TY - JOUR
T1 - Strong community-based health systems and national governance predict improvement in coverage of oral rehydration solution (ORS)
T2 - A multilevel longitudinal model
AU - Andrus, Althea
AU - Cohen, Robert
AU - Carvajal-Aguirre, Liliana
AU - El Arifeen, Shams
AU - Weiss, William
N1 - Publisher Copyright:
© 2020 The Author(s).
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Diarrheal disease remains a leading cause of child death globally, especially in low and middle-income countries. Use of oral rehydration solution (ORS) for treatment of diarrhea in children, a very cost-effective intervention, remains below 50% in many countries. Here we use a multi-level longitudinal model to reveal important predictors of ORS use at the national level. The findings suggest that increasing government effectiveness along with increased implementation and affordability of community-based health programs can lead to substantial increases in ORS use. Key informant interviews with national health leaders in countries that significantly improved ORS coverage support these quantitative findings.
AB - Diarrheal disease remains a leading cause of child death globally, especially in low and middle-income countries. Use of oral rehydration solution (ORS) for treatment of diarrhea in children, a very cost-effective intervention, remains below 50% in many countries. Here we use a multi-level longitudinal model to reveal important predictors of ORS use at the national level. The findings suggest that increasing government effectiveness along with increased implementation and affordability of community-based health programs can lead to substantial increases in ORS use. Key informant interviews with national health leaders in countries that significantly improved ORS coverage support these quantitative findings.
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U2 - 10.7189/jogh.10.010503
DO - 10.7189/jogh.10.010503
M3 - Article
C2 - 32257158
AN - SCOPUS:85083023273
SN - 2047-2978
VL - 10
JO - Journal of global health
JF - Journal of global health
IS - 1
M1 - 010503
ER -