SuSanA - Forum Kunena Site Syndication Sat, 29 Aug 2015 06:07:04 +0000 Kunena 1.6 SuSanA - Forum en-gb Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: antonini
Part of our WATSAN-Agriculture Team was at the 29th ICAE Conference in Milan in Italy earlier this month. I would like to draw your attention to the presentations given by:

Mohammad Malek: Water quality information, WATSAN-agriculture hygiene messages and water testing with school students: Experimental evidence for behavioral changes in Bangladesh (PPT)


Charles Okyere: Strengthening the Capacity of Households and Communities for Improved Water, Sanitation and Hygiene: Water Testing Experiments with School Children and Adult Household Members in Ghana (PPT)

Samantha Antonini]]>
Nutrition and WASH Tue, 25 Aug 2015 13:08:33 +0000
Nutrition in Ethiopia: An emerging success story? Better sanitation one cause of success? - by: muench
Nutrition in Ethiopia: An emerging success story? Author: Headey, Derek D.

Research does not always provide the results that we expect. At the recent conference on improving nutrition in Ethiopia, Together for Nutrition 2015, we learnt about the rapid progress in Ethiopia in child nutritional outcomes that are linked to improved birth size and, hence, improved maternal health. However, most of the improvement in maternal health seems related to better sanitation, rather than to diet, care, or health factors.


This is the link to the 2-page synopsis:

And this is the link to the full report:

I find it interesting that this is coming from two organisations which are not traditionally linked with the WASH sector:

The Ethiopia Strategy Support Program (ESSP) is financially supported by the United States Agency for International Development (USAID) and the Department for International Development (DFID) of the United Kingdom. This publication has been prepared as an output of ESSP.

It makes me wonder how we could align ourselves or connect ourselves with them. E.g. it would be great to have one of their people in the SuSanA working group 12 on WASH and nutrition somehow.

Is there someone on this forum who is connected to Ethiopia and who can perhaps make this connection?

Nutrition and WASH Mon, 24 Aug 2015 11:34:49 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: antonini
I would like to share with you a poster which Muhammed Usman has presented at the AAEA & WAEA Joint Annual Meeting in San Francisco, July 26-28 2015.

Nutrition and WASH Fri, 14 Aug 2015 12:37:55 +0000
Re: Your feedback on hygiene promotion material for Sahel (Benefits of a household WASH package to Community Management of Acute Malnutrition in Chad) - by: F H Mughal
The attachment in your first post is not in English language. Can you put up an English version, please?


F H Mughal]]>
Nutrition and WASH Sun, 19 Jul 2015 04:32:47 +0000
Re: Stockholm World Water Week 2015 - WASH in Nutrition seminar - by: JovanaD
I would like to share with you the latest version of the program of the “Wash In Nutrition – Review of strategy and operational solutions to fight undernutrition with Water, Sanitation and Hygiene” event we are organizing during the Stockholm World Water Week 2015.

Also,you can find more information about it following the link

Nutrition and WASH Thu, 16 Jul 2015 11:04:19 +0000
Re: Your feedback on hygiene promotion material for Sahel (Benefits of a household WASH package to Community Management of Acute Malnutrition in Chad) - by: JovanaD
For those of you who would like to have more information about the "Benefits of a Household WASH Package to Community-based Management of Acute Malnutrition (CMAM) Program in Chad" study we are currently conducting, please follow the link to the webpage , where you can find the study protocol.

Nutrition and WASH Thu, 16 Jul 2015 10:49:27 +0000
Relections on Poster interventions of BRAC AG-WATSAN team - by: malekr25
Prepared by: Tahsina Naz Khan, Iktiar Mohammad and Mohammad Abdul Malek

1. What were your experiences for designing the poster? Do you have any advice on how to design a WASH poster (Dos/Don’ts)?

Designing the WASH poster was a pleasant experience apart from the dearth time allotted for the preparation during politically unstable situation of the country. Basically, such art works require flexible time frame for maximizing the aesthetic value and outlook of the content.
Contextualizing the poster to the local arena should be central to poster design. Pictorial expressions of the characters and other objects must be lifelike. Poster messages ought to be crafted reflecting the intended changes wanted. Professional cartoonist and material development people need to involve from the beginning. There might have some issues of branding compliance in case of working under an institutional platform. Last but not least, doing it with fun!
Too much objects and characters must be avoided so that the poster should not look cluttered in arrangement. Complex languages should be avoided in constructing messages. Finally, do not forget to meet the deadline!

2. What were your experiences in the field in terms of acceptance and understanding of the messages? Did people show interest or was the intervention work rather a nuisance for them as they had other things to do?

The poster has been greatly appreciated by the treatment households, as have been found during the field visit for the end line survey. No negative impression could be seen from anywhere, implying the wide acceptance of the poster. The general experience from all of the treatment households regarding the acceptance and understanding of the messages is as follows:
• Treatment households have been found to hang the posters on the walls of their homes mainly due to attractiveness of the posters.
• Even the household members who are illiterate and also the children have been able to understand the messages of the poster by watching the pictures.
• Many have commented that the six messages of the poster are very important and very useful to them. They have become aware about sanitation and hygiene after getting the poster.
• Treatment households have commented that the language and the pictures of the poster are easily understandable.
• According to the treatment households, this poster will play important role in raising public awareness. The neighbours of the treatment households have also become aware of the messages of the poster. People of other households also wish to get one. Prominent people in the villages have become satisfied with the poster. They think that this type of step is very important for educating the village people.
3. Do you have any preliminary results or observations at this stage?
The field visits during the end line survey has revealed some preliminary results or observations. These results may not depict the whole scenario of the effect of our intervention completely. The true picture is yet to come after comparing with the quantitative data. But at this stage, the general impressions can be described as follows:
• The practice of open defecation has reduced after the interventions and many of the treatment households have started to use latrines.
• In some areas, treatment households have not been able to follow the messages of the posters and other interventions to some extent. The households, including the farmers working in their farm fields, still practice open defecation, although somewhat less than before-intervention period.
• Women have become more aware about following the messages of the poster than men. Women are now washing hands using soaps or powdered soaps after work and after defecation. They wash hands and feet properly before cooking.
• Most of the men, even when they defecate at home, do not have the practice of using soaps.
• Female students have now become more aware about maintaining their hygiene than before.
• Households are now drinking water from tube well rather than unimproved sources.
• Many farmers now carry drinking water in bottles while going to the field for work. Many other drink water from deep tube well in the field.
• Before intervention, the households did not keep soaps in their hand washing places, but now they do.
• Treatment households are trying to drink safe water and to use fresh water in cooking. They are using detergent or soap in place of ash or clay for cleaning utensils.
• Most of the treatment households wash their hands with soap or detergent after taking care of livestock.
• The treatment households now practice washing their hands using soaps after defecation about which they were not much aware before the AG-WATSAN intervention.
• The children of treatment households used to defecate in the yards of their houses. Also, the discharges of households were disposed to the backside of the houses. But now, after the interventions, the discharges are disposed to specific places.
• Before the interventions, they did not use to cover their food. But now they preserve food in closed cupboards and high places.
• Brooms have been found for cleaning bathrooms in the treatment households. Also, soap and powdered soap have been found.
• As a matter of sorrow, most households cannot purify water due to lack of purifying kits- they fetch water from tube well and drink directly. Also, they still lack the awareness regarding purifying water for drinking water.
• In many areas, households still have latrines near tube wells.
• Students who got training on water quality testing have become aware about drinking water and they are also, to some extent, influencing their households to follow the messages of the poster.
• Treatment households now cover the water container after collecting from the source and also reserve in covered containers.
• They did not wash their hands after touching hens and ducks. But after the interventions, they do.
• Before intervention, they used to throw the wastes of kitchen and livestock here and there. Now they dispose those in specific places.
• Due to the students, treatment households wash their hands with soaps before taking meal.
• The number of Diarrhoea affected patients has reduced as a result of the interventions.

4. What are your lessons learned/recommendations if you had to prepare another WASH poster in the future?

If another WASH poster is needed to be prepared in the future, then we would recommend including more rigorous message on water quality, especially regarding drinking water and purification method. This recommendation comes from the fact that treatment households, even after going through the intervention procedures, have not become much aware about purifying drinking water. Also, there should be more focus on placing latrines far from the sources of drinking water, which the households are still deficient in following.

If you have questions/queries, pls post them here or write me at This e-mail address is being protected from spambots. You need JavaScript enabled to view it
Nutrition and WASH Tue, 07 Jul 2015 05:51:10 +0000
WASHplus Weekly: Focus on WASH & Nutrition - by: campbelldb Issue 197| July 2, 2015 | Focus on WASH & Nutrition

This issue on WASH and nutrition integration features a recent USAID webinar and briefs from USAID and WASHplus. Also featured is an upcoming conference organized by Catholic Relief Services and links to a May 2015 seminar by Irish Aid. A chapter from a 2015 report by the International Food Policy Research Institute discusses evidence of the link between sanitation, child height, and well-being. Other reports/articles discuss environmental enteropathy findings and explore water, food security, and nutrition linkages.

Nutrition and WASH Thu, 02 Jul 2015 14:45:10 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: cyokyere
It is a pleasure to hear from you concerning your interest in our project. I will address your concerns based on the Ghanaian context. By way of information, the Ghana project was largely a randomized evaluation study on measuring the impacts of household water quality testing and information on health outcomes, and water, sanitation and hygiene (WASH) behavior changes.

Here are some of the preliminary results:

1) From our design, we wanted to show the most effective delivery channel for WASH information (experiment). On this note we had two treatment groups: 1. school children group and 2. adult household member group. The design fits into the traditional/cultural settings of Ghana based on roles played in the households. In Ghana and other sub-Saharan African countries, children provides labor and time for fetching water and also perform other household chores whilst parents provide logistics/resources in performing such task. The preliminary results show that participation rate which is used as a proxy for demand for WASH information is high among "school children" group than "adult household member" group. This is interesting results because it makes easier to target households for the delivery of such information. Further participation rate was slightly higher for females compared to males. This shows some traditional/cultural roles in the households.

2)The preliminary results based on intention-to-treat (ITT) analysis and instrumental variable (IV) estimation show that the experiment was effective in convincing households on the choice/use of improved water sources. For instance, participation in the experiment leads to choice of improved water sources as the main source of drinking water (based on JMP classification) by 6.6 percent whilst use of surface water as the main source of drinking water decreased by 6.3 percent. The use of sachet/bottled water as the main drinking water source increase by 6.2 percent. Differential impacts exist with "school children intervention group" households using more improved water sources (10 percent) compared to 2.8 percent for the "adult household member intervention group" households. Lastly, there are gendered treatment effects with male participants being worse-off compared to their female counterparts in most of the indicators for water source choices.

3)The results have implications on the proposed SDGs, particularly on use of improved water sources and microbial analysis of water quality.

4)Finally, there is huge potential for scale-up. The existing institutions including basic schools , teachers and community leaders could be the entry point for the dissemination of water quality improvement messages. I am still analyzing the willingness to pay for such information by the householders. Initial indications are that majority of the households are willing to pay for such information. How much they are willing to pay and the type of water testing kits will be presented as soon as I complete the analysis.

I am available for other discussions and suggestions in case the need arises.

Charles Yaw Okyere]]>
Nutrition and WASH Thu, 02 Jul 2015 08:55:01 +0000
Integrating WASH & Nutrition Learning Brief, June 2015 - WASHplus activities in Bangladesh, Mali and Uganda - by: campbelldb Integrating WASH and Nutrition Learning Brief, 2015.

Since 2010, the USAID-funded WASHplus project has been engaged both at the global and country levels in stimulating the discussion and improving the evidence base around integrating WASH into nutrition programming, sharing experiences and approaches to integrating the two sectors. This Learning Brief describes WASHplus country activities in Bangladesh, Mali and Uganda, global knowledge sharing efforts and other WASHplus activities.]]>
Nutrition and WASH Tue, 30 Jun 2015 15:37:06 +0000
Re: USAID Implementation Brief on WASH and Nutrition, 2015 - by: F H Mughal
That brief was nice. Normally, we talk about WASH alone, adding nutrition only at times. The brief has brought WASH together with nutrition to the fore.

The Peru figures are impressive:

. Stunting decreased from 54 to 37 percent
• Anemia prevalence dropped from 76 to 52 percent
• Low serum retinol, an indication of vitamin A status, dropped from 30 to 5 percent

This shows how great the combined impact of WASH and nutrition is.

Hope, you will produce more such briefs in future.


F H Mughal]]>
Nutrition and WASH Sun, 28 Jun 2015 06:22:33 +0000
USAID Implementation Brief on WASH and Nutrition, 2015 - by: campbelldb USAID Implementation Brief was recently added to the USAID website.

Key Messages
1. Positive nutritional outcomes are dependent upon WASH interventions and nutrition actions.
2. Poor WASH conditions create an additional burden of undernutrition.
3. Many opportunities for co-programming WASH in nutrition programs exist and are described here.]]>
Nutrition and WASH Fri, 26 Jun 2015 15:02:37 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: usmansus Thanks for the interest you showed for our research activities.
I would like to highlight the general research questions we are trying to address in Ethiopian context. When we look into the watsan-agriculture nexus, we consider not only health but also nutrition outcomes. There is a strong linkage between watsan and nutrition in developing countries. Poor watsan is a leading causes of diarrhea and other infection which leads malnutrition especially for under five children while agriculture is a sources of more nutritious food to achieved improved nutrition.
Having said that, here we are specifically trying to look into the role of small scale irrigation as a source of domestic water supply (through multiple water use) and a source of more nutritious food to enhance improved health and nutritional benefits. However, there are also downside and unintended outcomes of irrigation. The quality and quantity of drinking water can easily become affected through irrigation agricultural practices (for instance, increased use of pesticides and chemicals). Moreover, irrigation might serves as a vector-breeding habitats which affect people’s health. Therefore, if we recognized the multiple use of irrigation water and both water supply, sanitation and agriculture are managed in a holistic view and in direct support for improved health and nutrition outcomes, multiple benefits such as improved health and nutrition outcomes might be achieved and trade-offs reduced.
Here I have put down some preliminary results from simple tabulation results. So far the data show us that:
  • Controlling for distance to water sources, irrigator agricultural households had greater per capita per day water consumption compared to non-irrigator agricultural households.
  • The mean values of Escherichia coli (E.coli) bacteria is higher for irrigator households
  • Incidence of diarrhea and malaria diseases are higher in irrigator household members than non-irrigator household members
  • Children living irrigator households are more likely to be underweight and stunted than children living in non-irrigator households which is basically what we are not expected.
  • Among irrigators, however, households who use irrigation water for domestic purposes have poor domestic water quality but lower incidence of diarrhea diseases.

To answer your question regarding the behavioural change perspective, some of the challenges are, first, there is a lack of awareness of the need to treat drinking water. People’s perception regarding drinking water quality is that clean water is ‘clean water’. Second, open defecation is a norm and wide spread in the study areas and this might be dangerous as most community water sources are unprotected. Moreover, most households believe that child faeces is not as pathogens as adult ones and they do not contain them safely. Therefore, awareness campaign at community level and training program at schools may be helpful to bring the desired level of awareness in our context.
Finally, I would say my work is at an infant stage to come up with concrete policy recommendations or scaling-up issues regarding the watsan-agri nexus. But, I promise that I would update my new results and progresses on the forum in the next few months.
If you have any further questions or comments, I would be happy to discuss with you.

Nutrition and WASH Fri, 26 Jun 2015 08:53:48 +0000
Irish Aid seminar - Shit Stunts: Refocusing Priorities in Nutrition and WaSH - by: campbelldb 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 the Institute of Development Studies; Niall Roche, WaSH / Environmental Health consultant; Mags Gaynor of Irish Aid; and Kate Golden, Senior Nutrition Advisor to Concern Worldwide. Attendees drew from anthropologists, health professionals, nutritionists, WaSH advisers, NGO programme managers, researchers and policy makers.

Links to the presentations and a summary of the seminar are on the WASHplus WASH Nutrition Library.]]>
Nutrition and WASH Thu, 25 Jun 2015 17:33:59 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: antonini
Thanks for raising these very interesting questions - which we are acutally trying to address with our research activities! Most of our researchers just got back from the field and are still cleaning and evaluating their data! I think that we can give general answers to these questions only when data from the 4 countries is ready to be compared. Especially in terms of policy recommendations and upscaling, I hope that the results will show whether we can come up with "global" recommendations or if you really need to look at and adapt to local settings.

In terms of reaching more people, we are planning to organize a workshop later this year in each of the study countries to share our findings with local institutions and policy makers. We also would like to provide feedback to the communities that were involved in the surveys.

To give you an overview on first recommendations and challenges (esp. in terms of behavioural change and competition in water demand), I am calling on my colleagues who have been out in the field to share their impressions! As soon as a synthesis from the 4 countries is available, I will share the information on this platform!

Nutrition and WASH Thu, 25 Jun 2015 13:08:56 +0000