Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh

Oral rehydration therapy (ORT) is being widely promoted in developing countries but the socio-cultural aspects of diarrhea are often poorly investigated prior to planning the programs. Since 1980 the Bangladesh Rural Advancement Committee (BRAC) a non-governmental organization has promoted a home-ma...

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Autors principals:	Chowdhury, AMR, Vaughan, J Patrick
Format:	Research report
Idioma:	English
Publicat:	International Centre for Diarrhoeal Disease Research, Bangladesh 2019
Matèries:	Diarrhoea Oral rehydration solutions Rural health > Bangladesh. Diarrhea in children > Bangladesh.
Accés en línia:	http://hdl.handle.net/10361/13293

id	10361-13293
record_format	dspace
spelling	10361-132932019-12-17T21:01:14Z Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh Chowdhury, AMR Vaughan, J Patrick Diarrhoea Oral rehydration solutions Rural health--Bangladesh. Diarrhea in children--Bangladesh. Oral rehydration therapy (ORT) is being widely promoted in developing countries but the socio-cultural aspects of diarrhea are often poorly investigated prior to planning the programs. Since 1980 the Bangladesh Rural Advancement Committee (BRAC) a non-governmental organization has promoted a home-made ORT solution for use in all diarrhea episodes called lobon-gur solution (LGS) which is made from household lobon (salt) and gur (unrefined sugar) using the pinch-and-scoop method. 1 mother per household is trained in its preparation and use during a half-hour visit. By late 1986 over 7 million of Bangladeshs 16 million households had been visited. Initial program monitoring showed that most mothers could prepare a safe and effective solution but that its use was less encouraging. A village study undertaken to investigate this low use found that villagers recognize 4 different types of diarrhea illnesses: 1) dud haga due to breast-milk in infants; 2) ajirno due to over-eating or bad food; 3) amasa a mucoid diarrhea with or without blood and and of unknown cause; and 4) daeria which is severe watery diarrhea or cholera. LGS was most frequent used for daeria episodes which although representing only 5% of all episodes are those most likely to lead to dehydration and death. Thus the BRAC message promoting LGS for all types of watery diarrhea was understood by the people to be of most use for severe watery diarrhea. The importance of this local classification of diarrhea has only just received recognition despite more than 25 years of diarrheal disease research in Bangladesh. 2019-12-17T10:27:17Z 2019-12-17T10:27:17Z 1988 Research report Chowdhury, A., & Vaughan, J. P. (1988). Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh. AMR Chowdhury Publications Volume I: 1978-199, 74–82. http://hdl.handle.net/10361/13293 en application/pdf International Centre for Diarrhoeal Disease Research, Bangladesh
institution	Brac University
collection	Institutional Repository
language	English
topic	Diarrhoea Oral rehydration solutions Rural health--Bangladesh. Diarrhea in children--Bangladesh.
spellingShingle	Diarrhoea Oral rehydration solutions Rural health--Bangladesh. Diarrhea in children--Bangladesh. Chowdhury, AMR Vaughan, J Patrick Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
description	Oral rehydration therapy (ORT) is being widely promoted in developing countries but the socio-cultural aspects of diarrhea are often poorly investigated prior to planning the programs. Since 1980 the Bangladesh Rural Advancement Committee (BRAC) a non-governmental organization has promoted a home-made ORT solution for use in all diarrhea episodes called lobon-gur solution (LGS) which is made from household lobon (salt) and gur (unrefined sugar) using the pinch-and-scoop method. 1 mother per household is trained in its preparation and use during a half-hour visit. By late 1986 over 7 million of Bangladeshs 16 million households had been visited. Initial program monitoring showed that most mothers could prepare a safe and effective solution but that its use was less encouraging. A village study undertaken to investigate this low use found that villagers recognize 4 different types of diarrhea illnesses: 1) dud haga due to breast-milk in infants; 2) ajirno due to over-eating or bad food; 3) amasa a mucoid diarrhea with or without blood and and of unknown cause; and 4) daeria which is severe watery diarrhea or cholera. LGS was most frequent used for daeria episodes which although representing only 5% of all episodes are those most likely to lead to dehydration and death. Thus the BRAC message promoting LGS for all types of watery diarrhea was understood by the people to be of most use for severe watery diarrhea. The importance of this local classification of diarrhea has only just received recognition despite more than 25 years of diarrheal disease research in Bangladesh.
format	Research report
author	Chowdhury, AMR Vaughan, J Patrick
author_facet	Chowdhury, AMR Vaughan, J Patrick
author_sort	Chowdhury, AMR
title	Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
title_short	Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
title_full	Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
title_fullStr	Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
title_full_unstemmed	Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh
title_sort	perception of diarrhoea and the use of a homemade oral rehydration solution in rural bangladesh
publisher	International Centre for Diarrhoeal Disease Research, Bangladesh
publishDate	2019
url	http://hdl.handle.net/10361/13293
work_keys_str_mv	AT chowdhuryamr perceptionofdiarrhoeaandtheuseofahomemadeoralrehydrationsolutioninruralbangladesh AT vaughanjpatrick perceptionofdiarrhoeaandtheuseofahomemadeoralrehydrationsolutioninruralbangladesh
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Perception of Diarrhoea and the use of a homemade oral rehydration solution in rural Bangladesh

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