Preferential mode of zinc and adherence to treatment: zinc syrup or zinc tablet

Authors

  • Om Prakash Singh Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India
  • Abhik Dutta Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India
  • Sudeep Sharma Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20191376

Keywords:

Adherence, Diarrhoea, Preferential, SDI, Syrup, Zinc

Abstract

Background: Diarrhoea has evident itself among the leading causes of under-five childhood mortality globally as well as in India. Although the benefits of zinc supplementation in diarrhoea management have been established, there remain many barriers to the widespread implementation of this treatment strategy. In India, a very small proportion of children in need, 20 per cent in urban and merely 5 per cent in rural, have access to zinc supplementation. The study aimed to assess zinc adherence in the community and find out the preferential mode of zinc as tablet or syrup, to stick to the scheduled adherence.

Methods: The proposed method of study is a simple household survey complimented by secondary research around the preference and usage of zinc and ORS among under five children, suffered from diarrhoea in the last 14 days preceding the survey date.

Results: The study revealed that 95 per cent of the respondents preferred zinc syrup over zinc tablet for treatment of diarrhoea due to its ease to administer and palatable taste to children. Eighty nine per cent of the total urban and 62 per cent of total rural respondents received zinc in syrup form, indicating the preferred mode of zinc by service providers over tablets.

Conclusions: It has been observed that the caregivers tend to give the complete dosage of zinc if it is available in the syrup form. However, it is important to generate evidence to understand the preferential mode of zinc; tablet or syrup in terms of administration of drug, its usage and its cost.

Author Biographies

Om Prakash Singh, Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India

Team Leader, Stop Diarrhoea Initiative

Abhik Dutta, Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India

Assistant Mangaer, Stop Diarrhoea Initiative

Sudeep Sharma, Stop Diarrhoea Initiative, Save the Children India, Gurgaon, Haryana, India

Assistant Mangaer, Stop Diarrhoea Initiative

References

Amouzou A, Velez L, Tarekegn H, Young M. One is too many: Ending child deaths from pneumonia and diarrhoea. New York: UNICEF; 2016.

Ministry of Health and Family Welfare, Government of India. Intensified Diarrhoea Control Fortnight: Operation Guidelines, 2017. Available at: http://www.nhm.gov.in/nrhm-components/rmnch-a/child-health-immunization/2018-01-09-07-16-32/idcf-2018.html. Accessed on 11 December 2018.

Rehydration Project. ORS and Zinc: Treatment of diarrhoea is now more effective. Available at: http://rehydrate.org/zinc/. Accessed on 13 December 2018.

World Health Organization. E-library: Zinc supplementation in management of diarrhoea, 2011. Available at: http://www.who.int/elena/titles/ bbc/zinc_diarrhoea/en/. Accessed on 13 December 2018.

Ministry of Health and Family Welfare, Government of India. India Factsheet: National Family Health Survey-4, 2015-16. Available at: http://rchiips.org/nfhs/pdf/NFHS4/India.pdf. Accessed on 13 December 2018.

Smine A, Primo J, Fontaine O. Production of zinc tablets and zinc oral solutions: Switzerland: WHO Document Production Services; 2007: 9.

World Health Organisation. E-library: Zinc supplementation for diarrhoea treatment, 2014. Available at: http://www.who.int/elena/titles/ commentary/zinc_diarrhoea/en/. Accessed on 13 December 2018.

Ministry of Health and Family Welfare. Government of India. Guidelines: Use of Zinc as an alternate therapy in treatment of diarrhoea, 2006. Available at: http://www.nhm.gov.in/images/pdf /programmes/childhealth/guidelines/goi_zinc.pdf. Accessed on 3 December 2018.

The Zinc Task Force. Manufacturing Guidelines: USP monograph for zinc sulfate tablets, 2006. Available at: http://www.zinctaskforce.org/wp-content/uploads/2011/06/ManufacturingGuidelines_USP-monograph-for-zinc-sulfate-tablets.pdf. Accessed on 5 December 2018.

Wessells K, Ouédraogo Z, Rouamba N, Hess S, Ouédraogo J, Brown K. Short-Term Zinc Supplementation with Dispersible Tablets or Zinc Sulfate Solution Yields Similar Positive Effects on Plasma Zinc Concentration of Young Children in Burkina Faso: A Randomized Controlled Trial. The J Pediatri. 2012;160:129-53.

Babu T. The ideal zinc preparation in the management of acute diarrhea in children. Indian J Pharmacol. 2013;45:539.

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Published

2019-03-27

How to Cite

Singh, O. P., Dutta, A., & Sharma, S. (2019). Preferential mode of zinc and adherence to treatment: zinc syrup or zinc tablet. International Journal Of Community Medicine And Public Health, 6(4), 1510–1515. https://doi.org/10.18203/2394-6040.ijcmph20191376

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Section

Original Research Articles