WASH’ Nutrition

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EXAMPLES of donors supportive OF WASH’Nutrition Projects European Commission, Directorate-General for European Civil Protection and Humanitarian Operations (ECHO) UN Children‘s Fund (UNICEF) United States Agency for International Development (USAID) German Federal Ministry of Economic Cooperation and Development (BMZ) The World Bank Group Bill & Melinda Gates Foundation (BMGF) UK Aid – Department for International Development (DFID) Swedish International Development Cooperation Agency (SIDA) Global Affaires Canada (GAC) Swiss Agency for Development and Cooperation (SDC) EU humanitarian policy is concerned with addressing the immediate and underlying causes of undernutrition. ECHO puts forward the view that nutrition interventions need to promote a multi-sector approach and a joint humanitarian and development approach. The Commission promotes the incorporation of nutrition-specific objectives into WASH humanitarian responses in crisis contexts where undernutrition is a major humanitarian concern. http://ec.europa.eu/echo/what/humanitarian-aid_en UNICEF acts as both a donor of WASH and nutrition projects and implementing agency. Improving nutrition of vulnerable populations by also investing in access to health, water, and sanitation services is an important principle. It also promotes a multi-sectoral approach to nutrition. http://www.unicef.org/ USAID is the lead U.S. Government agency that works to end extreme global poverty and enable resilient, democratic societies to realize their potential. The Water and Development Strategy 2013-2018 calls for increased integration of WASH and food security programmes, such as increasing access to high quality nutrition-sensitive services, including access to water, sanitation facilities, and hygiene. https://www.usaid.gov/what-we-do The German Federal Ministry (BMZ) has made food and nutrition security, together with rural development, a priority area of its work and launched a special initiative “One World No Hunger”. With this initiative, the ministry aims at tackling not only food and nutrition, but also underlying causes of undernutrition by including WASH as crucial component in the initiative’s strategy. https://www.bmz.de/webapps/hunger/index.php#/en/ The World Bank Group’s “Water Global Practice”, includes the Water and Sanitation Programme, a multi-donor partnership that supports poor people in obtaining affordable, safe, and sustainable access to water and sanitation services. The World Bank Group is currently integrating WASH, nutrition and health in at least 13 projects. http://www.worldbank.org/en/topic BMGF funds various WASH and nutrition projects. The foundation’s new approach to nutrition includes reaching women and children with solutions proven to improve nutrition, such as breastfeeding and food fortification, and expand research into innovative new approaches. http://www.gatesfoundation.org/ DFID supports nutrition-specific and nutrition-sensitive interventions as well as generating evidence on effects as a basis for action, primarily focusing on the first 1,000 critical days. DFID encourages a global effort to tackle undernutrition by donors working in partnership with country governments. https://www.gov.uk/government/organisations/department-for-international-development The overall goal of Swedish development cooperation is to contribute to making it possible for poor people to improve their living conditions. Together with other donors, SIDA supports projects on child protection, WASH and social policy, as well as several nutrition projects - often linked to health. http://www.sida.se/English/ Programming of the GAC focuses on increasing food security, stimulating sustainable economic growth, securing the future of children and youth, and supporting governance. Canada has increased its number of countries of focus to 25 and provides humanitarian assistance in times of disaster, crisis or severe conflict. http://www.international.gc.ca/international/index.aspx?lang=eng The SDC, under the Federal Ministry for Foreign Affairs, provides humanitarian aid and longer-term development cooperation in the South and East. Water, health and emergency relief are amongst the addressed themes. https://www.eda.admin.ch/sdc 150 WASH’Nutrition A practical guidebook
5. IMPLEMENTATION AND MONITORING households minimum WASH package MONITORING CHECKLIST WASH minimum package in the households affected by undernutrition 1. Drinking water containers for children are covered and used without risk of contamination YES / NO 2. Drinking water chlorinated with 0.3-1 mg/l residual chlorine, or 0 fecal coli forms per 100 ml YES / NO 3. Presence of hand washing (with soap or other disinfect) station in the household or in the close proximity to the home YES / NO 4. Mother/caretakers knows the critical times for washing hands with soap YES / NO 5. Absence of children’s faces around the home, especially around malnourished child on treatment YES / NO 6. Latrine is clean with no feces, flies or odours WASH minimum package in the household of the couple “mother/caretaker- malnourished child” is present WASH minimum package in the household of the couple “mother/caretaker- malnourished child” is present YES / NO YES / NO *only one or more NO indicates that “minimum package” is not present Essential functionality indicator at the household level for the couple “mother/caretaker- malnourished child” Drinking water contains residual chlorine (NTU
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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
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3. AT INSTITUTIONAL LEVEL (HEALTH C
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EXAMPLE FROM THE FIELD 14 Improvin
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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 and 146: 3. FORMULATION EXAMPLE OF A WASH’
Page 147 and 148: EXAMPLE OF A WASH’Nutrition PROJE
Page 149: 4. FINANCING EXAMPLE OF A WASH’Nu
Page 153 and 154: 6. EVALUATION Examples of WASH’Nu
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