Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. Int J Public Health, June 2014.

Authors: Jordan Teague, E. Anna Johnston, Jay P. Graham.

Objectives – This study explores the integration of water, sanitation, and hygiene (WASH) and nutrition programming for improved child health outcomes and aims to identify barriers to and necessary steps for successful integration.

Methods – Sixteen semi-structured in-depth interviews were conducted with key stakeholders from both the
WASH and nutrition sectors, exploring barriers to integration and potential steps to more effectively integrate programs.

Results – Key barriers included insufficient and siloed funding, staff capacity and interest, knowledge of the two sectors, coordination, and limited evidence on the impact of integrated programs. To achieve more effective integration, respondents highlighted the need for more holistic strategies that consider both sectors, improved coordination, donor support and funding, a stronger evidence base for integration, and leadership at all levels.

Conclusions – Organizations desiring to integrate programs can use these results to prepare for challenges and to know what conditions are necessary for successfully integrated programs. Donors should encourage integration and fund operational research to improve the efficiency of integration efforts. Knowledge among sectors should be shared and incentives should be designed to facilitate better coordination, especially where both sectors are working toward common goals.

The Second International Conference on Nutrition (ICN2), an inclusive inter-governmental meeting on nutrition jointly organized by the Food and Agriculture Organization (FAO) and the World Health Organization (WHO), in cooperation with the High Level Task Force on the Global Food Security Crisis (HLTF), IFAD, IFPRI, UNESCO, UNICEF, World Bank, WFP and the WTO, will be held at FAO Headquarters, in Rome, 19-21 November 2014. It will be a high-level ministerial conference which will propose a flexible policy framework to address today’s major nutrition challenges and identify priorities for enhanced international cooperation on nutrition.

ICN2 will bring together senior national policymakers from agriculture, health and other relevant ministries and agencies, with leaders of United Nations agencies and other intergovernmental organizations and civil society, including non-governmental organizations, researchers, the private sector and consumers.
The conference will review progress made towards improving nutrition since 1992, reflect on nutrition problems that remain, as well as on the new challenges and opportunities for improving nutrition presented by changes in the global economy, in food systems, by advances in science and technology, and identify policy options for improving nutrition. The key objectives of the ICN2 will be to:

  • review progress made since the 1992 ICN including country-level achievements in scaling up nutrition through direct nutrition interventions and nutrition-enhancing policies and programmes;
  • review relevant policies and institutions on agriculture, fisheries, health, trade, consumption and social protection to improve nutrition;
  • strengthen institutional policy coherence and coordination to improve nutrition, and mobilize resources needed to improve nutrition;
  • strengthen international, including inter-governmental cooperation, to enhance nutrition everywhere, especially in developing countries.

Maharashtra’s Child Stunting Declines: What is Driving Them? Findings of a Multidisciplinary Analysis

August 21, 2014

Maharashtra’s Child Stunting Declines: What is Driving Them? Findings of a Multidisciplinary Analysis, 2014. Full text, pdf Authors: Haddad, L., Nisbett, N., Barnett, Inka., Valli, E. Institute of Development Studies. In 2005, an alarming 39 percent of children were stunted in Maharashtra state, the second largest state in India with a population of over 100 […]

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The first 1000 days of life: prenatal and postnatal risk factors for morbidity and growth in a birth cohort in southern India

August 20, 2014

The first 1000 days of life: prenatal and postnatal risk factors for morbidity and growth in a birth cohort in southern India. BMJ Open, Aug 2014. Full text Authors: Deepthi Kattula, et al. Objective: To estimate the burden and assess prenatal and postnatal determinants of illnesses experienced by children residing in a semiurban slum, during the first 1000 days […]

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ENN/USAID – The relationship between wasting and stunting, policy,programming and research implications

August 13, 2014

The relationship between wasting and stunting, policy,programming and research implications, 2014. Emergency Nutrition Network; USAID. Full text Authors: Tanya Khara & Carmel Dolan Burden 1. Both wasting and stunting often coexist in the same child though the extent to which this happens is largely unreported (despite the fact that the data required is available in all […]

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Blockages to preventing malnutrition in Kambia, Sierra Leone: a semi-quantitative causal analysis

August 13, 2014

Blockages to preventing malnutrition in Kambia, Sierra Leone: a semi-quantitative causal analysis, 2014. Full text Authors: Paul Binns, Ernest Guevarra, Mohamed Jalloh and Melrose Tucker Reports of episodes of diarrhoea, respiratory illness and fever for the child appear to carry an increased likelihood of stunting. The same association was found with a lack of access […]

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Catch-Up Growth Occurs after Diarrhea in Early Childhood

August 13, 2014

Catch-Up Growth Occurs after Diarrhea in Early Childhood. J. Nutr. June 1, 2014 vol. 144 no. 6 965-971. Full text Authors: Stephanie A. Richard, et al Diarrhea and linear growth faltering continue to burden low-income countries and are among the most important contributors to poor health during early childhood. Diarrhea is thought to adversely affect […]

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Addressing Chronic Malnutrition through Multi-sectoral, Sustainable Approaches: A Review of the Causes and Consequences

August 13, 2014

Addressing Chronic Malnutrition through Multi-sectoral, Sustainable Approaches: A Review of the Causes and Consequences. Frontiers in Nutrition, July 2014. Link Authors: Kristina Reinhardt and Jessica Fanzo Chronic malnutrition, including stunting, is an important example of a global challenge that spans multiple sectors, specifically health, agriculture, and the environment. The objective of this paper is to […]

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Undernutrition’s blind spot: a review of fecally-transmitted infections in India

August 13, 2014

Undernutrition’s blind spot: a review of fecally-transmitted infections in India. Journal of Water, Sanitation and Hygiene for Development, In Press, 2014 | doi:10.2166/washdev.2014.027 Order info Authors: Robert Chambers and Gregor von Medeazza. Institute of Development Studies, University of Sussex, Brighton, BN1 9RE, UK and UNICEF Guinea-Bissau, United Nations Building – PO Box 464, 1034 Bissau-Codex, […]

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Maharashtra’s Child Stunting Declines: What is Driving Them? Findings of a Multidisciplinary Analysis

August 13, 2014

Maharashtra’s Child Stunting Declines: What is Driving Them? Findings of a Multidisciplinary Analysis, 2014. Link Authors: Haddad, Lawrence; Nisbett, Nick; Barnett, Inka; Valli, Elsa. Institute of Development Studies. Between 2006 and 2012, Maharashtra’s stunting rate among children under two years of age was reported to decline by 15 percentage points – one of the fastest […]

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