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  1. 1
    Peer Reviewed

    Uses of formal and informal knowledge in the comprehension of instructions for oral rehydration therapy in Kenya.

    Eisemon TO; Patel VL; Sena SO

    Social Science and Medicine. 1987; 25(11):1225-34.

    Information for using pre-mixed oral rehydrations salts solutions which have been made widely available in rural Kenya is normally printed on the packets in English, along with illustrations, and is either read or explained to the purchaser. This report found that comprehension of these directions could be improved with simple changes in the printed text that would reinforce prior knowledge and increase the effectiveness of the illustrations. The larger issue at stake is the need to develop long term health care remedies such as education and literacy, as well as short term. Oral rehydration therapy (ORT) was adopted as a short term way of combatting infant mortality due to diarrhea with explanation of ORT becoming the responsibility of village level health workers. This study suggests, however, that education including literacy, knowledge of environmental and biological causes of disease, and the ability to comprehend treatments is essential to long term health care goals.
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  2. 2

    Evaluation of illustrated support material of Maya pill.

    Bangladesh. Family Planning Social Marketing Project

    [Unpublished] [1983]. 17, [5] p.

    The Social Marketing Project (SMP) of Bangladesh developed an illustrated Maya (a regular dose oral contraceptive) packet insert of instructions for use and information on potential side effects and what to do about them. Later, the pictures were further clarified by adding a simple text for women who could read and also for those illiterate women who would be interested to have it read by someone else if they had difficulty in understanding the message. The desired material was prepared during 1980 and printed in early 1981. SMP has considered printing it on a large scale, but first wants to determine if this pamphlet is really useful to the Maya consumers. PIACT International agreed to fund a project in Bangladesh to evaluate this pamphlet. Objectives of the evaluation were to learn if the pamphlet is understood by Maya consumers and to compare knowledge of proper use of Maya, its side effects, and what to do about them between the consumers who received and those who did not receive the pamphlet along with the Maya pill packet. 4 markets from the district of Dacca were chosen: Manikogonj, Tongi, Joydebpur, and Norsingdi. From each market, a number of pharmacies were chosen. The selected pharmacies in each market were divided into 2 groups: 1 group of pharmacies was provided a number of pamphlets depending on their Maya sales of the preceding month; pharmacies in the other group were supplied only the forms to record the addresses of the illiterate Maya consumers during a 1-month period. 200 illiterate Maya consumers were randomly selected and interviewed from each of the study and control groups. A majority of the pamphlet recipients understood the messages in the pamphlets. The illustrated support material was more effective than the text material in communicating messages. Clarification of the pictures by adding simple text was found to be useful. The recipients of the pamphlet possessed better knowledge than the nonrecipients of the pamphlet with regard to proper use of Maya, its side effects, and what to do about the side effects. The SMP should use the illustrative support material of Maya as an insert in the Maya packet. In the future, the SMP should use only the pamphlet as an insert in the Maya packet. Some additional information should be added, such as the irregularity of menses due to the use of Maya and the benefits of the use of Maya for other than birth control.
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