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Lessons learnt from Diarrheal Diseases Control Program and implications for the future.

T Dua1, R Bahl, M K Bhan

  • 1ICMR Advanced Center for Diarrheal Disease Research, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.

Indian Journal of Pediatrics
|May 8, 2000
PubMed
Summary
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The national Diarrheal Disease Control Program improved ORS knowledge, but over half of households remain unreached. Increased mass media use significantly boosts Oral Rehydration Therapy (ORT) awareness and usage in mothers.

Area of Science:

  • Public Health
  • Pediatrics
  • Infectious Disease Epidemiology

Background:

  • The national Diarrheal Disease Control Program aimed to enhance case management knowledge and practices for young children's diarrhea.
  • National Family Health Survey (1992-93) data indicated suboptimal awareness (42.7%) and use (25.9%) of Oral Rehydration Salts (ORS) packets among mothers.

Purpose of the Study:

  • To review the impact of the Diarrheal Disease Control Program.
  • To identify strategies for improving ORS and Oral Rehydration Therapy (ORT) utilization.

Main Methods:

  • Analysis of National Family Health Survey (NFHS) data (1992-93).
  • Examination of the correlation between electronic mass media exposure and ORS/ORT knowledge and use.
  • Review of existing program strategies and future recommendations.

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Main Results:

  • ORS packet awareness and usage rates varied significantly across states, from 8.3% to 50.1%.
  • Mothers exposed to electronic mass media showed significantly higher ORS awareness (56% vs. 32%) and ORT use rates (38% vs. 25%) compared to unexposed mothers.

Conclusions:

  • Despite progress, substantial gaps remain in reaching all households with ORS/ORT information and access.
  • Future strategies should leverage mass media, involve diverse healthcare providers, standardize ORS, focus on underperforming regions, and address specific challenges in infant and malnourished child populations.