Photo: Cornell University
A trial is underway in Zimbabwe to measure the independent and combined effects of improved sanitation and hygiene (WASH) and improved infant diet on stunting and anemia among children 0-18 months old [Cornell University CENTIR Group blog].
The Sanitation, Hygiene and Infant Nutrition Efficacy (SHINE) Trial is led by the Zvitambo Institute for Maternal and Child Health Research in Harare, Zimbabwe in collaboration with the Ministry of Health and Child Care/Government of Zimbabwe. Other contracted experts include Sandy Cairncross, Val Curtis and Peter Morgan.
The SHINE Trial is being undertaken in Chirumanzu and Shurugw, two districts with high HIV prevalence. Besides investigating the effects of sanitation and nutrition, SHINE will also test whether Environmental Enteric Dysfunction (EED)is a major cause of a major cause of child undernutrition. EED, also called environmental enteropathy, is a condition believed to be due to frequent intestinal infections.
SHINE is being being funded by the Bill & Melinda Gates Foundation and the UK Department for International Development (DFID). There are additional contributions from Wellcome Trust, National Institutes of Health, and the Swiss Development Cooperation.
A special open access supplement of Clinical Infectious Diseases is devoted to SHINE containing the following articles:
- The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team, doi:10.1093/cid/civ844
- Design of an Intervention to Minimize Ingestion of Fecal Microbes by Young Children in Rural Zimbabwe, doi:10.1093/cid/civ845
- The SHINE Trial Infant Feeding Intervention: Pilot Study of Effects on Maternal Learning and Infant Diet Quality in Rural Zimbabwe, doi:10.1093/cid/civ846
- Using Geographic Information Systems and Spatial Analysis Methods to Assess Household Water Access and Sanitation Coverage in the SHINE Trial, doi:10.1093/cid/civ847
- Assessment of Environmental Enteric Dysfunction in the SHINE Trial: Methods and Challenges, doi:10.1093/cid/civ848
- The Potential Role of Mycotoxins as a Contributor to Stunting in the SHINE Trial, doi:10.1093/cid/civ849
- Assessing the Intestinal Microbiota in the SHINE Trial, doi:10.1093/cid/civ850
- Assessing Maternal Capabilities in the SHINE Trial: Highlighting a Hidden Link in the Causal Pathway to Child Health, doi:10.1093/cid/civ851
- Theory-Driven Process Evaluation of the SHINE Trial Using a Program Impact Pathway Approach, doi:10.1093/cid/civ716
Posted in Africa, Research, Sanitation and Health
Tagged Bill & Melinda Gates Foundation, DFID, environmental enteropathy, Nutrition, Sanitation, Hygiene and Infant Nutrition Efficacy (SHINE) Trial, WASH nutrition integration, Zimbabwe, Zvitambo Institute for Maternal and Child Health Research
Pour Flush Toilet in Nepal. Photo Credit: Vidya Venkataramanan
Plan International supports Community-led Total Sanitation (CLTS) implementation in a number of districts in Nepal. In this learning brief, we review Plan International Nepal’s CLTS activities. We found government targets and definitions to be ambitious while decentralized planning allowed a focus on community-led processes. Plan International and other sanitation practitioners can support CLTS outcomes by providing post-triggering training and technical support to community volunteers, focusing on achieving gradual, yet sustained outcomes in program areas, and continuing to work with local governments to ensure that financing mechanisms for the poor are locally developed and equitable.
Link to learning brief: https://waterinstitute.unc.edu/files/2015/11/learning-series-nepal-learning-brief-2015-11.pdf
Citation: Community-led Total Sanitation in Nepal: Findings from an Implementation Case Study. Venkataramanan, Vidya, Alexandra Shannon, and Jennifer Bogle. 2015. Chapel Hill, USA: The Water Institute at UNC.
A new video from Plan International and the Water Institute at UNC offers a preview of five exciting lessons on sanitation policy and practice, based on findings from operational research on community-led total sanitation (CLTS). These lessons relate to CLTS planning at the national and local levels, its place in national sanitation systems, and the importance of involving local actors. In particular, government officials, teachers, and natural leaders can play important roles in improving access to basic sanitation, and their involvement can ensure sustainable outcomes over time.
In Madagascar’s capital Antananarivo (Tana), water bills include various surcharges designed to help finance water and sanitation. In recent years, Water & Sanitation for the Urban Poor (WSUP) has been working with local government and with the utility JIRAMA to optimise the use of these revenues to support water supply improvements in low-income communities. This brief describes how this interesting system works, and considers how it might be further developed.
Unilever’s health soap, Lifebuoy introduced ‘Chamki’, a compelling new film to raise awareness of the importance of handwashing with soap for new mums as part of Lifebuoy’s Help A Child Reach 5 handwashing programme.
This year, the campaign focuses on a child’s neonatal period (the first 28 days of life). It also coincides with the launch of a partnership with the Children’s Investment Fund Foundation (CIFF) to scale up Lifebuoy’s handwashing programmes in rural Bihar, India.
The newest Help a Child Reach 5 film was developed by Mullen Lowe Group and shot by the famous feature film director, Anand Gandhi. The film showcases the emotional journey of a real pregnant mother and her aspirations for her child.
It highlights the importance of doing something very simple, yet important during pregnancy and early in the child’s life: washing hands with soap.
Dear WASH colleagues,
I am a masters student at the George Washington University (in the U.S.). As part of my thesis, I am collaborating on research that aims to better understand the options for sanitation in flood-prone areas. The aims of the study are to identify best practices, barriers, and technical methods for the implementation of sanitation in flood-prone areas. If you have had experience working on sanitation in flood-prone areas, I would greatly appreciate you sharing your experiences. If you are willing, I invite you to participate in the following brief online survey: Survey on Sanitation in Flood Prone Areas
In addition to the online surveys, I will be conducting in-depth qualitative interviews with individuals who work on sanitation in flood-prone areas in Cambodia. If you have implemented a sanitation project in a flood-prone area in Cambodia, and you’re interested in being part of the study, please let me know and I will forward you the informed consent form to enroll you in the study. The interview should take less than 30 minutes and can be conducted over skype, Google hangout, or over the phone, at your convenience.
Finally, if you believe that you know of someone who would be suited for this study, please feel free to forward me his or her contact information. I appreciate your time and assistance, and please let me know if you have any questions or comments. I look forward to hearing from you!
Jason Lopez, MPH Candidate – Global Environmental Health
The George Washington University
+1 (202) 999-8226
Skype: jas.lop l LinkedIn
WASH 2016 Conference – Pathways to universal and sustained water, sanitation and hygiene, May 16-20, 2016, Brisbane, Australia.
- WASH conference 2016 – abstracts now open
The future of action on WASH (water, sanitation and hygiene) looks positive – with the post-2015 Sustainable Development Goals global agenda maintaining attention on the need for water, sanitation and hygiene for everyone, all the time. But the path to achieving this global agenda requires new ways of thinking.
How can all WASH actors – governments, private sectors and civil society – work together to ensure WASH, whether at community-scales or larger institutional-scales, to achieve not only sustained access for everyone, but also health, well-being, environmental and economic outcomes for societies?
This and many more questions will be explored at the WASH 2016 conference in Brisbane, Australia 16-20 May, 2016.
Abstracts (oral, poster and training program) are now accepted for the two-day conference and the three-day training program.
Abstracts are welcome in the following categories: