Correct case management of childhood diarrhea: a survey of nine state capitals in northeast Brazil
MetadataShow full item record
The National Program for Maternal and Child Health (COSMI) of the Ministry of Health (MOH) of Brazil conducted a survey in nine state capitals from 29 March to 30 April 1993 to assess how well health facilities were managing diarrhea cases in patients under 5 years of age. One of seven PAHO/WHO health facility survey performed in Latin America and the Caribbean in 1992-1993, the Brazilian survey took place in the Northeast Region where most diarrheal morbidity and mortality occur. Like the other six surveys, it used a new PAHO/WHO methodology designed to collect data on certain principal indicators through observation, interviews, and review of clinical records. Overall, 475 cases of patients with diarrhea were observed in 192 facilities, and 463 health workers and 474 caretakers were interviewed. The results indicated that few diarrhea patients received care that strictly followed the PAHO/WHO/Ministry of Health treatment guidelines. In terms of these guidelines, the correct procedure was used to assess the patient's hydration status only 8 percent of the time, and only 1 percent of the health workers provided correct advice to the caretaker on prevention and home care aspect of diarrheal diseases. The procedure used to rehydrate patients with oral rehydration salts (ORS) was correct in only 6 percent of the cases.Of those patients with bloody stools, 24 percent were treated appropriately with antibiotics. Besides collecting information on correct case management, the survey provided a basis for developing two-year operational plans of action in each of the nine participating states to strengthen efforts directed at controlling and preventing diarrheal diseases, including choleraThis article will also be published in Spanish in the BOSP. Vol. 119, 1995
Showing items related by title, author, creator and subject.
Pereira, H.G; Linhares, A.C; Candeias, J.A.N; Glass, R.I (1993)In 1984 an enzyme immunoassay for rotavirus and adenovirus developed in the Virology Department of the Oswaldo Cruz Foundation was distributed to laboratories in 14 Brazilian states as part of a proyect to survey viral ...
Lombardi, Clovis; Silva Pedrazzani, Elisete; Pedrazzani, Joao Carlos; Ferreira Filho, Pedro; Zicker, Fabio (1996)The case-control study reported here evaluated the protective effect of BCG vacine against leprosy in Sao Paulo, Brazil. Seventy-eight patients under age 16 who had been diagnosed as having leprosy (cases) and 385 healthy ...
Martins Carvalho, Fernando; Widmer, María Rita; Cruz, Marla; Palomo, Victor; Cruz, Constanza (1991)Records from 910 autopsies performed at a university hospital in Salvador, Bahia, Brazil, were examined in order to assess the accuracy of clinical diagnoses of the patients' underlying causes of death. This study found ...