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Interagency Emergency Health Kit
A-2.2 Treatment of acute diarrhoea (without blood)
Treatment Plan A: treat diarrhoea at home
Use this plan to teach the mother how to:
prevent dehydration at home by giving the child more fluid than usual;
prevent malnutrition by continuing to feed the child, and why these actions are
important;
recognize signs indicating that the child should be taken to a health worker.
The four rules of Treatment Plan A:
Rule 1:
Give the child more fluids than usual, to prevent dehydration
Use recommended home fluids. These include: ORS solution, salted drinks (e.g. salted
rice water or a salted yogurt drink), vegetable or chicken soup with salt.
Avoid fluids that do not contain salt, such as: plain water, water in which a cereal has
been cooked (e.g. unsalted rice water), unsalted soup, yoghurt drinks without salt,
green coconut water, weak tea (unsweetened), unsweetened fresh fruit juice. Other
fluids to avoid are those with stimulant, diuretic or purgative effects, for example:
coffee, some medicinal teas or infusions.
Be aware of fluids that are potentially dangerous and should be avoided during
diarrhoea. Especially important are drinks sweetened with sugar, which can cause
osmotic diarrhoea and hypernatraemia. Some examples are: commercial carbonated
beverages, commercial fruit juices, sweetened tea.
Use ORS solution for children as described in the box below. (Note: if the child is under
6 months and not yet taking solid food, give ORS solution or water.)
Give as much as the child or adult wants until diarrhoea stops. Use the amounts shown
below for ORS as a guide. Describe and show the amount to be given after each stool is
passed, using a local measure.
Age Amount of ORS to be given Amount of ORS to
after each loose stool provide for use at home
≤ 24 months 50-100 ml
2 - 10 years 500 ml/day
100-200 ml
≥10 years 1L/day
as much as wanted
2L/day
Show the mother how to mix ORS and show her how to give ORS.
Give a teaspoonful every 1‐2 minutes for a child under 2 years.
Give frequent sips from a cup for older children.
316
A-2.2 Treatment of acute diarrhoea (without blood)
Treatment Plan A: treat diarrhoea at home
Use this plan to teach the mother how to:
prevent dehydration at home by giving the child more fluid than usual;
prevent malnutrition by continuing to feed the child, and why these actions are
important;
recognize signs indicating that the child should be taken to a health worker.
The four rules of Treatment Plan A:
Rule 1:
Give the child more fluids than usual, to prevent dehydration
Use recommended home fluids. These include: ORS solution, salted drinks (e.g. salted
rice water or a salted yogurt drink), vegetable or chicken soup with salt.
Avoid fluids that do not contain salt, such as: plain water, water in which a cereal has
been cooked (e.g. unsalted rice water), unsalted soup, yoghurt drinks without salt,
green coconut water, weak tea (unsweetened), unsweetened fresh fruit juice. Other
fluids to avoid are those with stimulant, diuretic or purgative effects, for example:
coffee, some medicinal teas or infusions.
Be aware of fluids that are potentially dangerous and should be avoided during
diarrhoea. Especially important are drinks sweetened with sugar, which can cause
osmotic diarrhoea and hypernatraemia. Some examples are: commercial carbonated
beverages, commercial fruit juices, sweetened tea.
Use ORS solution for children as described in the box below. (Note: if the child is under
6 months and not yet taking solid food, give ORS solution or water.)
Give as much as the child or adult wants until diarrhoea stops. Use the amounts shown
below for ORS as a guide. Describe and show the amount to be given after each stool is
passed, using a local measure.
Age Amount of ORS to be given Amount of ORS to
after each loose stool provide for use at home
≤ 24 months 50-100 ml
2 - 10 years 500 ml/day
100-200 ml
≥10 years 1L/day
as much as wanted
2L/day
Show the mother how to mix ORS and show her how to give ORS.
Give a teaspoonful every 1‐2 minutes for a child under 2 years.
Give frequent sips from a cup for older children.
316
