WASH’ Nutrition

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EXAMPLE OF A WASH’Nutrition logical framework ANALYSIS Intervention Logic OBJECTIVELY VERIFIABLE INDICATORS Sources of Verification Principal Objective To ensure short term nutrition security for vulnerable households through a multisectoral approach Specific Objective Result 1 Result 2 To enhance the nutritional status of the displaced and vulnerable population by supporting sustainable treatment programmes and disease prevention in Sindh and KPK Treatment and Prevention of undernutrition, IYCF, nutrition evidence generation Targeted vulnerable population have improved access to safe drinking water, hygiene and sanitation in KPK and Sindh Indicator 1: Nutrition programme achieves treatment coverage according to SPHERE standards; Recommended Target Value: >50-70% in rural areas; >70% in urban areas, >90% in camp situations Indicator 2: Percentage (%) of reduction in waterborne diseases (diarrhea) among the targeted communities / Target value: 10% Indicator 1: Proportion of severely acutely under-nourished children screened and admitted to therapeutic treatment programmes Target Value: 9,614 SAM cases for Sindh and 1,529 for KPK Indicator 2: Proportion of moderately acute undernourished children screened and enrolled in MAM treatment programmes Target Value: 18,713 MAM cases in Sindh and 3,822 in KPK Indicator 3: Number of Pregnant and Lactating Women screened and receiving micronutrients / Target Value: 44,759 in Sindh and 10,641 in KPK Indicator 4: CMAM programme achieves SPHERE standards (percentages) for discharge, default, mortality rates Target Value: >75% cure rate Indicator 5: The proportion of PLWs and caregivers attending health, nutrition, and IYCF counselling sessions who show improved IYCF practices (Sindh) / Target Value: 25% Indicator 1: Number of persons provided with sufficient and safe water for drinking, cooking and personal hygiene use Target Value: 32,400 in Sindh and 10,000 in KPK Indicator 2: Number of human settlements free of human feces on the ground on and around the site / Target Value: 20 Indicator 3: Proportion (%) of targeted population showing improved hand washing practices by the end of the project Target value: 30% improvement Indicator 4: Proportion of Nutrition beneficiaries within the WASH target villages covered by WASH activities / Target value: 90% Activities Programme database and SQUEAC Survey ACF DIMA monitoring report Programme database; Nutrition, Information System; OTP patient cards Programme database; Nutrition Information System; OTP and SFP patient cards Programme database; Nutrition Information System; Programme database; Nutrition Information System; OTP/SFP patient cards; interim and final reports Programme data, baseline and end line survey reports, KAP survey Final water scheme and household water treatment verification report. KAP survey report, ACF monthly progress report, household follow-up visit report KAP survey report, ACF monthly progress report, household follow-up visit report Nutrition database, WASH database, PQA verification reports 1.1 Identification and referral of acutely malnourished children aged 6-59 months and PLWs to relevant treatment sites (Sindh and KPK) 1.2 Treatment of acutely malnourished 6-59 months children (Sindh and KPK) 1.3 Provision of Health and Nutrition Awareness Sessions 1.4 Provision of counselling and support for IYCF through skilled breastfeeding counsellors 2.1 Provision of e sustainable access to water supply (Sindh) 2.2 Provision of improved access to sustainable sanitation (Sindh) 2.3 Improvement of hygiene and sanitation behaviour (Sindh) 2.4 Improvement of access to emergency safe water supply in KPK 2.5 Improvement of access to emergency sanitation for IDPs and host communities in KPK 2.6 Hygiene and sanitation behaviour change sessions in KPK Source: ACF, Pakistan 2013 146 WASH’Nutrition A practical guidebook
EXAMPLE OF A WASH’Nutrition PROJECT time FRAME Source: ACF, 2013 WASH’Nutrition A practical guidebook 147
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WASH’ Nutrition A practical guide
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WASH’Nutrition A practical guideb
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Table of Contents STATEMENT ON COPY
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ACKNOWLEDGEMENTS This guidebook has
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FOREWORD Undernutrition remains a s
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LIST OF BOXES BOX 1: Design charact
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NCD NGO NTD NTU ORS PEFSA V PHAST P
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The basics of undernutrition and WA
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1. DEFINING undernutrition Defined
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2. the main causes of undernutritio
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Chronic undernutrition impairs chil
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of undernutrition, the global probl
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The CMAM approach has four componen
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6. Global trends in undernutrition
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Today, the world’s attention is t
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Linking nutritional outcomes with t
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1. nutritional status and the WASH
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Figure 8: Median age-specific incid
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3. CONTRIBUTING WASH-related diseas
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Figure 12: The F-diagram - Fecal-or
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KEY MESSAGES Chapter 2 Despite not
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WASH’Nutrition strategy WASH’Nu
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1. Aligning WASH and Nutrition prog
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assessment, programme design and/or
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pile sorting 89 or focus group disc
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2.3. Formulation and financing of i
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Table 5: Common barriers and challe
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3.1. Why targetiNG children, pregna
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4. emphasis on behaviour change PIL
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4.2. Barrier analysis Barrier Analy
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4 Signing memorandum of understandi
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Table 8: WASH minimum package for h
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In remote regions, where infrastruc
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Table 10: WASH Minimum package for
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Better alignment and integration al
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integratING activities at different
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1. at the individual and household
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Figure 17: Allocate a protected spa
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BOX 9: Five CRITICAL times for hand
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1.7. Household water treatment and
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Food hygiene implies maintaining pr
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1.10. monitoring of HOUSEHOLD WASH
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2.1. Community access to WASH for i
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2.3. Community engagement in safe e
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Sanitation marketing (SM) uses comm
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Table 12: WHO definition of environ
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BOX 13: Reducing animal waste conta
Page 95 and 96: 3. AT INSTITUTIONAL LEVEL (HEALTH C
Page 97 and 98: EXAMPLE FROM THE FIELD 14 Improvin
Page 99 and 100: EXAMPLE FROM THE FIELD 15 Improvin
Page 101 and 102: 3.4. WASH and nutrition in schools
Page 103 and 104: enefit when the main vectors for di
Page 105 and 106: Figure 23: Holistic approach to WAS
Page 107 and 108: 5. Integrating interventions in eme
Page 109 and 110: Figure 24: DRM cycle, continuum and
Page 111 and 112: Promoting breastfeeding (and other
Page 113 and 114: 3) Hygiene promotion Hygiene promot
Page 115 and 116: Key messages on aligning WASH and N
Page 117 and 118: Monitoring and evaluation of integr
Page 119 and 120: 1. Monitoring integrated activities
Page 121 and 122: WASH Key indicators 1 Diarrhea prev
Page 123 and 124: © ACF Chad, 2016 Picture 11: Monit
Page 125 and 126: MOVING TOWARDS UPTAKE WASH’Nutrit
Page 127 and 128: 1. OPERATIONAL RESEARCH Beyond the
Page 129 and 130: Southampton University The Universi
Page 131 and 132: WASHplus Since 2010, the USAID-fund
Page 133 and 134: Table 16: Advocacy tools for promot
Page 135 and 136: LEARN MORE A follow-up document to
Page 137 and 138: Canada, the European Union, France,
Page 139 and 140: PROGRAMMATIC resources WASH’NUT A
Page 141 and 142: 1. PROGRAMMING EXAMPLE OF AN INTEGR
Page 143 and 144: 2. IDENTIFICATION MIRA (Multi-secto
Page 145: 3. FORMULATION EXAMPLE OF A WASH’
Page 149 and 150: 4. FINANCING EXAMPLE OF A WASH’Nu
Page 151 and 152: 5. IMPLEMENTATION AND MONITORING ho
Page 153 and 154: 6. EVALUATION Examples of WASH’Nu
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WASH’ Nutrition

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