Proven solutions exist to prevent and treat diarrhea when infants and young children get sick. Since diarrhea has many causes, and infections can respond differently to treatment, successfully combatting it requires an integrated approach that includes both prevention and treatment solutions.
ORS and zinc are frontline treatments. Some cases of severe dehydration may require urgent medical care and intravenous (IV) fluids, which are effective.
It’s not just one intervention. That child deserves to have access to all interventions.
- Dr. Mathu Santosham, Johns Hopkins Bloomberg School of Public Health
Combining both prevention and treatment solutions is the most effective way to defeat diarrhea and break the cycle of poor health and poverty for children, families, and communities.
Proven solutions include vaccines, WASH (safe drinking water, sanitation and hygiene), breastfeeding and proper nutrition, and ORS and zinc treatment. Using these solutions together makes them work better. Diarrhea prevention and treatment solutions are complementary. For example, proper sanitation and hygiene go hand-in-hand. Safe drinking water is a necessary component of ORS and complementary feeding. Effectively implementing WASH solutions is critical to addressing the connection between malnutrition and diarrhea. And rotavirus vaccines only prevent diarrheal disease caused by rotavirus, so additional methods are necessary to prevent and treat other forms of diarrhea.
By integrating prevention and treatment solutions, countries can maximize impact, increase efficiency, and reduce costs.
What all we need is to look beyond certain interventions and not work in silos, hoping that things will change by bringing more interventions in one area of the work. Instead, we need to scale the number of interventions at the national level, benefiting all.
- Dr. Paul P Francis, Technical Officer, WHO India
Many of the solutions that we know work for diarrhea can also be utilized to fight pneumonia, which, along with diarrhea, accounts for one in four deaths in children under five years worldwide. The two diseases share many of the same risk factors, and integrating policies and programs that address both can have a big impact.
Overlapping solutions to both diarrheal disease and pneumonia include breastfeeding, handwashing with soap, and providing safe water, sanitation, good nutrition, and immunization.
It is critical to promote an integrated approach to prevent pneumonia and diarrhea, especially for children without reliable access to care. Treatments that are vital to the successful management of these diseases can include appropriate use of antibiotics—amoxicillin DT for pneumonia and appropriate antibiotics after diagnosis for diarrhea—oxygen, ORS, and zinc supplements. However, too often the children most at risk—in poor settings or hard-to-reach communities—don’t receive these interventions.
World Pneumonia Day is November 12. Learn more.
Recognizing the urgency and potential of an integrated approach, WHO and UNICEF issued the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD) in 2013. It’s the first plan to simultaneously address pneumonia and diarrhea to protect health, prevent illness, and treat affected children.
Child health programs at every level must address diarrhea and pneumonia together for lasting impact. Both are needed to make progress toward achieving the Sustainable Development Goals (SDGs), implementing the United Nations Global Strategy for Women’s and Children’s Health, and realizing the 2012 A Promise Renewed commitment to child survival. Integration of diarrhea and pneumonia solutions can provide children everywhere with a healthy start and a better future for their families and communities.
To see how the top 15 countries with the highest burden of childhood pneumonia and diarrhea deaths are doing in their efforts to meet GAPPD targets and end these preventable deaths, read the International Vaccine Access Center (IVAC)’s 2018 Pneumonia & Diarrhea Progress Report. The 2018 report reveals that, while most countries achieve high immunization coverage, many struggle to meet treatment goals and have striking inequities by gender, wealth, education, and subnational location.
This is a question of equity. Poor children in low-income countries are most at risk of death from pneumonia or diarrhea but much less likely to get the interventions they need… We know what to do.
- Dr. Mickey Chopra, Lead Service Delivery Specialist, World Bank