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

Stories of Change: Reflections from SHARE Phase 1

These Stories of Change (SoC) seek to capture and better understand impacts from Phase I of the SHARE consortium, and also include some related work conducted in Phase II. In Phase I, SHARE worked with five main partners: London School of Hygiene and Tropical Medicine (LSHTM), International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), International Institute for Environment and Development (IIED)/ Shack/Slum Dwellers International (SDI), and WaterAid.

Date: 8 February 2017

"Chickens don’t use toilets": Why global WASH efforts should start focusing on animal feces

Those who have tried toilet training a pet dog or cat know that it can be a difficult proposition. How about toilet training a flock of 30 chickens?
You’re now asking “Um… why would I want to?” Because in poor countries chickens are everywhere, chickens are pooping wherever they want, and chicken poop is dangerous for young children.

Disease externalities and net nutrition: Evidence from changes in sanitation and child height in Cambodia, 2005–2010

Child height is an important indicator of human capital and human development, in large part because early life health and net nutrition shape both child height and adult economic productivity and health. Between 2005 and 2010, the average height of children under 5 in Cambodia significantly increased. What contributed to this improvement? Recent evidence suggests that exposure to poor sanitation - and specifically to widespread open defecation - can pose a critical threat to child growth. We closely analyze the sanitation height gradient in Cambodia in these two years.

Date: 13 December 2016

Have We Substantially Underestimated the Impact of Improved Sanitation Coverage on Child Health?

This PLO article posits that although widely accepted as being one of the most important public health advances of the past hundred years, the contribution that improving sanitation coverage can make to child health is still unclear, especially since the publication of two large studies of sanitation in India which found no effect on child morbidity. The authors hypothesise that the value of sanitation does not come directly from use of improved sanitation but from improving community coverage.

Date: 6 December 2016

The missing ingredients: are policy-makers doing enough on water, sanitation and hygiene to end malnutrition?

Governments around the world have committed to end malnutrition by 2030. However, international and national nutrition plans and actions will fail if they don’t include all the ingredients for success. Evidence shows that scaling up nutrition-specific interventions to 90% coverage in 34 of the countries with the highest burden of child undernutrition, will only reduce stunting by 20%.

Date: 13 October 2016

Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications

Stunting is a complex and enduring challenge with far-reaching consequences for those affected and society as a whole. To accelerate progress in eliminating stunting, broader efforts are needed that reach beyond the nutrition sector to tackle the underlying determinants of undernutrition. There is growing interest in how water, sanitation and hygiene (WASH) interventions might support strategies to reduce stunting in high-burden settings, such as SouthAsia and sub-SaharanAfrica.

Date: 12 August 2016

Multisectoral Approaches to Improving Nutrition: Water, Sanitation, and Hygiene

Emerging evidence in the WASH sector suggests the linkages between WASH and nutrition may be stronger than previously understood. This has generated a great deal of momentum in both the WASH and nutrition sectors about how the two can work more closely to achieve better outcomes. This paper addresses this objective from both the WASH perspective, on how nutrition-specific programs (as well as nutrition-sensitive social protection, livelihoods, and community-driven development programs) can provide an alternative platform to deliver services at scale and more cost-effectively; and the nutrition perspective, on how WASH interventions can be adapted to include nutritional considerations, making them more nutrition-sensitive, and more impactful on nutrition.
Date: 11 February 2016

Innovative Bangladesh: CLTS Sharing and Learning at the 6th SACOSAN Conference in Dhaka

Regional CLTS sharing and learning workshop, Sunday 10 January 2016: Innovative Bangladesh!
The traditional pre-SAN gathering of CLTS practitioners and enthusiasts brought together an interesting and eclectic group in Dhaka, with a notably large and welcome presence by the Afghanistan delegation. The focus of the first session was on innovation and new learning. While always difficult to focus the group’s attention tightly on new learning, several interesting new developments were highlighted.


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