SuSanA - Forum Kunena Site Syndication http://forum.susana.org/ Thu, 17 Apr 2014 21:31:35 +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 Sector Wide Approach to Strengthen Health (SWASTH) in Bihar, India: helping communities to help themselves - by: prakaash.kr http://forum.susana.org/forum/categories/92-nutrition-and-wash/7976-sector-wide-approach-to-strengthen-health-swasth-in-bihar-india-helping-communities-to-help-themselves#7976 http://forum.susana.org/forum/categories/92-nutrition-and-wash/7976-sector-wide-approach-to-strengthen-health-swasth-in-bihar-india-helping-communities-to-help-themselves#7976
I have been encouraged by Arno Rosemarin whom I met at the Toilet Fair last week to share with you our large-scale health project in Bihar, India (with 50,000 communities so far and another 50,000 communities planned).

In this work, sanitation is embedded in a wider approach to community health and nutrition, i.e. it is not at the centre of the activities but it belongs to the package and is therefore important.

Our project is very innovative and converges with health, nutrition and WASH and empowers the community with intensive dialogue with women self-help groups.

The learning briefs that I add below will be important for policy makers and professionals who work for convergence of WASH with health and nutrition and empowerment of women SHGs (self-help groups) on social component. This is joint initiative of government of Bihar and UK Aid in Bihar to work with 50,000 self-help groups in the state.

I am Team Leader for the BTAST implementing SWASTH in Bihar and involved in concept, planning, roll out and evaluation of Gram Varta. Gram Varta is Hindi for village dialogue.

Here you can watch my interview with Arno from last week in Delhi (4 minutes):



The documents attached below are:
  • Learning Brief 1: Gram Varta Plus: Helping Communities to Help Themselves
  • Learning Brief 2: Community Led Total Sanitation: Addressing the Root of the Problem
  • Learning Brief 3: Women Hand Pump Caretakers: Mechanics for Sustainable Community Water Supplies
  • Learning Brief 6: Strengthening VHSNDs: A Convergent Approach

Sector Wide Approach to Strengthen Health (SWASTH)

Sector Wide Approach to Strengthen Health (SWASTH) is Government of Bihar’s initiative to improve the health and nutrition status of the people in Bihar, particularly among the poorest and excluded. It is implemented through the Department of Health & Family Welfare, Social Welfare and Public Health Engineering Departments. The UK Department for International Development (DFID) is providing Financial and Technical Support (£145 million). Technical assistance to SWASTH is provided by Bihar Technical Assistance Support Team (BTAST).

Best,

Prakash

Prakash Kumar
Patna Bihar India
Skype: prakaash_k
Twitter: @prakaash_k
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Nutrition and WASH Wed, 26 Mar 2014 10:59:31 +0000
Re: Does anybody know the author(s) of this poster? - by: Guardiola http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7790 http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7790 Nutrition and WASH Thu, 13 Mar 2014 23:11:39 +0000 Re: Does anybody know the author(s) of this poster? - by: joeturner http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7789 http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7789
Unfortunately it does not appear that it is available to be viewed online.]]>
Nutrition and WASH Thu, 13 Mar 2014 21:25:45 +0000
Re: Does anybody know the author(s) of this poster? - by: joeturner http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7788 http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7788 Rebecca Stoltzfus at Cornell.

I haven't yet found any other information about this particular programme, maybe you could try writing to Rebecca and asking for information about it?]]>
Nutrition and WASH Thu, 13 Mar 2014 21:11:37 +0000
Does anybody know the author(s) of this poster? - by: Guardiola http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7774 http://forum.susana.org/forum/categories/92-nutrition-and-wash/7774-does-anybody-know-the-authors-of-this-poster#7774 I am interested to know who wrote the following poster (attached). The poster's title 'Predictors of Poor Nutritional Status in Less than 5 year old Ethiopian children. An Emphasis on Water Sanitation and Hygiene'.

The authors names are fuzzy. If any body knows the poster, or may be a scientific paper publish after it?
thanks]]>
Nutrition and WASH Thu, 13 Mar 2014 08:37:29 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: SusannahSoilet http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6557 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6557
Feel this could be a very useful topic. The video was interesting, but focusing on the wrong end to my view!

I have background as a livestock farmer, and am currently studying soil biology, with a special interest in the links between soil health and human health.

Dr Daphne Miller, Michael Pollan and Sandor Katz are amongst the keen proponents of a 'live' diet and exposure to plenty of micro-organisms (symbionts) as being conducive to a strong immune system.

Some lacto bacilli have been demonstrated to counter absorption of environmental toxins (aflatoxins, pesticides and heavy metals)in human diets as well as farm animals, and a trial in Kenya of probiotic yogurt in community kitchens is proposed in conjunction with Uni of Western Ontario (Gregor Reid - Project # 0397-01).

As with farms, where manures from animals that have consumed silage is spread on the land, in turn inoculating the next crop with the necessary lactic bacteria, so ontransferring this to human populations that could have their diet enhanced with 'beneficial' microbes, these will be excreted and could have a positive impact on the soil biota.

Yogurt may be easier to promote widely than Kimchi! (we now make both in this house)

Susannah Batstone]]>
Nutrition and WASH Tue, 26 Nov 2013 23:32:20 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: JKMakowka http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6555 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6555 Nutrition and WASH Tue, 26 Nov 2013 21:02:33 +0000 Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: KeithBell http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6554 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6554

This is why water-based sanitation is the problem, not the solution. The activated sludge process utilized in wastewater treatment plants, guided by obsolete law, purposely multiplies ciliate protozoans to lower bacterial counts, making sludge biosolids and effluent legal for disposal on land and back into the water supply. These voracious protozoans likely consume our good intestinal bacteria. This allows opportunistic fungal overgrowth seen in every major disease, physical and mental illness. This is why I see diabetes as a sanitation issue as diabetes is increasingly found to be caused by gut dysbiosis (imbalanced flora).

The above Ted talk gives some focus to ineffective vaccination related to poor sanitation. Note: there are no comprehensive studies about potential collateral damage to flora by vaccination.]]>
Nutrition and WASH Tue, 26 Nov 2013 19:04:16 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: JKMakowka http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6553 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6553
Concerning Terra Preta... as far as I know its about the entire further fermentation process that both mobilizes nutrients and probably kills some pathogens. But I guess the biggest benefit from a user point of view is probably that in acidic conditions much less NH4 is degassing, which is the main source of smell.

Disposal seems to be no problem either as it is turned into organic fertilizer (with the addition of biochar)... organic material rich tropical soils are quite acidic anyways so that seems less of a problem.]]>
Nutrition and WASH Tue, 26 Nov 2013 17:05:24 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: joeturner http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6548 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6548
I agree there are cultural problems too. And I wonder how strong the acidic foodstuffs actually are and how much you'd need (say) for a family to use in their own toilet.

That said, if one was able to show people how to produce their own acidic material, for example by using local waste plants, it is conceivable that they might be able to produce their own functioning chemical toilet. But then you might create another problem in that disposal of the low pH toilet contents.

But then based on the same reasoning, one might be able to use locally available foods and/or byproducts that are a) highly sodic b) high pH c) strongly alcoholic... and find that they have a similarly useful effect on pathogen survival.]]>
Nutrition and WASH Tue, 26 Nov 2013 12:29:00 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: JKMakowka http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6547 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6547 Nutrition and WASH Tue, 26 Nov 2013 12:20:38 +0000 Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: joeturner http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6546 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6546 JKMakowka wrote:


See the great example by Chris above, although it also seems to involve yeast alcohol fermentation to some extend.


I'm not sure that the exact process matters, if, as I suspect it is the acid that is thought to kill the pathogens. Hence any local process that creates an acidic foodstuff would be appropriate.]]>
Nutrition and WASH Tue, 26 Nov 2013 12:05:25 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: JKMakowka http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6545 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6545 joeturner wrote:
I wonder how many indigenous foods there are which involve acidification. It might not even be necessary to persuade people to change their diet.


See the great example by Chris above, although it also seems to involve yeast alcohol fermentation to some extend.

Here in Uganda milk is fermented to a sort of butter "ghee" and a very sour beer is made from millet, which I suspect is quite similar to the casava beer described above.

However due to the alcohol content it is probably not something suitable for children.]]>
Nutrition and WASH Tue, 26 Nov 2013 11:58:34 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: canaday http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6544 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6544
I like this holistic, integrated thinking about how to keep people healthy.

Here in the Amazon (home of Terra Preta), I think the answer is Manioc Beer (=Chicha de Yuca, Masato), which is also a lactic acid process. I suspect the original Terra Preta was likely made (at least in part) by covering feces with the solids strained out of this fermented drink, which is still the main pillar of the diet for most Amazonian indigenous people. To make this, manioc is cooked and chewed, plus a microbe culture from a previous batch is usually added.

I look forward to reading these links.

Best wishes,
Chris Canaday]]>
Nutrition and WASH Tue, 26 Nov 2013 11:35:50 +0000
Re: Environmental enteropathy: Acidification as a potential remedy from veterinary science? - by: Marijn Zandee http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6542 http://forum.susana.org/forum/categories/92-nutrition-and-wash/6538-environmental-enteropathy-acidification-as-a-potential-remedy-from-veterinary-science?limit=12&start=12#6542
Here is an article from about 6 months ago about the relative new branch of medical science that looks into the relation between intestinal bacterial flora and human health.


www.nytimes.com/2013/05/19/magazine/say-...ewanted=all&_r=0

If I remember correctly the research found a correlation between diets containing fermented vegetables (and vegetables in general) and bacterial cultures in peoples feces that they think are a sign of health.

Regards

Marijn]]>
Nutrition and WASH Tue, 26 Nov 2013 09:22:35 +0000