SuSanA - Forum Kunena Site Syndication Tue, 28 Mar 2017 06:13:57 +0000 Kunena 1.6 SuSanA - Forum en-gb WASH-Nutrition Survey: Your Experience - by: Jona
I turn to you with a request for your expertise and knowledge on the WASH-Nutrition link.

In efforts to fight undernutrition, poor WASH has been identified as one of the major underlying causes. Insufficient food intake, poor or inadequate absorption and use of nutrients, and repeated infectious diseases lead to poor nutritional status.

Following the Bonn WASH Nutrition Forum 2015, we (the German WASH Network) are currently working on furthering the link in cooperation with partners. As one contribution, I am undertaking a survey to assess the status of the sector, identify developments, shed light on the scope and bottlenecks of and between different stakeholder groups. Findings from the survey will feed into a later publication.

There are surveys tailored to different groups. Please choose the one most relevant to you:

experts from implementing organisations from the headquarters as well as from country offices (programming, implementation, operation research)
representatives of organisations / networks with a strong political focus and policy work
team leaders and focal points of / in WASH and nutrition divisions of multi- and bi-lateral donor agencies
professors, doctors and research fellows, who run and work in academic research projects at the WASH & Nutrition nexus (academic research

Many thanks for taking 20-30 minutes to fill out the survey and contribute with your knowledge and insight before 17 March.

Best regards,
Nutrition and WASH (including stunted growth) Mon, 13 Mar 2017 13:45:20 +0000
WASH Nutrition A practical guidebook on increasing nutritional impact through integration of WASH and Nutrition programmes - by: ClaireGaillardou]]>
Nutrition and WASH (including stunted growth) Fri, 13 Jan 2017 10:30:59 +0000
Re: To continue to introduce ACF, "WASH'NUTRITION Operationnal Manual" - by: ClaireGaillardou Nutrition and WASH (including stunted growth) Mon, 19 Dec 2016 11:28:44 +0000 Re: To continue to introduce ACF, "WASH'NUTRITION Operationnal Manual" - by: JKMakowka I hope it will be something practical for implementation.]]> Nutrition and WASH (including stunted growth) Sat, 17 Dec 2016 09:08:56 +0000 To continue to introduce ACF, "WASH'NUTRITION Operationnal Manual" - by: ClaireGaillardou Nutrition and WASH (including stunted growth) Thu, 15 Dec 2016 17:22:10 +0000 Re: Important study on sanitation and stunting - by: JKMakowka
I find it a bit confusing that they have a risk category that is called "Maternal nutrition and infection" (but with rather limited scope: height, underweight, malaria and hemoglobin/iron deficiency), and then another rather ambiguous category of "Fetal growth restrictions". The latter being defined as something like being "born small & underweight", but with no causal effect-relation explained.

It seems like they were aware of this logical hole in their categories and later refer to other studies for possible causes (maternal malnutrition of proteins & miro-nutrients), but then their initial categorization is somewhat misleading:

The large burden of stunting attributable to FGR is perhaps unsurprising given that prenatal restricted growth is logically strongly related to postnatal restricted growth; nevertheless, our findings serve to further emphasize the importance of early intervention during pregnancy. Several recent reviews have identified maternal iron, balanced protein-energy, and multiple micronutrient supplementation as the most effective interventions to alleviate FGR [17,47]. However, providing these interventions before pregnancy or in its early months is logistically difficult because in many developing countries, the majority of pregnant women start attending antenatal clinics in their second or third trimester.

In addition I think we really need to be more careful with keeping indicators separate from actual causes or negative effects. This paper makes it sound like stunting (basically defined as "being short for your age") by itself is something negative, but it is just an easy to measure indicator with a strong correlation to a series of childhood development deficiencies.

We run the risk of having the same effect as with hand-washing which is often promoted as a mean to itself, while likely only having a smaller positive effect on hygiene by itself. It is much more of an indirect indicator for generally improved hygiene behavior and awareness.]]>
Nutrition and WASH (including stunted growth) Wed, 09 Nov 2016 01:21:33 +0000
Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis - by: campbelldb Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Medicine, November 2016.

Background - Stunting affects one-third of children under 5 y old in developing countries, and 14% of childhood deaths are attributable to it. A large number of risk factors for stunting have been identified in epidemiological studies. However, the relative contribution of these risk factors to stunting has not been examined across countries. We estimated the number of stunting cases among children aged 24–35 mo (i.e., at the end of the 1,000 days’ period of vulnerability) that are attributable to 18 risk factors in 137 developing countries.

Methods and Findings - We classified risk factors into five clusters: maternal nutrition and infection, teenage motherhood and short birth intervals, fetal growth restriction (FGR) and preterm birth, child nutrition and infection, and environmental factors. We combined published estimates and individual-level data from population-based surveys to derive risk factor prevalence in each country in 2010 and identified the most recent meta-analysis or conducted de novo reviews to derive effect sizes. We estimated the prevalence of stunting and the number of stunting cases that were attributable to each risk factor and cluster of risk factors by country and region.

The leading risk worldwide was FGR, defined as being term and small for gestational age, and 10.8 million cases (95% CI 9.1 million–12.6 million) of stunting (out of 44.1 million) were attributable to it, followed by unimproved sanitation, with 7.2 million (95% CI 6.3 million–8.2 million), and diarrhea with 5.8 million (95% CI 2.4 million–9.2 million). FGR and preterm birth was the leading risk factor cluster in all regions. Environmental risks had the second largest estimated impact on stunting globally and in the South Asia, sub-Saharan Africa, and East Asia and Pacific regions, whereas child nutrition and infection was the second leading cluster of risk factors in other regions.

Although extensive, our analysis is limited to risk factors for which effect sizes and country-level exposure data were available. The global nature of the study required approximations (e.g., using exposures estimated among women of reproductive age as a proxy for maternal exposures, or estimating the impact of risk factors on stunting through a mediator rather than directly on stunting). Finally, as is standard in global risk factor analyses, we used the effect size of risk factors on stunting from meta-analyses of epidemiological studies and assumed that proportional effects were fairly similar across countries.

Conclusions - FGR and unimproved sanitation are the leading risk factors for stunting in developing countries. Reducing the burden of stunting requires a paradigm shift from interventions focusing solely on children and infants to those that reach mothers and families and improve their living environment and nutrition.]]>
Nutrition and WASH (including stunted growth) Tue, 08 Nov 2016 16:58:41 +0000
Re: Engaging Households in Dialogue to Design WASH and Nutrition Interventions in Sierra Leone - by: Esther
I read SPRING WEBSITE 'TIPS' with interest and congratulate you with the findings. It certainly proved the knowledge to consult user of the WASH project first before implementing it. We have been conducting WASH in 88 villages since 2012 here in Henganofi district of Papua New Guinea.

If I may introduce you to CLTS hub/ website. It is called Community Led Total Sanitation. the sites has training manuals we have been using to effect the behaviour of communities to initiate sanitary facilities and hygiene practises. I hope you find the site and the materials useful in your work.

Wish you well and success in your work.

Cheers from
Nutrition and WASH (including stunted growth) Sat, 22 Oct 2016 06:08:34 +0000
Re: WASH & Nutrition events at the Stockholm World Water Week 2016 - by: Jona
Nutrition and WASH (including stunted growth) Tue, 20 Sep 2016 14:22:56 +0000
Re: WASH & Nutrition events at the Stockholm World Water Week 2016 - by: Jona
Please find here the notes from our SuSanA WG12 Meeting in Stockholm along with the presentations (even though they were not presented during the meeting).

A more extensive documentation of SuSanA events, you can find here:

It is great to see so much of activity at the WASH & Nutrition link. Looking forward to continue to building bridges.

Nutrition and WASH (including stunted growth) Wed, 14 Sep 2016 11:16:20 +0000
Re: WASH & Nutrition events at the Stockholm World Water Week 2016 - by: Jona
I would like to share the updated agenda with you for the Working Group 12 Meeting in Stockholm (Tuesday, 30 August, 2pm - 3:30pm).

Please bear in mind that the number of participants is unfortunately limited due to the room capacity.

See you there!


P.S.: Did you nominate your water hero?]]>
Nutrition and WASH (including stunted growth) Wed, 24 Aug 2016 14:20:32 +0000
Engaging Households in Dialogue to Design WASH and Nutrition Interventions in Sierra Leone - by: jpietropaoli
In May-June 2016, SPRING used Trials of Improved Practices (TIPs), a qualitative research methodology, to allow household members in the Tonkolili district of Sierra Leone to select improved WASH and nutrition behaviors for trial in their households.

The TIPs approach provides an opportunity to pretest behaviors at the household level before they are widely promoted. By focusing on behavior—what people do—rather than on knowledge—what people know or believe—TIPs provides an in-depth understanding of families' preferences and capabilities, as well as the barriers and enablers they encounter when they try new behaviors.

Read more about this activity on the SPRING website.]]>
Nutrition and WASH (including stunted growth) Fri, 19 Aug 2016 15:40:26 +0000
Re: Stockholm World Water Week 2016 - by: mwaniki
Who is your water hero? Nominate to Stockholm Water Prize now!

Since 1991, Stockholm Water Prize has recognized heroes from various fields and continents for their important work. Help us find our next water hero – nominate now for the 2017 Stockholm Water Prize.]]>
Nutrition and WASH (including stunted growth) Wed, 03 Aug 2016 22:38:33 +0000
Re: Stockholm World Water Week 2016 - by: Jona
As interim co-lead of WG 12, I would like to point out the upcoming WG 12 meeting that is going to take place in Stockholm during the World Water Week, scheduled for 30 August, 2pm – 3:30pm.
In preparation of the meeting, please see below the current state of the agenda:

Draft Agenda
  • Digesting the Upscaling-Session
  • WG12 Strategy for 2017: Discussing strategic orientation
  • “The Latest Shit”
    1. Presenting findings from the Thematic Discussion
    2. Presenting / discussing WaterAid Analysis Index
    3. Announcing the ACF Operational Manual
    4. ...
  • Presenting / discussing revised Factsheet
  • Hot topics from WASH & Nutrition discussions on the forum
  • Finding a Working Group Co-Lead
Does it cover key topics? What is missing? What would you like to discuss? I’m very thankful for suggestions and your feedback before 11 August.

For further information on the Stockholm WASH & Nutrition events:
For further SuSanA events in Stockholm:

Nutrition and WASH (including stunted growth) Wed, 03 Aug 2016 15:17:49 +0000
European Development Days 2016 - by: Jona
In the follow-up to the European Development Days 2016, where WaterAid convened the event “Toilets for Nutrition”, I would like to share with you key information and useful related links.

About the European Development Days (EDD)
“Organised by the European Commission, the European Development Days (EDD) bring the development community together each year to share ideas and experiences in ways that inspire new partnerships and innovative solutions to the world’s most pressing challenges.
For its tenth anniversary, EDD 2016 focused on the ‘2030 Agenda for Sustainable Development’, making it one of the very first major conferences dedicated to the issue.”
Read more here:

Toilets for Nutrition - Breaking down silos: Coordinating the nutrition sector and water, sanitation and hygiene (WASH) for sustainable development

WaterAid, together with SHARE, ACF, the European Commission, Scaling Up Nutrition and the German WASH Network, engaged in discussion about recent developments at the nexus, new tools that have been developed and discussed international partnerships and further potentials.

Moderation: Thilo Panzerbieter (GTO, speaker German WASH Network),on the panel:
  • Jean Lapègue, Senior Advisor WASH, Scientific and Technical Direction, Action Contre La Faim
  • Megan Wilson-Jones, Policy Analyst of Health & Hygiene, WaterAid
  • Sergio Teixeira, Strategy and Policy Adviser - Functional Capacity, Scaling Up Nutrition (SUN) Movement
  • Catherine Chazaly, Food assistance and Nutrition Policy Officer, European Commission
The session:
The blog:

Pervious events or projects on WASH & Nutrition that were referenced to in the EDD event

Nutrition and WASH (including stunted growth) Mon, 25 Jul 2016 16:00:35 +0000