(This is a reprint of a post I wrote for my Global Health Basics blog, which it turns out I have neither the time nor the technical prowess to maintain.)
In social media, they talk about eating your own dog food. In global health, I think the equivalent would be drinking our own Oral Rehydration Solution (ORS). We need to do a lot of that. It’s important to think about what we ask of people because it gives us a much clearer sense of why we get ignored. Here’s the starter list for how to drink your own ORS:
1. Drink an entire glass of ORS from a packet every time you get the runs, not the tastier homemade kind. Don’t take Imodium.
2. Boil and cool all your water before drinking it.
3. Never spend a single cent on a treatment or cure that hasn’t been proven to work. No vitamin C for a hangover, no Preparation H, no Neosporin on your cuts.
4. No antibiotics when they aren’t strictly necessary. That means nothing for your bronchitis or your child’s ear infection.
5. Use a condom every single time you have sex, even with your spouse, even if your spouse doesn’t want to.
6. Take your child to the doctor immediately if she is showing any of the IMCI warning signs, but don’t take her if she is less sick than that.
7. Breastfeed exclusively until six months, and continue breastfeeding until at least age 2. If you have to work, then express milk by hand into a jar and store it in a cool place. But never feed your child with a bottle. Use a cup and spoon.
8. Choose your food on the basis of what is cheapest and most nutritious, without regard for flavor or cultural tradition.
9. Don’t see the doctor you are most comfortable with; instead, see the doctor that your government recommends.
10. When caring for your sick child, don’t follow the advice of your mother or mother-in-law. Instead, follow advice from a government doctor you may only have met once.
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Awesome.
B
Fantastic.
You had me at “Drink ORS”. Attempting to drink ORS in the past has often made me feel even sicker and puke. Because it tastes oh my god so terrible SO TERRIBLE.
Rachel – so, so true. I had a colleague who always prescribed flat sprite with a pinch of salt and I never knew why until I tried real ORS. I tried to give my own kid real ORS just once before I switched to sugar water with salt in it.
I detest ORS from a packet, and would never recommend it to anyone. I’d like everyone to know how to make it. And realizing that even the experts don’t agree on optimal concentration, I find the precision of the instructions ridiculous.
I find it harder to adopt a superior tone on #2-10. Good post.
[…] Interestingly, it follows a similar line of reasoning to two development related posts this week, Drinking our own ORS by Blood and Milk, and Would you be willing to do this by Good Intentions are not Enough. These […]
Very good, though they’ve just brought out some mango flavoured ORS in Bangladesh which makes them much more stomachable.
Working in child protection, there is a similar dilema around hitting/smacking children. We preach that you must never hit a child in any situation. But its rare that you will even get through a staff training session on the issue without it descending into an argument on how smacking is a normal part of bringing a child up (the usual: my dad hit me and it never did me any harm). By the time we get to the field, the message is pretty weak…
[…] Shaikh has a great post on this very topic, Drinking our own ORS In social media, they talk about eating your own dog food. In global health, I think the equivalent […]
I would agree with other points, but I actually like ORS…and was appalled that they didn’t have any in a central pharmacy in Dakar, opted out for a tonic water instead 🙂 But of course you can do it on your own if you have salt, sugar and clean water. Brilliant list in any case!
[…] sometimes, when we spend day after day thinking about how we can improve PMTCT services in Malawi. But healthy choices are not always easy or convenient choices. Take the cholera education poster I snapped a photo of at a health center in Kasungu: cholera is […]
[…] sometimes, when we spend day after day thinking about how we can improve PMTCT services in Malawi. But healthy choices are not always easy or convenient choices. Take the cholera education poster I snapped a photo of at a health center in Kasungu: cholera is […]
[…] Shaikh has a great post on this very topic, Drinking our own ORS In social media, they talk about eating your own dog food. In global health, I think the equivalent […]
[…] Sheik talks about taking your oral rehydration salts — that we expect people at risk to conform with long lists of preventative health measures, […]