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In the January 2007 Bulletin, Forsberg et al. present an elegant analysis of the trends in diarrhoea case management using data from national Demographic and Health Surveys (DHS) from 1986 to 2003.1 They conclude that despite global efforts to promote appropriate diarrhoea management during this time, only slow progress has been made in the proportion of children treated with oral rehydration salts (ORS), recommended home fluids (RHF) or increased fluids. The proportion of children given continued feeding during diarrhoea episodes actually decreased.

Declines in case management of diarrhoea among children less than five yeard old