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Analysis of Strategies of Reduction Diarrhea in Rural Areas Based On the Comprehensive Primary Health Care Concepts for Implementing in Rural Central Sulawesi Province, Indonesia
Tasnim, 2009
The Flinders University of South Australia
Objectives: Diarrhoea remains a leading cause of mortality among children under-five years in developing countries, including Central Sulawesi Province in Indonesia. This study aimed to identify strategies to reduce diarrhoea in central sulawesi province, Indonesia which used comprehensive Primary Health Care Concepts.
Methods: This study was conducted through systematical litertures review. All articles are obtained through searching over electronic databases namely Medline (Ovid), Scopus, Sage Journals and ProQuest and through the World Health Organization and Indonesian Health Department websites. The key words that are used are ‘diarrhoea’ and ‘Indonesia’. These articles then is selected with using prerequisites as mentioned above, as a result, there are 60 relevant articles.
Results: The strategies which could reduce diarrhoea included creating supportive environment that encourage communities to have access to safe water, toilets and foods. Increasing personal skill to hygienic behavioural changes is also included in this strategy. Communities are increased their abilities in diarrheal acute treatment with ORS and zinc supplement, water treatment and storage, establishment toilets and surveillance for diarrheal outbreak. Health services also reorient their system towards more preventive and promotive than curative and rehabilitative. This strategy is supported by establishing healthy public policies so this program can sustain and become community routine practices.
Conclusion: The strategies were based on comprehensive primary health concept were known to be effective ways to solve public health issues including diarrhoea.
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