhea in last two weeks of these only 41% received ORS. Diarrhea is still the major cause of death in children under 5 years of age in Pakistan, contributes 20-30% of these deaths [ 26 ].Our approach of combining effective interventions of low osmolality ORS, Zinc, water purification sachets coupled with education and counseling and delivering this pack at domestic level through community health workers was found to be effective for the treatment of diarrhea in young children. Although these interventions have been tested and found to be effective individually and in groups [ 22 , 27 ] and diarrhea treatment kits have been tested for acceptability elsewhere [ 21 ] but this is for the first time that a Diarrhea Pack was used and tested for the acceptability and effectiveness at a community level using first level health care providers and a social marketing approach.…”

Section: Discussionmentioning

confidence: 99%

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A study to evaluate the acceptability, feasibility and impact of packaged interventions (“Diarrhea Pack”) for prevention and treatment of childhood diarrhea in rural Pakistan

et al. 2013

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BackgroundDiarrhea remains one of the leading public health issues in developing countries and is a major contributor in morbidity and mortality in children under five years of age. Interventions such as ORS, Zinc, water purification and improved hygiene and sanitation can significantly reduce the diarrhea burden but their coverage remains low and has not been tested as packaged intervention before. This study attempts to evaluate the package of evidence based interventions in a “Diarrhea Pack” through first level health care providers at domiciliary level in community based settings. This study sought to evaluate the acceptability, feasibility and impact of diarrhea Pack on diarrhea burden.MethodsA cluster randomized design was used to evaluate the objectives of the project a union council was considered as a cluster for analysis, a total of eight clusters, four in intervention and four in control were included in the study. We conducted a baseline survey in all clusters followed by the delivery of diarrhea Pack in intervention clusters through community health workers at domiciliary level and through sales promoters to health care providers and pharmacies. Four quarterly surveillance rounds were conducted to evaluate the impact of diarrhea pack in all clusters by an independent team of Field workers.ResultsBoth the intervention and control clusters were similar at the baseline but as the study progress we found a significant increase in uptake of ORS and Zinc along with the reduction in antibiotic use, diarrhea burden and hospitalization in intervention clusters when compared with the control clusters. We found that the Diarrhea Pack was well accepted with all of its components in the community.ConclusionThe intervention was well accepted and had a productive impact on the uptake of ORS and zinc and reduction in the use of antibiotics. It is feasible to deliver interventions such as diarrhea pack through community health workers in community settings. The intervention has the potential to be scaled up at national level.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A study to evaluate the acceptability, feasibility and impact of packaged interventions (“Diarrhea Pack”) for prevention and treatment of childhood diarrhea in rural Pakistan

et al. 2013

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“…11 MacDonald et al conducted household surveys in six countries upon caregiver's behavior about use of ORS and Zinc in paediatric diarrhea and found that only 12% mothers in Pakistan were aware of the correct use of Zinc. 12 Diarrhea starts at home and is first managed by mothers at home. Inadequate knowledge may lead to delay in appropriate intervention.…”

Section: Original Articlementioning

confidence: 99%

Use of Zinc and Oral Rehydration Solution in Home Management of Diarrhea: Knowledge of Mothers of attending a Tertiary Care Hospital

Riaz¹,

Muntaha²,

Qibtia³

et al. 2019

JIMDC

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Background: Diarrhea is the second leading cause of mortality in children below 5 years of age in Pakistan. Use of Zinc and ORS has been proven in clinical trials to be beneficial in reducing morbidity and mortality. Poor knowledge regarding home management of diarrhea leads to mortality due to severe dehydration. The objective of this study was to assess the level of knowledge of mothers of under five-year-old children regarding, diarrheal home management in Cantonment General Hospital, Rawalpindi. Material and Methods: This was an observational cross-sectional study carried out at Department of Pediatrics, Cantonment General Hospital, Rawalpindi, from 1st August, 2017 to 31st January, 2018. About 400 mothers of under five-year-old children, coming to the outpatient department of the hospital were enrolled in this study. A self-designed structured and validated questionnaire was used to assess the level of knowledge of mothers regarding home management of diarrhea using Oral Rehydration Solution (ORS) and Zinc. Data was analyzed using SPSS version 23 with a p value < 0.05 considered statistically significant. Results: About 91% (n=364) of mothers had awareness regarding use of ORS as a means of diarrheal home management. Regarding level of knowledge variable results were found. A good percentage of mothers had knowledge of the purpose of ORS use (78.3%), administration (60%) and initiation of ORS (68%), but only 20.8% mothers rightly answered the timing of ORS administration. Mothers knowledge about the use of zinc, daily administration and duration of administration (10-14 days) was 38.8% ,20.5% and 17.3% respectively. Mothers who were more educated especially secondary and above and of the age group 22-31, had better awareness of ORS than others, as P value is less than 0.05. Among mothers who were aware of the use of ORS, only 41.8% of them were also aware of the use of zinc. Conclusion: A high awareness level regarding ORS use in mothers was reflected fairly in terms of purpose, administration and initiation of ORS but the knowledge of mothers regarding use of zinc and timing of ORS administration, in home management of diarrhea is still lacking.

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Encouraging Caregiver Use of Zinc and ORS for the Treatment of Pediatric Diarrheas

Cited by 2 publications

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A study to evaluate the acceptability, feasibility and impact of packaged interventions (“Diarrhea Pack”) for prevention and treatment of childhood diarrhea in rural Pakistan

A study to evaluate the acceptability, feasibility and impact of packaged interventions (“Diarrhea Pack”) for prevention and treatment of childhood diarrhea in rural Pakistan

Use of Zinc and Oral Rehydration Solution in Home Management of Diarrhea: Knowledge of Mothers of attending a Tertiary Care Hospital

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