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Integrating WASH, nutrition and health programmes to tackle malnutrition in Eastern Chad

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conference contribution
posted on 2018-02-12, 15:10 authored by Anne-Laure Bauby
While more and more research is conducted to assess the impact of WASH related interventions on the health and nutritional status of under-five children, Concern Worldwide is implementing an integrated programme aiming at reducing malnutrition rates in Eastern Chad. This intervention, Community Resilience to Acute Malnutrition (CRAM), involves a high level of coordination between different sectors including WASH, Health and Nutrition, Livelihoods and Disaster Risk Reduction. The present article analyses the preliminary results of this programme. It assesses the impact of the WASH intervention on the prevalence of diarrhoea and on Severe Acute Malnutrition (SAM) and Global Acute Malnutrition (GAM)rates. Although the GAM rate rose from 12.9% to 13.9%, the SAM rate decreased from 3% to 2.5% and the number of cases of diarrhoea was significantly reduced during the rainy season in 2014.This paper shows that while more research is needed, the preliminary results are encouraging.



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  • Water, Engineering and Development Centre (WEDC)

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WEDC Conference


BAUBY, A.L., 2015. Integrating WASH, nutrition and health programmes to tackle malnutrition in Eastern Chad. IN: Shaw, R.J. (ed). Water, sanitation and hygiene services beyond 2015 - Improving access and sustainability: Proceedings of the 38th WEDC International Conference, Loughborough, UK, 27-31 July 2015, 6pp.


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This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

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