Key resource: Re-framing Undernutrition: Faecally-Transmitted Infections and the 5 As (IDS Working Paper 450)

In this IDS Working Paper, Robert Chambers (CLTS Knowledge Hub, IDS) and Gregor von Medeazza (UNICEF) argue for a more inclusive framework for thinking about and dealing with undernutrition.  One concept is FTIs (faecally-transmitted infections).  This is designed to avoid the reductionisms of faecal-oral infections, waterborne diseases, and the focus on the diarrhoeas to the neglect of less dramatic and less measurable FTIs especially environmental enteropathy.  A second concept is the 5 As – availability and access which both have oral associations, and absorption, antibodies and allopath

Date: 31 October 2014

Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Kenya: a cluster-randomised controlled trial

Poor nutrition and exposure to faecal contamination are associated with diarrhoea and growth faltering, both of which have long-term consequences for child health. This trial aimed to assess whether water, sanitation, handwashing, and nutrition interventions reduced diarrhoea or growth faltering.

Date: 26 February 2018

Toward a Hygienic Environment for Infants and Young Children: A Review of the Literature (WASHpals)

The USAID Water, Sanitation, and Hygiene Partnerships and Learning for Sustainability (WASHPaLS) project conducted a review of the scientific and grey literature, complemented by dozens of key informant interviews with researchers and field implementers, to synthesize the latest understanding of key pathways of fecal microbe ingestion by IYC and their links to diarrhea, EED, and poor nutrition and development outcomes.
Specifically, the review sought to:

Date: 21 February 2018

From new evidence to better practice: finding the sanitation sweet spot

A growing body of evidence shows that there is a strong causal link between exposure to poor sanitation and detrimental health, human capital, and economic outcomes. At the same time a number of recent impact evaluations of specific sanitation interventions show mixed results. waterlines.jpg

This heterogeneity in findings raises the questions of whether and how the demonstrated benefits of improved sanitation can be consistently achieved through regular project implementation.

Date: 7 November 2017

Moving through the generations taking forward WASH... no longer just for the majority and those with the loudest voice

I have just completed three days at the WEDC 40th International Conference held at Loughborough University in the UK. As always the conference was packed with a wide range of interesting paper presentations, posters, side-events and associated activities. Meeting colleagues new and old from across the globe is always a wonderful part of a WEDC conference and at the same time to become aware of the range of experience and learning that has been going on over the past few years. This year was no exception.

The effect of young children's faeces disposal practices on child growth: Evidence from 34 countries

The study by Valerie Bauza and Jeremy S. Guest looked at the relationship between child faeces disposal and child growth in low- and middle-income countries. You can read a more detailed abstract here. It was published in the Journal of Tropical Medicine and International Health is available for purchase from the Wiley Online Library

Date: 21 July 2017

Switching to sanitation: Understanding latrine adoption in a representative panel of rural Indian households

Open defecation, which is still practiced by about a billion people worldwide, is one of the most compelling examples of how place influences health in developing countries. Efforts by governments and development organizations to address the world's remaining open defecation would be greatly supported by a better understanding of why some people adopt latrines and others do not.

Date: 17 July 2017


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