Zinc based creams are good for nappy rashes, but shouldn't be used with cloth nappies. The cream is water repellant and if its on the nappy, it makes it water resistant and not as absorbent. I've not used that pawpaw ointment but have heard wonders about it. Methinks I should get some, we're going to be using cloth soon. Yes and those horrible plastic pilchers, eeeuuuck. PUL or fleece are really good. If you use these, then make sure the day care know to use only these and also explain how long they use it, or alternate etc. Good luck!