ArticleJournal of global health2019
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.
Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Stakeholder engagement in healthcare research in India - A systematic review.Health research policy and systems · 2025Pooled it
- Barriers and facilitators to implementation of oral rehydration therapy in low- and middle-income countries: A systematic review.PloS one · 2021Pooled it
- Sustainability of zinc coverage for acute childhood diarrhea in Bangladesh and other low- and middle-income countries: one decade following the SUZY project.PLOS global public health · 2025Article
- Impact of co-packaging oral rehydration salts and zinc on diarrhoea treatment dispensing behaviour in selected rural health facilities in Zambia.PLOS global public health · 2025Article
- Health programme spillover effects on childhood vaccination in India: a difference-in-differences analysis of the Zinc and Oral Rehydration Salts Programme using retrospective demographic health surveys data.BMJ public health · 2025Article
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- What drives poor quality of care for child diarrhea? Experimental evidence from India.Science (New York, N.Y.) · 2024Article
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- Assessment of Determinants of Paediatric Diarrhoea Case Management Adherence in Pakistan.Life (Basel, Switzerland) · 2023Article
- Assessing the relationship of recommended diarrhea case management practices with the nutritional status of children aged between 0 to 59.9 months.Health open research · 2023Article
- Childhood diarrhoea in southwestern Nigeria: Predictors of low osmolarity ORS and zinc use among mothers.Journal of Taibah University Medical Sciences · 2022Article
- The Co-Utilization of Oral Rehydration Solution and Zinc for Treating Diarrhea and Its Associated Factors Among Under-Five Children in Ethiopia: Further Analysis of EDHS 2016.Patient preference and adherence · 2022Article
- What are the challenges for antibiotic stewardship at the community level? An analysis of the drivers of antibiotic provision by informal healthcare providers in rural India.Social science & medicine (1982) · 2021Article
- Factors associated with zinc utilization for the management of diarrhea in under-five children in Ethiopia.BMC public health · 2020Article
- Mapping geographical inequalities in oral rehydration therapy coverage in low-income and middle-income countries, 2000-17.The Lancet. Global health · 2020Article
- Zinc utilization and associated factors among under-five children with diarrhea in East Africa: A generalized linear mixed modeling.PloS one · 2020Article
- Progress in the use of ORS and zinc for the treatment of childhood diarrhea.Journal of global health · 2019Article
- An evaluation of a national oral rehydration solution and zinc scale-up program in Kenya between 2011 and 2016.Journal of global health · 2019Article
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Authors and funding
13 authors.
Funding
Abstract
backgroundThe Clinton Health Access Initiative implemented a program from 2012-2016 to increase use of oral rehydration salts (ORS) and zinc to treat diarrhea in children under five in three states in India: Gujarat, Madhya Pradesh, and Uttar Pradesh. The program interventions included detailing and development of a rural supply chain to reach private rural health care providers, training of Accredited Social Health Activists (ASHAs), technical support to the state governments, and a mass media campaign targeted at caregivers. In Gujarat and Uttar Pradesh, some of the program activities, such as detailing and ASHA trainings, were targeted to high-burden focal districts, thus providing an opportunity to study their effect compared to statewide activities that covered all districts, such as the mass media campaign. Our study aimed to estimate the effect of activities on ORS and zinc use.
methodsHousehold surveys were conducted at two points during the program and in both focal and non-focal districts. We used a difference-in-difference quasi-experimental approach to estimate the effect of the enhanced activities in focal districts and mass media campaign on the odds of a child being treated with ORS and zinc.
findingsFocal district interventions were associated with a significant increase in the odds of a diarrhea episode receiving ORS in Gujarat and Uttar Pradesh. Living in focal districts increased the odds of receiving ORS in Gujarat and Uttar Pradesh by factors of 3.42 (95% CI = 1.39-8.33) and 2.29 (95% CI = 1.19-4.39), respectively. Focal district interventions were also associated with 15.02 (95% CI = 2.97-75.19) greater odds of receiving both ORS and zinc in Gujarat. In Uttar Pradesh, where the mass media campaign was focused, exposure to the campaign further modified the odds of receiving ORS and combined ORS and zinc by 1.38 (95% CI = 1.04-1.84) and 1.57 (95% CI = 1.01-2.46), respectively.
conclusionComprehensive public and private provider interventions combined with mass media are effective strategies for increasing ORS and zinc use.
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