Together Against Diarrhea

Together against diarrhea

Chapter One

Together against diarrhea

In a swampy field in Western Kenya, an energetic Alfred Ochola surveys the crowd. All eyes are on him as he rolls up his pants, wades into a muddy stream, and fills a bucket with dirty water.

“Diarrhea,” he says, pointing to the floating bits of grass and mud. Women from the nearby village stand by with their jerry cans, some with sheepish smiles. They know, but what can they do?

“Ni maisha.”“That’s life.” [Swahili]

A few weeks after Alfred’s visit, bricks and concrete arrive. The villagers build a small dam to protect the spring. Soon diarrhea cases drop dramatically.

In a cramped clinic one village over, a mother holding a tiny baby tips a plastic cup to the child’s mouth.

Water mixed with sugar and salt. “That’s all it takes,” says Alfred, standing nearby, “to bring a baby back to life.”

Surely one man, armed with a bit of concrete, salt, and sugar, can’t defeat one of Kenya’s most insidious child killers.

Or can he?

Did You Know?

2 in 3: Number of Kenyans without access to improved sanitation (flush toilet, ventilated improved pit [VIP] latrine, pit latrine with slab, and/or composting toilet).

Alfred has helped to establish more than 400 ORS corners in Western Kenya.

UNICEF. Kenya: Statistics. Available at: // Accessed September 12, 2014.


Chapter Two

“Your Child Is Cursed.”

That’s what village women told Jane Wamalwa in Western Kenya when her first child died from the dehydration brought on by severe diarrhea. He was five years old.

Her second child died at 18 months. Her husband and in-laws blamed her.

Then there was a third. Three small mounds in a cornfield near her house. Three small lives lost to diarrhea that she believed she was helpless to save.

Fifteen years later, so much has changed.

Jane knows things she didn't then—about hygiene, clean water, rehydration, zinc, vaccines. She knows now that diarrhea is not a curse. It is something to be prevented, treated, and cured.

Today, Jane walks from house to house on the outskirts of her village, at times with her teenage daughter, who is healthy and happy. She looks in on the mothers and smiles, offering advice and inspiring hope.

“You know me. I lost my children to diarrhea,” she says. “Now I am informed.”

Jane knows that with the power of education, she and other mothers can make real change. Together.

Did You Know?

Join Jane as a powerful advocate to defeat diarrheal disease. Use our Advocacy Toolkit to access key messages, sample tweets, and more.

Diarrhea is a leading cause of child death in Kenya, as it is in most African countries.2

2 The Partnership for Newborn & Child Health. Maternal and Child Health: Kenya. Available at: // Accessed August 12, 2014


Chapter Three

“If parents knew the signs, children would not have to die.”

If parents knew the signs, children would not have to die.

In Duan Tom village, they gather on woven mats, children cradled in arms and on laps. They come in the dry season and during the monsoon. They come to learn how to heal their children.

With a flip book full of illustrations, Yeksim—this Cambodian village’s vice chief—solves mysteries that have haunted some for years.

Why the child is sick with diarrhea and fever.

Why the skin gets dry and pale.

Why in the worst moments the child doesn’t make a sound.

Most important, she shows the mothers what they can do:

Wash your hands.

Breastfeed your baby.

Use oral rehydration, and a new treatment that has just arrived—zinc.

But now there is help. A recent project has brought medicine—including small white pills called zinc—as well as education, training, and good news. Cases of diarrhea are in decline.

Together this village is fighting back against diarrheal disease.

And together they are winning.

Did You Know?

Cambodia’s government launched a new policy to combat childhood diarrhea and pneumonia. The success of the project in Yeksim’s village motivated the government to expand its reach to 1.6 million children.
PATH and the Government of Cambodia are putting tools in the hands of health workers, volunteers, and families to make a major impact.

3 Reed L. Cambodia Tackles Pneumonia and Diarrhea [blog post]. PATH. January 8, 2013. Available at: // Accessed August 12, 2014.


Chapter Four

“he was near death.”

He was Near Death.

A television. A toilet. A sofa. Conveniences many mothers in Zambia don’t have. Teresa knows she is lucky.

Yet these small luxuries couldn’t protect her child. A few years ago, she rushed her firstborn to the hospital, too many times to count.

Severe diarrhea, again and again. She knew so little then—about hand-washing, ORS, and zinc.

Sometimes she wonders: Was it my fault he almost died?

This time around, things are different. In a small clinic, she cradles her second child, a one-month old named Vusi. Nearby, a nurse uncaps a small vial filled with a few drops of rotavirus vaccine.

Vusi cries as the nurse puts the liquid into his mouth. But Teresa smiles.

“Diarrhea is one of the major problems we face,” she says.

“It's time for us to help our children.”

Did You Know?

Together, we shall fight diarrhea!

Rotavirus vaccines have recently been introduced in Zambia and several other countries across the world.

Browse more data and resources on rotavirus >

Zambia is leading the charge to defeat diarrhea, setting the standard for integrating policies, education, safe drinking water, rotavirus vaccines, ORS and zinc.


Chapter Five

Together, we shall fight diarrhea!

In Zambia’s Mazabuka Province, kids freestyle outside the schoolhouse.

The scene is universal. But the rhymes are all their own.

For a few minutes, shared responsibility replaces teenage insecurity. Is it cool to rap about diarrhea? When the stakes are this high, it just might be.

Besides, there’s plenty of swagger. Name-check the enemy, the power of direct address.

The fight continues, but this battle is won. “Together, we shall fight diarrhea!”

Did You Know?

A WASH in Schools program is turning students into powerful teachers, bringing lessons on safe drinking water, sanitation, and hygiene to their peers, families, and communities.


Chapter Six

“Together ... We’ll make it happen.”

Together ... We’ll make it happen.

Thousands of miles and many times zones away, Evan Simpson watches his son field a ball in Seattle, Washington. He wonders about his son’s future, and reflects on his own path.

Evan didn’t set out to make a career out of diarrhea. But once he understood the desperate need and how many solutions existed, it just became obvious.

Evan knows that eliminating deaths from diarrhea will require all the tools at hand:

Simple technologies to clean dirty water. 
Better education—on hygiene, sanitation, breastfeeding, and nutrition.
Vaccines and medicines—like ORS and zinc—and research on new drugs.

Even more than that, though, he knows it will take all of us working together:

Community advocates, like Alfred and Jane. Mothers, like Teresa. Leaders, like Yeksim. A new generation of teachers, like the Zambian schoolkids.

And you.

Did You Know?

If there were a way to save half a million children's lives every year, wouldn't you help? Get looped in to the global movement.

PATH is rethinking solutions for diarrheal disease, a preventable and treatable condition that claims the lives of 2,000 kids each day.

Unattributed photo credits: "Alfred" thumbnail by PATH; "Jane" thumbnail by PATH/Gabe Bienczycki; "Oral rehydration solution…" thumbnail by PATH/Tony Karumba; "We have the tools…" thumbnail by PATH/Tony Karumba; "Zinc reduces diarrhea severity..." thumbnail by PATH/Tony Karumba. Chapter 3 "Did You Know" gallery by PATH/Heng Chivoan; Chapter 5 "Did You Know" gallery by PATH/Gareth Bentley.