SlideShare a Scribd company logo
Promoting prevention and treatment of Diarrhoea:Increasing the availability and USE of ORS and ZincDr. Gaurav AryaHealth Specialist, UNICEFOctober 30, 2010
Overview of the presentationNeed for talking about  diarrhoeaComponents of effective management of diarrhoea using ORS and ZincField challengesInterventions for improving diarrhoea management in Uttar PradeshBrief introduction to the social marketing initiative in Lalitpur
Why are we talking about  diarrhoeaDiarrhoea is the second largest killer and accounts for nearly 2 million child-deaths globallyIn India, only 26% children suffering from Diarrhoea are treated with oral rehydration therapy (ORT) and the proportion is only 13% in Uttar Pradesh (NFHS-3) – This is despite the fact that ORT was introduced as the treatment of choice for diarrhoea more than 3500 years ago.More than one-quarter did not receive any kind of treatment16% received antibiotics, which are not normally recommended for treating childhood diarrhoea
Components of effective management of diarrhoea using ORS and ZincReduced mortality of children due to diarrhoea
These are the field challengesDiarrhoea is still a widely prevalent disease in UP (NFHS-3)Most Childhood  diarrhea cases first treated by rural practitioners and chemists (World Bank survey 1997)Very low use of ORS and Zinc for management of diarrhoeaRural Practitioners & Chemists use antibiotics extensively and have inadequate knowledge about the use of  ORS & ZincLow compliance of Zinc for 14 daysThere is no data on availability of ORS and Zinc through the private channelsPublic health and distribution system has frequent outages and low reliabilityThere is continued and widespread use of anti-diarrhealsGovt. & professional bodies unwilling to educate or include the RMP’s
Data shows…There are multiple drug modalities being practicedThere are multiple drug therapies being used
Data shows…The general prescription pattern of service providers is inappropriateMany of the retailers/ pharmacists have never retailed ORS and Zinc
Pictures Show…Here is where a large proportion of the population goes: RMPs
Pictures Show…And this is what they use for treatment:
What are we doing in Uttar PradeshCapacity DevelopmentTraining of public healthcare providers in CCSP/IMNCI districtsTraining of private and public sector pediatricians through IAPTraining of private physicians and pediatricians in Lalitpur through HLFPPTSupply chainDemonstrate a model of alternative supply chain through Social marketing initiative in LalitpurProvide buffer stock of ORS and Zinc to the public health system in CCSP/IMNCI districts
What are we doing in Uttar PradeshGenerating evidence and knowledge managementMarket assessment for availability of ORS and ZincPromoting community use of ORS and Zinc through “depot holders” established by HLFPPTGIS mapping and supply chain monitoring of depot holders in LalitpurKnowledge exchanges through academic associations and medical collegesEstablishing partnershipsProfessional bodies like IAP, IAPSMHLFPPTPolio Social Mobilization NetworkAED/ USAID funded PouZN project
Social Marketing: A Social innovationCOMMUNITY EMPOWERMENTSUSTAINABLE EFFORT  HEALTH EDUCATIONACCESS & QUALITYORS and ZincDOCTORS &PHARMACIESCOMMUNITYConnecting with the rural pharmacy and practitionersSensitizing  the DoctorsMeetings with depot holdersCommunity    MeetingsORS and Zinc promotion – through depot holders
Depot holder’s meetingsAwareness & EducationPhysician Education Social Marketing: A Social innovation4 As of social marketingAwarenessCommunity Awareness : Preventive Health tips, Disease and therapy awareness by local HLFPPT district and block teamsPhysician and healthcare provider education: Knowledge sharing with doctors, ANMs, LHVs and AYUSH practitioners by Senior HLFPPT expertsAcceptability (Local)Customized Portfolio: WHO recommended ORS(in sachet) and 7 tablet pack of Zinc (20mg Tablets)  Local adaptation of IEC material, branding & communicationAvailabilityEnhanced  Distribution:  Connecting rural pharmacies with city distributors across 700 villages in Lalitpur.AffordabilityCustom small packs (strips of 7 tabs costing Rs.8.25)Affordable ORS packets (Rs.6.50 per packet)
Social Marketing: A Social innovationIEC Material
THANKS

More Related Content

What's hot

Healthy Chicago Destination Talks
Healthy Chicago Destination TalksHealthy Chicago Destination Talks
Healthy Chicago Destination Talks
Chicago Department of Public Health
 
Appalachia Health Research
Appalachia Health ResearchAppalachia Health Research
Appalachia Health Research
Robert Schmahl
 
Using the health system to deliver nutrition interventions in Bangladesh
Using the health system to deliver nutrition interventions in BangladeshUsing the health system to deliver nutrition interventions in Bangladesh
Using the health system to deliver nutrition interventions in Bangladesh
Transform Nutrition
 
Mike Stephens
Mike StephensMike Stephens
Mike Stephens
NACCHOpresentations
 
Alternative Health Budget 09.30.13 version
Alternative Health Budget 09.30.13 version Alternative Health Budget 09.30.13 version
Alternative Health Budget 09.30.13 version
College of Medicine, University of the Philippines Manila
 
Strengthening nutrition-sensitivity of social protection programmes in India:...
Strengthening nutrition-sensitivity of social protection programmes in India:...Strengthening nutrition-sensitivity of social protection programmes in India:...
Strengthening nutrition-sensitivity of social protection programmes in India:...
Transform Nutrition
 
Rwjf release on phnl final
Rwjf release on phnl finalRwjf release on phnl final
Rwjf release on phnl final
Ivonne Rivera-Newberry
 
Primary Health Care Outreach Clinic
 Primary Health Care Outreach Clinic  Primary Health Care Outreach Clinic
Primary Health Care Outreach Clinic
Public Health
 
Welcome and overview of Transform Nutrition in South Asia
Welcome and overview of Transform Nutrition in South Asia Welcome and overview of Transform Nutrition in South Asia
Welcome and overview of Transform Nutrition in South Asia
Transform Nutrition
 
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
jehill3
 
Ray Kelly
Ray KellyRay Kelly
University of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh PooleUniversity of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh Poole
Samantha Haas
 
Omada health snapshot
Omada health snapshotOmada health snapshot
Omada health snapshot
Dhiren Patel
 
Transitioning from in-person to remote and virtual mode during the COVID-19 p...
Transitioning from in-person to remote and virtual mode during the COVID-19 p...Transitioning from in-person to remote and virtual mode during the COVID-19 p...
Transitioning from in-person to remote and virtual mode during the COVID-19 p...
POSHAN
 
Summary of april 2 3 meeting on india national maternal nutrition meeting
Summary of april 2 3 meeting on india national maternal nutrition meetingSummary of april 2 3 meeting on india national maternal nutrition meeting
Summary of april 2 3 meeting on india national maternal nutrition meeting
POSHAN
 
Can social marketing be a force for good?
Can social marketing be a force for good?Can social marketing be a force for good?
Can social marketing be a force for good?
Health and Care Innovation Expo
 
Delivering for nutrition 2021_conference summary
Delivering for nutrition 2021_conference summaryDelivering for nutrition 2021_conference summary
Delivering for nutrition 2021_conference summary
POSHAN
 
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
POSHAN
 
Tele-monitoring continuity of adolescents and women’s nutrition services in e...
Tele-monitoring continuity of adolescents and women’s nutrition services in e...Tele-monitoring continuity of adolescents and women’s nutrition services in e...
Tele-monitoring continuity of adolescents and women’s nutrition services in e...
POSHAN
 
NRC 2 heevi hospital
NRC 2 heevi hospitalNRC 2 heevi hospital
NRC 2 heevi hospital
Azad Haleem
 

What's hot (20)

Healthy Chicago Destination Talks
Healthy Chicago Destination TalksHealthy Chicago Destination Talks
Healthy Chicago Destination Talks
 
Appalachia Health Research
Appalachia Health ResearchAppalachia Health Research
Appalachia Health Research
 
Using the health system to deliver nutrition interventions in Bangladesh
Using the health system to deliver nutrition interventions in BangladeshUsing the health system to deliver nutrition interventions in Bangladesh
Using the health system to deliver nutrition interventions in Bangladesh
 
Mike Stephens
Mike StephensMike Stephens
Mike Stephens
 
Alternative Health Budget 09.30.13 version
Alternative Health Budget 09.30.13 version Alternative Health Budget 09.30.13 version
Alternative Health Budget 09.30.13 version
 
Strengthening nutrition-sensitivity of social protection programmes in India:...
Strengthening nutrition-sensitivity of social protection programmes in India:...Strengthening nutrition-sensitivity of social protection programmes in India:...
Strengthening nutrition-sensitivity of social protection programmes in India:...
 
Rwjf release on phnl final
Rwjf release on phnl finalRwjf release on phnl final
Rwjf release on phnl final
 
Primary Health Care Outreach Clinic
 Primary Health Care Outreach Clinic  Primary Health Care Outreach Clinic
Primary Health Care Outreach Clinic
 
Welcome and overview of Transform Nutrition in South Asia
Welcome and overview of Transform Nutrition in South Asia Welcome and overview of Transform Nutrition in South Asia
Welcome and overview of Transform Nutrition in South Asia
 
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
Maternal Anemia within Child Survival Grants Program:  Lessons Learned and a ...
 
Ray Kelly
Ray KellyRay Kelly
Ray Kelly
 
University of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh PooleUniversity of Alabama Telehealth - Dr. Leigh Poole
University of Alabama Telehealth - Dr. Leigh Poole
 
Omada health snapshot
Omada health snapshotOmada health snapshot
Omada health snapshot
 
Transitioning from in-person to remote and virtual mode during the COVID-19 p...
Transitioning from in-person to remote and virtual mode during the COVID-19 p...Transitioning from in-person to remote and virtual mode during the COVID-19 p...
Transitioning from in-person to remote and virtual mode during the COVID-19 p...
 
Summary of april 2 3 meeting on india national maternal nutrition meeting
Summary of april 2 3 meeting on india national maternal nutrition meetingSummary of april 2 3 meeting on india national maternal nutrition meeting
Summary of april 2 3 meeting on india national maternal nutrition meeting
 
Can social marketing be a force for good?
Can social marketing be a force for good?Can social marketing be a force for good?
Can social marketing be a force for good?
 
Delivering for nutrition 2021_conference summary
Delivering for nutrition 2021_conference summaryDelivering for nutrition 2021_conference summary
Delivering for nutrition 2021_conference summary
 
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
Program Impact Pathway of the Positive Deviance/Hearth Interactive Voice Call...
 
Tele-monitoring continuity of adolescents and women’s nutrition services in e...
Tele-monitoring continuity of adolescents and women’s nutrition services in e...Tele-monitoring continuity of adolescents and women’s nutrition services in e...
Tele-monitoring continuity of adolescents and women’s nutrition services in e...
 
NRC 2 heevi hospital
NRC 2 heevi hospitalNRC 2 heevi hospital
NRC 2 heevi hospital
 

Similar to Dr Gaurav Arya

In Sync with Zinc
In Sync with ZincIn Sync with Zinc
In Sync with Zinc
jehill3
 
In Sync with Zinc
In Sync with ZincIn Sync with Zinc
In Sync with Zinc
jehill3
 
Health promotion exhibition
Health promotion exhibitionHealth promotion exhibition
Health promotion exhibition
Nepha Sangh
 
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
International Food Policy Research Institute (IFPRI)
 
Teaching Prevention 2013: Wright Presentation
Teaching Prevention 2013: Wright PresentationTeaching Prevention 2013: Wright Presentation
Teaching Prevention 2013: Wright Presentation
aptr1001
 
Health care system decentralization
Health care system decentralizationHealth care system decentralization
Health care system decentralization
MCH-org-ua
 
Social pharmacy, National Health Mission
Social pharmacy, National Health MissionSocial pharmacy, National Health Mission
Social pharmacy, National Health Mission
Dr. Ramesh Bhandari
 
Monitoring Of Government Programmes
Monitoring Of Government ProgrammesMonitoring Of Government Programmes
Monitoring Of Government Programmes
Thomas Müller
 
Guidelines for control of Iron deficiency Anemia
Guidelines for control of Iron deficiency AnemiaGuidelines for control of Iron deficiency Anemia
Guidelines for control of Iron deficiency Anemia
Dhruvendra Pandey
 
Control-of-Iron-Deficiency-Anaemia.pdf
Control-of-Iron-Deficiency-Anaemia.pdfControl-of-Iron-Deficiency-Anaemia.pdf
Control-of-Iron-Deficiency-Anaemia.pdf
hitesh6022
 
Primary health care in india
Primary health care in indiaPrimary health care in india
Primary health care in india
Pradip Awate
 
Primary health centre
Primary health centre Primary health centre
Primary health centre
Dr. Rahul B. Pandit
 
Dr diana payawal hb liver ca summit
Dr diana payawal  hb liver ca summitDr diana payawal  hb liver ca summit
Dr diana payawal hb liver ca summit
Alex Asuncion
 
ORT.pptx
ORT.pptxORT.pptx
ORT.pptx
srijitghoshal
 
Integrating nutrition into health systems: opportunities and challenges
Integrating nutrition into health systems: opportunities and challengesIntegrating nutrition into health systems: opportunities and challenges
Integrating nutrition into health systems: opportunities and challenges
Transform Nutrition
 
Reducing the burden of diarrhea among children
Reducing the burden of diarrhea among childrenReducing the burden of diarrhea among children
Reducing the burden of diarrhea among children
Saba'atu Elizabeth
 
ORT_corners_JPHN
ORT_corners_JPHNORT_corners_JPHN
ORT_corners_JPHN
Saba'atu Elizabeth
 
Dr. G Nandhini
Dr. G NandhiniDr. G Nandhini
Dr. G Nandhini
DYUTI
 
PRIMARY HEALTH CARE.pdf
PRIMARY HEALTH CARE.pdfPRIMARY HEALTH CARE.pdf
PRIMARY HEALTH CARE.pdf
AnushriSrivastav
 
pharma Rural sales and marketing strategies
 pharma Rural sales and marketing strategies pharma Rural sales and marketing strategies
pharma Rural sales and marketing strategies
Rohit K.
 

Similar to Dr Gaurav Arya (20)

In Sync with Zinc
In Sync with ZincIn Sync with Zinc
In Sync with Zinc
 
In Sync with Zinc
In Sync with ZincIn Sync with Zinc
In Sync with Zinc
 
Health promotion exhibition
Health promotion exhibitionHealth promotion exhibition
Health promotion exhibition
 
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
Moataz Saleh (UNICEF)• 2018 IFPRI Egypt Seminar: “High quality evidence is cr...
 
Teaching Prevention 2013: Wright Presentation
Teaching Prevention 2013: Wright PresentationTeaching Prevention 2013: Wright Presentation
Teaching Prevention 2013: Wright Presentation
 
Health care system decentralization
Health care system decentralizationHealth care system decentralization
Health care system decentralization
 
Social pharmacy, National Health Mission
Social pharmacy, National Health MissionSocial pharmacy, National Health Mission
Social pharmacy, National Health Mission
 
Monitoring Of Government Programmes
Monitoring Of Government ProgrammesMonitoring Of Government Programmes
Monitoring Of Government Programmes
 
Guidelines for control of Iron deficiency Anemia
Guidelines for control of Iron deficiency AnemiaGuidelines for control of Iron deficiency Anemia
Guidelines for control of Iron deficiency Anemia
 
Control-of-Iron-Deficiency-Anaemia.pdf
Control-of-Iron-Deficiency-Anaemia.pdfControl-of-Iron-Deficiency-Anaemia.pdf
Control-of-Iron-Deficiency-Anaemia.pdf
 
Primary health care in india
Primary health care in indiaPrimary health care in india
Primary health care in india
 
Primary health centre
Primary health centre Primary health centre
Primary health centre
 
Dr diana payawal hb liver ca summit
Dr diana payawal  hb liver ca summitDr diana payawal  hb liver ca summit
Dr diana payawal hb liver ca summit
 
ORT.pptx
ORT.pptxORT.pptx
ORT.pptx
 
Integrating nutrition into health systems: opportunities and challenges
Integrating nutrition into health systems: opportunities and challengesIntegrating nutrition into health systems: opportunities and challenges
Integrating nutrition into health systems: opportunities and challenges
 
Reducing the burden of diarrhea among children
Reducing the burden of diarrhea among childrenReducing the burden of diarrhea among children
Reducing the burden of diarrhea among children
 
ORT_corners_JPHN
ORT_corners_JPHNORT_corners_JPHN
ORT_corners_JPHN
 
Dr. G Nandhini
Dr. G NandhiniDr. G Nandhini
Dr. G Nandhini
 
PRIMARY HEALTH CARE.pdf
PRIMARY HEALTH CARE.pdfPRIMARY HEALTH CARE.pdf
PRIMARY HEALTH CARE.pdf
 
pharma Rural sales and marketing strategies
 pharma Rural sales and marketing strategies pharma Rural sales and marketing strategies
pharma Rural sales and marketing strategies
 

More from IAPSMUPUKCON2010

Ms Parul Sharma
Ms Parul SharmaMs Parul Sharma
Ms Parul Sharma
IAPSMUPUKCON2010
 
Mr Nihar
Mr NiharMr Nihar
Dr Varsha
Dr VarshaDr Varsha
Dr Varsha
IAPSMUPUKCON2010
 
Dr V K Tiwari
Dr V K TiwariDr V K Tiwari
Dr V K Tiwari
IAPSMUPUKCON2010
 
Dr V K Srivastav
Dr V K SrivastavDr V K Srivastav
Dr V K Srivastav
IAPSMUPUKCON2010
 
Dr Tabassum
Dr TabassumDr Tabassum
Dr Tabassum
IAPSMUPUKCON2010
 
Dr Siddharudha Shivalli
Dr Siddharudha ShivalliDr Siddharudha Shivalli
Dr Siddharudha Shivalli
IAPSMUPUKCON2010
 
Dr Shekhar
Dr ShekharDr Shekhar
Dr Shekhar
IAPSMUPUKCON2010
 
Dr Sharmila G Neogi
Dr Sharmila G NeogiDr Sharmila G Neogi
Dr Sharmila G Neogi
IAPSMUPUKCON2010
 
Dr Shalini
Dr ShaliniDr Shalini
Dr Shalini
IAPSMUPUKCON2010
 
Dr Seema Diwan Gupta
Dr Seema Diwan GuptaDr Seema Diwan Gupta
Dr Seema Diwan Gupta
IAPSMUPUKCON2010
 
Dr Seema Diwan Gupta
Dr Seema Diwan GuptaDr Seema Diwan Gupta
Dr Seema Diwan Gupta
IAPSMUPUKCON2010
 
Dr Saurabh Mishra
Dr Saurabh MishraDr Saurabh Mishra
Dr Saurabh Mishra
IAPSMUPUKCON2010
 
Dr Saurabh Kashyap
Dr Saurabh KashyapDr Saurabh Kashyap
Dr Saurabh Kashyap
IAPSMUPUKCON2010
 
Dr Sandeep Singh
Dr Sandeep SinghDr Sandeep Singh
Dr Sandeep Singh
IAPSMUPUKCON2010
 
Dr Sandeep Gupta
Dr Sandeep GuptaDr Sandeep Gupta
Dr Sandeep Gupta
IAPSMUPUKCON2010
 
Dr saira
Dr sairaDr saira
Dr saira
Dr sairaDr saira
Dr Sadhana Singh
Dr Sadhana SinghDr Sadhana Singh
Dr Sadhana Singh
IAPSMUPUKCON2010
 
Dr S K Kaushal
Dr S K KaushalDr S K Kaushal
Dr S K Kaushal
IAPSMUPUKCON2010
 

More from IAPSMUPUKCON2010 (20)

Ms Parul Sharma
Ms Parul SharmaMs Parul Sharma
Ms Parul Sharma
 
Mr Nihar
Mr NiharMr Nihar
Mr Nihar
 
Dr Varsha
Dr VarshaDr Varsha
Dr Varsha
 
Dr V K Tiwari
Dr V K TiwariDr V K Tiwari
Dr V K Tiwari
 
Dr V K Srivastav
Dr V K SrivastavDr V K Srivastav
Dr V K Srivastav
 
Dr Tabassum
Dr TabassumDr Tabassum
Dr Tabassum
 
Dr Siddharudha Shivalli
Dr Siddharudha ShivalliDr Siddharudha Shivalli
Dr Siddharudha Shivalli
 
Dr Shekhar
Dr ShekharDr Shekhar
Dr Shekhar
 
Dr Sharmila G Neogi
Dr Sharmila G NeogiDr Sharmila G Neogi
Dr Sharmila G Neogi
 
Dr Shalini
Dr ShaliniDr Shalini
Dr Shalini
 
Dr Seema Diwan Gupta
Dr Seema Diwan GuptaDr Seema Diwan Gupta
Dr Seema Diwan Gupta
 
Dr Seema Diwan Gupta
Dr Seema Diwan GuptaDr Seema Diwan Gupta
Dr Seema Diwan Gupta
 
Dr Saurabh Mishra
Dr Saurabh MishraDr Saurabh Mishra
Dr Saurabh Mishra
 
Dr Saurabh Kashyap
Dr Saurabh KashyapDr Saurabh Kashyap
Dr Saurabh Kashyap
 
Dr Sandeep Singh
Dr Sandeep SinghDr Sandeep Singh
Dr Sandeep Singh
 
Dr Sandeep Gupta
Dr Sandeep GuptaDr Sandeep Gupta
Dr Sandeep Gupta
 
Dr saira
Dr sairaDr saira
Dr saira
 
Dr saira
Dr sairaDr saira
Dr saira
 
Dr Sadhana Singh
Dr Sadhana SinghDr Sadhana Singh
Dr Sadhana Singh
 
Dr S K Kaushal
Dr S K KaushalDr S K Kaushal
Dr S K Kaushal
 

Recently uploaded

5. Postharvest deterioration of fruits and vegetables.pptx
5. Postharvest deterioration of fruits and vegetables.pptx5. Postharvest deterioration of fruits and vegetables.pptx
5. Postharvest deterioration of fruits and vegetables.pptx
UmeshTimilsina1
 
V2-NLC-Certificate-of-Completion_Learner.docx
V2-NLC-Certificate-of-Completion_Learner.docxV2-NLC-Certificate-of-Completion_Learner.docx
V2-NLC-Certificate-of-Completion_Learner.docx
302491
 
Node JS Interview Question PDF By ScholarHat
Node JS Interview Question PDF By ScholarHatNode JS Interview Question PDF By ScholarHat
Node JS Interview Question PDF By ScholarHat
Scholarhat
 
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
mansk2
 
React Interview Question PDF By ScholarHat
React Interview Question PDF By ScholarHatReact Interview Question PDF By ScholarHat
React Interview Question PDF By ScholarHat
Scholarhat
 
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
ALBERTHISOLER1
 
C# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdfC# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdf
Scholarhat
 
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
Nguyen Thanh Tu Collection
 
Java MCQ Questions and Answers PDF By ScholarHat
Java MCQ Questions and Answers PDF By ScholarHatJava MCQ Questions and Answers PDF By ScholarHat
Java MCQ Questions and Answers PDF By ScholarHat
Scholarhat
 
3. Maturity_indices_of_fruits_and_vegetable.pptx
3. Maturity_indices_of_fruits_and_vegetable.pptx3. Maturity_indices_of_fruits_and_vegetable.pptx
3. Maturity_indices_of_fruits_and_vegetable.pptx
UmeshTimilsina1
 
11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx
UmeshTimilsina1
 
Odoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List ScanningOdoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List Scanning
Celine George
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
mansk2
 
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.pptFIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
ashutoshklal29
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa
 
How To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-marketHow To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-market
Sikandar Ali
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
Dr. S. Bulomine Regi
 
INSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptxINSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptx
RODELAZARES3
 
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptxSD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
elwoodprias1
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
UmeshTimilsina1
 

Recently uploaded (20)

5. Postharvest deterioration of fruits and vegetables.pptx
5. Postharvest deterioration of fruits and vegetables.pptx5. Postharvest deterioration of fruits and vegetables.pptx
5. Postharvest deterioration of fruits and vegetables.pptx
 
V2-NLC-Certificate-of-Completion_Learner.docx
V2-NLC-Certificate-of-Completion_Learner.docxV2-NLC-Certificate-of-Completion_Learner.docx
V2-NLC-Certificate-of-Completion_Learner.docx
 
Node JS Interview Question PDF By ScholarHat
Node JS Interview Question PDF By ScholarHatNode JS Interview Question PDF By ScholarHat
Node JS Interview Question PDF By ScholarHat
 
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
11EHS Term 3 Week 1 Unit 1 Review: Feedback and improvementpptx
 
React Interview Question PDF By ScholarHat
React Interview Question PDF By ScholarHatReact Interview Question PDF By ScholarHat
React Interview Question PDF By ScholarHat
 
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
Brigada Eskwela 2024 PowerPoint Update for SY 2024-2025
 
C# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdfC# Interview Questions PDF By ScholarHat.pdf
C# Interview Questions PDF By ScholarHat.pdf
 
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
BÀI TẬP BỔ TRỢ 4 KỸ NĂNG TIẾNG ANH LỚP 12 - GLOBAL SUCCESS - FORM MỚI 2025 - ...
 
Java MCQ Questions and Answers PDF By ScholarHat
Java MCQ Questions and Answers PDF By ScholarHatJava MCQ Questions and Answers PDF By ScholarHat
Java MCQ Questions and Answers PDF By ScholarHat
 
3. Maturity_indices_of_fruits_and_vegetable.pptx
3. Maturity_indices_of_fruits_and_vegetable.pptx3. Maturity_indices_of_fruits_and_vegetable.pptx
3. Maturity_indices_of_fruits_and_vegetable.pptx
 
11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx11. Post harvest quality, Quality criteria and Judgement.pptx
11. Post harvest quality, Quality criteria and Judgement.pptx
 
Odoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List ScanningOdoo 17 Events - Attendees List Scanning
Odoo 17 Events - Attendees List Scanning
 
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...QCE – Unpacking the syllabus Implications for Senior School practices and ass...
QCE – Unpacking the syllabus Implications for Senior School practices and ass...
 
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.pptFIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
FIRST AID PRESENTATION ON INDUSTRIAL SAFETY by dr lal.ppt
 
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
Dr. Nasir Mustafa CERTIFICATE OF APPRECIATION "NEUROANATOMY"
 
How To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-marketHow To Sell Hamster Kombat Coin In Pre-market
How To Sell Hamster Kombat Coin In Pre-market
 
Introduction to Banking System in India.ppt
Introduction to Banking System in India.pptIntroduction to Banking System in India.ppt
Introduction to Banking System in India.ppt
 
INSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptxINSIDE OUT - PowerPoint Presentation.pptx
INSIDE OUT - PowerPoint Presentation.pptx
 
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptxSD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
SD_Integrating 21st Century Skills in Classroom-based Assessment.pptx
 
2 Post harvest Physiology of Horticulture produce.pptx
2 Post harvest Physiology of Horticulture  produce.pptx2 Post harvest Physiology of Horticulture  produce.pptx
2 Post harvest Physiology of Horticulture produce.pptx
 

Dr Gaurav Arya

  • 1. Promoting prevention and treatment of Diarrhoea:Increasing the availability and USE of ORS and ZincDr. Gaurav AryaHealth Specialist, UNICEFOctober 30, 2010
  • 2. Overview of the presentationNeed for talking about diarrhoeaComponents of effective management of diarrhoea using ORS and ZincField challengesInterventions for improving diarrhoea management in Uttar PradeshBrief introduction to the social marketing initiative in Lalitpur
  • 3. Why are we talking about diarrhoeaDiarrhoea is the second largest killer and accounts for nearly 2 million child-deaths globallyIn India, only 26% children suffering from Diarrhoea are treated with oral rehydration therapy (ORT) and the proportion is only 13% in Uttar Pradesh (NFHS-3) – This is despite the fact that ORT was introduced as the treatment of choice for diarrhoea more than 3500 years ago.More than one-quarter did not receive any kind of treatment16% received antibiotics, which are not normally recommended for treating childhood diarrhoea
  • 4. Components of effective management of diarrhoea using ORS and ZincReduced mortality of children due to diarrhoea
  • 5. These are the field challengesDiarrhoea is still a widely prevalent disease in UP (NFHS-3)Most Childhood diarrhea cases first treated by rural practitioners and chemists (World Bank survey 1997)Very low use of ORS and Zinc for management of diarrhoeaRural Practitioners & Chemists use antibiotics extensively and have inadequate knowledge about the use of ORS & ZincLow compliance of Zinc for 14 daysThere is no data on availability of ORS and Zinc through the private channelsPublic health and distribution system has frequent outages and low reliabilityThere is continued and widespread use of anti-diarrhealsGovt. & professional bodies unwilling to educate or include the RMP’s
  • 6. Data shows…There are multiple drug modalities being practicedThere are multiple drug therapies being used
  • 7. Data shows…The general prescription pattern of service providers is inappropriateMany of the retailers/ pharmacists have never retailed ORS and Zinc
  • 8. Pictures Show…Here is where a large proportion of the population goes: RMPs
  • 9. Pictures Show…And this is what they use for treatment:
  • 10. What are we doing in Uttar PradeshCapacity DevelopmentTraining of public healthcare providers in CCSP/IMNCI districtsTraining of private and public sector pediatricians through IAPTraining of private physicians and pediatricians in Lalitpur through HLFPPTSupply chainDemonstrate a model of alternative supply chain through Social marketing initiative in LalitpurProvide buffer stock of ORS and Zinc to the public health system in CCSP/IMNCI districts
  • 11. What are we doing in Uttar PradeshGenerating evidence and knowledge managementMarket assessment for availability of ORS and ZincPromoting community use of ORS and Zinc through “depot holders” established by HLFPPTGIS mapping and supply chain monitoring of depot holders in LalitpurKnowledge exchanges through academic associations and medical collegesEstablishing partnershipsProfessional bodies like IAP, IAPSMHLFPPTPolio Social Mobilization NetworkAED/ USAID funded PouZN project
  • 12. Social Marketing: A Social innovationCOMMUNITY EMPOWERMENTSUSTAINABLE EFFORT HEALTH EDUCATIONACCESS & QUALITYORS and ZincDOCTORS &PHARMACIESCOMMUNITYConnecting with the rural pharmacy and practitionersSensitizing the DoctorsMeetings with depot holdersCommunity MeetingsORS and Zinc promotion – through depot holders
  • 13. Depot holder’s meetingsAwareness & EducationPhysician Education Social Marketing: A Social innovation4 As of social marketingAwarenessCommunity Awareness : Preventive Health tips, Disease and therapy awareness by local HLFPPT district and block teamsPhysician and healthcare provider education: Knowledge sharing with doctors, ANMs, LHVs and AYUSH practitioners by Senior HLFPPT expertsAcceptability (Local)Customized Portfolio: WHO recommended ORS(in sachet) and 7 tablet pack of Zinc (20mg Tablets) Local adaptation of IEC material, branding & communicationAvailabilityEnhanced Distribution: Connecting rural pharmacies with city distributors across 700 villages in Lalitpur.AffordabilityCustom small packs (strips of 7 tabs costing Rs.8.25)Affordable ORS packets (Rs.6.50 per packet)
  • 14. Social Marketing: A Social innovationIEC Material