Tag Archives: WASH and nutrition

Award winning article on WASH & Nutrition

Each year the publishers of the journal Practical Action Publishing / Waterlines supports an award for the best paper in the previous calendar year.  ACF paper on WASH & Nutrition Causal Analysis (NCA) presenting where WASH sector stands as undernutrition determinant, published in the October 2017 issue, has been selected as the prize-winner for 2017, over the 21 papers published in 2017.

The selection committee noted that the paper addressed an issue of high public health importance (childhood undernutrition) from a multi-sectoral perspective that included but was not confined to water, sanitation and hygiene (WASH).

The paper presents a novel mixed methods tool for assessing locally specific causes of undernutrition as a basis for practical recommendations regarding coordinated multi-sectoral interventions.

The selection committee felt that the ACF article reflects this commitment to evidence-based practice in the WASH sector, highlighting its high relevance to practice or policy in the water, sanitation, waste and hygiene sectors in low- and middle-income countries, as well as its high quality.

The paper (online and downloadable pdf) can be found here.  Thanks to share this good news and the paper link with your partners and colleagues.

In line with this global WASH’Nutrition dynamics, ACF is still looking for 20,000 euros to finalise the last 2 modules of the set of 6 elearning modules on how to integrate practically WASH and Nutrition (online open access interactive training, French and English). If you are interested in contributing to the project, even for a smaller amount, and against visibility for your organisation, or if you want to know more about this capacity building project, please contact our colleague Jovana Dodos, the project coordinator: wash1@actioncontrelafaim.org

Dr Jean Lapègue
Référent Secteur Eau Assainissement Hygiène
Direction Scientifique et Technique
Senior Advisor WASH
Scientific and Technical Direction

Relationship between water, sanitation, hygiene, and nutrition: what do Link NCA nutrition causal analyses say? – Waterlines, October 2017

Relationship between water, sanitation, hygiene, and nutrition: what do Link NCA nutrition causal analyses say? – Waterlines, October 2017.

Defined by UNICEF as ‘the outcome of insufficient food intake and repeated infectious diseases’, undernutrition is one of the world’s most serious problems, with long-lasting harmful impacts on health and devastating consequences for social and economic development. waterlines

The three main underlying causes of undernutrition, namely unsuitable or insufficient food intake, poor care practices, and infectious diseases, are directly or indirectly related to inadequate access to water, sanitation facilities, and hygiene practices (WASH).

There is a growing base of evidence showing the links between poor WASH conditions, especially exposure to poor sanitation, and stunting (low height for age ratio).

However, the effects of WASH interventions on wasting (low weight for height ratio) and the impact of environmental enteric dysfunction (chronic infection of small intestine caused by extended exposure to faecal pathogens) on undernutrition should be explored further.

Action Against Hunger (Action Contre la Faim) promotes a participatory nutrition causal analysis, the Link NCA methodology, which is used to analyse complex, dynamic, locally specific causes of undernutrition.

This article aims to assess the main findings from 12 most recent Link NCA studies, conducted from the beginning of 2014 until the end of 2016.

Results show that inadequate WASH conditions are often identified as major contributors to undernutrition in the study areas.

The article also provides lessons learned and a set of practical recommendations for better alignment and integration of WASH and nutrition interventions.

Read the complete article.

WASH’NUTRITION 2017 GUIDEBOOK – Integrating water, sanitation, hygiene and nutrition to save lives

WASH’NUTRITION 2017 GUIDEBOOK – Integrating water, sanitation, hygiene and nutrition to save lives. Action Against Hunger.

The “WASH’Nutrition Practical Guidebook”  was developed to offer practical guidance to help practitioners design and implement programs in both humanitarian and development contexts. Undernutrition in all its forms is the underlying cause of an estimated 45 percent of all child deaths each year. 2017_acf_wash_nutrition_guidebook_bd_cover2

Evidence has shown that in many settings, there is a link between undernutrition and poor hygiene, poor sanitation and unsafe drinking water, emphasizing the need for integrated, multisectoral approaches to improving nutrition.

By compiling concrete programmatic examples in a variety of contexts, this manual provides guidance on how WASH activities can contribute to the reduction of undernutrition incidence, and also to the optimization of its treatment,” said Marie-Sophie Whitney, global nutrition expert with the EU Civil Protection and Humanitarian Aid Operations.

The “WASH’Nutrition Practical Guidebook” comprises six chapters, delving into key concepts relevant to WASH and nutrition, as well as existing evidence on the links between nutrition and WASH, practical guidance on implementing integrated programs, setting up monitoring and evaluation systems to measure progress and impact, and tools for advocacy and capacity building for projects and project staff.

The guidebook places special emphasis on integrating WASH and nutrition programs in humanitarian emergencies: safe drinking water and sanitation, in addition to food and shelter, are vital to safeguarding the health of communities affected by crisis. The guide also provides a resources section, which offers tools and examples from the field on how integration efforts may be placed within each phase of a classical project cycle.


Scientists put $177 billion price tag on cost of poor child growth

Scientists put $177 billion price tag on cost of poor child growth | Source: Yahoo News, June 29 2016 |

LONDON (Thomson Reuters Foundation) – Children born in developing countries this year will lose more than $177 billion in potential life-time earnings because of stunting and other delays in physical development, scientists said on Wednesday.

Children who have poor growth in their first years of life tend to perform worse at school which usually leads to poorer earning power later on.

The Harvard scientists calculated that every dollar invested in eliminating poor early growth would yield a $3 return.

“$177 billion is a big pay cheque that the world is missing out on – about half a percentage point of GDP of these countries,” said Peter Singer, head of Grand Challenges Canada, which funded the research through its Saving Brains program.

“We have to stop wasting the world’s most precious economic and social asset and ensure children thrive.”

Poor nutrition, premature birth, low breastfeeding rates and early exposure to infection are among several causes of stunting which affects three in 10 children in the developing world.

Continue reading

Topic of the Week – WASH and Nutrition

Each week, Sanitation Updates will post links to some of the most recent studies, events, etc. on a particular topic. Please leave a comment if you have suggestions for topics.

Topic of the Week – WASH and Nutrition 

Improving Nutrition Outcomes with Better Water, Sanitation and Hygiene: Practical Solutions for Policy and Programmes, 2016. WHO; UNICEF; USAID. This document, summarizes the current evidence of the benefits of WASH for improving nutrition outcomes.

Water, Sanitation, Hygiene, and Nutrition in Bangladesh: Can Building Toilets Affect Children’s Growth? 2016. World Bank. This report examines the potential impact of WASH on undernutrition and is the first report that undertakes a thorough review and discussion of WASH and nutrition in Bangladesh.

Sanitation and Nutrition: Should We Link Them Together in Our Development Actions? Ideas for Development, Jan 2016. In the field, few development actors include nutrition in their water and sanitation operations. Why do they fail to take it into account? What are the barriers?

Small Intestine Bacterial Overgrowth and Environmental Enteropathy in Bangladeshi Children. mBio, Jan. 2016. Recent studies suggest small intestine bacterial overgrowth (SIBO) is common among developing world children. Findings suggest linear growth faltering and poor sanitation are associated with SIBO.

Why Are Indian Kids Smaller Than African Kids? Hint: It’s Not Race. Huffington Post, Jan. 14, 2016. There is a widespread lack of adequate and diverse food intake among young children, which needs to be addressed in both India and poor countries in sub-Saharan Africa. However, in India there is an additional and unexpected villain in the piece: a lack of toilets.