Scaling up access to oral rehydration solution for diarrhea: Learning from historical experience in low- and high-performing countries.

ABSTRACT:

Aim

This paper aims to identify factors that systematically predict why some countries that have tried to scale up oral rehydration solution (ORS) have succeeded, and others have not.

Methods

We examined ORS coverage over time, across countries, and through case studies. We conducted expert interviews and literature and data searches to better understand the history of ORS scale-up efforts and why they failed or succeeded in nine countries. We used qualitative, pairwise (or three-country) comparisons of geographically or otherwise similar countries that had different outcomes in terms of ORS scale-up. An algorithm was developed which scored country performance across key supply, demand and financing activities to quantitatively assess the scale-up efforts in each country.

SUBMITTER: Wilson SE 

PROVIDER: S-EPMC3700030 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature