Systematic review of strategies to increase use of oral rehydration solution at the household level

BMC Public Health

Review

Lindsey M Lenters¹  Zulfiqar A Bhutta²  Jai K Das³ 

[1] Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON, Canada;Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON, Canada;Division of Woman and Child Health, Aga Khan University, Karachi, Sindh, Pakistan;Division of Woman and Child Health, Aga Khan University, Karachi, Sindh, Pakistan;

关键词: Diarrhea;    Social Marketing;    Oral Rehydration Solution;    Acute Diarrhea;    Childhood Diarrhea;   

DOI  :  10.1186/1471-2458-13-S3-S28

来源: Springer

【 摘 要 】

BackgroundDiarrhea is one of the major causes of death in children under five years of age, disproportionately affecting children in low- and middle-income countries. Treatment of diarrhea with oral rehydration solution addresses dehydration and reduces diarrhea related deaths. The World Health Organization Programme for the Control of Diarrhoeal Disease began in 1978 and while global ORS access rates have improved substantially over the past forty years, rates of ORS use have stagnated. Investigation is required to understand which interventions are effective in promoting the use of ORS, and where there are gaps in the literature.MethodsWe conducted a systematic search of peer-reviewed and grey literature and included interventions to promote the use of ORS for the treatment of acute diarrhea in children under 6 years. We used a standardized grading format based on the Child Health Epidemiology Research Group guidelines and performed meta-analysis for all categories with more than one data point.ResultsWe identified 19 studies for abstraction. For co-promotion of zinc and ORS, mothers in the intervention group were 1.82 (95% CI 1.17, 2.85) times more likely to use ORS to treat their child’s diarrhea episode than mothers in the comparison group. Meta-analysis of ORS social marketing and mass media strategies indicates that mothers exposed to messages were 2.05 (95% CI, 0.78, 5.42) times more likely to use ORS to treat their child’s diarrhea episode than unexposed mothers. However, this is not statistically significant. Both meta-analysis had significant heterogeneity and were graded as moderate/low and low quality, respectively.ConclusionsWe found few studies of interventions to promote the use of ORS; many categories of interventions had only one study. While there are some promising results, this analysis reinforces the need for further investigation into approaches to increasing ORS use.

【 授权许可】

Unknown   
© Lenters et al; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.