DIRECTORATE OF HEALTH SERVICES GOVERNMENT OF CHHATTISGARH

Transcription

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

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

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5 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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34 WEEKLY REPORT ADD OUTBREAK ANNEXURE III Reported by: Name of District: Period Covered: DISTRICT HOSPITAL District Hospital Total Population Total OPD Cases Total OPD ADD Cases Total IPD ADD Cases Total ADD Cases Total ADD Death Cases < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5 Block PHC Name of Block PHC Total Population Total OPD Cases Total OPD ADD Cases Total IPD ADD Cases Total ADD Cases Total ADD Death Cases < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5 < 5 > 5

35 ANNEXURE IV DISTRICT COMPILATION OF IDSP UNIT WISE REPORT ON WATER SAMPLE COLLECTION Name of District Period of Compilation S. No. Name of IDSP Reporting Unit / BPHC 1 Total No. of water samples collected Total No. of water samples found positive Total No. of water samples sent for microbiological confirmation Name and Address of affected Village Remarks on Feedback and Actions taken at the field Date of Submission Name: Signature Designation:

36 ANNEXURE V COMPILATION OF FIELD REPORT ON WATER SAMPLE COLLECTION Name of IDSP Reporting Unit / BPHC Name of Block PHC Period of Compilation S. No. Name & Address of Village Name of Sub Centre Date of Collection No. of Samples Within 12 Hours Number of Samples Positive Within 24 Hours Within 36 Hours Within 48 Hours Date of Submission Name: Signature Designation: Remarks on Feedback and Actions taken at the field

37 ANNEXURE VI FIELD REPORT ON COLLECTION OF WATER SAMPLES I. Name of Village: II. Name of Sub centre: III. Name of IDSP Reporting Unit / BPHC IV. Date of Collection of water samples V. Total No. Diarrhoea / Dysentery Cases/ Deaths Reported: (Pl. mention DATE, from which there is increase in No. of Diarrhoea Cases) VI. Number of water samples collected (Pl. fill the following particulars related to drinking water source) S. No. of Water Sample Address of Household (Pl. mention nearby household name / School / field etc. ) Supply water (Govt. or Pvt.) Drinking Water Source Community Tube Well, if yes pl. specify Whether Constructed by Panchayat or PHE Whether platform present (Yes / No) Approx. distance from source of contamination Other like (Pl. specify if River / Community Well / Pond / Self Owned Tube Well or Well If water source is disinfected earlier please mention the DATE or month Comments on use of latrine and Sanitation Date of Submission Name: Signature Designation: Remarks on the measures taken at the Village level

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