Evaluation of a social marketing intervention promoting oral rehydration salts in Burundi.

Background: Diarrhea is the second leading cause of death for children under five in Burundi; however, use of oral rehydration salts (ORS), the recommended first-line treatment, remains low. In 2004, PSI/Burundi launched a social marketing intervention to promote ORASEL among caregivers of children...

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Publicado en:BMC Public Health Vol. 11; no. 1; pp. 155 - 156
Autores principales: Kassegne, Sethson, Kays, Megan B, Nzohabonayo, Jerome
Formato: research Journal Article
Publicado: BioMed Central 2011
Acceso en línea:Ver este registro en EBSCOhost
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        10.1186/1471-2458-11-155
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        atl: Evaluation of a social marketing intervention promoting oral rehydration salts in Burundi.
      aug:
        au:
          Kassegne, Sethson
          Kays, Megan B
          Nzohabonayo, Jerome
      sug:
        subj:
          Dehydration Therapy
          Fluid Therapy
          Health Promotion Methods
          Rehydration Solutions Therapeutic Use
          Social Marketing
          Adolescence
          Adult
          Burundi
          Diarrhea Complications
          Diarrhea Physiopathology
          Diarrhea Therapy
          Female
          Human
          Infant
          Infant, Newborn
          Middle Age
          Program Evaluation
          Questionnaires
          Rehydration Solutions Administration and Dosage
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Infant: 1-23 months
          Infant, Newborn: birth-1 month
          Middle Aged: 45-64 years
          Female
      ab: Background: Diarrhea is the second leading cause of death for children under five in Burundi; however, use of oral rehydration salts (ORS), the recommended first-line treatment, remains low. In 2004, PSI/Burundi launched a social marketing intervention to promote ORASEL among caregivers of children under five; the product was relaunched in 2006 with a new flavor. This study evaluates the intervention after the ORASEL relaunch, which included mass media and interpersonal communication activities. The study looks at trends in ORASEL use in Burundi and in behavioral determinants that may be related to its use.Methods: In 2006 and 2007, PSI conducted household surveys among Burundian females of reproductive age (15-49). Both surveys used a two-stage sampling process to select 30 households in each of 115 rural and urban collines throughout the nation. Survey respondents were asked about diarrhea treatment-related behavior; key behavioral determinants; and exposure to the ORASEL intervention. Data were analyzed to identify trends over time, characteristics of ORASEL users, and associations between exposure to the intervention and changes in ORASEL use and related behavioral determinants.Results: ORASEL use among caregivers at their children's last diarrheal episode increased significantly from 20% in 2006 to 30% in 2007, and there were also desirable changes in several behavioral determinants associated with ORASEL use. Evaluation analysis showed that a higher level of exposure to the social marketing campaign was associated with greater use of ORASEL and with significant improvements in perceived availability, knowledge of the signs of diarrhea and dehydration, social support, and self-efficacy.Conclusions: ORS use can be improved through social marketing and educational campaigns that make the public aware of the availability of the product, encourage dialogue about its use, and increase skills and confidence relating to correct product preparation and administration. Further interventions in Burundi and elsewhere should promote ORS through a variety of mass media and interpersonal communication channels, and should be rigorously evaluated in the context of the total market for diarrhea treatment products.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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