Maternal, newborn, child and adolescent health

Implementing the new recommendations on the clinical management of diarrhoea

Guidelines for policy makers and programme managers

World Health Organization; UNICEF; Johns Hopkins Bloomberg School of Public Health; USAID

Publication details

Number of pages: 33
Publication date: 2006
Languages: Chinese, English, French, Russian
ISBN: 9241594217



WHO and UNICEF have released revised recommendations aimed at dramatically cutting the number of deaths due to diarrhoea. These new recommendations take into account two significant recent advances - demonstration of the increased efficacy of a new formulation for ORS containing lower concentrations of glucose and salt, and success in using zinc supplementation in addition to rehydration therapy in the management of diarrhoeal diseases. Prevention and treatment of dehydration with ORS and fluid commonly available at home, breastfeeding, continued feeding, selective use of antibiotics, and providing zinc supplementation for 10 to 14 days are the critical therapies that will help us achieve these goals.

This manual provides policy makers and programme managers with the information they need to introduce and/or scale up a national decision to introduce the new ORS formulation and zinc supplementation as part of the clinical management of diarrhoeal diseases.