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Diarrheal diseases among children in India: Current scenario and future perspectives
Subitha Lakshminarayanan1, Ramakrishnan Jayalakshmy2
1Department of Preventive and Social Medicine, JIPMER, Puducherry, India.
Insights
Diarrhea significantly impacts child mortality in India, necessitating urgent, comprehensive control strategies. Accelerating progress in managing diarrheal diseases is crucial for meeting child mortality reduction goals.
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- Diarrheal diseases represent a major cause of mortality in Indian children under five, accounting for 13% of deaths.
- Effective planning and health service organization require a thorough review of diarrheal disease determinants and control strategies.
Purpose of the Study:
- To review existing literature on diarrheal disease control in Indian children under five.
- To synthesize information on disease burden, determinants, management, and prevention strategies.
Main Methods:
- A literature review was conducted using PubMed, Google Scholar, and other internet databases.
- Data were analyzed and described concerning disease burden, determinants, interventions, and public health roles.
Main Results:
- The review identified key areas including disease burden, social determinants, case management, and preventive measures.
- Current strategies require enhancement to effectively reduce the impact of diarrheal diseases.
Conclusions:
- A comprehensive diarrheal disease control strategy is essential, integrating improved case management and addressing social determinants.
- Further research into cost-effective interventions is needed to accelerate progress towards reducing child mortality.
Abstract:
Diarrhea is the third leading cause of childhood mortality in India, and is responsible for 13% of all deaths/year in children under 5 years of age. Information on diarrheal diseases, its determinants and preventive and control strategies need to be reviewed for better planning and organization of health services. This study reviewed literature on diarrheal disease control among under-five children in India from literature published in PubMed, Google search engine and other databases on the internet. Data were described in terms of disease burden in India, determinants, management and intervention strategies, preventive strategies, and role of public health and scope for future action. This review calls for a comprehensive diarrheal disease control strategy, through improved case management, addressing social determinants of health and research in the field of cost-effective interventions to reduce the burden of diarrhea among children in India. With < almost one year left to reach the 2015 Millennium Development Goal on reducing child mortality, progress on control of diarrheal diseases must be accelerated.
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