One further tool I can share is this annotated bibliography developed in 2015 to accompany another advocacy document for RESULTS Canada. It provides a very brief summary and links to 25 articles related to WASH in development, MNCH, economics and so forth.

www.results-resultats.ca/wp-content/uplo...for-WASH-Mar2015.pdf

I'm interested to read through the links posted here to various tools. Thank you for sharing these items.

One item that I can share from the Canadian perspective is a recent advocacy tool for integration of WASH across thematic priorities of Global Affairs Canada (GAC). With our new government in late 2015, GAC launched a public consultation process for an international assistance policy review. WaterAid Canada convened a roundtable discussion and collaborated with other CSOs including WASH experts and experts in other key areas of health, climate change and policy. Our goal was to position WASH across Canada's international assistance thematic priorities of (1) health & rights of women and girls; (2) clean economic growth and climate change; (3)governance and human rights; (4) peace and security; (5) responding to humanitarian crises; and (6) delivering results through innovation, partnerships and aid effectiveness. Our WASH submission to the policy review can be found here: www.wateraidcanada.com/responsive/wp-con...Submission_FINAL.pdf

Dear all,
We at Swasti (www.swasti.org) have developed an Integrated Community Health and Wellness (ICHW) model, learning from our two decades of its experience and lessons from other community health initiatives. The Programme aims to provide accessible, affordable, convenient and good quality care to the poor and marginalized families and reduce healthcare costs. The Programme works with broader community by:
Helping maintain and improve common assets which affect health - like water, sanitation, air, etc. through community action and advocacy.
Engage all Healthcare providers (formal, informal) to share the feedback, work out deep discounts and update the database of providers (add new, delete those who have left, co-operation levels, etc.)
Engage local key leaders and opinion makers on progress made, challenges and areas where support is required and align their local political ambitions to the Programme.

To understand the health care situation and needs of the intervention area, the tool we have used is called ‘SNAP- Situational Needs Assessment and Planning’. A comprehensive survey methodology was developed to understand the existing situation and needs of key stakeholders. Swasti tested all the tools with the community as a pilot for SNAP before the final need assessment study.

Based on the main findings from the Situational Need Assessment, given below 6 priorities have been identified for planning intervention in the community.

1. Awareness generation and treatment facilities for following health concerns
2. Testing and treatment facilities for chronic health conditions
3. Institutional delivery & Children Immunization
4. Insurance and social entitlements
5. Formation of Self Help groups
6. Water and Sanitation

The tool thus provides options for multisectoral collaboration for Integrated health and wellness for communities, which can be directly applied in the context of improving WASH outcomes, ensuring better nutrition and thereby improved maternal and child health. Looking forward to the success of BABY WASH coalition.

Best,
Swasti

Dear All,

We know that there are multiple, interrelated causes of malnutrition, some of which require solutions beyond the nutrition sector. The current state of evidence suggests that water, sanitation, and hygiene (WASH) is critical to achieving adequate nutrition and cognitive development, particularly in children under the age of two. This requires coordination and collaboration across a range of stakeholders.

The SPRING Project looked at how coordination and collaboration to improve nutrition has been put into practice in Guatemala, Rwanda, and Bangladesh and assisted USAID in identifying strategies to strengthen their efforts to support collaboration. This work resulted in country-specific recommendations, and identified some that can be applied to other countries’ efforts to strengthen multi-sectoral collaboration for nutrition.

Please take a look at our three individual reports here .

Though not formal tools, they provide suggestions on how to operationalize multi-sectoral collaboration toward improved nutrition outcomes. Many of the proposed structures, processes, and practices that affected their ability to initiate and sustain their efforts can be directly applied to WASH and nutrition collaboration efforts.

Dear all,

Integrated approaches have gained importance, particularly under the umbrella of the SDGs.

Over the last year, great progress can be seen at the WASH-Nutrition nexus. Some developments:

• The Bonn WASH Nutrition Forum 2015, initiated by the German WASH Network, was the first international conference where stakeholders from both thematic areas came together in order to get to know each other, understand respective strengths and challenges and joint hands.(Documentation here )
• Publications and tools were developed such as the WaterAid tool “ The missing ingredients ” analyzing national sector plans (WASH and nutrition) and their degree of integrating the respective other. The ACF Operational Manual will be launched soon, with a special focus on the “Mother-Child-Dyad”. The impressive outcomes of WASHplus were already mentioned here in the discussion.
• The global platforms Scaling Up Nutrition (SUN) Movement and Sanitation and Water for All (SWA) Partnership have established a working relationship that is well developing over the last months, primarily on global advocavy issues.
• In April, a thematic discussion “Linking WASH & Nutrition – A Roadmap towards Better Health” took place in the SuSanA forum, centered on various connotations of integration, practical examples, advocacy and policymaking. ( Thematic Discussion on WASH & Nutrition )
• The Stockholm World Water Week 2016 was another milestone with several nutrition actors engaging in a rather WASH-focused conference (incl. SUN, Global Nutrition Report, Emergency Nutrition Network, Global Nutrition Cluster). ( Results here )

Throughout, the “First 1000 Days” are recognized as an important window of opportunity for linking WASH and nutrition. The foundation of the Baby WASH Coalition therefore hits a nerve. Curious to learn more.

Best,
Jona

Hello to all! I am so pleased to be joining this forum today. Advancing integration surely ‘takes a village’ and, and I am really looking forward to learning about new tools from this community that I can hopefully use in my own work at FHI 360. By way of introduction, I am a Technical Advisor to FHI 360’s Integrated Development Department. Indeed – integration has its own department here! We are fairly new, but our establishment is indicative of FHI 360’s core organizational commitment to pursuing multi-sector approaches for development.

In our first year, we spent a lot of time understanding the integration landscape globally – what sectors tend to be combined, what are people implementing, what evidence has been generated about the effectiveness of these approaches, what challenges are people facing, what successes have been achieved, where are we collectively falling short, etc. Then, in the following year, we dedicated ourselves to packaging everything we have learned so far into a series of tools and resources so that others outside of FHI 360 could have access to the same knowledge. And, so that we could grow a community of like-minded development professionals who are tackling some of the same issues, and learn through mutual exchange.

So with this post I am introducing you to our “suite” of tools on what we call “Integrated Development”. We’ve been really hard at work as everything except the SCALE+ tool was produced just this year – whew! I am very much looking forward to hearing from you with any thoughts or questions, and about your own work as well!

[Also, apologies as I can't figure out how to embed links on this platform so they are all shown in text!]

• Development Sector Adjacency Map: In the private sector, companies often examine "market adjacencies" -- the other goods or services their customers may need or want – to better understand where to expand and diversify their business. Our adjacency map draws on that approach by identifying sectors that lie outside of a program's scope, yet are related enough to its core goals and objectives that they pose opportunities for enhanced impact via integration. The map helps practitioners determine which other sectors are important to consider as they make strategic decisions about development solutions. www.fhi360.org/sites/default/files/media...id-adjacency-map.pdf

• A Resource Package for Integrated Development: FHI 360 has delivered or is currently implementing more than 70 integrated development programs. Yet, rarely are distinct programs — even from the same sectors — offered the opportunity to aggregate their collective learning. To leverage the valuable knowledge being gained about integrated approaches from across this diverse organizational portfolio, FHI 360 systematically collected information from each program. We then synthesized it to identify the common themes, challenges, factors that facilitated successes, best practices and tools. We have packaged this rich body of information into an interactive resource document. The package provides a curated synthesis of our collective lessons learned from a diverse array of programs and research, as well as a broad range of materials, tools and resources for global development practitioners to use in advancing their own integrated efforts. www.fhi360.org/resource/resource-package...ment-learning-action

• Integrated Development Case Study Series: This series of case studies on select FHI 360 programs in Kenya, Tanzania and Uganda is one product of that collected knowledge. The perspectives in each study are based on desk reviews of project materials and in-person interviews with the project staff, partners and community members. Each case study provides three common challenges documented by the 68 integrated projects and illustrates how each project approached those challenges. www.fhi360.org/resource/integrated-development-case-studies

• Guidance for Evaluating Integrated Global Development Programs
This comprehensive framework is a guidance document for evaluating multisector, integrated programs. It summarizes current research methodologies and approaches specific to integrated programs to better assess the nuanced nature of complex integrated models. This document includes guidance and key considerations on formative research, performance indicators, program monitoring, process evaluation, cost analyses, impact evaluation and scale-up evaluation.
www.fhi360.org/resource/guidance-evaluat...development-programs


• A Prioritized Research Agenda for Integrated Development
Developed together with the LOCUS coalition, the research agenda is a companion to the evaluation guide, as it’s focused on research questions about integration rather than methods used to evaluate it. It aims to enable the field to strengthen the evidence base for integrated development approaches by presenting key areas of inquiry for consideration by decisionmakers who seek to explore and better understand integrated development policies and programs.
locus.ngo/resources/a-prioritized-resear...tegrated-development


• Integrated Development Evidence Map: Based on a 2015 systematic review of evidence on integrated global development programs (forthcoming, 2016), this user-friendly, interactive map includes information on more than 500 impact evaluations of programs that applied integrated, multisector approaches. The map succinctly depicts where most of the evidence lies as well as where it is limited. Users can see the main trends in the evidence, plus easily search and identify evidence relevant to various areas of specific interest, including geographic region, study design, interventions by sector and outcomes.
fhi360integrationevidence.com/site/


• scaleplus.fhi360.org/: SCALE+ is a systems-based methodology for approaching global challenges from multidisciplinary perspectives and with stakeholders from multiple sectors. It can help decision makers design and invest more efficiently in smart, enduring solutions to problems. Its purpose is to bring about broad and sustained collective impact. It is designed to maximize problem solving among diverse groups of cross-discipline experts. SCALE+ has been applied by FHI 360 and USAID in more than 15 countries in Africa, Asia, Latin America, and the Middle East within agriculture, health, tourism, education, fisheries, and economic development programs.

We are excited to begin our second discussion today around tools for integration. Please share any tools you have access to/ know of that would be useful for integration in the first 1,000 days, or guidance on how organizations can work together more generally. When you post, it would be great if you could include a discussion of the most applicable parts of the tool and any experience you have with using it. Experimental tools and toolkits are welcome as well.

Here to help lead this discussion is our expert: Tricia Petruney. Tricia was a key player in the June Integration Summit at FHI 360. Her team has been working on some great tools that help highlight integrated programs that she will tell you more about. She has spent more than a year living and breathing integration research and will be a wealth of knowledge for this discussion.

We are all looking forward to the conversation that is about to unfold!