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  1. 1

    WASH’Nutrition: A practical guidebook on increasing nutritional impact through integration of WASH and nutrition programmes for practitioners in humanitarian and developent contexts.

    Dodos J

    Paris, France, Action Contre la Faim [ACF], 2017. 156 p.

    Undernutrition is a multi-sectoral problem with multi-sectoral solutions. By applying integrated approaches, the impact, coherence and efficiency of the action can be improved. This operational guidebook demonstrates the importance of both supplementing nutrition programmes with WASH activities and adapting WASH interventions to include nutritional considerations i.e. making them more nutrition-sensitive and impactful on nutrition. It has been developed to provide practitioners with usable information and tools so that they can design and implement effective WASH and nutrition programmes. Apart from encouraging the design of new integrated projects, the guidebook provides support for reinforcing existing integrated interventions. It does not provide a standard approach or strict recommendations, but rather ideas, examples and practical tools on how to achieve nutrition and health gains with improved WASH. Integrating WASH and nutrition interventions will always have to be adapted to specific conditions, opportunities and constrains in each context. The guidebook primarily addresses field practitioners, WASH and Nutrition programme managers working in humanitarian and development contexts, and responds to the need for more practical guidance on WASH and nutrition integration at the field level. It can also be used as a practical tool for donors and institutions (such as ministries of health) to prioritise strategic activities and funding options. (Excerpt)
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  2. 2
    Peer Reviewed

    IAP Guidelines 2006 on hospital based management of severely malnourished children (adapted from the WHO guidelines).

    Bhatnagar S; Lodha R; Choudhury P; Sachdev HP; Shah N

    Indian Pediatrics. 2007 Jun 17; 44(6):443-461.

    Malnutrition in children is widely prevalent in India. It is estimated that 57 million children are underweight (moderate and severe). More than 50% of deaths in 0-4 years are associated with malnutrition. The median case fatality rate is approximately 23.5% in severe malnutrition, reaching 50% in edematous malnutrition. There is a need for standardized protocol-based management to improve the outcome of severely malnourished children. In 2006, Indian Academy of Pediatrics undertook the task of developing guidelines for the management of severely malnourished children based on adaptation from the WHO guidelines. We summarize below the revised consensus recommendations (and wherever relevant the rationale) of the group. (excerpt)
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  3. 3

    Turning the tide of malnutrition. Responding to the challenge of the 21st century.

    World Health Organization [WHO]. Department of Nutrition for Health and Development

    Geneva, Switzerland, WHO, Department of Nutrition for Health and Development, 2000. [24] p. (WHO/NHD/00.7)

    Let us begin with an unequivocal assertion: proper nutrition and health are fundamental human rights. What does this mean? What are the primary links between nutrition and health seen from a human-rights perspective? Firstly, nutrition is a cornerstone that affects and defines the health of all people, rich and poor. It paves the way for us to grow, develop, work, play, resist infection and aspire to realization of our fullest potential as individuals and societies. Conversely, malnutrition makes us all more vulnerable to disease and premature death. Secondly, poverty is a major cause and consequence of ill-health worldwide. Poverty, hunger and malnutrition stalk one another in a vicious circle, compromising health and wreaking havoc on the socioeconomic development of whole countries, entire continents. Nearly 30% of humanity, especially those in developing countries – infants, children, adolescents, adults, and older persons – bear this triple burden. This is a travesty of justice, an abrogation of the most basic human rights. Thirdly, a strong human rights approach is needed to bring on board the millions of people left behind in the 20th century’s health revolution. We must ensure that our values and our vision are anchored in human rights law – only then can they become reality for all people. Ultimately, health and sustainable human development are equity issues. In our globalized 21st century, equity must begin at the bottom, hand in hand with healthy nutrition. Putting first things first, we must also realize that resources allocated to preventing and eliminating disease will be effective only if the underlying causes of malnutrition – and their consequences – are successfully addressed. This is the “gold standard”: nutrition, health and human rights. It makes for both good science and good sense, economically and ethically. Joined in partnership, we have the means to achieve it. (excerpt)
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  4. 4

    Training in the management of severe malnutrition.

    World Health Organization [WHO]. Department of Nutrition for Health and Development

    Geneva, Switzerland, WHO, Department of Nutrition for Health and Development, 2003. [2] p.

    Malnutrition contributes to an estimated 60% of deaths in under-five children. Typically, the median case fatality rate for severe malnutrition ranges from 30–50%. This has remained unchanged in most settings for the past five decades. However, it is possible to reduce mortality rates substantially by modifying treatment to take account of the physiological and metabolic changes that occur in cases of severe malnutrition. Case fatality rates have decreased to below 5% in treatment centres applying an appropriate management scheme recommended in WHO guidelines. (excerpt)
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