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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
arts and humanities
Oral rehydration therapy and social marketing in rural Kenya
Social Science and Medicine, Volume 31, No. 9, Year 1990
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Description
In just a few years, oral rehydration therapy (ORT) has become the standard treatment to reduce infant diarrhoeal disease mortality in the developing world. The paper describes an ORT intervention campaign in a rural area in Western Kenya (Kakamega District). After about a year of careful preparation, the campaign was launched in January 1986 and compared the use of a value-added product (flavoured sachets) sold through private outlets in addition to primary care distribution of an unflavoured sachet in an experimental cell (Bukura Division). In a control cell (Novakholo Division), only unflavoured sachets were distributed free of charge through primary health care facilities. Using local perceptions of diarrhoeal disease management, the campaign in the experimental cell was carefully designed and mass communication techniques employed and adapted according. Outcome assessments of the campaign, which lasted until March 1987, included the overall ORT utilization over time. Changes in perceptions towards diarrhoeal disease management, direct assessment of mixing a 'safe and effective' solution accurately and other relevant process parameters were evaluated. Comparing several recent ORT intervention projects, the paper concludes that a combination of a commercial approach and mass communication techniques can further ORS use. If a proper incentive system for shopkeepers is installed and message design and ORS product are fully tailored to the perception and preferences of the target population, the commercial availability of ORS will create an extra demand of the product. However, this will not replace distribution of ORS salts delivered free of charge through primary care sources. © 1990.
Authors & Co-Authors
Kenya, Patrick R.
Kenya, Nairobi
Kenya Medical Research Institute
Gatiti, S.
Kenya, Nairobi
Ciba-geigy Co. Ltd.
Muthami, Lawrence N.
Kenya, Nairobi
Kenya Medical Research Institute
Agwanda, Ruben O.
Kenya, Nairobi
Kenya Medical Research Institute
Mwenesi, Halima Abdullah
Kenya, Nairobi
Kenya Medical Research Institute
Katsivo, M. N.
Kenya, Nairobi
Kenya Medical Research Institute
Omondi-Odhiambo,
Kenya, Nairobi
Kenya Medical Research Institute
Surrow, A.
Kenya, Nairobi
Kenya Medical Research Institute
Juma, Rashid
Kenya, Nairobi
Kenya Medical Research Institute
Ellison, R. H.
Switzerland, Basel
Basf Schweiz ag
Cooper, G.
Kenya, Nairobi
Ciba-geigy Co. Ltd.
van Andel, F. G.
Switzerland, Basel
Basf Schweiz ag
Statistics
Citations: 31
Authors: 12
Affiliations: 3
Identifiers
Doi:
10.1016/0277-9536(90)90107-4
ISSN:
02779536
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Locations
Kenya