Stop the Cycle

What’s Next

What's Next

No child should die from diarrhea or suffer its lasting consequences. We can stop the cycle of poor health and poverty for children, their families, and entire communities by taking on diarrhea with a holistic approach.

We're taking action. Will you?

Diarrheal disease is a continuing crisis for the world’s children, demanding greater attention from health policymakers and advocates. Re-establishing diarrheal disease –  and its long-term impacts – as priorities and making simple solutions more accessible will save and improve lives.

The number of deaths from diarrhea is at an all-time low, thanks to the collective work of advocates, health workers, scientists, donors, and policymakers. That’s good news, but it doesn’t mean our work is done. Too many children are still getting sick as governments, donor countries, and global health agencies juggle competing priorities.

Today, we face the same disease, with new challenges.

Less than half of the countries tracked by the Countdown to 2030 report have costed national plans for maternal, newborn, and child health. We celebrate those countries that are already taking action. But millions of surviving children still face the physical and mental impacts of persistent diarrhea and risk failing to reach their full potential. We must continue to advocate for proven prevention and treatment tools, and for creative ways of delivering them, to give all children the healthiest start in life.

What can you do? The first step is simple: talk about it.

If we can’t talk, we can’t act. Join a network of advocates who are already taking clear and bold action to move the issue of diarrheal disease up on global and national health agendas. Help us change the dialogue by turning taboo into action.

Help us talk about it.

“We are not settling for lower mortality. We must hold policymakers accountable for protecting children from illness, too–especially in the poorest and most remote communities. Equity is essential.

- Helga Fogstad, Executive Director, The Partnership for Maternal, Newborn & Child Health (PMNCH)

Who is a diarrheal disease advocate?

YOU are. Whether you’re a nongovernmental (NGO) or civil society (CSO) staffer, a health care worker, a doctor, a parent, a researcher, or an academic, you can help bring more attention and urgency to diarrheal disease. Below are some examples of how advocates are already shining a spotlight on the issue. No matter who you are, you can take action. Here are some ideas.

  • If you are a civil society or grassroots advocate, you can:

    Raise awareness. Look for #DefeatDD on social media to start. The variables that give rise to diarrheal diseases are an ongoing emergency driven by a lack of access to clean water and basic healthcare. Behind disease outbreak headlines, children are suffering and dying every day, but funders can’t help if they don’t know about it.

    Call for increased budgets for diarrheal disease solutions in your country. Solutions for diarrhea are simple and cost-effective, but they require resources, which are often ignored or under-funded. Encourage your policymakers to elevate these tools when they apply for donor funding vehicles like the Global Financing Facility or Gavi, the Vaccine Alliance. Consider areas that might be traditionally overlooked by health budgets, like WASH in healthcare facilities.

    Familiarize yourself with the facts and figures. The data on the global crisis and the impact of cost-effective, simple solutions is strong—so if you’re talking about diarrhea, facts and figures should be part of your messaging. Start here. If you are an advocate or policymaker in a country where disease burden is high, precision data mapping can help you prioritize.

    Collaborate with partners to encourage a “whole-child” approach. If you’re a health professional or a civil society representative, you can join with others in a partnership or coalition effort to elevate diarrhea interventions within broader frameworks, such as primary health care, or through strategic opportunities and joint delivery of tools.

    Examples and opportunities:

  • If you are a donor, you can:

    Increase financial support for adaptable, context-appropriate diarrheal disease interventions within broader initiatives. UNICEF and the World Health Organization (WHO) provided the evidence base for diarrheal disease tools with the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea (GAPPD). Because solutions to address diarrhea are multi-faceted, the best programs ensure coordination among partners to ensure that the collective risk factors to child health are addressed.

    Provide resources for programs. Provide resources for programs and research that feature innovative, cost-effective ways to deliver integrated approaches. As a donor, you can ensure more solutions reach larger populations by incentivizing, funding, and measuring flexible approaches that combine and deliver the most-needed solutions. Specifically, include requirements in your calls/requests for proposals that prioritize programs implementing the GAPPD approach.

    Examples and opportunities:

  • If you are a multilateral leader (especially at WHO and UNICEF), you can:

    Champion best practices and global guidance for a multifaceted approach to diarrhea, especially the GAPPD. You provide technical assistance to donors and national governments to implement evidence-based tools, such as those outlined in the GAPPD. Harness the strength of regional and national program staff to work with member countries on effective implementation of global and national strategies for diarrhea treatment and prevention.

    Work with donors to allocate and track funding that promotes global best practices and recommendations. Improve the tracking of multi-sectoral investments to better understand return on investment and enable stronger accountability.

    Provide guidance to national and subnational governments to ensure interventions focus on high-impact solutions. Serve as an advocate for regular national policy updates to ensure harmonization with global best practices and recommendations.

    Procure high-quality commodities and tools to improve access and accountability to proven treatment solutions and vaccines. Ensure efficient prequalification of relevant, high-quality, effective interventions—especially those manufactured locally—to lower costs and ensure WHO-approved commodities are available to all children. Ensure procurement decisions are in lockstep with technical guidelines.

    Examples and opportunities:

    • WHO and UNICEF set the gold standard and roadmap for integration by launching the GAPPD.
    • Following a 2019 World Health Assembly resolution, WHO and UNICEF have established a global network to exchange latest evidence and tools on WASH in health care facilities.
    • In July 2019, the World Health Organization added co-packaged oral rehydration solution (ORS) and zinc to its Model List of Essential Medicines (EML), as well as to the EML for children’s medicines (EMLc). UNICEF must now ensure adequate supply of co-packaged ORS and zinc.

  • If you are a national or subnational government decision-maker, you can:

    Adapt normative global standards that address diarrheal disease to your local policy and programmatic needs. Use the GAPPD and IMCI to determine what specific plans, investments, and partners can be tailored to the national and subnational level to achieve the greatest health impact. Ensure your national list of essential medicines for children includes co-packaged oral rehydration solution and zinc to reflect the updated global standard from WHO and UNICEF.

    Prioritize the fight against diarrhea in child health policies and in increased domestic and partner resource mobilization. Prioritizing more domestic funding demonstrates greater commitment to improving child health. Ensure that diarrheal disease solutions are included in Global Financing Facility Country Investment Case frameworks (especially WASH, which is often lacking in GFF applications), as well as other funding mechanisms.

    Encourage and incentivize cross-sectoral action and collaboration to bring integrated solutions to all communities. All too often, WASH, health programs, and departments are segmented into silos—creating barriers to reaching a common goal of addressing diarrheal disease. Creating linkages can help to promote a comprehensive protect, prevent, and treat approach.

    Examples and opportunities:

No matter who you are, you can be an advocate. Join the movement.

Learn more and help us tell policymakers and influencers that, together, we can defeat diarrheal disease. Follow DefeatDD on Twitter (join the conversation using the hashtag #DefeatDD) and Facebook.

Together, we can Stop the Cycle.