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Small Intestine Bacterial Overgrowth and Environmental Enteropathy in Bangladeshi Children. mBio, Jan 2016
Authors: Jeffrey R. Donowitz, Rashidul Haque, et al.
Recent studies suggest small intestine bacterial overgrowth (SIBO) is common among developing world children. SIBO’s pathogenesis and effect in the developing world are unclear. Our objective was to determine the prevalence of SIBO in Bangladeshi children and its association with malnutrition. Secondary objectives included determination of SIBO’s association with sanitation, diarrheal disease, and environmental enteropathy.
The strongest predictors of SIBO were decreased length-for-age Z score since birth (odds ratio [OR], 0.13; 95% confidence interval [CI], 0.03 to 0.60) and an open sewer outside the home (OR, 4.78; 95% CI, 1.06 to 21.62). Recent or frequent diarrheal disease did not predict SIBO. The markers of intestinal inflammation fecal Reg 1β (116.8 versus 65.6 µg/ml; P = 0.02) and fecal calprotectin (1,834.6 versus 766.7 µg/g; P = 0.004) were elevated in SIBO-positive children. Measures of intestinal permeability and systemic inflammation did not differ between the groups.
These findings suggest linear growth faltering and poor sanitation are associated with SIBO independently of recent or frequent diarrheal disease. SIBO is associated with intestinal inflammation but not increased permeability or systemic inflammation.
Water, Sanitation, Hygiene, and Nutrition in Bangladesh” Can Building Toilets Affect Children’s Growth? 2015.
Authors: Iffat Mahmud and Nkosinathi Mbuya. World Bank.
We also examine the potential impact of improved water, sanitation, and hygiene (WASH) on undernutrition. This is the first report that undertakes a thorough review and discussion of WASH and nutrition in Bangladesh.
The report is meant to serve two purposes. First, it synthesizes the results/evidence evolving on the pathway of WASH and undernutrition for use by practitioners working in the nutrition and water and sanitation sectors to stimulate technical discussions and effective collaboration among stakeholders.
Second, this report serves as an advocacy tool, primarily for policy makers, to assist them in formulating a multisectoral approach to tackling the undernutrition problem.
In Bangladesh, the largest NGO in the world BRAC is working its way up to help the country to get proper sanitation. It has reached more than half of the population since the start 9 years ago. It is one of the world’s largest sanitation implementation programmes. IRC works with BRAC to make it happen. In this interview, IRC sanitation expert Ingeborg Krukkert tells her story about her work in Bangladesh. ”
Bangladesh is well on track to meet the Sustainable Development Goals in 2030,” says Ingeborg Krukkert in IRC’s headquarters in The Hague. “This is undeniably due to BRAC because it’s serving half of the country. Bangladesh is a good example for others on how to achieve so much in such a short time. It is proof that change is possible.”
IRC’s Sanitation and hygiene specialist for Asia, Ingeborg Krukkert, travels to Bangladesh every two months to work with BRAC. Working on hygiene promotion and behavior change, she complements BRAC’s groundbreaking programme with IRC’s monitoring system to measure and enhance the true impact in sanitation and hygiene. Continue reading
28 May is Menstrual Hygiene Day. In Bangladesh, BRAC field staff are working hard to “end the hesitation around menstruation” especially in schools.
Field staff of BRAC WASH in Bangladesh talk just as easily about menstrual hygiene as they do about water seals for toilets or hand pumps. At community level menstrual hygiene messages are included in the programme for adolescent girls and young women. Since 2006 about 45 million community cluster meetings have been organised.
In rural areas rags are used by women who cannot afford sanitary napkins. Field staff discuss menstrual hygiene with adolescent girls and young women, for example on how to wash rags with soap and dry them in the sun. They are also encouraged to speak up about menstrual hygiene says Abu Taleb Biswas of BRAC WASH in Hygiene Promotion – the backbone of BRAC WASH: “Women and adolescent girls learn to speak up about menstrual hygiene issues, something that was nearly unthinkable even a few years ago.”
How Bangladesh turns toilet waste into high-value compost – in pictures |Source: The Guardian, Feb 27 2015 |
Scientists in Bangladesh are working on ways to treat toilet waste in rural areas and use it to develop safe, nutritious compost for food crops. Led by the school of civil engineering at Leeds University, the Value at the End of the Sanitation Value-Chain (VESV) project aims to help reduce reliance on imported inorganic fertilisers and provide potential business opportunities for waste transporters and compost producers in a country where access to sanitation is now widespread but challenges of managing waste remain.
These bypass the problem of installing sewerage infrastructure in densely populated rural areas, but the challenge is what to do with the waste when the pits are full. If treated carefully, this waste could provide a local source of organic matter and plant nutrients such as nitrogen, potassium and phosphorus. All photographs by Neil Palmer/IWMI.