Integrating WASH and Nutrition: A WASHplus Learning Brief, 2015. WASHplus.

WASHplus anticipates that interest in expanding the integration of WASH into nutrition programs will continue to grow over the next decade. Policy engagement is a vital step for integrating WASH and other interventions that impact nutrition programs. Having a national nutrition policy that recognizes the importance of WASH for nutrition outcomes paves the way for the development of integrated programming at all levels. Donors, governments, and implementers should endorse and support an integrated approach. Staff in both sectors needs skills and knowledge to effectively implement integrated programs. While enough evidence exists to support WASH and nutrition integration, more data is needed to demonstrate how and in which ways specific WASH mechanisms affect nutrition outcomes and determine which implementation modalities are most likely to lead to strong and sustained impact.

An integrated program should have a monitoring and evaluation framework with corresponding WASH and nutrition indicators. However, when WASH activities are integrated into an existing nutrition program, WASH indicators need to be added to the monitoring framework. Traditional WASH interventions focused on human excrement may need to be supplemented with new approaches to break the fecal-oral transmission cycle from animal feces, particularly in infants and young children.

WASHplus is working to explore these programmatic approaches along with appropriate monitoring frameworks. WASHplus anticipates that results from the integrated programming in Bangladesh, Mali, and Uganda will be validated and replicated in other countries. As more countries and development partners implement a range of integrated approaches, the evidence base will grow

Predictors of Stunting among Children Aged 0-59 Months in a Rural Region of Armenia: A Case-Control Study. J Pediatr Gastroenterol Nutr. 2015 Jul 4.

Authors: Demirchyan A1, Petrosyan V, Sargsyan V, Hekimian K.

OBJECTIVES: The prevalence of stunting in Armenia more than doubled since 1990 s. This study aimed to investigate the prevalence and predictors of stunting among under-5 children in a rural region of Armenia – Talin, targeted by World Vision (WV) nutrition interventions.

METHODS: Anthropometric measurements were conducted among a large representative sample of children 0-59 months old to identify the prevalence of stunting. Children identified as stunted where included in a case-control study as cases and compared with normally growing controls randomly selected from the same pool of children. Mothers of cases and controls were interviewed. Logistic regression analysis was applied to identify the predictors of stunting.

RESULTS: Of 739 measured children, 101 (13.7%) were undernourished, including 94 (12.7%) stunted. The fitted logistic regression model identified seven independent predictors of stunting, of which four were protective: mother’s height, child’s birth length, number of child’s hand washings per day, and the full set of WV interventions carried out in the community, while three were risk factors: never/rarely using soap during handwashing, being the fourth or later child in the family, and family size.

CONCLUSIONS: The study findings suggest that although WV nutrition interventions have shown impact, there is also a non-nutritional pathway of child stunting in rural Armenia. Thus, anti-stunting interventions should include sanitation and hygienic measures along with adequate perinatal care and maternal and child nutrition to further reduce childhood stunting ensuring long-term health benefits for children not only in rural Armenia, but also in rural communities in other low/middle-income countries.

Efficacy of Handwashing with Soap and Nail Clipping on Intestinal Parasitic Infections in School-Aged Children

July 30, 2015

Efficacy of Handwashing with Soap and Nail Clipping on Intestinal Parasitic Infections in School-Aged Children: A Factorial Cluster Randomized Controlled Trial. PLoS Med. 2015 Jun; 12(6): e1001837. Full text Authors: Mahmud Abdulkader Mahmud, Mark Spigt, et al. Background - Intestinal parasitic infections are highly endemic among school-aged children in resource-limited settings. To lower their impact, preventive […]

Read the full article →

Scaling Up Impact on Nutrition: What Will It Take? Advances in Nutrition, 2015

July 30, 2015

Scaling Up Impact on Nutrition: What Will It Take? Advances in Nutrition, 2015. Full text Authors: Stuart Gillespie, Purnima Menon, and Andrew L Kennedy Despite consensus on actions to improve nutrition globally, less is known about how to operationalize the right mix of actions—nutritionspecific and nutrition-sensitive—equitably, at scale, in different contexts. This review draws on a large scaling-up […]

Read the full article →

FAO – Water, food security and human dignity: a nutrition perspective

July 30, 2015

Water, food security and human dignity: a nutrition perspective, 2015. FAO. Full text Human rights to household water, sanitation and food: Widely endorsed, these principles need to be translated into concrete actions. Alarming information on the double burden of malnutrition has been published recently. About 800 million people are undernourished versus well over 2,000 million – aged 20 and […]

Read the full article →

Irish Aid seminar – Shit Stunts: Refocusing Priorities in Nutrition and WaSH

June 25, 2015

Integration of Nutrition and WaSH programmes was the key topic discussed at the multi sectorial panel seminar hosted by Irish Aid, the IFGH and the Development Studies Association of Ireland on the 19th May. Jacinta Greene and Dr. Sean Farren of DSA Ireland introduced the panel of speakers, consisting of Professor Robert Chambers, Research Associate at […]

Read the full article →

Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs

June 24, 2015

Challenges and opportunities associated with neglected tropical disease and water, sanitation and hygiene intersectoral integration programs. BMC Public Health, June 2015. Full text Authors: E. Anna Johnston, Jordan Teague and Jay P. Graham Background - Recent research has suggested that water, sanitation, and hygiene (WASH) interventions, in addition to mass drug administration (MDA), are necessary for controlling […]

Read the full article →

Exposure to cows is not associated with diarrhoea or impaired child growth in rural Odisha, India

June 23, 2015

Exposure to cows is not associated with diarrhoea or impaired child growth in rural Odisha, India: a cohort study. Epidemiology and Infection, June 2015. Abstract Authors: W.-P. SCHMIDTa1 c1, S. BOISSONa1, P. ROUTRAYa1, M. BELLa1, M. CAMERONa1, B. TORONDELa1 and T. CLASENa1a2 a1 Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, […]

Read the full article →

USAID – Essential Nutrition Actions and Essential Hygiene Actions Framework, 2015

June 23, 2015

Essential Nutrition Actions and Essential Hygiene Actions Framework, 2015. Link Authors: A. Guyon , V. Quinn, J. Nielsen, M. Stone-Jimenez Organizational Authors: USAID,  JSI,  Helen Keller International,  CORE Group Developed in 1997, the Essential Nutrition Actions (ENA) framework has been implemented in Africa, Asia and Latin America. It is a tool for advocacy, planning, training […]

Read the full article →

USAID Global Waters: Feeding Africa’s Hungry, June 2015

June 23, 2015

USAID Global Waters: Feeding Africa’s Hungry,  June 2015  Articles Letter from the Water Office On building resilience from Asia to Africa  Feeding Africa’s Hungry USAID Associate Administrator Eric Postel on boosting food security in Africa Feeding Rain of Shine Helping Africa Withstand Climate Shocks Mekong, Mother of Water Water cooperation in Southeast Asia Sanitation to […]

Read the full article →