Excellent refs! Please post any others you may come across.

Bill

Global, regional, and national trends in haemoglobin concentration and prevalence of total and severe anaemia in children and pregnant and non-pregnant women for 1995–2011: a systematic analysis of population-representative data. Lancet Global Health, July 2013.

Full text: download.thelancet.com/pdfs/journals/lan...2214109X13700019.pdf

Gretchen A Stevens, Mariel M Finucane, Luz Maria De-Regil, Christopher J Paciorek, Seth R Flaxman, Francesco Branca, Juan Pablo Peña-Rosas, Zulfi qar A Bhutta, Majid Ezzati, on behalf of Nutrition Impact Model Study Group (Anaemia)

Background - Low haemoglobin concentrations and anaemia are important risk factors for the health and development of women and children. We estimated trends in the distributions of haemoglobin concentration and in the prevalence of anaemia and severe anaemia in young children and pregnant and non-pregnant women between 1995 and 2011.

Methods - We obtained data about haemoglobin and anaemia for children aged 6–59 months and women of childbearing age (15–49 years) from 257 population-representative data sources from 107 countries worldwide. We used health, nutrition, and household surveys; summary statistics from WHO’s Vitamin and Mineral Nutrition Information System; and summary statistics reported by other national and international agencies. We used a Bayesian hierarchical mixture model to estimate haemoglobin distributions and systematically addressed missing data, non-linear time trends, and representativeness of data sources. We quantifi ed the uncertainty of our estimates.

Findings - Global mean haemoglobin improved slightly between 1995 and 2011, from 125 g/L (95% credibility interval 123–126) to 126 g/L (124–128) in non-pregnant women, from 112 g/L (111–113) to 114 g/L (112–116) in pregnant women, and from 109 g/L (107–111) to 111 g/L (110–113) in children. Anaemia prevalence decreased from 33% (29–37) to 29% (24–35) in non-pregnant women, from 43% (39–47) to 38% (34–43) in pregnant women, and from 47% (43–51) to 43% (38–47) in children. These prevalences translated to 496 million (409–595 million) non-pregnant women, 32 million (28–36 million) pregnant women, and 273 million (242–304 million) children with anaemia in 2011. In 2011, concentrations of mean haemoglobin were lowest and anaemia prevalence was highest in south Asia and central and west Africa.

Interpretation - Children’s and women’s haemoglobin statuses improved in some regions where concentrations had been low in the 1990s, leading to a modest global increase in mean haemoglobin and a reduction in anaemia prevalence. Further improvements are needed in some regions, particularly south Asia and central and west Africa, to improve the health of women and children and achieve global targets for reducing anaemia.

Here is a title listing of some of the reports and studies in the Resource Library: usaidlearninglab.org/working-group/55/resource

You are welcome to download or contribute to the library but an account must fist be set up on the Learning Lab.

Integrating Water, Sanitation and Hygiene into Nutrition Programming. WASHplus

Sanitation and Stunting in India Undernutrition’s Blind Spot . Chambers

Improving WASH Practices and Decreasing Underweight through Care Groups

Does Village Water Supply Affect Children’s Length of Stay in a Therapeutic Feeding Program in Niger?

The Impact of Irrigation on Nutrition, Health, and Gender: A Review Paper with - -

International Food Symptomatic and Asymptomatic Campylobacter Infections Associated with

Reduced Growth in Peruvian Children. PLoS Negl Trop Dis 7(1) 2013. Lee G, et al.

Environmental Enteropathy: Going Beyond Nutrition to Understand Child Growth and Development

The Case for Including the “Neglected Enteric Protozoa" (NEP) and Other Enteropathy-Associated Pathogens in the NTDs. L Bartelt, et al.

USAID Water and Development Strategy 2013-2018.

UNICEF/Ethiopia – Nutrition in Early Childhood: Insights from rural Ethiopia

Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys-WHO Bulletin

Review: Enteropathies in the Developing World: Neglected Effects on Global Health. A. Prendergast.

How much international variation in child height can sanitation explain? Dean Spears

Alive & Thrive: Early child growth: how do nutrition and infection interact?

Risk assessment of aflatoxins in food in Africa, 2008. Gordon Shephard

LSHTM – Water, Sanitation and Hygiene (WASH), nutrition and infection

“Barriers” to Child Development and Human Potential: The Case for Including the

“Neglected Enteric Protozoa” (NEP) and Other Enteropathy-Associated Pathogens in the NTDs. PLoS Negl Trop Dis, April 2013.Bartelt LA, Lima AAM,...

WASH & Nutrition Integration

Integrating Water, Sanitation, and Hygiene into Nutrition Programming, 2013.
www.washplus.org/sites/default/files/wash_nutrition2013.pdf

Diarrhea, pneumonia and birth complications are the top three killers of children under age 5 worldwide. Diarrhea is also a leading cause of undernutrition in this age group and one-third to one-half of all child mortality cases are linked to undernutrition. If mothers and other caregivers used basic hygiene practices and had better access to safe water and adequate sanitation this could greatly reduce under 5 deaths and improve child nutrition.

Dear all,

Please find usefull link on WASH and Nutrition :

xa.yimg.com/kq/groups/15108331/438551712...d+malnutrition...pdf

www.worldwewant2015.org/node/306100



onlinelibrary.wiley.com/doi/10.1002/14651858.CD009382/abstract




Terre des hommes is working on malnutrition since long time. WASH is also part of our response first at health facilities level and then at community level.
We are very much interested by the experiences shared and new publication in this topic and we will support the working group as much as we can.
Best regards


Antoine Delepière
Conseiller Eau Assainissement Hygiène
WASH Adviser


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Dear all, I just wanted to draw your attention to a variety of resources on the CLTS website that are relevant to this topic... My colleague Robert (Chambers) has written several blog and other reflection pieces on the subject of the links between WASH and undernutrition/tropical enteropathy/stunting etc and we have engaged with a variety of people on this subject. You can find some relevant resources here
www.communityledtotalsanitation.org/search/site/nutrition

We are als very interested in hearing from others on the subject matter- so if you have relevant resources or research to share or would like to write a blog, case study etc on the matter, please get in touch This email address is being protected from spambots. You need JavaScript enabled to view it. You are also welcome to add our views to the existing blogs by leaving a comment and starting a discussion.

Best wishes,
Petra