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Final Presentation - TPS GI Team, on July 21, 2011 in Chennai on the Concluding Day of the Trans Disciplinary Problem Solving Course: co-taught by Washington University in St. Louis and ICTPH.
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Reducing the Incidence and Mortality of
Diarrheal Disease in Rural Southern India:
Proposed Water Filtration and ORS
Education Intervention
Stephanie Barber
Erin Leege
Erin Richardson
Overview
Background
Intervention
Implementation
Evaluation
Burden
Worldwide
India
Tamil Nadu
Causal Determinants
Level 1 Level 2 Level 3 Level 4 Level 5
Water tanks Pipes Water tapsHousehold
storage
Individual
behaviors
Source Mid-sourcePoint-of-
accessPoint-of-use Point-of-use
Treatment Determinants
Awareness
Perceptions
Preferences
Past and Current Efforts
Point-of-use
Treatment
Hygiene and sanitation
Proposed Intervention
Water filtration
campaign
Proposed Intervention
ORS Education
Campaign
Water Filtration Campaign:
Implementation
Awareness campaign
Train maintenance workers
Install filters
Maintain filters
Water Filtration Campaign: Process
Evaluation
Water Filtration Campaign: Impact
Evaluation
Goal: reduce incidence of under five
diarrheal through provision of safe
drinking water
Design: retrospective cohort study
Data: number of diarrhea cases reported
to providers and to ORS Education
Campaign, one year pre/post
ORS Education Campaign:
Implementation Plan
Design curriculum
Identify mothers
Train community health workers
Administer ORS education
ORS Education Campaign: Process
Evaluation
ORS Education Campaign: Impact
Evaluation
Goal: reduce under-five diarrhea
mortality through increased ORS
knowledge, attitudes and behaviors
Design: non-experimental pre/post test
Data: in home baseline and follow up
surveys at 2 weeks and 6 months
Strengths and Challenges
Strengths
Capacity building
Trans-disciplinary
Challenges
Changing behaviors
Data
Implications
•Safe drinking waterPrimary
Prevention
•Early disease identification
Secondary Prevention
•Proper ORS useTertiary
Prevention
Contact Information
Stephanie Barber, MPH [email protected].
Erin Leege. MPH [email protected].
Erin Richardson. MSW candidate. [email protected].
Washington University in St. LouisCampus Box 1196One Brookings DriveSt. Louis, MO 63130-4899
Acknowledgements
Dr. Zeena Johar
Sangeetha Lakshmanan
SughaVazhvu Guides
ICTPH Staff
Dr. Ramesh Raghavan
Dr. Ravi Chockalingam
Thank you
