ICDDR,B model for treatment of dearrhoel diseases

Abstract

Diarrhoeal diseases from a major health problem in developing countries because of its high morbidity and mortality rate. The main cause of death in acute diarrhoeal diseases is dehydration, which can be prevented by replacement of water and electrolytes. Over the past three decades the study of acute diarrhoea in children and adults has led to important knowledge of the physiology of body fluids and intestine as well as efficacy of oral rehydration solution in treatment of dehydration due to diarrhoea. Another major problem in developing countries is lack of resources and trained personnel to cope with health peoblems. In this paper we are presenting the ICDDR,B model for treatment of diarrhoeal diseases with particular reference to its organization, asministration, staffing pattern, procedures for screening patients and methods for treatment. This model is an example that the trained paramedics and auxiliaries, under supervision of a physician can run a large treatment centre for diarrhoeal diseases efficiently. The other aspect of this model is the successful use of oral rehydration solution in treatment of majority of dehydration patients. This model can be adapted to suit local situations in any developing country where resources and trained personnel are limited.