Executive summary: Clear Solutions’ pilot program in Kano, Nigeria showed promising results in increasing usage of oral rehydration solution and zinc (ORSZ) to treat diarrhea in children under 5 through free, preemptive community distribution by community health workers.
Key points:
Clear Solutions aims to reduce child mortality from diarrhea by increasing usage of ORSZ in a cost-effective way, inspired by a 2019 Uganda RCT.
A pilot in Kano, Nigeria reached ~6,900 under-5 children. Surveys measured diarrhea prevalence and ORSZ usage rates before and after the intervention.
ORSZ usage rates for under-5s increased substantially, by 43-84 percentage points depending on the ward. Some diversion of ORSZ to older age groups was observed.
Results are promising but have limitations. Social desirability bias and overlap with another ORSZ program may have inflated the effect size.
Next steps include scaling up the intervention, collaborating with CHAI on their GiveWell-funded RCT, and testing operational variants to improve cost-effectiveness.
Clear Solutions seeks additional funding of ~$100K to support ambitious plans through 2024.
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Executive summary: Clear Solutions’ pilot program in Kano, Nigeria showed promising results in increasing usage of oral rehydration solution and zinc (ORSZ) to treat diarrhea in children under 5 through free, preemptive community distribution by community health workers.
Key points:
Clear Solutions aims to reduce child mortality from diarrhea by increasing usage of ORSZ in a cost-effective way, inspired by a 2019 Uganda RCT.
A pilot in Kano, Nigeria reached ~6,900 under-5 children. Surveys measured diarrhea prevalence and ORSZ usage rates before and after the intervention.
ORSZ usage rates for under-5s increased substantially, by 43-84 percentage points depending on the ward. Some diversion of ORSZ to older age groups was observed.
Results are promising but have limitations. Social desirability bias and overlap with another ORSZ program may have inflated the effect size.
Next steps include scaling up the intervention, collaborating with CHAI on their GiveWell-funded RCT, and testing operational variants to improve cost-effectiveness.
Clear Solutions seeks additional funding of ~$100K to support ambitious plans through 2024.
This comment was auto-generated by the EA Forum Team. Feel free to point out issues with this summary by replying to the comment, and contact us if you have feedback.