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    Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions

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    Homemade ORT a community trial comparing the acceptability.pdf (4.438Mb)
    Date
    1991
    Publisher
    Bulletin of the World Health Organization
    Author
    Chowdhury, AMR
    Karim, F.
    Rohde, J.E.
    Ahmed, J.
    Abed, F.H.
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/10361/13299
    Citation
    Chowdhury, A. M., Karim, F., Rohde, J. E., Ahmed, J. & Abed, F. H. (‎1991)‎. Oral rehydration therapy: a community trial comparing the acceptability of homemade sucrose and cereal-based solutions.. Bulletin of the World Health Organization, 69 (‎2)‎, 229 - 234. World Health Organization. https://apps.who.int/iris/handle/10665/261296
    Abstract
    Sugar-based oral rehydration therapy (ORT) for diarrhoea is promoted in many countries of the world. One programme in Bangladesh has instructed more than 13 million mothers in the preparation of a sugar-salt solution in the home; despite very high rates of correct mixing and knowledge, subsequent application was found in only some 20% of all diarrhoea episodes. Since rice is far more available in rural homes (95%) than any type of sugar (30%) and rice gruel is a widely accepted food during illness, a field trial was conducted in three areas (total population, 68,345) to compare the acceptability and use of rice-based ORT with that of sugar-based ORT. Although the mothers unanimously agreed that the rice-based solutions "stopped" the diarrhoea more quickly, they used the sugar-based solutions twice as often (in 40% of severe watery episodes) as the rice-based solutions (in 18%), because the rice-ORT was much more time-consuming and difficult to prepare. The observed reduced utilization of home-made rice-ORT makes it a poor substitute for sugar-ORT at the community level in rural Bangladesh. PIP: Sugar-based oral rehydration therapy (ORT) for diarrhea is promoted in many countries in the world. 1 program in Bangladesh has instructed more than 13 million mothers in the preparation of a sugar-salt solution in the home; despite very high rates of correct mixing and knowledge, subsequent application was found in only some 20% of all diarrhea episodes. Since rice is far more available in rural homes (95%) than any type of sugar (30%) and rice gruel is a widely accepted food during illness, a field trial was conducted in 3 areas (total population=68,345) to compare the acceptability and use of rice-based ORT with that of sugar-based ORT. Although the mothers unanimously agreed that the rice-based solutions stopped the diarrhea more quickly, they used the sugar-based solutions twice as often (in 40% of severe watery episodes) as the rice-based solutions (in 18%), because the rice ORT was more time-consuming and difficult to prepare. The observed reduced utilization of homemade rice-ORT makes it a poor substitute for sugar-ORT at the community level in rural Bangladesh. (author's).
    Keywords
    Oral rehydration solutions
    LC Subject Headings
    Public health.; Rural health--Bangladesh.
    Publisher Link
    https://apps.who.int/iris/handle/10665/261296
    Collections
    • AMR Chowdhury Publications Volume I: 1978-1991

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