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Oral rehydration points (ORPs ): planning and guidance
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    A comprehensive strategy for cholera treatment includes not only establishment of Cholera Treatment Centers (CTCs) and Cholera Treatment Units (CTUs) but also support of community services to provide early rehydration when distance, safety, or other barriers limit immediate access to a hospital or cholera treatment facility. Community health workers (CHWs) or nurse auxiliaries trained in important aspects of cholera treatment can play a crucial role in increasing access to early rehydration, which is critical for preventing the progression to moderate and severe dehydration and, thus, saving lives. The following CHW activities should be developed depending on resource availability:

    1. Distribution of commodities:

    CHWs can distribute sachets of oral rehydration salts (ORS) and water treatment supplies to community members from any fixed point in the community.

    2. Mobile Community Rehydration and Education:

    CHWs can visit the homes of ill community members, assist with the proper water treatment and preparation of ORS solution, and provide education on sanitation, rehydration, and the importance of promptly seeking treatment from a treatment facility.

    3. Establish an Oral Rehydration Point (ORP):

    One to two CHWs or nurse auxiliaries can staff a fixed ORP established and overseen by the referral cholera treatment facility or the facility’s managing non-governmental organization (NGO) partner in coordination with the local or departmental Ministry of Public Health and Population (MSPP). The CHW(s) or nurse auxiliaries initiate hydration, carry out infection control, refer patients for treatment (including procurement of transport if available), and provide cholera education to patients and community members.

    The necessary training for these activities is included in the CDC Haiti Cholera Training Resources: Community Health Worker Materials.

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