Indicators of Diarrhea Control

Three aspects of diarrhea control interventions are measured through indicators:

Indicators of Diarrhea Prevention
Indicators of Diarrhea Treatment
Indicators of ORT use

1. Indicators of Diarrhea Prevention
a. Percentage of population using

Improved drinking water sources (urban, rural & total)
- (2005-2006)For India: Urban-97%, rural -90% and total- 92%
Improved sanitation facilities (urban, rural & total)
- For India: urban-58%, rural-23% and total-34%

b. Percentage of one yr olds immunized against measles(India – 74%)
c. Percentage of children who are:

Underweight in 0 – 59 months of age (India – 43%)
Stunted in 0 – 59 months of age (India – 38.7%)
Exclusively breast fed in 0 – 5 months of age (India – 46%)
Breast fed with complementary feeding in 6 – 9 months of age (India – 57%)
Still breast feeding in 20 – 23 months of age (India – 77%)

d. Vitamin A supplement coverage (% with full coverage) in 6 – 59 months age (India – 53%)

2. Indicators of Diarrhea Treatment
Percentage of children <5, with diarrhea receiving:
a) ORT with continued feeding (India 33%)
b) ORS packet (India 26%)
c) Recommended home available fluids (India 20%)
d) Increased fluids (India 10%)
e) Continued feeding (India 70%)

3. Indicators of Oral Rehydration Therapy
**Percentage of children <5, with diarrhea receiving ORT (**ORS packet or recommended HAF with continued feeding):
a) Gender: India- male 34%, female 31%
b) Residence: urban 38%, rural 31%
c) Wealth index quintiles:
a) Poorest: 29% (2005-2006)
b) Second: 29% (2005-2006)
c) Middle: 35% (2005-2006)
d) Richest: 45% (2005-2006)

Reference:
K. Park, 2019. Epidemiology of Communicable Diseases, In: Park’s Textbook of Preventive and Social Medicine, 25th ed. Jabalpur, 2019

Clinical features suggestive of dehydration
ORAL REHYDRATION SALT (ORS)
Management of Acute Diarrhoea in Children
4 Rules of Home Treatment for Diarrhea in Children
Sugar Salt Solution for Rehydration
6 Steps of ‘Skin Pinch’ Test for Assessing Dehydration
Some Clinical features of diarrhea due to common causative organisms
Principles of management of diarrhea
Control of diarrheal diseases
Indicators of Diarrhea Control
Vaccines for prevention of diarrhea