The Indian Journal of Pediatrics

, Volume 58, Issue 6, pp 783–787 | Cite as

Cost effective strategy for promotion of appropriate case management of diarrheal diseases — Establishment of DTUs

  • A. K. Patwari
Symposium: Management of Acute and Persistent Diarrhea

Abstract

Oral rehydration therapy (ORT) is one of the essential components of child survival technologies which are currently being utilised to reduce morbidity and mortality on account of common illnesses. ORT has made it possible to undertake a global effort to reduce deaths from dehydration and diarrhea associated malnutrition. Appropriate case management can also combat deaths from dysentery and persistent diarrhea. During the last decade considerable success has been achieved by incorporating this simple, effective and economic therapeutic intervention in the primary health care package. However, the ultimate objective of improved case management of diarrhea including the use of ORT at all levels of health care system is yet to be achieved. Patients with dysentery need antimicrobial therapy apart from ORT. Clinical experience has shown that with ORT and appropriate dietary therapy, most patients with persistent diarrhea can be managed effectively. Unfortunately, injudicious use of intravenous fluids and irrational prescription of antibiotics and anti-diarrheal agents is quite common even in the hands of pediatricians. The training of mothers visiting health facilities is poor for ORT and feeding. Establishment of diarrhea training and treatment units (DTUs) is aimed to improve current practices in the teaching hospitals and to promote appropriate case management of diarrhea by all health personnel.

Key words

Diarrhea training and treatment unit (DTU) Case management Oral rehydration therapy (ORT) 

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References

  1. 1.
    Sigh T. Inadequacies in the management of diarrhea at the peripheral non-teaching level.Indian J Pediatr 1991; 57: 89–92.Google Scholar
  2. 2.
    Ocampo PDS. Health professional school training. Addendum to theProceedings of Third International Conference on Oral Rehydration Therapy (ICORT-III) Washington D.C., 1988; 33–37.Google Scholar
  3. 3.
    Nalin DR. The role of hospitals in the management of diarrheal diseases with particular reference to oral rehydration therapy.Proceedings of the International Conference on Oral Rehydration Therapy, Washington D.C., 1983; 58–61.Google Scholar
  4. 4.
    World Health Organization. Programmc for control of diarrheal diseases.Seventh Programme Report 1988-89, Geneva, W.H.O., 8–11.Google Scholar
  5. 5.
    Government of India. Ministry of Health and Family WelfareNational Diarrheal Diseases Control Programme, New Delhi; 1988: 16–17.Google Scholar
  6. 6.
    World Health Organisation.The Treatment and Prevention of Acute Diarrhea-Practical Guidelines, Second Edition, Geneva; W.H.O., 1990; 31–47.Google Scholar
  7. 7.
    Lulseged S. The role of diarrheal training units: The example from Ethiopia. Addendum to theProceedings of Third International Conference on Oral Rehydration Therapy (ICORT-III) Washington D.C., 1988; 30–33.Google Scholar
  8. 8.
    Patwari AK, Kumar H, Anand VK et al. Diarrhea training and treatment unit-Experience from a teaching hospital.Indian J Pediatr 1991; 58: 775–781.PubMedGoogle Scholar
  9. 9.
    World Health Organisation.Diarrhea Training Unit-Directors Guide, W.H.O., 1988, CDD/SER/86/REV I.Google Scholar
  10. 10.
    World Health Organisation.Diarrhea Management Training Course-Guidelines for Conducting Clinical Training Courses at Health Centres and Small Hospitals, Geneva; 1990, W.H.O., CDD/SER/90-2.Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1991

Authors and Affiliations

  • A. K. Patwari
    • 1
  1. 1.Diarrhea Training and Treatment CentreKalawati Saran Children's HospitalNew Delhi

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