The need for guidance on how to implement the new WHO/ UNICEF recommendations for the use of ORS and zinc supplementation in the clinical management of diarrhoea was articulated at a meeting at Johns Hopkins University in June, 2004. On behalf of USAID, MOST initiated the effort to prepare the needed guidance in anticipation of the introduction of zinc supplementation into the protocol for treating diarrhoea in several countries. The draft is designed to prepare clinic-based health workers to implement the new recommendations. The information is meant to complement, not replace, more comprehensive policy guidance available from WHO on the management of diarrhoea. The guidelines presented in this document are generic, that is, they will be most effective when modified to support the particular strategy being used to introduce the new recommendations in each country. These draft guidelines have not yet been field-tested.
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