This purpose is accomplished by having participants observe proper case management and gain first hand experience treating patients. Participants also obtain relevant technical information from written instructions, short presentations, discussions with experienced staff and other participants, and reference articles. This purpose is just as important as the first, but is easy to overlook. Participants may know how to manage cases properly at the facility where they are trained, but may not be able to use these procedures when they return to their own facility. Unless there is support for the procedures, participants will find it difficult to use them.
Support is needed in terms of policies, physical arrangement, supplies, and skilled staff.
This training helps participants prepare for this challenge. Using advice from instructors and other participants, changes are identified that will need to be made at each participant's facility so that improved diarrhoea case management can be carried out. This training can be conducted in a large health centre, district level facility, or small hospital. Some facilities that conduct this course may also have 1-2 beds for giving IV therapy to severely dehydrated patients. In contrast to a DTU, the facility conducting this training should be smaller than a DTU, which is usually located in only a few large hospitals in the country and can accommodate up to 20 trainees for a full week course.