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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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 |
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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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