1. Geneva – WASH Advisors meeting March 2017
Nutrition and WASH -
Geneva – WASH Advisors meeting
March 2017

2. Outline Understanding Nutrition
Nutrition Emergencies and WASH interventions
WASH and nutrition impact

3. Malnutrition Root causes – UNICEF model

4. Nutrition and Infection Cycle

5. Malnutrition

6. Wasting – two types

7. Malnutrition – Acronym Jungle
MUAC – Mid Upper Arm circumference
SAM – Server Acute Malnutrition
MAM – Moderate Acute Malnutrition
GAM – Global Acute Malnutrition
GFD – Global Food Distribution
SFP – Supplementary Feeding Program
OTP – Outpatient therapeutic Feeding
SC – Stabilisation Center
RUTF – Ready to use Therapeutic food (plumpy nut)
SAM
MAM
GAM

8. Unprecedented food security needs in 2017 70 million people in 45 countries

9. Four countries are predicted to reach Famine status in 2017
Nigeria, South Sudan, Yemen, Somalia
Famine is more than just a title or a label, it has a particular set of criteria and thresholds that are met before being classified.
The last declared Famine was in Somalia in 2010,
people were estimated to have died. Current estimates indicate 2017 will be of a similar of greater magnitude in terms of food security indicators.
Famine is preventable with early action.

10. IPC classification for Area Based analysis

12. WASH in Drought Response
Human AND Animal water supply
Quantity is more important than quality
Community and health facilities
People on the move
Sanitation is still an issue
Floods often follow droughts

13. WASH Response Options Rehabilitation What about sustainability?
Trucking
How long?
Is Cash an alternative?
Household Water Treatment
Our ERUs and RDRT can handle this

14. WASH in Development
The Sustainable Development Goals (SDGs) encourage more cross-sector work within and between organisations, but many organisations face policy, funding, evidence and attitudinal barriers towards integration. Therefore, in order to get serious about achieving the SDGs and solving the complex health problems facing children under two around the world, a focused coalition addressing issues of integration during the first 1,000 days is essential.

15. Global Burden of Stunting

16. First 1000 days

17. E Coli numbers ingested by an active one year old baby per unit weight Ngure FM et al. AJTMH, 2013
1 gram of soil from a laundry= 69 E. coli counts
1 gram of water = 2 E. coli counts
1 gram of chicken faeces =10 million E. coli counts

18. Intestinal inflammatory response to constant fecal- oral contamination

20. Integrated programming for improved outcomes

21. Lots of new initiatives and guidelines
1000 days
Babywash coalition
ACF – Wash and Nutrition guideline
IFRC – Nutrition Matter
Can Water, sanitation and hygiene help eliminate stunting. Current evidence. Cumming and Cairncross

22. References
IFRC Drought in the Horn of Africa – Preventing the next disaster
IFRC – Don’t blame it on the rain.
HPN Good Practice Review Food Security
FEWS net
HPN Emergency Food Security Interventions
Technical Manual Version 2.0 IPC

23. Thank you
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This presentation was written and developed by Amanda McClelland and produced in Feb 2017.
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