Public sector scale-up of zinc and ORS improves coverage in selected districts in Bihar, India

Journal of Global Health
Christa L Fischer WalkerSarmila Mazumder

Abstract

In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2-59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3%) compared to baseline (38.4%) but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS), increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93) and zinc in addition to ORS (OR = 6.10) compared to children who were not taken to the public sector. Cove...Continue Reading

References

Jul 9, 2010·Lancet·Mathuram SantoshamRobert Black
Mar 23, 2012·BMC Public Health·Christa L Fischer WalkerRobert E Black
May 15, 2012·Lancet·Li LiuUNKNOWN Child Health Epidemiology Reference Group of WHO and UNICEF
Apr 16, 2013·Lancet·Zulfiqar A BhuttaUNKNOWN Lancet Diarrhoea and Pneumonia Interventions Study Group
Apr 16, 2013·Lancet·Christa L Fischer WalkerRobert E Black

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