While reviewing the patient charts for Action for Health members, Mali Health Community Health Worker Djibril Traore noticed something – the number of cases of diarrhea was increasing sharply. At the Sikoro-Sourkabougou public clinic, the Medical Director, Dr. Diarra, noticed the same pattern. Together, Djibril, Dr. Diarra and other members of the Action for Health team decided they needed to do something to address the increased number of cases – diarrhea is one of leading killers of children under-5 in Mali.
The Action for Health team worked with Dr. Diarra to plan a two-phase response, including education and community action.
On Sunday August 14 over 100 women assembled in the public square of the part of Sikoro known as Bandiagara Coura, one of Action for Health's primary target zones, to take part in an information session on diarrheal diseases. Dr. Diarra led a discussion of the causes, symptoms, preventive measures and curative actions for diarrheal diseases. Women benefited from learning about the need to maintain clean water sources, and to provide lifesaving liquid to their children even before taking them to the clinic. According to Djbril: “The day was a huge success. The population really appreciated the information, and some of our Community Health Workers even asked that we do this sort of education program every month. I think it was really important as well, because of the impact of diarrheal diseases - in Mali we are even being threatened with cholera epidemics in Mopti and Timbuktu, so it is really important to teach people about how to care for diarrhea."
Bandiagara Coura is located on a hillside overlooking the rest of the neighborhood. Although public taps exist in other parts of Sikoro, no taps have been installed in Bandiagara Coura, and women who live here must walk up and down the steep hill to collect water. Given this challenge, many choose to drink well water instead. The months of June-September coincide with the rainy season in Mali and open latrines and other sources of dirty water can easily contaminate these wells. In light of this reality, education about diarrheal diseases is not enough. Our Action for Health team researched the different options, and decided that the most effective response would be to distribute Aquatabs to families in the Action for Health program. Aquatabs, which are similar to the water-purification tablets used while camping (or traveling abroad), disinfect up to 20 liters of water with one pill, providing a source of clean drinking water for children and family members. The distribution of Aquatabs, in conjunction with the education provided on the prevention and treatment of diarrhea, will lead to a decrease in the number cases of diarrhea in Sikoro– a potentially lifesaving intervention for children.
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