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Oral rehydration in China.

C E Taylor, X Z Yu

    American Journal of Public Health
    |February 1, 1986
    PubMed
    Summary

    Oral rehydration therapy using a simple salt and sugar solution is widely used by healthcare providers and mothers in rural China. This practice may contribute to the country

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    Area of Science:

    • Public Health
    • Pediatrics
    • Infectious Diseases

    Background:

    • Diarrheal diseases present a significant public health challenge globally, particularly in developing nations.
    • Effective management of diarrhea, especially in children, is crucial for reducing morbidity and mortality.
    • Intravenous (I-V) fluid therapy has been a traditional approach in urban medical settings for rehydration.

    Purpose of the Study:

    • To investigate the extent of oral rehydration solution (ORS) usage for diarrhea in rural China.
    • To compare ORS adoption rates between rural healthcare providers and urban hospitals.
    • To explore the potential impact of widespread ORS use on diarrheal disease mortality.

    Main Methods:

    • Surveys were conducted in five rural counties across different Chinese provinces.
    • Data collection focused on the practices of barefoot doctors, county doctors, and mothers regarding diarrhea management.
    • Comparison was made with practices in urban hospitals, particularly teaching hospitals.

    Main Results:

    • Over 90% of rural healthcare providers (barefoot doctors and county doctors) reported using a simple salt and sugar solution for oral rehydration.
    • Approximately 34% of mothers surveyed also utilized the oral rehydration solution.
    • In contrast, most urban hospitals continued to favor intravenous fluid administration.

    Conclusions:

    • Widespread adoption of oral rehydration therapy by rural healthcare workers and mothers in China has been observed.
    • This practice, alongside good nutritional status and traditional medicines, likely contributes to the low mortality rates from diarrheal diseases in China.
    • The findings highlight the significant role of accessible and simple rehydration strategies in managing childhood diarrhea.

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