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尼日利亚奥约州 5 岁以下儿童腹泻管理中口服补液盐和锌的利用障碍。

Barriers to utilisation of oral rehydration solution and zinc in managing diarrhoea among under-5 children in Oyo State, Nigeria.

机构信息

Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria

Department of Epidemiology and Biostatistics, School of Public Health, Mount Kenya University, Nairobi, Kenya.

出版信息

BMJ Paediatr Open. 2022 Jun;6(1). doi: 10.1136/bmjpo-2022-001450.

Abstract

Despite its effectiveness, oral rehydration solution (ORS) and zinc use for managing diarrhoea among under-5 children (U5C) is low in Nigeria. We assessed the barriers to utilisation and sources of ORS/zinc in Oyo State, Nigeria. A cross-sectional mixed-methods design was adopted. Of the 1154 mothers in the quantitative study, only 71 (6.2%) reported recent U5C diarrhoea, of which 41 used ORS/zinc. Eleven of these 41 obtained ORS/zinc from private chemists, and six from government hospitals. Topmost barriers to utilisation of ORS/zinc are unavailability, unaffordability and poor awareness. Stakeholders should intensify efforts to sensitise women, and improve the availability and affordability of ORS and zinc therapy.

摘要

尽管口服补液盐(ORS)和锌在治疗 5 岁以下儿童腹泻方面具有有效性,但在尼日利亚,其使用率很低。我们评估了尼日利亚奥约州利用口服补液盐/锌的障碍和来源。本研究采用了横断面混合方法设计。在定量研究的 1154 名母亲中,仅有 71 名(6.2%)报告了最近的 5 岁以下儿童腹泻,其中 41 名使用了口服补液盐/锌。在这 41 名中,有 11 人从私人药店购买,6 人从政府医院购买。利用口服补液盐/锌的最大障碍是无法获得、负担不起和缺乏意识。利益攸关方应加大力度,提高妇女的认识,并改善口服补液盐和锌治疗的可及性和可负担性。

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