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Impact of NGO Training and Support Intervention on Diarrhoea Management Practices in a Rural Community of Bangladesh: An Uncontrolled, Single-Arm Trial

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  • Ahmed S Rahman
  • Mohammad Rafiqul Islam
  • Tracey P Koehlmoos
  • Mohammad Jyoti Raihan
  • Mohammad Mehedi Hasan
  • Tahmeed Ahmed
  • Charles P Larson

Abstract

Purpose/Objective: The evolving Non-Governmental Organization (NGO) sector in Bangladesh provides health services directly, however some NGOs indirectly provide services by working with unlicensed providers. The primary objective of this study was to examine the impact of NGO training of unlicensed providers on diarrhoea management and the scale up of zinc treatment in rural populations. Methods: An uncontrolled, single-arm trial for a training and support intervention on diarrhoea outcomes was employed in a rural sub-district of Bangladesh during 2008. Two local NGOs and their catchment populations were chosen for the study. The intervention included training of unlicensed health care providers in the management of acute childhood diarrhoea, particularly emphasizing zinc treatment. In addition, community-based promotion of zinc treatment was carried out. Baseline and endline ecologic surveys were carried out in intervention and control villages to document changes in treatments received for diarrhoea in under-five children. Results: Among surveyed household with an active or recent acute childhood diarrhoea episode, 69% sought help from a health provider. Among these, 62.8% visited an unlicensed private provider. At baseline, 23.9% vs. 22% of control and intervention group children with diarrhoea had received zinc of any type. At endline (6 months later) this had changed to 15.3% vs. 30.2%, respectively. The change in zinc coverage was significantly higher in the intervention villages (p

Suggested Citation

  • Ahmed S Rahman & Mohammad Rafiqul Islam & Tracey P Koehlmoos & Mohammad Jyoti Raihan & Mohammad Mehedi Hasan & Tahmeed Ahmed & Charles P Larson, 2014. "Impact of NGO Training and Support Intervention on Diarrhoea Management Practices in a Rural Community of Bangladesh: An Uncontrolled, Single-Arm Trial," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-9, November.
    • Handle: RePEc:plo:pone00:0112308
    DOI: 10.1371/journal.pone.0112308
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    References listed on IDEAS

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    1. Oshiname, Frederick O. & Brieger, William R., 1992. "Primary care training for patent medicine vendors in rural Nigeria," Social Science & Medicine, Elsevier, vol. 35(12), pages 1477-1484, December.
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    Cited by:

    1. Tanvir Abir & Felix Akpojene Ogbo & Garry John Stevens & Andrew Nicolas Page & Abul Hasnat Milton & Kingsley Emwinyore Agho, 2017. "The impact of antenatal care, iron–folic acid supplementation and tetanus toxoid vaccination during pregnancy on child mortality in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-14, November.

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