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DIRECTORATE OF HEALTH SERVICES GOVERNMENT OF CHHATTISGARH GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL DISEASES AT HEALTH FACILITIES

GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL … › ehealth › 2016 › Instructions › ...Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh

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Page 1: GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL … › ehealth › 2016 › Instructions › ...Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh

DIRECTORATE OF HEALTH SERVICES

GOVERNMENT OF CHHATTISGARH

GUIDELINES FOR MANAGEMENT

OF

ACUTE DIARRHOEAL DISEASES

AT HEALTH FACILITIES

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Page 3: GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL … › ehealth › 2016 › Instructions › ...Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh

DIRECTORATE OF HEALTH SERVICES

GOVERNMENT OF CHHATTISGARH

GUIDELINES FOR MANAGEMENT

OF

ACUTE DIARRHOEAL DISEASES

AT HEALTH FACILITIES

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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

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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

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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

Page 36: GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL … › ehealth › 2016 › Instructions › ...Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh

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

Page 37: GUIDELINES FOR MANAGEMENT OF ACUTE DIARRHOEAL … › ehealth › 2016 › Instructions › ...Recurring episodes of outbreaks of acute diarrhoeal diseases is a major concern in Chhattisgarh

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

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