SuSanA - Forum Kunena Site Syndication http://forum.susana.org/ Thu, 08 Dec 2016 07:52:59 +0000 Kunena 1.6 http://forum.susana.org/components/com_kunena/template/default/images/icons/rss.png SuSanA - Forum http://forum.susana.org/ en-gb Re: Important study on sanitation and stunting - by: JKMakowka http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/19541-important-study-on-sanitation-and-stunting#19545 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/19541-important-study-on-sanitation-and-stunting#19545
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
Important study on sanitation and stunting - by: campbelldb http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/19541-important-study-on-sanitation-and-stunting#19541 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/19541-important-study-on-sanitation-and-stunting#19541 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: WASH & Nutrition events at the Stockholm World Water Week 2016 - by: Jona http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#19072 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#19072 www.washnet.de/en/activities/world-water-week-2016/event-2/
Best,
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 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18997 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18997
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: www.susana.org/en/events/susana-meetings...a-meeting-stockholm

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

Best,
Jona]]>
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 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18825 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18825
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!

Jona

P.S.: Did you nominate your water hero?]]>
Nutrition and WASH (including stunted growth) Wed, 24 Aug 2016 14:20:32 +0000
Re: Stockholm World Water Week 2016 - by: mwaniki http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18579 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18579
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.

www.siwi.org/prizes/stockholmwaterprize/nominate/]]>
Nutrition and WASH (including stunted growth) Wed, 03 Aug 2016 22:38:33 +0000
Re: Stockholm World Water Week 2016 - by: Jona http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18577 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18577
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: forum.susana.org/forum/categories/92-nut...orld-water-week-2016
For further SuSanA events in Stockholm: forum.susana.org/forum/categories/232-su...er-week-in-stockholm

Best,
Jona]]>
Nutrition and WASH (including stunted growth) Wed, 03 Aug 2016 15:17:49 +0000
European Development Days 2016 - by: Jona http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18480-european-development-days-2016#18480 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18480-european-development-days-2016#18480
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: eudevdays.eu/

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: https://eudevdays.eu/sessions/toilets-nutrition
The blog: http://www.wateraid.org/news/blogs/2016/july/wish-eu-were-there-water-and-toilets-at-the-european-development-days-2016

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

Best,
Jona]]>
Nutrition and WASH (including stunted growth) Mon, 25 Jul 2016 16:00:35 +0000
WASH & Nutrition events at the Stockholm World Water Week 2016 - by: Jona http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18479 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18479-wash-a-nutrition-events-at-the-stockholm-world-water-week-2016#18479
I would like to flag this year’s WASH & Nutrition event at the Stockholm World Water Week.

The German WASH Network and the Federal Ministry for Economic Cooperation and Development, Germany (BMZ) together with Action Contre La Faim, End Water Poverty, Emergency Nutrition Network, Generation Nutrition, GIZ, Sanitation and Water for All Partnership, Scaling Up Nutrition Movement, Sustainable Sanitation Alliance, WaterAid and the World Health Organization are going to convene a joint session at the Stockholm World Water Week shedding light on the WASH & Nutrition link:

Upscaling the WASH-Nutrition-Nexus for Sustainable (Body) Growth
August 30, 9:00h – 10:30h
http://programme.worldwaterweek.org/event/5789


Besides that, more nutrition-related events are going to take place in Stockholm:

Beyond the drinking glass: Expanding our Understanding of Water-Nutrition Linkages (IPFRI)
August 31, 11:00h – 12:30h
http://programme.worldwaterweek.org/event/6122

Working Group 12 meeting on WASH & Nutrition - side event (Sustainable Sanitation Alliance)
August 30, 14:00h – 15:30h
www.susana.org/en/registration-22nd-susana-meeting


Looking forward to hearing thoughts and expectations concerning Stockholm WWW 2016 here!

Best,
Jona

P.S.: I have attached an information sheet for nutritionists (and other non-WASH stakeholders, who might be interested in attending) explaining what “Stockholm” is all about.]]>
Nutrition and WASH (including stunted growth) Mon, 25 Jul 2016 15:06:43 +0000
WASH & stunting: an annotated bibliography - by: campbelldb http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18178-wash-a-stunting-an-annotated-bibliography#18178 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18178-wash-a-stunting-an-annotated-bibliography#18178 Sanitation Updates. Please let me know if you know of other recent studies, reports and resources that we should add.

Titles to some of the studies include:

- The NOURISH Evaluation: Can WASH and Nutrition Boost Kids’ Growth? Global Waters, May 2016.

- Can Water, Sanitation and Hygiene Help Eliminate Stunting? Current Evidence and Policy Implications. Maternal & Child Nutrition, May 2016. Authors: Oliver Cumming and Sandy Cairncross.

- Preventing Environmental Enteric Dysfunction through Improved Water, Sanitation and Hygiene: An Opportunity for Stunting Reduction in Developing Countries. Maternal & Child Nutrition, May 2016. Authors: Mduduzi N.N. Mbuya and Jean H. Humphrey]]>
Nutrition and WASH (including stunted growth) Tue, 07 Jun 2016 13:49:10 +0000
WASH & Stunting - open access articles from May 2016 Maternal & Child Nutrition - by: campbelldb http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18054-wash-a-stunting-open-access-articles-from-may-2016-maternal-a-child-nutrition#18054 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/18054-wash-a-stunting-open-access-articles-from-may-2016-maternal-a-child-nutrition#18054
Link to the issue - Maternal & Child Nutrition, May 2016

Stop Stunting in South Asia. Improving Child Feeding, Women's Nutrition and Household Sanitation.

Some of the article titles include:

- Stop stunting: improving child feeding, women's nutrition and household sanitation in South Asia
- Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications
- Preventing environmental enteric dysfunction through improved water, sanitation and hygiene: an opportunity for stunting reduction in developing countries]]>
Nutrition and WASH (including stunted growth) Thu, 19 May 2016 13:15:25 +0000
Concern-Tufts impact evaluation in Chad: hygiene practices and acute malnutrition closely linked - by: kategolden http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17771-concern-tufts-impact-evaluation-in-chad-hygiene-practices-and-acute-malnutrition-closely-linked#17771 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17771-concern-tufts-impact-evaluation-in-chad-hygiene-practices-and-acute-malnutrition-closely-linked#17771
Concern Worldwide and the Feinstein International Centre at Tufts University implemented the Community Resilience to Acute Malnutrition programme in Chad 2012-2015, which delivered an integrated set of WASH, nutrition, health and livelihoods interventions and incorporated a strong impact evaluation using a randomised control design. Midline results showed a strong link between hygiene - specifically behaviours linked to washing water transport containers and the concentration of livestock at human water sources - to acute malnutrition. The endline results are just in and results should be available soon. A summary of learning from the midline are available here on Concern's website: www.concern.net/resources/community-resi...cerns-programme-chad or hopefully you can access them as attachments below (in English and French)]]>
Nutrition and WASH (including stunted growth) Wed, 20 Apr 2016 06:06:07 +0000
Clean, Fed & Nurtured Community of Practice - by: BijanFHI360 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17628-clean-fed-a-nurtured-community-of-practice#17628 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17628-clean-fed-a-nurtured-community-of-practice#17628 Clean, Fed & Nurtured is a community of practice that brings together practitioners and researchers in the WASH, nutrition, and early childhood development (ECD) sectors. Clean, Fed & Nurtured, which consists of Alive & Thrive, ChildFund, USAID, Save The Children, FHI 360, the Global Public-Private Partnership for Handwashing, and other members, works to share knowledge and proven approaches, and test and improve integration of programming in these areas to promote optimal growth and development for children 0 to 3 years of age. Clean, Fed & Nurtured welcomes those interested in collaborating together to improve integration of efforts. Since 2013, this community of practice has hosted events, published corresponding materials and resources. Clean, Fed & Nurtured continues to actively promote resources, such as webinars; present on the latest evidence at events; and draft technical papers, reports, and reviews of literature.

If you are interested in learning more about Clean, Fed & Nurtured or joining the community of practice, you can learn more here: http://cleanfednurtured.org]]>
Nutrition and WASH (including stunted growth) Mon, 04 Apr 2016 20:21:43 +0000
WASH and Nutrition in West Africa: blog + motion design (materials by Action Against Hunger West Africa Regional Office) - by: ChristelleHure http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17538-wash-and-nutrition-in-west-africa-blog--motion-design-materials-by-action-against-hunger-west-africa-regional-office#17538 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17538-wash-and-nutrition-in-west-africa-blog--motion-design-materials-by-action-against-hunger-west-africa-regional-office#17538


Contact for more info: This e-mail address is being protected from spambots. You need JavaScript enabled to view it ]]>
Nutrition and WASH (including stunted growth) Thu, 24 Mar 2016 13:57:57 +0000
Re: Introduction to Emergency Nutrition Network (ENN) - by: ENN http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17377-introduction-to-emergency-nutrition-network-enn#17522 http://forum.susana.org/forum/categories/92-nutrition-and-wash-including-stunted-growth/17377-introduction-to-emergency-nutrition-network-enn#17522
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

Regards,
Jaleh]]>
Nutrition and WASH (including stunted growth) Wed, 23 Mar 2016 15:00:03 +0000