compiled by Maggie Sandilands
Preventing illnesses and accidents from happening is as important as being able to treat them when they occur. The expertise of professional health workers or hospital treatment may be required to treat a serious illness, but prevention has to begin in the home. There are many simple ways to help your family to stay healthy.
People will get better from many common sicknesses by themselves, without any need for medicines. To help fight off or overcome a sickness, often all that is needed is good hygiene, plenty of rest, good nutrition and enough safe water. Many illnesses are caused by poor hygiene, and can be prevented by making sure water is safe to drink, by ensuring everybody washes their hands and by taking care over preparing and storing food.
Washing hands
Rinsing hands with water alone is not enough for good hygiene and to prevent disease. Both hands should be rubbed with soap or ash and rinsed with running water to wash the germs away. Hands should be washed frequently, especially after going to the toilet and before eating.
Preparing food

Photo: Geoff Crawford
Making sure that everyone in the family has enough to eat, and that the food is nutritious (Footsteps 65), is vital to maintain good health.
The way that food is stored and prepared is also important to prevent sickness.
- Wash hands well with soap and water before preparing food.
- Make sure all pans, dishes, knives and tools used in preparing food are clean.
- Keep uncooked meat and fish away from cooked foods.
- Cook meat thoroughly before eating.
- Serve food fresh. Do not leave cooked food to sit for too long before eating. Milk, fish, cooked meat and cooked rice will spoil quickly. If reheating cooked food, make sure it is thoroughly reheated.
- Flies carry disease, so always cover food to keep them away.
Safe water
Safe water is vital for health. One way to ensure water is safe to drink is to boil it. Boiling water will kill the germs that cause diarrhoea, and make the water safe. If fuel is scarce, it is possible to purify water by using sunlight (Footsteps 51 and www.sodis.ch).
Once water has been treated it must be kept clean. If water for drinking is stored, make sure the containers are clean and covered by lids to keep out flies and dust. Do not put your hands in the water but use a clean, long-handled cup or ladle to take the water out of the container to drink.
Preventing injuries
Try to prevent injuries from occurring.
- Keep all sharp objects such as knives, open tins and broken glass away from children.
- Keep matches and lamps out of the reach of children.
- Be careful when cooking, and do not let small children near the fire or near boiling water.
- Ensure that pot handles do not stick out from the stove, so that children cannot reach them.
- Teach children how to cross roads safely.
- Keep electrical items away from water to avoid risk of electric shock. Teach children not to touch electrical sockets.
- Do not drink alcohol to excess.
Preventing infection
Good hygiene and sanitation practices in the home will help prevent infection. For ideas about community sanitation see Footsteps 73.
- Do not let pigs or other animals come into the house or places where children play.
- If children or animals defecate near the house, clean it up at once. Teach children to use a latrine.
- Do not spit on the floor, and cover your mouth when you cough or sneeze.
- Ensure children are vaccinated. Vaccinations are usually free and give protection against many dangerous diseases. Seek advice from your nearest health centre.
- Treat infectious diseases as soon as possible to prevent them spreading to others.
- Do not go barefoot in areas where hookworm is common.
Article compiled by Maggie Sandilands using information from Where There Is No Doctor (2007 Revised Edition), by David Werner with Carol Thuman and Jane Maxwell, published by Hesperian. See Resources for details about how to order.