In preparing for the opening of the CKDTC, we created a logic model to pull together the various inputs, outputs, outcomes and impacts and the indicators that are used for measurement. Click here to see the logic model.
A baseline survey of diarrhea prevalence, water, sanitation and hygiene, and knowledge and practices relating to diarrhea treatment was carried out between January 11 and February 4, 2011 in the slum of Fakir Bagan. The survey was conducted prior to the opening of the CKDTC. The baseline survey was designed to determine current knowledge, behaviors and costs of treatment in the community in order to have a basis for comparison with subsequent surveys in determining the effect of the diarrhea treatment center on knowledge, behaviors and costs. Read more about the survey design and results here. (Link to new page with Baseline Survey Results)
Systems and Practices
The following practices are central to the CKDTC.
Holistic Treatment The DTC is a holistic clinic which always provides a preliminary check up by the pediatrician who addresses all associated problems of the patient while specifically focusing on diarrhea and malnutrition.
Early Detection Patients are encouraged to come to the DTC at the early onset of diarrhea/vomiting to enable us to initiate a regimen of ORS plus adequate feeding and to provide necessary BCC messages.
BCC Counseling regarding practical health and hygiene is carried out in all cases. This also has helped the CKDTC gain insights to the community as a whole, with a broader understanding of its problems and constraints.
Vitamin A In addition to the primary ORS and zinc supplementation treatments, vitamin A is given as a single dose in case of severely malnourished children with repeated diarrheal episodes and to those with symptoms of deficiency.
Medication Antibiotics are very seldom used except in specific cases of dysentery. Antidiarrheals are never used. Natural probiotics are encouraged in the form of yoghurt. Associated complaints are taken care of on a case-to-case basis.
Follow-up Visits A follow-up home visit is conducted on the first Monday or Thursday following admission at the CKDTC. This allows the social health workers to observe the home environment, check the status of the patient and reinforce key BCC messages.