Description of the Training

This topic provides 20 images showing the transmission of diarrhoea by 5 main routes known as the 5 ‘f’s’, namely, flies, faeces, fingers, food and fluid.  The cards are used to help explain this multi-route of transmission and helps to show how these 5 main routes can be blocked by good hygiene (hand washing with soap), safe water and sanitation and control of flies.

How to use Card set  6. ‘Transmission of Diarrhoea’ 

This set can be used in three ways:

  1. A participant holds up the card to the audience and describes what she sees on the card and whether she thinks it is safe  or unsafe practice.
  2. The images can then be sorted into three groups of good, average and bad practices and can be combined with  Card set 10.  Food Hygiene .
  3.  Once the transmission route has been demonstrated the other  cards showing safe practices can be used to block the route.


Facilitator instructions for the topic

Click here  for English version 

Click here for french version 

1. Transmission from faeces
5. Transmission by fruit
9. Fingers: Dirty hands eating food
13. Fluid: Dirty containers
17. Fruit: Selling dirty fruit
21. Protect food from flies
25. Eat in a clean place
29. Eat hot food
33. Peel fruit before eating
2. Transmission to mouth
6. Transmission by fluid
10. Flies: On food
14. Fluid: Drinking dirty water
18. Food: Selling dirty food
22. Wash hands with soap
26. Use a covered latrine
30. Drink clean water
15. After handling rubbish in a closed bin
3. Transmission by fingers
7. Fingers: Mother's hands dirty
11. Flies on faeces
15. Fruit: Faeces near fruit
19. Sore stomach and vomiting
23. Children wash hands/soap
27. Wash plates after food
31. Store water safely
4. Transmission by flies
8. Fingers: Mother prepares food
12. Flies: On dirty plates
16. Collecting fruit from ground
20. Child with diarrhoea
24. Father washes hands/soap
28. Reheat left over food
32. Wash fruit


ENGLISH                                                                                    FRENCH


1Infection by Faeces: Child with diarrhoeaLes infections dues aux défecations
2Infection by mouth: person eatingInfection par la bouche; quelqun manger
3Transmission of diarrhoea through fingersInfection par les doigts des mains sales quand  manger
4Transmission of diarrhoea through fliesLes Infections par les mooches
5Transmission of diarrhoea through fruitLes infections causes par les fruites sales
6Transmission of diarrhoea through fluidLes infections causes par l’eau
7Fingers: Mother wiping child’s bottomLes doits: Mère essuyant le fond de l’enfant
8Fingers:  Mother preparing foodLes doigts: Une femme prepare a manger
9Fingers: eating together from one plateLes doigts: Manger ensembles avec des mains sales
10Flies: Family eating on ground with fliesLes mooches: La famille mange sur la terre  avec les mouches
11Flies: flies on faecesLes mouches sur les défecations
12Flies: on left over food, and dirty platesLes mouches sur les aliments et ustensiles sales
13Fluid: drinking dirty waterDe l’eau: boire  de l’eau sale
14Fluid: poor storage of waterDe l’eau: mauvaise conservation de l’eau
15Fruit: Child defecating near fruit treeLes fruits: défecations près des l’arbre de fruit
16Fruit: Mother collecting fruit from groundLes fruits: Ramasser des fruits par terre
17Fruit: Mother selling fruitLes fruits: Vendre des fruits sales
18Food: Mother selling doughnuts at schoolAliments: Vendre des aliments sales
19Vomiting and sore stomachAvoir mal à l’estomac et vomir
20School children  with diarrhoeaUn enfant qui a la diarrhée



21Mother covering food on table with fly netCouvrez la nourriture avec un filet de mouche
22Mother washing hands with soapLave les mains avec de l’eau et du savon
23School children washing hands with soapLes enfants se lavent les mains avec du savon
24Father  washing hands with soapUn papa se lave les mains
25Eat in a clean place, not on the floorInstalle-toi dans un endroit propre pour manger, pas sur terre
26Use of  covered latrineUtilise une toilette couverte
27Washing plates straight after eatingLave les assiettes après le repas
28Reheat food before eatingFais chauffer les restes avand de manger
29Eating food when it is hotMange des aliments chauds
30Drinking clean waterBois de l’eau proper
31Good storage of waterMets l’eau dans un recipient propre
32Washing fruit before eatingLave les fruits avant de les manger
33Peeling fruit before eatingEpluche les fruits avant de les manger
34Put all rubbish in a closed binJette les déchets dans une poubelle appropriée