Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. Int J Public Health. 2014 Jul 11.

Teague J, Johnston EA, P Graham J.

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.

Leveraging Agriculture for Nutritional Impact through the Feed the Future Initiative: A Landscape Analysis of Activities Across 19 Focus Countries, 2014.

SPRING Project.

This report offers an in-depth analysis of the Feed the Future activities based on the country profiles, studies of promising practices, and workshop discussions. Beginning by defining the scope and methodology of the landscape analysis and introducing the two frameworks used for that analysis, the report describes cross-country findings on implementation approaches, selection of value chains, integration of direct nutrition interventions, and the agriculture–nutrition pathways active in current Feed the Future activities. Next, the report presents a number of critical issues and challenges observed in Feed the Future activities: the need for indicators of intermediate steps along the pathways; consideration of gender and social norms; targeting of both geographic regions and beneficiary groups; multisectoral coordination; and the importance of value chain selection, market access, and social and behavior change (SBC) along the value chains and pathways. Finally, the report proposes the following strategic changes to strengthen linkages between agriculture and nutrition in Feed the Future activities:

  • Design and modify activity indicators and activities based on context assessments.
  • Target SBC activities along all agriculture–nutrition pathways.
  • Empower women by helping to build a supportive family and social environment.
  • Focus on opportunities for nutrition throughout the value chains.
  • Document incremental results to build the evidence base.
  • Strengthen coordination and collaboration from within the Missions.
  • Invest strategically in partnerships and capacity building to ensure sustainability.

Correlates of stunting among children in Ghana

July 17, 2014

Correlates of stunting among children in Ghana. BMC Pub Health, May 2014. Full text Eugene Kofuor Maafo Darteh*, Evelyn Acquah and Akwasi Kumi-Kyereme * Corresponding author: Eugene KM Darteh eugenedarteh@gmail.com Background - Stunting, is a linear growth retardation, which results from inadequate intake of food over a long period of time that may be worsened by […]

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New York Times – Poor Sanitation in India May Afflict Well-Fed Children With Malnutrition

July 14, 2014

Poor Sanitation in India May Afflict Well-Fed Children With Malnutrition | Source: by Gardiner Harris, New York Times, July 13, 2014. Excerpts: A long economic boom in India has done little to reduce the vast number of children who are malnourished and stunted, leaving them with mental and physical deficits that will haunt them their entire […]

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WASH, Nutrition and Early Childhood Development: New Evidence in ECD and Findings from the Field

June 26, 2014

Presenters for this June 25, 2014 webinar: Jenny Orgle, Program Director for the Nutrition at the Center Program at CARE USA, talks about “Addressing Environmental Enteropathy in CARE’s Nutrition at the Center Program.” Maureen Black, Ph.D., Professor, Department of Pediatrics, University of Maryland School of Medicine, discusses “New Evidence Linking Nutrition and Early Child Development” […]

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A single genus in the gut microbiome reflects host preference and specificity

June 25, 2014

A single genus in the gut microbiome reflects host preference and specificity. ISME Journal advance online publication 17 June 2014. Full text A Murat Eren, et al. Delineating differences in gut microbiomes of human and animal hosts contributes towards understanding human health and enables new strategies for detecting reservoirs of waterborne human pathogens. We focused […]

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Steve Luby – Reducing environmental enteropathy and child growth faltering

June 24, 2014

Reducing environmental enteropathy and child growth faltering: An intervention trial update.  A presentation by Steve Luby at FHI360 on June 19, 2014. (Presentation, pdf) Excerpts from the presentation: What is the evidence that fecal environmental contamination causes stunting? Stunting is more common where there is more environmental fecal contamination Animal husbandry Biological plausibility Food hygiene may […]

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June 25 Webinar – WASH, Nutrition and Early Childhood Development

June 19, 2014

WASH, Nutrition and Early Childhood Development: New Evidence in ECD and Findings from the Field Join the USAID WASH and Nutrition Community of Practice for a webinar discussion on this topic of growing interest to USAID and others. Register today and reserve your webinar seat at: https://www1.gotomeeting.com/register/361157176 Date: Wednesday, June 25, 2014 Time: 10:00 AM – 11:00 […]

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Malnutrition ‘damages gut bacteria’ – Nature, June 2014

June 6, 2014

Below is a BBC News summary of an article in the June 4, 2014 issue of Nature. Malnutrition ‘damages gut bacteria’ Child malnutrition has long-term effects on gut health that affect development even after treatment, a study suggests. A team studied the gut health of malnourished children in Bangladesh. Writing in the journal Nature they said […]

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Sanitation and health externalities: resolving the Muslim mortality paradox

June 6, 2014

Sanitation and health externalities: resolving the Muslim mortality paradox, 2014. Full text Michael Geruso and Dean Spears It is the open defecation of one’s neighbors, rather than the household’s own practice, that matters most for child survival. The gradient and mechanism we uncover have important implications for child health and mortality worldwide, since 15% of the […]

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