Management of childhood diarrhoea at the household level: a population-based survey in north-east Brazil

Bull World Health Organ. 1991;69(1):59-65.


The management of childhood diarrhoea at the household level was studied in a population-based survey in four states in north-east Brazil. Of a representative sample of 6524 children under 5 years of age, 982 (15.1%) had diarrhoea on the day of the interview or had had diarrhoea at some time during the previous 15 days. A total of 66% of the children were not taken for treatment, while government health services were used by 14%, private doctors by 1%, and traditional healers (rezadeiras) by 24%. Oral rehydration therapy was given to 24.3% of the children as follows: solutions of oral rehydration salts (ORS) were received by 6.8%, salt-and-sugar solutions by 14.7%, and solutions of commercial ORS brands by 4.3%. Although 95% of the caretakers knew about rehydration solutions, only 18% prepared them correctly, the most common error being the use of insufficient water. Of the rehydration solutions used, 39% had a sodium concentration that was potentially dangerous (greater than 120 mmol/l), and 8% had a sodium concentration that was very low. Of those solutions prepared using ORS, 38% had too high a sodium concentration, while 14% of the salt-and-sugar solutions prepared using either the "scoop-and-pinch" approach or a plastic spoon were too concentrated. However, potentially the most dangerous were the salt-and-sugar solutions prepared using nonstandard recipes. More than half of these had an unacceptably high sodium concentration or osmolarity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil
  • Child, Preschool
  • Diarrhea, Infantile / therapy*
  • Fluid Therapy / methods*
  • Health Services / statistics & numerical data
  • Home Nursing*
  • Humans
  • Infant
  • Population Surveillance
  • Rehydration Solutions / administration & dosage


  • Rehydration Solutions