title: Feasibility of home treatment of diarrhoea with packaged rice--ORS.
abstract: Feasibility of home treatment of diarrhoea with packaged rice-based oral rehydration salts (R-ORS) was compared, in terms of cost, with that for glucose-based oral rehydration salts (G-ORS). Packets of G-ORS (World Health Organization-recommended composition) were distributed in two Bangladeshi villages (G-ORS area). Packets of R-ORS with similar composition, except that glucose was replaced with rice flour (50 g/l), were distributed in other two villages (R-ORS area). During the 7-month study period, 1061 and 1348 diarrhoeal episodes were detected among 409 under-five children in each of the study areas. R-ORS was used, either alone or in combination with drugs, to treat 662 (62%) episodes in the R-ORS area, compared to 1101 (82%) episodes in the G-ORS area. The treatment cost per episode was more with R-ORS than with G-ORS, though fewer R-ORS packets were used per episode. Among others, the main factor for the higher cost was found to be the higher production cost of R-ORS packets. Expected early recovery from diarrhoea with use of R-ORS was not observed in this study. Under the study situation, the feasibility of home treatment of diarrhoea with packaged R-ORS was not apparent.
authors.affiliation: International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka.
authors.forename: A M
authors.initials: AM
authors.lastname: Rahman
authors.forename: A
authors.initials: A
authors.lastname: Bari
mesh_terms: D001459:Bangladesh; D002675:Child, Preschool; D003967:Diarrhea / Q000628:therapy*; D003968:Diarrhea, Infantile / Q000628:therapy*; D002523:Edible Grain; D005260:Female; D005440:Fluid Therapy / Q000191:economics*; D005950:Glucose Solution, Hypertonic; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012275:Oryza; D015532:Rehydration Solutions
chemical_list: D005950:Glucose Solution, Hypertonic; D015532:Rehydration Solutions