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Am. J. Trop. Med. Hyg., 29(2), 1980, pp. 285-290
Copyright © 1980 by The American Society of Tropical Medicine and Hygiene

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Village-Based Distribution of Oral Rehydration Therapy Packets in Bangladesh*

Lincoln C. Chen, Robert E. Black, A. M. Sarder, Michael H. Merson, Shushum Bhatia, Md. Yunus AND J. Chakraborty
International Centre for Diarrheal Disease Research, Bangladesh, and Bureau of Epidemiology, Center for Disease Control, Public Health Service, U.S. Department of Health, Education, and Welfare, Altanta, Georgia 30333

The distribution of sucrose-electrolyte oral therapy packets (1 liter) by community-based workers in a rural Bangladesh population of 157,000 was evaluated. A similar population of 134,000 served as a comparison group. The locally-produced packets showed satisfactory chemical composition with a shelf-life of up to 3 months and a cost of U.S. $0.05. After 4 months the workers were distributing an average of 70 packets/1,000 population per month. Most patients used one packet for each episode of diarrhea; 13% of children used two packets, and 15% and 8% of adults used, respectively, two and three packets. The electrolyte composition of the oral fluids prepared by field workers and mothers showed substantial variation, but no hyperconcentrated solutions were noted. A comparison of the hospitalization rate from the two study areas suggested a 29% reduction in hospitalization for diarrhea during the 4 months of distribution.

Accepted for publication September 15, 1979.


* Address reprint requests to: Dr. Lincoln C. Chen, International Center for Diarrheal Disease Research, G.P.O. Box 128, Dacca-2, Bangladesh.




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 The ANNALS of the American Academy of Political and Social ScienceHome page
J. MENKEN and J. F. PHILLIPS
Population Change in a Rural Area of Bangladesh, 1967-87
The ANNALS of the American Academy of Political and Social Science, July 1, 1990; 510(1): 87 - 101.
[Abstract]


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Copyright © 1980 by the American Society of Tropical Medicine and Hygiene.