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Prof Babies: Q6: Protect, Prevent and Treat Strategy For Diarrheoa at District Level

The document outlines a strategy to protect, prevent, and treat diarrhea at the district level. It discusses establishing good health practices like exclusive breastfeeding and adequate complementary feeding to protect children. Prevention methods include vaccinations for rotavirus, typhoid, and measles, practicing hand hygiene, HIV prevention, and ensuring access to clean water and sanitation. Treatment involves improving care seeking and case management, increasing supplies of ORS, zinc and antibiotics when needed, and continued feeding including breastfeeding.

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Kelvin Maikana
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41 views2 pages

Prof Babies: Q6: Protect, Prevent and Treat Strategy For Diarrheoa at District Level

The document outlines a strategy to protect, prevent, and treat diarrhea at the district level. It discusses establishing good health practices like exclusive breastfeeding and adequate complementary feeding to protect children. Prevention methods include vaccinations for rotavirus, typhoid, and measles, practicing hand hygiene, HIV prevention, and ensuring access to clean water and sanitation. Treatment involves improving care seeking and case management, increasing supplies of ORS, zinc and antibiotics when needed, and continued feeding including breastfeeding.

Uploaded by

Kelvin Maikana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Q6: PROTECT, PREVENT AND TREAT STRATEGY FOR DIARRHEOA AT DISTRICT

LEVEL

 Diarrhea is the second leading cause of under % mortality after pneumonia (11% diarrhea, 18%
pneumonia) worldwide
 90% of these deaths are in Sub Saharan Africa and South Asia

Protect
Establishing and promoting good health practices from birth by

1. Promoting exclusive breastfeeding for the 1st 6months

ES
 10x increased risk of diarrhea deaths without B/F
 Increased incidence of diarrhea in 0 to 5months olds that are not breastfed
2. Adequate complimentary feeding from 6months of life
 6% reduction in all child deaths
3. Vitamin A supplementation
 23% reduction in all under % mortality BI
BA
4. Continued breastfeeding to 23months
 3x risk of deaths if not b/f
 Increased incidence of diarrhea in non-breastfed 6 to 23 months old infants
OF

Prevent
Universal coverage of immunisations, HIV prevention and ensuring healthy environments

1. Vaccination against Rotavirus, Typhoid and Measles


PR

 Rotavirus is the commonest cause of diarrhea in children, 74% reduction in severe cases
of rotavirus
 Typhoid is endemic in Zimbabwe and several outbreaks of new strains have occurred
 Measles is associated with diarrheal illness
2. Practicing personal hygiene including hand washing with soap
 31% reduction in risk
3. HIV prevention in children
 2% reduction in all deaths
4. Cotrimoxazole prophylaxis for HIV infected and exposed infants
 33% reduction in AIDS deaths
5. Safe water and improved sanitation
 Increased quantities of water have shown reduced risk of having diarrhea by 12%
6. Deworming
 Combats malnutrition and schistosomiasis related diarrhea
7. Awareness of food safety
 Health education esp. vendors
 Education on food storage, use of clean utensils and adequate water supply

Treat
Appropriate treatment of ill children

1. Improved care seeking and referral of cases


2. Improved case management at the health facility and community level
 Use of standardized guidelines
 Identification of vulnerable groups such as newborns, HIV infected children and

ES
malnourished children
 Training and retraining of health care workers
3. Increase supplies such as low osmolality ORS, Zinc and antibiotics
 Life-saving low cost interventions
 69% reduction in deaths with ORS use
 23% reduction in deaths with Zinc use BI
BA
 Rational prescribing of antibiotics only when relevant
4. Continued feeding, including breastfeeding
5. Increase access to care through community based case management of cases
 Use of ORS and Zinc at home or via community health care workers
 Awareness of accurate preparation of SSS for home management
OF
PR

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