Co-founder of Clear Solutions, a non-profit focussed on preventing the deaths of young children from diarrhoea, a leading cause of death globally. Incubated by Charity Entrepreneurship, and co-founded with Dr Jun Young (Charlie) Jeong, Clear Solutions operates in Nigeria, increasing access to, and usage of, low-cost highly-effective treatments for diarrhoea, oral rehydration solution (ORS) and zinc.
Previously 15+ years at Google in a variety of technical partnerships and leadership roles.
Hi Nick, thanks for sharing your thoughts and excellent points.
Regarding the urban slum rates, thank you for calling this out! On digging back into it, we realise we unfortunately missed copy-pasting corrected prevalence data into the report when we fixed a code bug for urban slum Baseline (which initially included diarrhoea instances for an additional week for both timeframes). The other wards used a later survey version with separate logic and are not impacted. The pre-post results data in the report were updated after the fix, so no change needed there.
That all said, the corrected urban slum Baseline 2-week and 4-week prevalences of 30.1% and 41.8% (will update original post) are still comparatively high.
Regarding the proportion of all distributed ORS that was used, we asked households how many ORS sachets they used by age-group for the 6-week follow-up period and counted how many sachets they had left, so we do have those extra signals with which to scrutinise their claimed ORS treatment rates. A complicator here is the unknown volume of ORS used in a given treatment; 2 x one litre sachets are provided per co-pack, but one litre can be sufficient depending on the diarrhoea duration and whether the caregiver abides by the instruction to discard prepared ORS after 24 hours. Nonetheless, this is certainly something for us to look into further.
Thanks again for your thoughtful comments and for helping improve our program!