This document proposes an intervention to reduce diarrheal disease in rural southern India through a water filtration and ORS education campaign. The intervention includes installing water filters to provide safe drinking water and training community health workers to educate mothers on proper ORS use. The water filtration campaign will include an awareness campaign, training maintenance workers, installing filters, and maintaining filters. Its impact will be evaluated through a retrospective cohort study measuring reported diarrhea cases. The ORS education campaign will design a curriculum, identify mothers, train community health workers, and administer ORS education. Its impact will be evaluated through a pre-post test measuring ORS knowledge, attitudes and behaviors. The intervention aims to reduce under-five diarrhea incidence and mortality by providing safe water and

1. Reducing the Incidence and Mortality of
Diarrheal Disease in Rural Southern India:
Proposed Water Filtration and ORS
Education Intervention
Stephanie Barber
Erin Leege
Erin Richardson

2. Overview
Background
Intervention
Implementation
Evaluation

3. Burden
Worldwide
India
Tamil Nadu

4. Causal Determinants
Level 1 Level 2 Level 3 Level 4 Level 5
Household Individual
Water tanks Pipes Water taps
storage behaviors
Point-of-
Source Mid-source Point-of-use Point-of-use
access

5. Treatment Determinants
Awareness
Perceptions
Preferences

6. Past and Current Efforts
Point-of-use
Treatment
Hygiene and sanitation

7. Proposed Intervention
Water filtration
campaign

8. Proposed Intervention
ORS Education
Campaign

9. Water Filtration Campaign:
Implementation
Awareness campaign
Train maintenance workers
Install filters
Maintain filters

10. Water Filtration Campaign: Process
Evaluation

11. Water Filtration Campaign: Impact
Evaluation
Goal: reduce incidence of under five
diarrheal through provision of safe
drinking water
Design: retrospective cohort study
Data: number of diarrhea cases reported
to providers and to ORS Education
Campaign, one year pre/post

12. ORS Education Campaign:
Implementation Plan
Design curriculum
Identify mothers
Train community health workers
Administer ORS education

13. ORS Education Campaign: Process
Evaluation

14. ORS Education Campaign: Impact
Evaluation
Goal: reduce under-five diarrhea
mortality through increased ORS
knowledge, attitudes and behaviors
Design: non-experimental pre/post test
Data: in home baseline and follow up
surveys at 2 weeks and 6 months

15. Strengths and Challenges
Strengths Challenges
Capacity Changing
building behaviors
Trans-
Data
disciplinary

16. Implications
Primary • Safe drinking water
Prevention
Secondary • Early disease
Prevention identification
Tertiary • Proper ORS use
Prevention

17. Contact Information
Stephanie Barber, MPH candidate
sbarber@wustl.edu.
Erin Leege. MPH candidate
ekleege@gmail.com.
Erin Richardson. MSW candidate.
erin.marie.richardson@gmail.com.
Washington University in St. Louis
Campus Box 1196
One Brookings Drive
St. Louis, MO 63130-4899

18. Acknowledgements
Dr. Zeena Johar
Sangeetha Lakshmanan
SughaVazhvu Guides
ICTPH Staff
Dr. Ramesh Raghavan
Dr. Ravi Chockalingam

19. Thank you