Tag Archives: environmental enteropathy

Will better sanitaton and nutrition reduce stunting?

Zimbabwe SHINE trial - Cornell University

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

WASH, Nutrition and Early Childhood Development: New Evidence in ECD and Findings from the Field

Presenters for this June 25, 2014 webinar:

  • Jenny Orgle, Program Director for the Nutrition at the Center Program at CARE USA, will talk about “Addressing Environmental Enteropathy in CARE’s Nutrition at the Center Program.”
  • Maureen Black, Ph.D., Professor, Department of Pediatrics, University of Maryland School of Medicine, will talk about “New Evidence Linking Nutrition and Early Child Development” and its connection to WASH.
  • Moderated by Helen Petach, USAID, Bureau for Global Health, Office of Health Infectious Diseases and Nutrition

Download/view the presentation slides

USAID Webinar on Environmental Enteropathy and WASH!

Thank you to all who attended the USAID Webinar on Environmental Enteropathy and WASH!

You can find a recording of the webinar and materials from our presenters, Laura Smith from Cornell University and Helen Petach from USAID, at www.fsnnetwork.orgusaid2

Are you interested in opportunities to continue the discussion on integrated programming opportunities for WASH, nutrition and food security? Then consider joining the Community of Practice: The Nexus between WASH, Nutrition and Feed the Future. Contact Dan Campbell (dacampbell@fhi360.org)

This event was sponsored by the USAID Community of Practice: The Nexus between WASH, Nutrition and Feed the Future with support from the USAID-funded TOPS program and WASHplus project.