Subitha Lakshminarayanan1, Ramakrishnan Jayalakshmy2
1Department of Preventive and Social Medicine, JIPMER, Puducherry, India.
2Department of Preventive and Social Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.
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.
Keywords: Diarrheal disease control, diarrheal diseases, India, under-five children.