WASH’ Nutrition

LIST OF FIGURES
Figure 1: Different types of undernutrition 17
Figure 2: Conceptual Framework of undernutrition 19
Figure 3: Undernutrition throughout the life cycle 21
Figure 4: Nutrition-specific and Nutrition-sensitive interventions 22
Figure 5: Nutrition security approach 23
FIGURE 6: Global trends in child stunting and wasting 27
Figure 7: Relationship between poor WASH and child undernutrition 33
Figure 8: Median age-specific incidences for diarrheal episodes per child per year from three reviews
of prospective studies in developing areas 35
Figure 9: Vicious CYCLE BETWEEN intestinal infections AND UNDERnutrition 35
Figure 10: Difference between healthy (left) and EED-infected intestine (right) 36
Figure 11: REDUCTION IN DIARRHEAL MORBIDITY 38
Figure 12: The F-diagram - Fecal-oral route of disease transmission and how WASH provision can prevent it 39
Figure 13: Effect of improvements in drinking water and sanitation on diarrhea disease risk 40
Figure 14: Increasing levels of multi-sectoral integration 46
FIGURE 15: Relevant stakeholders for WASH and nutrition integration 60
FIGURE 16: Humanitarian clusters and their coordination 61
Figure 17: Allocate a protected space for children to play, limiting the likelihood of them ingesting
soil or animal feces 75
Figure 18: The Clean Household Approach 75
Figure 19: A counselling card highlights when to wash hands with soap 77
Figure 20: Poster used to discuss key food hygiene practices BY ACF CHAD 81
Figure 21: Global coverage of WASH in health care facilitates 95
FIGURE 22: The Fit for School Action Framework 101
Figure 23: Holistic approach to WASH and nutrition integration 105
Figure 24: DRM cycle, continuum and contiguum 109
LIST OF TABLES
Table 1: Cut-off values and anthropometric indicators of undernutrition 18
Table 2: Mortality risks for wasting and/or stunting 20
Table 3: Non-exhaustive example of WASH interventions 26
Table 4: Incorporating WASH elements into nutrition assessments and vice versa 50
Table 5: Common barriers and challenges in WASH and nutrition integration 53
Table 6: Illustrative criteria for population targeting 54
TABLE 7: Ten step model for Assisting behaviour Change (ABC) 58
Table 8: WASH minimum package for households 63
Table 9: WASH Minimum package for health and nutrition centres 65
Table 10: WASH Minimum package for mobile clinics 67
Table 11: Integrating WASH into nutrition counselling and health promotion 86
Table 12: WHO definition of environmental management 91
Table 13: WHO standards on water, sanitation and hygiene in health care 96
Table 14: Excreta disposal options for young children in emergencies 112
Table 15: Evaluation of an integrated project 122
Table 16: Advocacy tools for promoting WASH and nutrition integration 133
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WASH’Nutrition
A practical guidebook