J Med Assoc Thai 1997; 80 (3):178

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Study on the Management of Diarrhea in Young Children at Community Level in Thailand
Wongsaroj T Mail, Thavornnunth J , Charanasri U

An evaluating study was carried out among 15,466 children from households randomized
from 30 clusters from twelve provinces of twelve region~ of Thailand. Results of this study revealed
5.13 per cent of incidence-rate of diarrhea among young children aged under five years with an
average of annual prevalence of 1.3 per child. The overall mortality-rate and diarrhea associated
death were 51.7 per 100,000 and 6.5 per 100,000 respectively. The utilization of ORS was 25.6
per cent while the using-rate of sugar salt solulion (SSS) and the use of recommended home
fluids were 2.8 and 33.8 per cent respectively. As for treatment, the intravenous therapy was 6.2
per cent and the use of different types of drugs varied from 18.0 to 21.3 per cent. Only 23.7 per
cent of parents could correctly prepare the ORS.
The authors have made recommendations for the strengthening of community health education
aiming at better promotion of ORS and other home care practices for diarrhea as important
measures for lowering mortality together with relating preventive interventions.

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