TAILIEUCHUNG - Improving Child Health in Cambodia: Social Marketing of Diarrhea Treatment Kit, Results of a Pilot Project

Diarrhea is one of the leading killers of children worldwide, accounting for 16% of deaths of children under five (World Health Organization [WHO], 2008). In Cambo- dia, diarrhea is the third leading cause of mortality for children under the age of five following neonatal causes and pneumonia (WHO, 2006). As the majority of childhood deaths from diarrhea are due to dehydration, diarrhea treatment programs have emphasized oral rehydration treatment (ORT), either home- made solution and oral rehydration salts (ORS), accompanying continued feeding and fluid provision as the first line of care for diarrhea (WHO, 2004). Recent studies have demonstrated the efficacy of zinc. | EALTH MARKETING Volume IV Improving Child Health in Cambodia Social Marketing of Diarrhea Treatment Kit Results of a Pilot Project Dan Borapich Mary Warsh PSI Cambodia Corresponding Author Dan Borapich and Mary Warsh PSI Cambodia No. 29 334 Street Boeung Keng Kang Khan Chamcar Mon Phnom Penh Cambodia. Email dborapich@ and mwarsh@. Suggested Citation Borapich D Warsh M. Improving Child Health in Cambodia Social Marketing of Diarrhea Treatment Kit Results of a Pilot Project. Cases in Public Health Communication Marketing. 2010 4 4-22. Available from volume4. SCHOOL OF PUBLIC HEALTH AND health services Peer-Reviewed Case Study Abstract Diarrhea is one of the leading killers of children under five in Cambodia. The recommended first line of treatment for diarrhea is oral rehydration salts ORS and therapeutic doses of zinc. However only 21 of Cambodian children receive treatment with ORS zinc was not available prior to 2006. PSI Cambodia implemented a pilot project to promote and distribute a diarrhea treatment kit DTK branded OraselKIT including both ORS and zinc. The project was launched in 2006 in selected districts of Siem Reap and Pursat with support from the WHO and funding from United States Agency for International Development USAID . The product was distributed through commercial retail village shopkeeper networks and community health workers. A communication campaign targeted caregivers of children under five promoting OraselKIT and its use through mass media a mobile video unit interpersonal communication IPC and promotional materials. Evaluations of the project suggested high level support and satisfaction with the DTK from stakeholders providers and caregivers. Overall use of ORS and associated diarrhea treatment behaviors increased over time and ORS and zinc recognition and ORS use were higher among implementation DTK villages than comparison villages. The pilot project .

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