PRITECH, diarrheal disease control, Mexico : strategy assessment report

Major program constraints included lack of standardized oral rehydration solution (ORS) mixing and dosage instructions; insufficient support from the medical profession; widespread use of competing remedies; lack of information on existing consumer practices and preferences; lack of a cohesive program "image" with popular impact and of an organized and comprehensive consumer education strategy; an underutilized private sector distribution channel; and an inadequate epidemiological surveillance system. Key recommendations are to name a full-time ORT program manager for at least 3 years; develop an aggressive physician and health provider training and promotion campaign; conduct surveys on consumer beliefs and practices, product acceptance, educational materials effectiveness, and input monitoring; focus on widespread promotion of ORS packets; implement a national promotion campaign with standardized slogan, product name, logo type, mixing and dosage instructions, and related information; and pursue creation of a subsidized ORT product to be sold throughout the country.