Undernutrition and Water, Sanitation and Hygiene

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Child stunting and anemia are intractable public health problems in developing countries and have profound short- and long-term consequences. The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial is motivated by the premise that environmental enteric dysfunction (EED) is a major underlying cause of both stunting and anemia, that chronic inflammation is the central characteristic of EED mediating these adverse effects, and that EED is primarily caused by high fecal ingestion due to living in conditions of poor water, sanitation, and hygiene (WASH).
On the 11th and 12th November 2015, the German WASH-Network, an alliance of 19 German NGOs, is hosting an international conference on the nexus between WASH and nutrition security in Bonn.
Today I continued to follow the conversation about new directions in the over-all system of international WASH development. There is a lot of talk about changing the way aid business is conducted. But it’s hard to say how all this lofty talk will translate into actually useful change. I sensed some frustration on the part of developing country governmental reps and residents. No one’s talking about power dynamics. I also listened to some interesting sanitation reports.
The CLTS Knowledge Hub has just published the latest issue in the Frontiers series- Breaking the next taboo: Menstrual Hygiene within CLTS. This issue of Frontiers of CLTS illustrates how Community-led Total Sanitation (CLTS) programmes can be expanded to address menstrual hygiene management (MHM) in schools and communities to alleviate these stresses on women and girls.
In the run up to AfricaSan I joined a Global Sanitation Fund (GSF) field trip and learning event in Matam region, Senegal. Along with Global Sanitation Fund programme managers and WSSCC National Coordinators we visited different villages where local NGOs had been triggering communities. Matam, in the north east of Senegal separated from Mauritania by the Senegal River, has a population of over 550,000 of which 98% are Muslim. In the region 47.2% practice open defecation.
A few years ago I posted a blog titled ‘Nutrition Puzzles’. Today, the puzzles seem a bit nearer to resolution. And the answer may be shit.
The earlier blog was prompted by the huge and massively expensive nutrition survey that was sponsored by a range of international aid donors. It showed to everyone’s surprise that, despite the crisis, nutrition indicators across Zimbabwe, including in rural areas, were not as disastrous as expected. Indeed, they were better than most neighbouring countries, including South Africa.