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close this bookOral Rehydration Therapy and the Control of Diarrheal Diseases (Peace Corps, 1985, 566 p.)
close this folderModule Five: Working with the community
close this folderSession 13 - The impact of culture on diarrhea
View the document(introduction...)
View the documentHandout 13A: Sample diarrhea questionnaire
View the documentHandout 13B: Methods for gathering information
View the documentHandout 13C: Identifying helpful and harmful practices
View the documentHandout 13D: Role of traditional healing in diarrheal diseases control

Handout 13A: Sample diarrhea questionnaire

Date ___________________________

Location ___________________________

Name of Person interviewed ______________________________________________________

Occupation ____________________________________________________________________

Number of Children ___________________________ Age ___________________________

1. When did your child last have diarrhea?

2. What names do people use for diarrhea?

3. How did your child get diarrhea?

4. Do children in the village die from diarrhea?

5. Do you know a child that has died from diarrhea?

6. What did you do when your child last had diarrhea? Why did you do this?

7. Do you give liquids to your child when he or she has diarrhea? Why? What liquids? How ouch?

8. Do you give food to your child when he or she has diarrhea? Why? What foods?

9. Do you continue breast feeding when your child has diarrhea? The same, more or less than usual?

10. Who in your community helps you when your child has diarrhea? (*Probe: Can the traditional healer help? Can the community health worker? Your mother? etc.)

11. Are there particular medicines that you give your child when he or she has diarrhea? What medicines? Where do you get them?

12. Does hand washing help prevent diarrhea? Can anything help prevent diarrhea?

13. Observe and ask what utensils can be used to measure water, salt and sugar (for oral rehydration).

14. Observe and note sanitation around and inside the home.

15. Observe and note the physical condition of the child in the home. Look for signs of malnourishment or dehydration.

*A probe is an additional, slightly more specific question to ask if a person has difficulty answering a question or provides an answer that is too general or off the point.