Health
Access is limited because health care professionals are reluctant to use effective diarrhea treatments for children.
Oral rehydration salts (ORS) are a safe, inexpensive and widely available treatment for childhood diarrhea, but health care providers are avoiding prescribing them in low- and middle-income countries (LMICs) and using antibiotics instead, according to a new report. and other expensive treatments. report in Science.
Worldwide, up to 500,000 children die from diarrhea each year, primarily in LMICs, and most of those lives could be saved using ORS.
“Currently, almost half of diarrhea cases worldwide do not receive ORS,” the authors explained. “Most health care providers in developing countries know that ORS is a lifesaving, inexpensive treatment for childhood diarrhea, but few prescribe it. This knowledge and practice gap has baffled experts for decades and cost millions of lives.”
To understand why ORS is underprescribed, a team of researchers from the United States and India conducted a randomized controlled trial in which 25% of childhood diarrheal deaths worldwide occur in India. The actors, who played concerned fathers with a two-year-old with diarrhea at home, visited 2,282 private health care providers in 253 towns in India.
The performers were randomly assigned to show a preference for ORS, antibiotics, or no preference at all. Without a stated preference, most providers avoided her ORS. If the patient did not indicate a preference, only 28% were prescribed or dispensed an ORS, and if a standardized patient indicated a preference for her ORS, 55% were prescribed or dispensed an ORS. was.
Express your desire for dual use
Expressing a preference for ORS doubled the likelihood of being offered a solution that was sold as a small packet mixed with water for less than $1.
The authors found that providers' perception that patients did not want ORS because the drug tasted bad or was perceived to be less effective than antibiotics led to 42% of ORS underprescriptions. However, the authors found that out-of-stock items (out-of-bags) and financial incentives were to blame. We only accounted for 6% and 5% of the encounters.
“These results suggest that interventions that change healthcare providers' misperceptions of patients' ORS preferences should be actively considered as they have the potential to significantly increase ORS use.” ” concluded the authors.
Changing healthcare provider behavior regarding ORS prescribing remains a major challenge.
in press release Commenting on the study, corresponding author Zachary Wagner, Ph.D. We need to find it.”
“Changing provider behavior regarding ORS prescribing remains a major challenge,” said co-author Dr. Manoj Mohanan. “ORS usage remains low in many countries, such as India.”
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Sources 2/ https://www.cidrap.umn.edu/misc-emerging-topics/providers-reluctance-limits-use-effective-diarrhea-treatment-children The mention sources can contact us to remove/changing this article |
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