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WASH and Nutrition intergration


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A brief powerpoint presentation on the integration of WASH and nutrition program. Also provides an overview on USAID WASHPlus.

*for classroom presentation purpose only*
*no copyright infringement intended*

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WASH and Nutrition intergration

  1. 1. Integrating WASH and NUTRITION The WashPlus program by USAID Beatriz Erika T. Breva ,RND MS ApN HNF 254 Nutrition Programs
  2. 2. All forms of undernutrition can, and should be prevented. Forms of Undernutrition
  3. 3. Conceptual Framework of Undernutrition
  4. 4. Relationship between POOR WASH and UNDERNUTRITION
  5. 5. Pathways by which lack of WASH contributes to undernutrition 1. Repeated robust of diarrhea 2. Intestinal worm infection and malaria 3. Environmental enteric dysfuntion (EED)
  6. 6. Diarrhea • Results from the ingestion of pathogens from feces and from the lack of hygiene • Children with diarrhea eat less, absorb less nutrients → malnourished child → high risk for diarrhea • Increase risk of stunting
  7. 7. Intestinal worm and Malaria • Interfere with the nutrient uptake in children • Worm infection transmitted by eggs present in human feces • Malaria is transmitted thru the bite of a Plasmodium parasite infected Anopheles mosquito
  8. 8. EED • Cause by frequent fecal oral contamination • Flatten intestinal villi, reduced capacity for nutrient absoprtion • Small intestinal lining become chronically inflamed • Cannot absorb nutrients because it’s busy fighting off disease
  9. 9. Global Knowledge sharing Country activities
  10. 10. Country Activities Mali Bangladesh
  11. 11. Country Activities Uganda
  12. 12. Challenges 1. Planned vs. Opportunistic Integration 2. Issues of measurement 3. One-way vs. Two-way Integration 4. Targeting Communities vs. Targeting the Most Vulnerable
  13. 13. Conclusions • WASHplus anticipates that interest in expanding the integration of WASH into nutrition programs • more data is needed to demonstrate how and in which ways specific WASH mechanisms affect nutrition outcomes • traditional WASH interventions focused on human excrement may need to be supplemented • WASHplus anticipates that results from the integrated programming in Bangladesh, Mali, and Uganda will be validated and replicated in other countries
  14. 14. Citations • Arnold, B. F., Null, C., Luby, S. P., Unicomb, L., Stewart, C. P., Dewey, K. G., ... & Dentz, H. N. (2013). Cluster-randomised controlled trials of individual and combined water, sanitation, hygiene and nutritional interventions in rural Bangladesh and Kenya: the WASH Benefits study design and rationale. BMJ open, 3(8), e003476. • Dodos, J. (2017). WASH’Nutrition: A practical guidebook on increasing nutritional impact through integration of WASH and nutrition programmes for practitioners in humanitarian and developent contexts. • Ngure, F. M., Reid, B. M., Humphrey, J. H., Mbuya, M. N., Pelto, G., & Stoltzfus, R. J. (2014). Water, sanitation, and hygiene (WASH), environmental enteropathy, nutrition, and early child development: making the links. Annals of the New York Academy of Sciences, 1308(1), 118-128.