The following layout, along with the list of equipment and articles necessary for a standard ORP (i.e. that only provides oral treatment during the day) to function, are only given as an example and must always be adapted according to the context.
12.1 Layout of facility and installations
Note: if the ORP is set up within the grounds of a health facility, put up a fence (posts + barrier netting or reed screens (or similar) depending on the context) to isolate the unit. One entry/exit point for patients and staff is sufficient.
Symbols | Installations | Remarks |
---|---|---|
Potable water point |
A jerrycan or bucket or container with a tap, placed on a stand. |
|
ORS point |
A jerrycan or bucket or container with a tap, placed on a stand. |
|
Potable water reserve |
A 120 litre container with a tap, placed on a stand. |
|
Latrines |
2 latrines (men/women), adjust if insufficient (at least one latrine in a PRO). |
|
Hand-washing point(s) |
At least one hand-washing point with 0.05% chlorine solution (120 litre container with a tap, placed on a stand + bucket under the tap to collect wastewater, to be regularly emptied). |
|
Dish washing area |
If using basins, build an apron slab to drain wastewater. |
|
Waste pit |
A waste pit, protected by a fence to limit access. |
|
Stock of chlorine solutions |
A jerrycan or bucket with a tap, placed on a stand, for 0.2% and 2% chlorine solutions (out of patients’ reach). |
|
Chairs for patients and attendants |
One cholera (pierced) chair per patient. |
|
Nurse’s post | A table, chair and shelf. |
12.2. Supplies and equipment
Basic equipment | Remarks |
---|---|
Tent |
A 27.5 m2 tent for 11 patients + 1 nursing post |
Plastic sheeting |
To cover the ground (if the ground is not smooth, washable, concrete). |
Wooden stands for containers |
Jerrycans, containers or buckets with a tap must not be placed on the ground. |
Table + chair + shelves |
Drugs and supplies must not be stored all mixed up (difficult to find and inventory) or placed in a box on the floor. |
Chairs for cholera patients |
Number depends on the ORP’s capacity. |
Chairs for attendants | Number depends on the ORP’s capacity (one attendant per patient). |
Buckets |
|
Jerrycans, buckets or containers with tap |
|
Recipients for covered storage + tap |
|
Basins | To wash cups and spoons. |
1 litre measuring glass | To prepare ORS. |
Cups/small spoons |
Number of cups depending on the ORP’s capacity. |
Personal Protective |
|
Cleaning equipment | Broom, floor cloth, detergent, etc. |
Communication | Mobile phone + credit or VHF radio |
Other |
|
Documents and record keeping |
|
ORS, sachet for 1 litre |
Depending on the expected number of cases and/or consumption + buffer stock (15% |
Antibiotic | Depending on the expected number of cases (+ buffer stock 15%) |
Zinc sulfate | 1 blister of 10 tab/patient under 5 years (+ buffer stock 15%) |
Soap | One per patient + soap for the staff |
Chlorine-releasing compound |
NaDCC or HTH (start with 50 g/patient/day, and later readjust according to consumption). |
Disposable examination gloves |
If the patient has soiled him/herself and needs to be changed by staff or if risk of accidental exposure to blood or carrying out stool tests or cut or lesion on hands. |