Start Center - Strategic Analysis, Research & Training Center

Building a Case to Scale Up Access to Oral Rehydration Solution

Building a Case to Scale Up Access to Oral Rehydration Solution

The Bill & Melinda Gates Foundation supports multiple strategies within its Global Health, Global Development and US Programs. The Enteric and Diarrheal Disease (EDD) strategic program team requested START to evaluate key barriers and factors instrumental in the success of scaling up oral rehydration solution and zinc (ORS + Zn) treatment for children with diarrhea in areas with poor uptake.

The EDD team engaged START to help gain an understanding of key elements of a scale-up strategy in 11 countries, and the impact of the scale-up program on ORS + Zn coverage. This assessment allowed the EDD team to:

  • Build support for its hypothesis of what makes scale-up successful
  • Provide an analysis of the value of this initiative
  • Improve design of current and proposed grants with an ORS + Zn scale-up component

START supported development of case studies for five countries (Bangladesh, Guyana, Jordan, Nepal, and Trinidad & Tobago) and also co-authored the high-level communication materials that summarized findings across case studies with the Enterics and Diarrheal Disease team.


9 / 14 / 2012


Bill & Melinda Gates Foundation

Final Presentation

ORS PowerPoint
Read More (PDF 839 KB)

Final Report

Nepal Zinc Case Study
Read More (PDF 679 KB)

Jordan ORS Case Study
Read More (PDF 634 KB)

Guyana ORS Case Study
Read More (PDF 598 KB)

Bangladesh Zinc Case Study
Read More (PDF 716 KB)

Bangladesh ORS Case Study
Read More (PDF 617 KB)


1 / 6 / 2013
Scaling up access to oral rehydration solution for diarrhea: Learning from historical experience in low and high performing countries
Read More