Diarrhoea why children are still dying and what can be done
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Diarrhoea: Why children are still dying and what can be done. A 2009 UNICEF/ WHO Report, presented by: Camille Saadé , AED/ POUZN Director [email protected] Reconvening Bangkok: 2007 to 2010 – Progress Made and Lessons Learned in Scaling-Up FP-MNCH Best Practices in the AME Region

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Diarrhoea: Why children are still dying and what can be done

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Diarrhoea why children are still dying and what can be done

Diarrhoea: Why children are still dying and what can be done

A 2009 UNICEF/ WHO Report, presented by:

Camille Saadé, AED/ POUZN Director

[email protected]

Reconvening Bangkok: 2007 to 2010 – Progress Made and Lessons Learned in Scaling-Up FP-MNCH Best Practices in the AME Region

7 – 11 March 2010


Diarrhoea why children are still dying and what can be done

Asia and Africa account for more than ¾ of childhood diarrhoea


Diarrhoea why children are still dying and what can be done

Diarrhoea is the second most common cause of child deaths worldwide


Diarrhoea why children are still dying and what can be done

More than 80% of child deaths due to diarrhoea occur in Africa and South Asia


Diarrhoea why children are still dying and what can be done

Child deaths from diarrhoea in top five Asian countries

India 386,600

Afghanistan 82,100

Pakistan 53,300

Bangladesh 50,800

China 40,000


A 7 point plan for comprehensive diarrhoea control

A 7 -point plan for comprehensive diarrhoea control

Treatment package:

1 - ORT

2 - Zinc treatment

Prevention package:

3 - Rotavirus (4/09) and measles vaccination

4 - Exclusive BF and vit. A supplementation

5 - Handwashing with soap

6 - Safe drinking water at POU

7 - Community-wide sanitation


Diarrhoea why children are still dying and what can be done

Little or no progress in the use of ORS to treat diarrhoea


Diarrhoea why children are still dying and what can be done

Countries with national guidelines including zinc treatment


Diarrhoea why children are still dying and what can be done

UNICEF procurement of zinc


New delivery strategies to improve uptake

New delivery strategies to improve uptake

Possible solutions:

  • Products need to be made more attractive to users (i.e. zinc and ORS taste)

  • Products need to be packaged for more effective use (i.e. smaller ORS sachets)

  • Products need to be delivered in innovative ways that maximize access (hygiene and sanitation promotion in schools, marketing of soap, latrines, POU)


It is possible

It is possible!

  • Political momentum to address leading causes of death: pneumonia and diarrhea

  • 2008 = 30th anniversary of Alma-Ata declaration -> focus on primary health care

  • Essential to achieve MDG 4: reduce child mortality


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