An evaluation of a national oral rehydration solution and zinc scale-up program in Kenya between 2011 and 2016
Bibliographic Data
| ID | 19551052 |
|---|---|
| Authors | Felix Lam (0000-0001-9713-693X, Clinton Health Access Initiative, corresponding author), Leslie Wentworth (Clinton Health Access Initiative), Peter Cherutich (0000-0002-0019-0372, Ministry of Health), Santau Migiro (Ministry of Health), Khadija Abdala (Ministry of Health), Michael Musyoka, Samuel Ogolla, Samuel A Ogolla, McDonald Obudho, Zachary Mwangi, Rosemary Kihoto, Collins Cheruiyot (0000-0003-1832-3329), Betty Wariari, Audrey Battu (0000-0001-8909-5197, Clinton Health Access Initiative), Kate Schroder (0000-0001-9261-3805, Clinton Health Access Initiative) |
| Year | 2019 |
| Volume | 9 |
| Issue | 1 |
| Pages | 010505-010505 |
| Publication date | 2019-06-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Publisher | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.09.010505 |
| PMID | 31293782 |
| OpenAlex | W2955336932 |
| Language | EN |
| Citations received | 7 |
| References cited | 13 |
BACKGROUND: In Kenya, diarrheal disease is the second leading cause of death among children under five. The Government of Kenya launched a national plan to increase coverage of oral rehydration solution (ORS) and zinc by addressing demand and supply-side barriers. This study evaluates progress of ORS and zinc uptake in Kenya according to the national plan from 2011 to 2016. METHODS: In 2016, we conducted a nationally representative population-based household survey to estimate coverage of ORS and zinc for treatment of diarrhea cases among children under five. We also used ORS and zinc coverage data from the two most recent Kenya Demographic and Health Surveys in 2008/09 and 2014 to estimate annual changes in coverage rates during the program period. Based on these inputs, we used the Lives Saved Tool to estimate the number of diarrhea deaths averted between 2011 and 2016 due to increased use of ORS and zinc. RESULTS: The 2016 survey results showed that ORS coverage was 42% (95% confidence interval (CI) = 38%, 47%) and zinc coverage was 18% (95% CI = 15%, 23%). The estimated coverage for the combined use of ORS and zinc was 15% in 2016 (95% CI = 12%, 19%). Compared to 2011, an additional 3340 (sensitivity bounds = 2 670, 3 920) diarrhea deaths among children under five were averted due to increases in ORS and zinc coverage. CONCLUSIONS: Kenya was successful in catalyzing uptake of combined treatment with ORS and zinc, which rose from 0.8% in 2011 to 15% in 2016. Ongoing efforts are necessary to further build on these gains
Confidence interval · Diarrhea · Environmental health · Population · Zinc · Child Nutrition and Water Access · Iron Metabolism and Disorders · Medicine · Trace Elements in Health · Internal Medicine
Factors associated with the co-utilization of oral rehydration solution and zinc for treating diarrhea among under-five children in 35 sub-saharan Africa countries
Factors associated with zinc utilization for the management of diarrhea in under-five children in Ethiopia
A predictive model for healthcare coverage in Yemen
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Impact of co-packaging oral rehydration salts and zinc on diarrhoea treatment dispensing behaviour in selected rural health facilities in Zambia
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A retrospective mixed-methods evaluation of a national ORS and zinc scale-up program in Uganda between 2011 and 2016
Effect of enhanced detailing and mass media on community use of oral rehydration salts and zinc during a scale-up program in Gujarat and Uttar Pradesh
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Overview of the Lives Saved Tool (LiST)
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| Citations per year | 1 |
|---|---|
| Citation span | 2019 - 2026 (8) |
| Highly cited | No |