Measuring Coverage in MNCH: Current Indicators for Measuring Coverage of Diarrhea Treatment Interventions and Opportunities for Improvement

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Diarrhea morbidity and mortality remain important child health problems in low -⁠ and middle-income countries. The treatment of diarrhea and accurate measurement of treatment coverage are critical if child mortality is going to continue to decline. In this review, we examine diarrhea treatment coverage indicators collected in two large-scale community-based household surveys—the Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS). Current surveys do not distinguish between children with mild diarrhea episodes and those at risk for dehydration. Additional disease severity questions may improve the identification of cases of severe diarrhea but research is needed to identify indicators with the highest sensitivity and specificity. We also review the current treatment indicators in these surveys and highlight three areas for improvement and research. First, specific questions on fluids other than oral rehydration salts (ORS) should be eliminated to refocus the treatment of dehydration on ORS and to prevent confusion between prevention and treatment of dehydration. Second, consistency across surveys and throughout translations is needed for questions about the caregiver behavior of “offering" the sick child fluid and food. Third, breastfeeding should be separated from other fluid and food questions to capture the frequency and duration of nursing sessions offered during the illness. Research is also needed to assess the accuracy of the current zinc indicator to determine if caregivers are correctly recalling zinc treatment for current and recent diarrhea episodes.

Vyšlo v časopise: Measuring Coverage in MNCH: Current Indicators for Measuring Coverage of Diarrhea Treatment Interventions and Opportunities for Improvement. PLoS Med 10(5): e32767. doi:10.1371/journal.pmed.1001385
Kategorie: Review
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pmed.1001385

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1. LiuL, JohnsonHL, CousensS, ScottS, LawnJE, et al. (2012) Global, regional, and national causes of child mortality in 2000–2010: an updated systematic analysis. Lancet doi:10.1016/S0140-6736(12)60560-1.

2. Fischer WalkerCL, PerinJ, AryeeMJ, Boschi-PintoC, BlackRE (2012) Diarrhea incidence in low -⁠ and middle-income countries in 1990 and 2010: a systematic review. BMC Public Health 12 : 220.

3. PatelMM, GlassR, DesaiR, TateJE, ParasharUD (2012) Fulfilling the promise of rotavirus vaccines: how far have we come since licensure? Lancet Infect Dis 12 : 561–570.

4. Black RE, Fischer Walker CL, Lanata CF (2012) Diarrheal diseases. Nelson KE, Williams C, editors. Infectious disease epidemiology: theory and practice. Sudbury (Massachusetts): Jones & Bartlett Learning.

5. TaylorCE, GreenoughWB3rd (1989) Control of diarrheal diseases. Ann Rev Public Health 10 : 221–244.

6. SantoshamM, ChandranA, FitzwaterS, Fischer-WalkerC, BaquiAH, et al. (2010) Progress and barriers for the control of diarrhoeal disease. Lancet 376 : 63–67.

7. Ryland S, Raggers H (1998) Childhood morbidity and treatment patterns. DHS comparative studies No 27. Calverton (Maryland): Macro International.

8. WHO/UNICEF (2004) Joint Statement: Clinical Management of Acute Diarrhoea (WHO/FCH/CAH/04.07). Geneva and New York: World Health Organization, Department of Child and Adolescent Health and Development, and United Nations Children's Fund, Programme Division.

9. Rutstein SGR (2006) Guide to DHS statistics. Calverton (Maryland): ORC Macro.

10. Ahmed S, Ali D, Bisharat L, Hill A, LaFond A, et al.. (2009) Evaluation of UNICEF Multiple Indicator Cluster Surveys Round 3 (MICS3) Final Report. Boston: JSI.

11. HanciogluA, ArnoldF (2013) Measuring coverage in MNCH: Tracking progress in health for women and children using DHS and MICS household surveys. PLoS Med 10: e1001391 doi:10.1371/journal.pmed.1001391.

12. Becker S, Pullman T (2007) External evaluation of the Peru continuous survey experiment (Report No. 07-001-48). Washington (D.C.): USAID.

13. US Global Health Initiative (2011) The United States Global Health Strategy: Senegal Global Health Initiative Strategy. Washington (D.C.): US Global Health Initiative.

14. KendallC, FooteD, MartorellR (1984) Ethnomedicine and oral rehydration therapy: a case study of ethnomedical investigation and program planning. Soc Sci Med 19 : 253–260.

15. VictoraCG, KirkwoodBR, FuchsSC, LombardiC, BarrosFC (1990) Is it possible to predict which diarrhoea episodes will lead to life-threatening dehydration? Int J Epidemiol 19 : 736–742.

16. HermanE, CuttsF, SoaresA (1991) Assessing diarrhoea-induced dehydration at the community level. J Trop Med Hyg 94 : 224–230.

17. ZodpeySP, DeshpandeSG, UghadeSN, KulkarniSW, ShrikhandeSN, et al. (1999) A prediction model for moderate or severe dehydration in children with diarrhoea. J Diarrhoeal Dis Res 17 : 10–16.

18. FuchsSC, VictoraCG, MartinesJ (1996) Case-control study of risk of dehydrating diarrhoea in infants in vulnerable period after full weaning. BMJ 313 : 391–394.

19. PatelAB, OvungR, BadhoniyaNB, DibleyMJ (2012) Risk factors for predicting diarrheal duration and morbidity in children with acute diarrhea. Indian J Ped 79 : 472–477.

20. AlamN, HenryFJ, RahamanMM (1989) Reporting errors in one-week diarrhoea recall surveys: experience from a prospective study in rural Bangladesh. Int J Epidemiol 18 : 697–700.

21. SchmidtWP, ArnoldBF, BoissonS, GenserB, LubySP, et al. (2011) Epidemiological methods in diarrhoea studies –⁠ an update. Int J Epidemiol 40 : 1678–1692.

22. MunosMK, Fischer WalkerCL, BlackRE (2010) The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality. Int J Epi 39: i75–i87.

23. KielmannAA, McCordC (1977) Home treatment of childhood diarrhea in Punjab villages. J Trop Ped Env Ch H 23 : 197–201.

24. IsmailR, PardedeN, DarwinS, NazirM, MuktiS (1986) Home-made rice water salt solution for oral rehydration therapy–a field trial. J Diarrhoeal Dis Res 4 : 20–25.

25. VictoraCG, BryceJ, FontaineO, MonaschR (2000) Reducing deaths from diarrhoea through oral rehydration therapy. Bull World Health Organ 78 : 1246–1255.

26. Zimbabwe National Statistics Agency (2012) Zimbabwe: DHS, 2010–11 -⁠ final report (English). Calverton (Maryland): Zimbabwe and ICF International Inc.

27. StantonBF, RowlandMG, ClemensJD (1987) Oral rehydration solution–too little or too much? Lancet 1 : 33–34.

28. ZamanK, SackDA, ChakrabortyJ, YunusM, BaquiAH, et al. (2002) Children's fluid intake during diarrhoea: a comparison of questionnaire responses with data from observations. Acta Paediatr 91 : 376–382.