SuSanA - Forum Kunena Site Syndication Fri, 06 May 2016 09:12:06 +0000 Kunena 1.6 SuSanA - Forum en-gb WASH and Nutrition in West Africa: blog + motion design (materials by Action Against Hunger West Africa Regional Office) - by: ChristelleHure

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Nutrition and WASH (including stunted growth) Thu, 24 Mar 2016 13:57:57 +0000
Re: Introduction to Emergency Nutrition Network (ENN) - by: ENN
Thank you very much fro your very useful feedback. Please see below my comments:

Sticky post with key documents - perhaps you could comment in that thread?
I've done this and will go back as and when I come across other useful resources.

A selection of 20 to 50 important documents that are tagged in the library with the tag for Working Group 12 (WASH and nutrition)- anything missing or superfluous?
I will get back to you on this as there has been several articles in FEX/NEX focusing on Wash & Nutrition and they need to be added to the resources listed there.

Additional documents (beyond the Top-50) could also be uploaded to the library of course again, anything missing? Same as above.

Another thing which I feel quite strongly about and where you could perhaps help me/us, is to get the information on Wikipedia right and up to date.
I'm afraid I need to discuss this in house with ENN technical nutrition team and check their availability, as it's beyond my area of expertise. It might be a while before I can update you on this so please bear with me

Nutrition and WASH (including stunted growth) Wed, 23 Mar 2016 15:00:03 +0000
Re: Key documents for the sub-category on nutrition and WASH - by: ENN


Jaleh Saboktakin
Project Support Officer
Emergency Nutrition Network (ENN)]]>
Nutrition and WASH (including stunted growth) Wed, 23 Mar 2016 14:43:39 +0000
Re: Introduction to Emergency Nutrition Network (ENN) - by: muench
I am happy to see your first forum post, thank you for introducing the Emergency Nutrition Network (ENN) and pointing out the overlaps with the WASH sector. Welcome!

Now that you're here, I am wondering if you could help us with a few things?

One is making available (and easy to browse) the pertinent literature on WASH and nutrition.

We have done that in three ways:

Another thing which I feel quite strongly about and where you could perhaps help me/us, is to get the information on Wikipedia right and up to date.
There is this page on Wikipedia on malnutrition:
And there is this one on malnutrition in children which I started:

Both pages could benefit from making clearer the connection with WASH and also from adding some more good references and images. I think in particular images that show chronic malnutrition are useful (rather than those from emergency situations), because the chronic malnutrition probably gets less attention, it is less "headline grabbing" - so we need to help educate people on that.

Nutrition and WASH (including stunted growth) Tue, 15 Mar 2016 01:56:46 +0000
Stunting in Rural Ecuador - by: F H Mughal Stunting in Rural Ecuador

A very recent paper (published 2 March 2016), published in the International Journal of Epidemiology, as highlighted in the Sanitation Updates, is attention-grabbing, and has a rather novel title: I get height with a little help from my friends: herd protection from sanitation on child growth in rural Ecuador.

Initially, I got a bit struck up with the term “herd protection,” – I thought it has something to do with animal herding. However, reading the paper made it clear.

This is the key message from the paper (abstract): “improved sanitation in one household may provide community-wide benefits if it reduces contamination in the shared environment. Sanitation at the household level is an important predictor of child growth, but less is known about the effect of sanitation coverage in the community.”

If there is improvement in sanitation in a house, people have tendency to link the benefits of improved sanitation within that particular household – benefits include stunting benefits. Generally, people do not vision benefits in the wider community.

The researchers took repeated anthropometric measurements on 1314 children under 5 years of age in 24 rural Ecuadorian villages, during the period 2008-2013. They investigated the association between sanitation coverage in surrounding households and child growth.

The researchers - from the Department of Epidemiology, University of Michigan; Center for Human Growth and Development, University of Michigan; Centro de Biomedicina-Carrera de Medicina, Universidad Central del Ecuador; and Department of Anthropology, Trinity College, Hartford, USA – found that the sanitation coverage in the surrounding households was strongly associated with child height, as those with 100% coverage in their surroundings had a 67% lower prevalence of stunting compared with those with 0% coverage.

Children from households with improved sanitation had a lower prevalence of stunting. When analyzing height as a continuous outcome, the protective effect of sanitation coverage is manifested primarily among girls during the second year of life, the time at which growth faltering is most likely to occur.

The study has important implications that received less attention in the past. The conclusions says it all:

“Study highlights that a household’s sanitation practices can provide herd protection to the overall community. Studies which fail to account for the positive externalities that sanitation provides will underestimate the overall protective effect.”

The paper is available at:

F H Mughal]]>
Nutrition and WASH (including stunted growth) Sat, 12 Mar 2016 13:00:25 +0000
Introduction to Emergency Nutrition Network (ENN) - by: ENN
As my first contribution to the forum, please allow me to introduce you to ENN.

ENN enables nutrition networking and learning to build the evidence base for nutrition programming. Our focus is communities in crisis, typically humanitarian emergencies, and where undernutrition is a significant chronic problem.

We consider both nutrition-specific programming, such as management of acute malnutrition, and nutrition sensitive programming, that involve sectors such as social protection, agriculture, health, and water, sanitation and hygiene (WASH).

We have two major publications:

Field Exchange (FEX)
Field Exchange is an established online and print technical publication on nutrition and food security in emergencies and high burden contexts. Fifty issues have been produced to date.

Field Exchange enables fast track publication of programming experiences of relevance to nutrition in emergencies and high burden contexts. We welcome suggestions for articles to feature in Field Exchange at any time. We can support you to write about your experiences.

Whilst Field Exchange is not a peer reviewed publication, where topics are contentious, particularly challenging to the norm or critical of another agency, we invite a postscript from relevant stakeholders that are published alongside the article.

Field Exchange is produced three times per year in English. All editions are available online and in print.

Here are examples of some articles under the theme of WASH & Nutrition:

Call to Action on improving Water, Sanitation, and Hygiene for Maternal and Newborn Health
WASHplus in Mali: integrating WASH and nutrition for healthy communities

Evaluation of an integrated health-nutrition-WASH project to reduce malnutrition prevalence in children under two in Bangladesh

Nutrition Exchange (NEX)
Nutrition Exchange is an ENN publication that contains short, easy-to-read articles on nutrition programme experiences and learning, from countries with a high burden of malnutrition and those that are prone to crisis. It also summarises research and provides information on guidance, tools and upcoming trainings in nutrition and related sectors. Each issue contains original articles from national level readers and summarised information from ENN's flagship publication Field Exchange.

Nutrition Exchange is for all those working to reduce levels of malnutrition at the national, district and community level. This includes Government, Civil Society, International and National Agency sta? working in nutrition, including agriculture, health, education, water and sanitation and the social protection sectors. Nutrition Exchange is available in English, French and Arabic.

Examples of articles in NEX:

The power of WASH: why sanitation matters for nutrition

Water, sanitation, and hygiene (WASH), environmental enteropathy, nutrition, and early child development: making the links

Subscription is free and you will receive copies of either or both publications delivered to your door or to your inbox.

Please let me know if you have any questions. Also feel free to browse our Resources page and let us know if you have any suggestions for other interesting materials to be added to the library (you can find most of the WASH-related ones under the tag of Health).

Thank you and best regards,
Nutrition and WASH (including stunted growth) Thu, 10 Mar 2016 14:02:19 +0000
Re: Key documents for the sub-category on nutrition and WASH - by: F H Mughal
Though I'm a bit familiar with EHP, you have given a good background information.
Thanks for digging out all that information. I'm sure, that would be quite an information for other forum users, as well.

F H Mughal]]>
Nutrition and WASH (including stunted growth) Thu, 18 Feb 2016 16:01:32 +0000
Re: Key documents for the sub-category on nutrition and WASH - by: muench
I took a look at the journal's website. Here is the overview for that issue in question (i.e. volume 122 | number 11 | November 2014 • Environmental Health Perspectives):

It does not include other articles on the topic of sanitation and children.

This journal has a great archive page, by the way:

And, amazingly, all articles are open access and free (see here:

Published since 1972, EHP has been online-only since January 2013. EHP is open access, and all content is available for free online.

Permissions and Copyright: EHP is a publication of the U.S. Federal Government, and its content lies in the public domain. No permission is required to reuse EHP content. However, use of materials published in EHP should be acknowledged (for example, “Reproduced from Environmental Health Perspectives”) and a link provided to the article from which the material was reproduced.

And more information from their website (perhaps more people should publish articles on WASH and health topics there!):

Environmental Health Perspectives (ISSN-L 0091-6765) is a monthly peer-reviewed journal of research and news published with support from the National Institute of Environmental Health Sciences (NIEHS), National Institutes of Health, U.S. Department of Health and Human Services.

The mission of EHP is to serve as a forum for the discussion of the interrelationships between the environment and human health by publishing high-quality research and news of the field. With an impact factor of 7.98, EHP is ranked 2nd of 87 journals in Toxicology, 3rd of 162 journals in Public, Environmental and Occupational Health, and 4th of 221 journals in Environmental Sciences.

The environmental health sciences include many fields of study and increasingly comprise a multidisciplinary research area. EHP publishes articles from a wide range of scientific disciplines encompassing basic research; epidemiologic studies; risk assessment; relevant ethical, legal, social, environmental justice, and policy topics; longitudinal human studies; and in vitro and in vivo animal research with a clear relationship to human health. Because children are uniquely sensitive to their environments, EHP devotes a research section specifically to issues surrounding children’s environmental health.
Nutrition and WASH (including stunted growth) Thu, 18 Feb 2016 13:31:16 +0000
Re: ID4D - Ideas for Development, 17-11-2015 in Paris (France) - by: F H Mughal
I appreciate your efforts. The event is important and useful.
Thank you for your response.

F H Mughal]]>
Nutrition and WASH (including stunted growth) Tue, 16 Feb 2016 16:39:45 +0000
Re: ID4D - Ideas for Development, 17-11-2015 in Paris (France) - by: Jona
So far, the synthesis (blog) is the only documentation available in English (summary and video only in French). As it is not me / ACF who uploaded the video, I cannot just add subtitles myself. Nevertheless I have forwarded the request and will share news on this.

Nutrition and WASH (including stunted growth) Tue, 16 Feb 2016 16:10:48 +0000
Re: ID4D - Ideas for Development, 17-11-2015 in Paris (France) - by: F H Mughal
I'm unable to find the summary. The link is lead me to the blog. Could you kindly attach the summary.

Will it be possible for you to post the video in English?


F H Mughal]]>
Nutrition and WASH (including stunted growth) Mon, 15 Feb 2016 16:35:42 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: CaitlinMcC
Nutrition and WASH (including stunted growth) Mon, 15 Feb 2016 15:45:26 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: mhasan
Thank you for your questions. I Do apologize for my late reply. Regarding you question number one, I would say, yes. The project includes the discussion with the policy makers of agriculture and sanitation. Cross-sectoral policies are important as WATSAN-agriculture are inter-related. But we have more focus in the system analysis in the project where we try to identify how agri-ecological system such as different types of irrigation, land holding, livestock management affect the health outcome of households. The impact of government policies on WATSAN-Ag is still not dominant in our research. May be our colleagues from the project might have intention to do that research.

I know some government organization in Bangladesh are already working on providing irrigation water as well as drinking water to the rural households. To some extent they are more serious to provide potable water so that households do not need to take canal water or pond water to drink. Department of Public Health and the Agriculture ministry do have some compliance to promote water and sanitation services in Bangladesh. It is very difficult to say how receptive they are to new collaboration. But I must say government of Bangladesh has taken water and sanitation seriously and as a result we have almost stopped open defecation and we have potable water more than 90 percent.

Regarding you second question, as you said this is another link between agriculture and sanitation, this approach is compatible with watsan approach. Sanitation organic waste requires processing and rural households are incapable of doing that. A processing industry is required who can do that commercially so that the fertilizer can be used in the agricultural field. This approach is innovative and it needs proper methods of collecting faecal materials from households time to time from proper sanitation infrastructure with good incentives. I think this is a promising sector for public private partnership in the community level.

Nutrition and WASH (including stunted growth) Mon, 15 Feb 2016 12:50:01 +0000
Re: ID4D - Ideas for Development, 17-11-2015 in Paris (France) - by: muench It's nice to see that AFD (French Development Agency (Agence Française de Développement) - see e.g. has also picked up on this topic of WASH and nutrition integration.

It would be good to know what impact this conference has had behind the scenes at AFD and other French organizations working in the WASH or nutrition sectors?

The conference summary in English, but from a French perspective, is quite interesting:

This part of the summary was interesting for me:

What are the reasons for this segmentation? The two sectors do not involve the same type of economic circuit: access to water and the sanitation activity involve “market-based relations between service providers and the beneficiary users”, whereas nutrition falls within a different sphere that does not require so much heavy infrastructure. The two sectors also work with different actors: sanitation involves working “with municipalities and the technical services of local governments [….] and nutrition “more with healthcare institutions than with municipalities” (Frédéric Naulet).

Furthermore, there is not total consensus on the degree to which water, sanitation and nutrition issues should be integrated. AFD advocates for a case-by-case approach, depending on the projects: “Otherwise there is a risk of blurring the lines, which partly prevents a scaling-up” (Cassilde Brenière). For GRET, integrated programs are relevant: “which is especially the case in territories that suffer from a combination of handicaps (extreme poverty, high nutritional prevalence, isolation”. However, in these areas where institutions are often weak, “it is extremely difficult to guarantee the permanence of sanitation services and sustainability of hygiene and nutrition awareness-raising programs”. GRET therefore advocates for “cross-fertilization”, which involves “identifying in each sector […] the common issues and innovations that can benefit one another” (Frédéric Naulet).

And I applaud the organisers for having filmed the event and for making the footage available (in a perfect world, there would be English subtitles to the French videos )

Nutrition and WASH (including stunted growth) Wed, 10 Feb 2016 07:15:31 +0000
Re: WATSAN-AGRICULTURE: Improving on the Nexus among Water Quality and Quantity, Sanitation, Hygiene, and Agriculture - by: CaitlinMcC
1. The project information mentions the need for 'cross-sectoral' policies to facilitate WATSAN. Has the work included any discussions with policy makers in agriculture and sanitation? How receptive are they to the idea of collaboration on inter-sectoral policies?

2. Are WATSAN approaches compatible with other approaches to recover sanitation organic waste and nutrients as agricultural fertiliser? This is another link between agriculture and sanitation, but perhaps with different requirements and objectives. I wonder if the two can be pursused at the same time.

Many thanks.]]>
Nutrition and WASH (including stunted growth) Thu, 04 Feb 2016 09:13:22 +0000