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

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 ap...

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Main Authors: Chowdhury, AMR, Karim, F., Rohde, J.E., Ahmed, J., Abed, F.H.
Formato: Artigo
Idioma:English
Publicado: Bulletin of the World Health Organization 2019
Subjects:
Acceso en liña:http://hdl.handle.net/10361/13299
id 10361-13299
record_format dspace
spelling 10361-132992019-12-18T21:01:16Z Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions Chowdhury, AMR Karim, F. Rohde, J.E. Ahmed, J. Abed, F.H. Oral rehydration solutions Public health. Rural health--Bangladesh. 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). 2019-12-18T08:31:45Z 2019-12-18T08:31:45Z 1991 Article 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 http://hdl.handle.net/10361/13299 en https://apps.who.int/iris/handle/10665/261296 application/pdf Bulletin of the World Health Organization
institution Brac University
collection Institutional Repository
language English
topic Oral rehydration solutions
Public health.
Rural health--Bangladesh.
spellingShingle Oral rehydration solutions
Public health.
Rural health--Bangladesh.
Chowdhury, AMR
Karim, F.
Rohde, J.E.
Ahmed, J.
Abed, F.H.
Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
description 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).
format Article
author Chowdhury, AMR
Karim, F.
Rohde, J.E.
Ahmed, J.
Abed, F.H.
author_facet Chowdhury, AMR
Karim, F.
Rohde, J.E.
Ahmed, J.
Abed, F.H.
author_sort Chowdhury, AMR
title Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
title_short Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
title_full Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
title_fullStr Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
title_full_unstemmed Oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
title_sort oral rehydration therapy : a community trial comparing the acceptability of homemade sucrose and cereal-based solutions
publisher Bulletin of the World Health Organization
publishDate 2019
url http://hdl.handle.net/10361/13299
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