Promotion of Oral Rehydration Therapy Comparing a Homemade Rice-Powder Gruel and Oral Rehydration Salts

Abstract

Characteristics of the use of two oral rehydration solutions [rice-based gruel (RBG) or oral rehydration salts (ORS)] were assessed in 162 mothers of children under five years of age who presented a first episode of diarrhoea during the study period, in 12 rural villages of Central Mexico. Eighty-six mothers lived in six villages randomly assigned to receive the RBG promotion and 76 lived in six villages assigned to receive the ORS promotion. The intervention strategy, relying on face-to face contact by health auxiliaries who teach mothers about the dangers of dehydration, how to recognize it, and how to prepare and feed an oral rehydration solution, closely resembled that used by the National Program for the Control of Diarrheal Diseases. Before the intervention, 42% of all mothers used RBG and 58% used ORS; 8% of mothers who used RBG and 18% of those who used ORS used the beverage for rehydration purposes. After the intervention, in the villages where RBG was promoted, 57 (66%) of the mothers used RBG and 14 (16%) used ORS. In the villages where ORS was promoted, 9 (12%) of the mothers used RBG and 58 (76%) used ORS. In both groups, all mothers used at least one other beverage (usually herbal tea) during diarrhoea. but the promoted beverages were used first The use of the promoted beverage was higher when mothers had used it before the intervention. Eighty-six percent of mothers who prepared RBG used the promoted concentration of ingredients, whereas all mothers who prepared ORS correctly diluted one package in 1 L of water. After the intervention, 54% and 67% of mothers said they used RBG and ORS specifically to prevent dehydration.