WASH’ Nutrition

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WASH, nutrition and health responsibility and accountability matrix (http://educationcluster.net/intercluster-topics/evaluatingpractice/) defines the responsibilities and accountabilities of each cluster during emergency response in areas of potential overlap, especially as they relate to the prevention and control of infectious diseases. The matrix has been developed through a broad consultative process, but can be revised as necessary at field level, following consideration of the specific contexts and available resources. It should be used as a starting point to negotiate specific responsibilities and improve coordination and collaboration among health, nutrition and WASH field staff during emergency operations. Note that capacities across health, WASH and nutrition sectors may vary depending on the context and therefore responsibilities for each activity could also vary – what is important is that there is clarity of responsibilities and coordination for all activities. 6. Ensuring A WASH minimum package PILLAR 5 Jana Asenbrenerova © ACF-DRC The fifth pillar of WASH’Nutrition strategy calls for “ensuring and reinforcing the principle of WASH minimum package both in health & nutrition centres and at the household level in the communities affected by undernutrition”. The WASH minimum package should not be confused with “WASH kit”, which usually contains different water treatment and hygiene items such as Aquatabs and soap, and is deployed un emergency contexts. This section provides a detailed explanation of what a WASH minimum package is together with a set of recommendations on how to implement it in practice. Adherence of the targeted population to the Wash minimum package should be closely monitored. 6.1. WASH minimum package for households Table 8 presents a set of responses needed to ensure that mother/caretakers and (malnourished) children have a reliable access to safe water in sufficient quantities, adequate sanitation facilities and can practice good hygiene at home. Note that the content of the WASH minimum package should be adapted to specific in-country situations as well as social and cultural norms. Items available at the local market should be prioritized in order to ensure sustainability. 62 WASH’Nutrition A practical guidebook
Table 8: WASH minimum package for households WASH package component Access to safe drinking water - Quantity - Quality - Transport - Storage - Use Hygiene - Personal hygiene e.g. hand washing - Food hygiene Sanitation Defecation with safety and dignity, hygienic for both user and environment Indicators Household has 15 litres/person/day available during crisis and minimum national standards apply at other times Household treats water for drinking (when necessary) 0 fecal coli forms per 100 ml at point of use - taps and drinking water containers Household safely stores (in clean covered containers) and serves (without risk of contamination) drinking water Animals cannot access water supply points Fetching water is
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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
Page 11 and 12: LIST OF BOXES BOX 1: Design charact
Page 13 and 14: NCD NGO NTD NTU ORS PEFSA V PHAST P
Page 15 and 16: The basics of undernutrition and WA
Page 17 and 18: 1. DEFINING undernutrition Defined
Page 19 and 20: 2. the main causes of undernutritio
Page 21 and 22: Chronic undernutrition impairs chil
Page 23 and 24: of undernutrition, the global probl
Page 25 and 26: The CMAM approach has four componen
Page 27 and 28: 6. Global trends in undernutrition
Page 29 and 30: Today, the world’s attention is t
Page 31 and 32: Linking nutritional outcomes with t
Page 33 and 34: 1. nutritional status and the WASH
Page 35 and 36: Figure 8: Median age-specific incid
Page 37 and 38: 3. CONTRIBUTING WASH-related diseas
Page 39 and 40: Figure 12: The F-diagram - Fecal-or
Page 41 and 42: KEY MESSAGES Chapter 2 Despite not
Page 43 and 44: WASH’Nutrition strategy WASH’Nu
Page 45 and 46: 1. Aligning WASH and Nutrition prog
Page 47 and 48: assessment, programme design and/or
Page 49 and 50: pile sorting 89 or focus group disc
Page 51 and 52: 2.3. Formulation and financing of i
Page 53 and 54: Table 5: Common barriers and challe
Page 55 and 56: 3.1. Why targetiNG children, pregna
Page 57 and 58: 4. emphasis on behaviour change PIL
Page 59 and 60: 4.2. Barrier analysis Barrier Analy
Page 61: 4 Signing memorandum of understandi
Page 65 and 66: In remote regions, where infrastruc
Page 67 and 68: Table 10: WASH Minimum package for
Page 69 and 70: Better alignment and integration al
Page 71 and 72: integratING activities at different
Page 73 and 74: 1. at the individual and household
Page 75 and 76: Figure 17: Allocate a protected spa
Page 77 and 78: BOX 9: Five CRITICAL times for hand
Page 79 and 80: 1.7. Household water treatment and
Page 81 and 82: Food hygiene implies maintaining pr
Page 83 and 84: 1.10. monitoring of HOUSEHOLD WASH
Page 85 and 86: 2.1. Community access to WASH for i
Page 87 and 88: 2.3. Community engagement in safe e
Page 89 and 90: Sanitation marketing (SM) uses comm
Page 91 and 92: Table 12: WHO definition of environ
Page 93 and 94: 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
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3) Hygiene promotion Hygiene promot
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Key messages on aligning WASH and N
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Monitoring and evaluation of integr
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1. Monitoring integrated activities
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WASH Key indicators 1 Diarrhea prev
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© ACF Chad, 2016 Picture 11: Monit
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MOVING TOWARDS UPTAKE WASH’Nutrit
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1. OPERATIONAL RESEARCH Beyond the
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Southampton University The Universi
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WASHplus Since 2010, the USAID-fund
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Table 16: Advocacy tools for promot
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LEARN MORE A follow-up document to
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Canada, the European Union, France,
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PROGRAMMATIC resources WASH’NUT A
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1. PROGRAMMING EXAMPLE OF AN INTEGR
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2. IDENTIFICATION MIRA (Multi-secto
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3. FORMULATION EXAMPLE OF A WASH’
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EXAMPLE OF A WASH’Nutrition PROJE
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4. FINANCING EXAMPLE OF A WASH’Nu
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5. IMPLEMENTATION AND MONITORING ho
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6. EVALUATION Examples of WASH’Nu
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WASH’Nutrition A practical guideb
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WASH’ Nutrition

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