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DIRECTORATE OF HEALTH SERVICES
GOVERNMENT OF CHHATTISGARH
GUIDELINES FOR MANAGEMENT
OF
ACUTE DIARRHOEAL DISEASES
AT HEALTH FACILITIES
DIRECTORATE OF HEALTH SERVICES
GOVERNMENT OF CHHATTISGARH
GUIDELINES FOR MANAGEMENT
OF
ACUTE DIARRHOEAL DISEASES
AT HEALTH FACILITIES
FOREWORD
Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh. This has affected large population primarily northern and southern districts of Chhattisgarh. The worst case in recent times happened in 2010 when remote and difficult to reach areas of Bijapur and Dantewada districts. Large numbers of people were affected and several deaths were also reported. The Directorate of Health Services, Chhattisgarh (DHS, CG) has taken several steps not only to respond to the outbreaks but also to nip such occurrences in the bud.
The IDSP Chhattisgarh has an efficient surveillance system based on which the DHS, CG formulates protocols for case management, laboratory surveillance and treatment. UNICEF and the DHS, CG have started working together to develop a comprehensive guideline for outbreak management in the State. Working in close cooperation with the IDSP and Medical Colleges, UNICEF along with DHS, CG has attempted to identify the key areas that need to be addressed and also the key systemic linkages that are required to be strengthened. Hence the purpose of the Guideline is not limited to build an effective response framework but expands to plan for preparedness and capacity building of key functionaries.
The outbreaks of Acute Diarrhoeal Diseases may be attributed, apart from contamination of drinking water, to poor sanitation conditions (inadequate toilet facilities), poor environmental sanitation (stagnant water bodies, inadequate drainage), and most importantly serious gaps in hygienic behaviour (personal, domestic and environmental). Thus it is imperative that a comprehensive framework to address the entire gamut of public health issues will be required.
The present Guidelines draw relevant components of the WHO/UNICEF compendium on Management of Diarrhoeal Diseases. The antibiotic Therapy will be updated corresponding to emerging infections and their “culture and sensitivity” reports.
These Guidelines covers technical measures which are both hospital as well as community based. The key users of this document are technical persons of both the Health Department and PHED. Therefore, successful application of these guidelines will warrant both the DHS and PHED to adopt and implement the suggested lines of action, keeping the community at the centre of all operations.
I would like all concerned functionaries to ensure effective applications of these ‘guidelines for management of acute diarrhoeal diseases at health facilities’ to mitigate the risk of such outbreaks.
Dr. Kamal Preet Singh, IAS Director, Health Services
Chhattisgarh
ANNEXURE III
Reported by:
Name of District:
Period Covered:
DISTRICT HOSPITAL
District Hospital Total Population
< 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5
Block PHC
Name of Block
PHC
Total Population
< 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5
Total ADD Death
Cases
Total ADD CasesTotal IPD ADD
Cases
Total OPD ADD
Cases
Total OPD Cases
Total OPD Cases Total OPD ADD
Cases
Total IPD ADD
Cases
Total ADD Cases Total ADD Death
Cases
WEEKLY REPORT ‐ ADD OUTBREAK
Nam
e of District
Period
of C
ompilatio
n
1 2 3 4 5 6 7 8 9
Date of Sub
mission
Nam
e:Signature
Designatio
n:
ANNEXURE IV
Nam
e and Add
ress of
affected
Village
DISTR
ICT CO
MPILA
TION OF IDSP
UNIT W
ISE RE
PORT
ON W
ATER SA
MPLE CO
LLEC
TION
S. No.
Nam
e of ID
SP Rep
ortin
g Unit / BPH
CTo
tal N
o. of
water sam
ples
collected
Total N
o. of w
ater
samples fo
und
positiv
e
Total N
o. of w
ater
samples sen
t for
microbiological
confirmation
Remarks on Feed
back
and Actions ta
ken at th
e fie
ld
Nam
e of ID
SP Rep
ortin
g Unit / BPH
C
Nam
e of Block PHC
Period
of C
ompilatio
n
1 2 3 4 5 6 7 8 9
Date of Sub
mission
Nam
e:Signature
Designatio
n:
COMPILA
TION OF FIELD REP
ORT
ON W
ATER SA
MPLE CO
LLEC
TION
S. No.
Nam
e & Add
ress of
Village
Remarks on
Feed
back and
Actions ta
ken
at th
e fie
ld
With
in 24 Hou
rs
ANNEXURE V
Num
ber of Sam
ples Positive
Nam
e of Sub
Ce
ntre
Date of
Collection
No. of
Samples
With
in 12
Hou
rsWith
in 36 Hou
rsWith
in 48
Hou
rs
I. Nam
e of Village:
II. Nam
e of Sub
‐cen
tre:
III. N
ame of ID
SP Rep
ortin
g Unit / BPH
C
IV. D
ate of Collection of water sam
ples
V. Total No. Diarrho
ea / Dysen
tery Cases/ Deaths Re
ported
:
(Pl. m
entio
n DATE, from which th
ere is increase in
No. of D
iarrho
ea Cases)
VI. N
umbe
r of water sam
ples collected
(Pl. fill th
e following particulars related to drinking water sou
rce)
Whe
ther
Constructed
by Panchayat
or PHE
Whe
ther
platform
presen
t (Yes / No)
App
rox.
distance from
source of
contam
ination
1 2 3 4 5
Date of Sub
mission
Nam
e:Signature
Designatio
n:
Remarks on
the measures
taken at th
e Village level
Supp
ly water
(Govt. or
Pvt.)
Other like (P
l. specify
if River /
Commun
ity W
ell /
Pond
/ Self O
wne
d Tube
Well or Well
FIELD REP
ORT
ON COLLEC
TION OF WATER SA
MPLES
ANNEXURE VI
Drinking Water Sou
rce
Commun
ity Tub
e Well, if yes pl. spe
cify
S. No. of
Water
Sample
Add
ress of H
ouseho
ld (P
l. men
tion ne
arby
ho
useh
old name / Scho
ol
/ fie
ld etc. )
If water sou
rce is
disinfected
earlier please
men
tion the
DATE or mon
th
Commen
ts
on use of
latrine and
Sanitatio
n