Monitoring of the Scale-Up Program on Zinc and Oral Rehydration Solution for Childhood Diarrhea Treatment in Three Provinces in Indonesia

Background/Aims: Experts recommend use of zinc salt along with oral rehydration solution (ORS) as diarrhea treatment for young children. The study aimed to estimate coverage and adherence of using zinc and ORS during diarrhea episodes of the children, and diarrhea-related services provided. Methods:...

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Published in:Annals of nutrition and metabolism 2019-01, Vol.75, p.392
Main Authors: Wiradnyani, Luh Ade Ari, Kekalih, Aria, Wirawan, Nia Novita, Raut, Manoj, Warvadekar, Kirti, Karyadi, Elvina, Purwanti, Sri Kusyuniati Tutut, Yusnita, Lanny
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Language:English
Subjects:
Caregivers
Childhood
Children
Children & youth
Diarrhea
Medical personnel
Nutrition
Physicians
Public health
Questions
Rehydration
Zinc
Zinc oxides
Zinc salts
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container_title Annals of nutrition and metabolism
container_volume 75
creator Wiradnyani, Luh Ade Ari
Kekalih, Aria
Wirawan, Nia Novita
Raut, Manoj
Warvadekar, Kirti
Karyadi, Elvina
Purwanti, Sri Kusyuniati Tutut
Yusnita, Lanny
description Background/Aims: Experts recommend use of zinc salt along with oral rehydration solution (ORS) as diarrhea treatment for young children. The study aimed to estimate coverage and adherence of using zinc and ORS during diarrhea episodes of the children, and diarrhea-related services provided. Methods: The data was collected in December 2017-January 2018 in three provinces (Banten, West Java, West Nusa Tenggara), involving 1,121 caregivers of child aged 6–59 months suffered from diarrhea for the past one month. Also, 113 physicians and 270 midwives were interviewed. Results: Nearly 95% caregivers ever heard diarrhea and ORS, but not zinc (36.4%). Caregivers' knowledge on childhood diarrhea and its management was low (6.6% caregivers correctly answered ≥80% questions and 42.5% for ≥50% questions), particularly on the use of both ORS and zinc. Despite
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Among those who went to public health services, 66% caregivers received ORS, 33.4% received zinc, and 23.7% received zinc and ORS. Unfortunately, only 4.6% children received full course of zinc and ORS as recommended. Among the interviewed health workers, only 21.6% had ever heard Lintas Diare (the government's strategy to manage diarrhea), and nearly onethird had moderate-good knowledge on childhood diarrhea treatment. Conclusion: In addition to diarrhea prevention promotion, the findings urged an intensive socialization and training for health providers and massive campaign to caregivers on childhood diarrhea treatment.</description><identifier>ISSN: 0250-6807</identifier><identifier>EISSN: 1421-9697</identifier><identifier>DOI: 10.1159/000501751</identifier><language>eng</language><publisher>Basel: S. 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1421-9697
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subjects Caregivers
Childhood
Children
Children & youth
Diarrhea
Medical personnel
Nutrition
Physicians
Public health
Questions
Rehydration
Zinc
Zinc oxides
Zinc salts
title Monitoring of the Scale-Up Program on Zinc and Oral Rehydration Solution for Childhood Diarrhea Treatment in Three Provinces in Indonesia
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