Rlu 8 6 3 when child has severe diarrhea edit by tim en

Topic 3

How to Care for Babies Having Diarrhea

Example – Key points to be taken note of in notebook What do you see in this picture? Zinc helps your baby to quickly recover from diarrhea (discuss)

Message Parents: If your baby has serious diarrhea, take him/her to the nearest health center or hospital to receive a zinc supplement. Zinc helps your baby to quickly recover from the illness.

ជម្ងឺរាក ជ+ម្+្ង+្ឺ=ជម្ងឺ + រ + ្ + ក  ជម្ងឺរាក ជាតទ ក). ិ ក ឹ ..តា...ជា...ទា...ទក...(តាជាទាទ ឹ ឹ ៦០

៨ ៤៨០

Target group: Women and child caretaker 1. Coordination method: 1.A-Beginning of activities:  Ask the participants to sit in a circle and greet them  Record attendance by loudly calling the participants by their names  Recall previous topics or action plans  Ask about problems or raise brainstorming questions to be linked with new topics  To create a pleasant atmosphere, the facilitator asks the participants to sing the following songs all together: 1. I’m happier (the same melody as for the song Cotton Flower) 2. Feeding a variety of food 1.B How to draw two jars with flowers  Be ready to draw two jars and a flower in each jar. The first jar has a leak with water flowing out, contains a wilted flower and next to it is the picture of a child having diarrhea and sitting defecating.

 The second jar contains a fresh flower, is full of water, and the child is healthy.

 Select four volunteers to do a role play of a family with positive and a family with negative attitude, each of them having a child with diarrhea o The first family does not bring their child to the health center and fails to provide sufficient water o The second family takes their child to the health center. They receive advice and medication from the doctor, including:

 Zinc 20mg 

O.R.S/SRO

- After the play, start to brainstorm and dicuss 2 : Brainstorm discussion  First, read the following to the participants  Diarrhea is a disease that can be prevented and cured. However, there are still children dying from diarrhea because very few children receive proper treatment according to the recommended method (Oralit, breastfeeding and hydration) (About 5,700 Cambodian children aged below 5 years die every year) (Health Magazine No. 41, 2009)

 Second, discuss the role played story about negatively and positively behaving families with the following questions: - What does the story tell us?

- What do you see in the picture?

- In your family, has any child ever had diarrhea?

- Have you brought the child with diarrhea to hospital? ( Yes,  No  Why?) - Have you ever heard about or received zinc from a health center? Let the participants answer  Can diarrhea be prevented?

Answer  Diarrhea can be prevented and cured  Wash your hands before touching food  Always drink clean water (boiled or filtered water)  Cook the food properly  Cover the food and maintain hygiene  Defecate in a toilet and wash hands after using the toilet  How can we help a child aged 2-24 months when he/she has diarrhea?

Answer  Breastfeed the child more frequently  Take the child to hospital to obtain zinc from health workers to help the child quickly recover from its illness  Provide the child with sufficient water to prevent dehydration  Try to feed the child with Oralit frequently (properly dilute it)  Follow the advice of health workers on the provision of zinc for children  Treat the child as advised (10-14 days) Answer  What are the advantages of zinc for a child with diarrhea?  Zinc is very important for the enzymes and hormones in the body  The immune system needs it to function properly  Zinc is also important to recreate the inner layer of the intestines  It reduces the duration of diarrhea, which is important because extended diarrhea will put the child at a high death risk and can cause slow development  What are the advantages of Oralit for a child who is dehydrated due to diarrhea?

Answer  It reduces the duration of diarrhea and reduces nausea  It rapidly replenishes the water lost due to diarrhea  New Oralit powder is produced with a small amount of sugar and salt and used across the world

Message: Parents: If your baby has serious diarrhea, take him/her to the nearest health center or hospital to receive a zinc supplement. Zinc helps your baby to quickly recover from its illness.

3 : Brainstorm for participants to practice in the group or individually at home  Develop a plan with the participants and share it with members inside/outside the group about the importance of Oralit and zinc for treating diarrhea: 

Breastfeed the child more frequently

 Take the child to the nearest health center or hospital if his/her situation is not improving  Provide him/her with sufficient water to prevent dehydration  Follow the advice of health workers  Wash your hands before touching food  Always drink clean water (boiled or filtered water)  All food needs to be well-cooked  Cover the food and maintain hygiene  Defecate in a toilet and wash hands after using the toilet

4. Learn to read  write  and calculate

 Encourage the participants (parents, child caretakers) to draw tables or pictures in their notebook  Encourage them to choose keywords and learn to write and read them loudly all together ជម្ងរា ក ី ឺ ក ស័ង្ស

អូរា៉ាលីត ជាតិទឹក

ជម្ងរា ឺ ក

 ជ+ំជ+ង្ជង្+ំឺជម្ង+ ឺ រជម្ងរឺ +ំ +ក អានថា

ថានជាតិ

 ថ+ំនថន+ំ ថាន+ំថាន+ជថានជ+ំ +ំិ អានថា

ស័ង្ស ក ី

 ស+ង្សង្+ំ័ស័ង្+ំកស័ង្+ ក ស+ំី



អានថា

ជម្ងរា ឺ ក

ថានជាតិ

 ស័ង្ស ក ី

 Write these words on the flipcharts on which the tables are drawn and break down the keywords (no need to write them on new flipcharts)  Break down the keywords that the participants have learned to write and read and then put

them together to form sentences, for instance: ជម្ងរា ..រាក........ជា........ជម្ង.ឺ .....(រាកជាជម្ង)ឺ ឺ ក

 Number calculation practice: Sophary and her husband took their child with diarrhea to hospital to receive treatment. They spent 12,000 rieles on gasoline for their motorcycle.  Question: How much money do the have left if they had 40,000 riels?

Method  40,000 R – 12,000 = 28,000 riels

5. Set the topic and remind of the time for the next meeting according to the timetable - Topic.............................

6. Additional information and materials for the facilitator Purpose: All of us will have understanding about the importance of Oralit and zinc for the treatment of children with diarrhea.

Materials: Flipchart, tape, marker Before going home, ask the group to sing the following song 1. I am happier (the same melody as for the song Cotton Flower)  Oh cotton flower

I am so happy to gather

With our team members (repeat)

I have met with the discussion group

So I have to pay attention I have to listen to and consider it We come to learn all together (repeat) to share opinions in discussions without reluctance (clap all together) Children with Diarrhea (the same melody as for the song Oh Sat Sarika Mdech Leuy Na Hey Chaol Sambok)  When your child has diarrhea Immediately take him to hospital (repeat) Don’t let it become serious Take him to see a doctor immediately Zinc Helps your beloved child to recover from illness (repeat) Oralit also Helps your child to recover and suck more breast milk Written by Ms. Vanny and revised by Mr. Vavan

 More information on the use of zinc for children aged 0-6 months and children aged 6 months and over, and adults

- 0-6 months: Zinc 20mg

- 6 months or over : Zinc 20mg - Zinc 20mg for adults

½ capsule per day for 10 days 1 capsule per day for 10 days