Focus on WASH & Nutrition: WASHplus Weekly, Sept 5, 2014

by Dan Campbell on September 5, 2014

Issue 160 | Sept 5, 2014 | Focus on WASH & Nutrition

This issue contains some of the most recent studies on stunting, open defecation, nutritional interventions, and other WASH and nutrition issues. Recent reports from the World Bank Water and Sanitation Program discuss the impacts of improved sanitation on child growth in Vietnam and Lao PDR. Training materials include the new Global Handwashing Day guide from the Global Public-Private Partnership on Handwashing and a WASHplus infographic on tippy taps.

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Left, Right, and Toilets. Ideas for India, Aug 2014. D Spears. (Link)
Eliminating open defecation in India is a policy priority. This column contends that successful strategies for reducing open defecation may not fit policy stereotypes of the left or the right. While rural sanitation policy in states where this practice is most concentrated has been focused on latrine construction, promotion of latrine use is what will make a difference.

What Do Toilets Have To Do with Nutrition? More Than You Might Think. IFPRI Blog, July 2014. L Haddad. (Link)
A new working paper from the Institute of Development Studies has looked at data from 116 low- and middle-income countries from 1970 to 2012. It found that access to safe water (20 percent) and improved sanitation (15 percent) explained 35 percent of the variation in stunting rates across countries and time periods. This reflects two things: the fact that water and sanitation are strongly linked to stunting reduction, and that both water and sanitation coverage have increased strongly in the past four decades.

JOURNAL ARTICLES BY PUBLICATION DATE

The Effect of India’s Total Sanitation Campaign on Defecation Behaviors and Child Health in Rural Madhya Pradesh: A Cluster Randomized Controlled TrialPLoS Medicine, Aug 2014. R Sumeet. (Link)
The objective of this study is to measure the effect of the Total Sanitation Campaign implemented with capacity building support from The World Bank’s Water and Sanitation Program in Madhya Pradesh on availability of individual household latrines (IHLs), defecation behaviors, and child health (diarrhea, highly credible gastrointestinal illness [HCGI], parasitic infections, anemia, and growth). The intervention led to modest increases in availability of IHLs and even more modest reductions in open defecation. These improvements were insufficient to improve child health outcomes. The results underscore the difficulty of achieving adequately large improvements in sanitation levels to deliver expected health benefits within large-scale rural sanitation programs.

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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.

2nd International Conference on Nutrition (ICN2), Rome, Nov 19-21, 2014

August 21, 2014

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 […]

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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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