Oral Rehydration & Continued Feeding MICS 3 Data Analysis and Report Writing.
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Transcript of Oral Rehydration & Continued Feeding MICS 3 Data Analysis and Report Writing.
![Page 1: Oral Rehydration & Continued Feeding MICS 3 Data Analysis and Report Writing.](https://reader036.fdocuments.net/reader036/viewer/2022062318/5514b060550346d36e8b6134/html5/thumbnails/1.jpg)
Oral Rehydration & Continued Feeding
MICS 3 Data Analysis and Report Writing
![Page 2: Oral Rehydration & Continued Feeding MICS 3 Data Analysis and Report Writing.](https://reader036.fdocuments.net/reader036/viewer/2022062318/5514b060550346d36e8b6134/html5/thumbnails/2.jpg)
Background
• Diarrhea is the second leading cause of death among children under five worldwide.
• Most diarrhea-related deaths in children are due to dehydration from the loss of large quantities of water and electrolytes from the body in the liquid stool.
• Many of these deaths can be prevented with the use of oral rehydration therapy (ORT).
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Background
Current recommendations for treatment of diarrhea:
Oral Rehydration Therapy [(oral rehydration solution and/or an appropriate household solution) or increased fluids] and continued feeding.
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International Goals & Targets
Reduction by 50 percent in the deaths due to diarrhoea in children under the age of five
years and 25 per cent reduction in the diarrhoea incidence rate
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List of Indicators
• Prevalence of diarrhea
• Oral rehydration therapy (ORT)
• Home management of diarrhea
• (ORT or increased fluids) and continued feeding
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Indicator Issues
• Monitoring indicators have changed several times over the last decade.
• Significant comparability issues, and problems analyzing trends over time.
• Several different indicators therefore continue to be tracked.
• Latest indicator agreed by the interagency child survival indicator meeting, June 2004:
% children aged 0-59 months with diarrhea receiving (ORT or increased fluid) and continued feeding
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Definition of Indicator
Prevalence of Diarrhea (2 weeks)% children aged 0-59 months with diarrhea
in the 2 weeks prior to the survey
Numerator: Number of children aged 0-59 months reported to have diarrhea in the 2 weeks prior to the survey
Denominator: Total number of children aged 0-59 months surveyed
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Definition of Indicator
Oral Rehydration Therapy% children aged 0-59 months with diarrhea
receiving oral rehydration therapy
Numerator: Number of children aged 0-59 months with diarrhoea receiving oral rehydration (oral rehydration solution and/or an appropriate household solution or taking “more” fluids)
Denominator: Total number of children aged 0-59 months with diarrhea in the previous 2 weeks
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Definition of Indicator
Home Management of Diarrhea% children aged 0-59 months with diarrhea
receiving continued feeding
Numerator: Number of children aged 0-59 months with diarrhoea who took more fluids and continued eating somewhat less, the same or more food
Denominator: Total number of children aged 0-59 months with diarrhea in the previous 2 weeks
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Definition of Indicator
ORT or increased fluids and continued feeding% children aged 0-59 months with diarrhea
receiving ORT or increased fluids and continued feeding
Numerator: Number of children aged 0-59 months with diarrhoea who received oral rehydration therapy or took more fluids and continued eating somewhat less, the same or more food
Denominator: Total number of children aged 0-59 months with diarrhea in the previous 2 weeks
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Methodological Issues
• If the mother/caregiver did not know if the child had diarrhea in the past 2 weeks, the child is omitted from the calculation for oral rehydration treatment and home management.
• Appropriate oral rehydration salts and/or homemade solutions include:– specific packet of ORS (local name)– government recommended homemade solution– pre-packaged ORS fluid for diarrhea
• Percentages of children aged 0-59 months receiving various treatments will not add to 100 since some children will receive more than 1 type of treatment.
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Tabulation PlanTable CH.4: Oral Rehydration Therapy
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Tabulation PlanTable CH.5: Home Management of Diarrhea
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Regional ORT & CF Coverage
Oral Rehydration and Continued Feeding
59
37 3630 26 25
33
0
20
40
60
80
100
East A
sia/ P
acifi
c (e
xcl.
China)
East/S
outh
ern A
frica
Latin
Am
eric
a/ C
arib
bean
West
/Cen
tral
Africa
South A
sia
CEE/CIS
Devel
oping
countri
es (
excl
. Chin
a)
% u
nd
er
fiv
es
wit
h d
iarr
he
a r
ec
eiv
ing
o
ral r
eh
yd
rati
on
an
d c
on
tin
ue
d f
ee
din
g
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ORT & CF Coverage (CEE/CIS)
Oral rehydration and continued feeding
25
16
19
22
23
29
33
40
48
51
52
0 20 40 60 80 100
CEE/CIS
Kyrgyzstan
Turkey
Kazakhstan
Bosnia and Herzegovina
Tajikistan
Uzbekistan
Azerbaijan
Armenia
Albania
Moldova, Republic of
% under fives with diarrhea receiving oral rehydration and continued feeding
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ORT & CF Coverage (ROSA)Oral rehydration and continued feeding
26
22
33
35
43
48
0 20 40 60 80 100
South Asia
India
Pakistan
Bangladesh
Nepal
Afghanistan
% under fives with diarrhea receiving oral rehydration and continued feeding
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ORT & CF Coverage (MENA)
Oral rehydration and continued feeding
23
29
38
44
50
0 20 40 60 80 100
Yemen
Egypt
Sudan
Jordan
Morocco
% under fives with diarrhea receiving oral rehydration and continued feeding
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Oral rehydration and continued feeding
36
21
22
28
31
40
41
42
43
44
46
49
51
54
0 20 40 60 80 100
Latin America/Caribbean
Jamaica
Guatemala
Brazil
Trinidad/Tobago
Guyana
Haiti
DR
Suriname
Colombia
Peru
Nicaragua
Venezuela
Bolivia
% under fives with diarrhea receiving oral rehydration and continued feeding
ORT & CF Coverage (TACRO)
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ORT & CF Coverage (CEE/CIS)
Oral rehydration and continued feeding
25
16
19
22
23
29
33
40
48
51
52
0 20 40 60 80 100
CEE/CIS
Kyrgyzstan
Turkey
Kazakhstan
Bosnia and Herzegovina
Tajikistan
Uzbekistan
Azerbaijan
Armenia
Albania
Moldova, Republic of
% under fives with diarrhea receiving oral rehydration and continued feeding
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30
172325
28
2833333436
3839404243
44444445
4747
50
0 20 40 60 80 100
West/Central Africa
Congo, Dem Rep
Guinea-Bissau
Togo
Mauritania
Nigeria
Cameroon
Senegal
Côte d'Ivoire
Eq. Guinea
Gambia
Sierra Leone
Ghana
Benin
Niger
Gabon
Guinea
Sao Tome/Principe
Mali
Burkina Faso
CAR
Chad
ORT & CF Coverage (WCARO)
% under fives with diarrhea receiving oral
rehydration and continued feeding
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ORT & CF Coverage (ESARO)
37
71616
24
292931
3233
3738
3839
47
4748
5154
80
0 20 40 60 80 100
East/Southern Africa
Botswana
Burundi
Rwanda
Swaziland
Lesotho
Uganda
Comoros
Angola
Kenya
South Africa
Ethiopia
Tanzania
Namibia
Madagascar
Mozambique
Zambia
Malawi
Eritrea
Zimbabwe
% under fives with diarrhea receiving oral
rehydration and continued feeding
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ORT & CF Coverage (EAPRO)
59
37
39
48
59
61
66
76
0 20 40 60 80 100
East Asia/Pacific(excl. China)
Lao PDR
Viet Nam
Myanmar
Cambodia
Indonesia
Mongolia
Philippines
% under fives with diarrhea receiving oral rehydration and continued feeding