Research priorities on diarrhoeal diseases to support the Control of Diarrhoeal Diseases ( XXXX ) programme in Indonesia.

@entity1 @entity294 @entity281 @entity1729 @entity3147 @entity5163
A comprehensive program review of Indonesia's @entity5163 ( @entity5163 ) program conducted in 1983 indicated that considerable success has been achieved in this area. Oral rehydration solution (ORS) is widely available, there has been community involvement, a strong managerial structure has developed, baseline data on @entity294 morbidity and mortality are being collected, and staff have received adequate training. At the same time, there have been some problems: inadequate use of ORS, a lack of coordination among @entity5163 programs, insufficient surveillance, budgetary problems, and a lack of laboratory support. During the last 10 years, @entity294 mortality in Indonesia has been reduced by 50-70%, to about 20,000 (20% of @entity1 mortality). The Government has established the goal of reducing mortality from @entity294 to less than 1% of @entity1 deaths by the year 2000. A major strategy for achieving this goal is integrating family planning, nutrition, maternal- @entity1 health, immunization, and @entity5163 programs. Another strategy involves improving research in this area. Areas for further research include: epidemiologic studies, rehydration treatment, antidiarrheal agents, social aspects, immunity and vaccine development, and laboratory examination. The cause of @entity5163 is not only enteric @entity281 , it is indirectly caused by acute @entity1729 , @entity3147 , measles and other @entity281 as well as the health knowledge and education of the mother. Priority is to be given to 7 areas of research: 1) the use of home-prepared rehydration fluids, 2) feeding practices during acute @entity294 that can prevent chronic @entity294 and @entity3147 , 3) the determinants of progression to chronic @entity294 , 4) the impact of simple health information on hygienic and feeding practices on mortality, 5) the potential of using traditional birth attendants in ORS campaigns, 6) traditional attitudes and practices, and 7) the effectiveness of traditional medicines in @entity294 treatment.
