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The WASH Benefits Bangladesh, WASH Benefits Kenya, and SHINE Trials: A Summary of Their Findings

The document summarizes the findings of three cluster-randomized trials (WASH Benefits Bangladesh, WASH Benefits Kenya, and SHINE Zimbabwe) that assessed the independent and combined effects of improved water, sanitation/hygiene, and enhanced infant and child feeding on growth and anemia in children. The trials enrolled over 19,000 pregnant women and assessed outcomes in children up to 24 months of age. The infant and young child feeding (IYCF) interventions increased length-for-age Z-scores by 0.13-0.26, while the WASH interventions had no effect on linear growth across the three studies. The failure of the WASH interventions to improve growth is likely because the interventions did

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78 views

The WASH Benefits Bangladesh, WASH Benefits Kenya, and SHINE Trials: A Summary of Their Findings

The document summarizes the findings of three cluster-randomized trials (WASH Benefits Bangladesh, WASH Benefits Kenya, and SHINE Zimbabwe) that assessed the independent and combined effects of improved water, sanitation/hygiene, and enhanced infant and child feeding on growth and anemia in children. The trials enrolled over 19,000 pregnant women and assessed outcomes in children up to 24 months of age. The infant and young child feeding (IYCF) interventions increased length-for-age Z-scores by 0.13-0.26, while the WASH interventions had no effect on linear growth across the three studies. The failure of the WASH interventions to improve growth is likely because the interventions did

Uploaded by

cayla mae carlos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ARTICLE #5

The WASH Benefits Bangladesh, WASH Benefits Kenya,


and SHINE Trials: A Summary of Their Findings
Rachel Makasi and Jean H. Humphrey

WASH Benefits Bangladesh, WASH Benefits Kenya and Sanitation, Hygiene, Infant
Nutrition Efficacy – Zimbabwe's trials were cluster-randomized trials to assess the
independent and combined effects of improved water and sanitation / hygiene, and
enhanced infant and child feeding on linear growth and concentration of hemoglobin.
The WASH Benefits trials included 7 arms water chlorination, hygiene, soap
handwashing, these 3 joint measures – WASH, IYCF, WASH + IYCF, and a double-
sized control arm that was passive in Bangladesh and active in Kenya. The trials
together enrolled more than 19,000 pregnant women and assessed their babies at the
age of 18 months or 24 months. All trials included information about behavior change
based on existing behavior change theory models.

Interventions were implemented with high quality of execution and significant distinction
between WASH arms and non-WASH arms in all trials was observed in WASH facilities
and behaviours. Results from these trials showed that the IYCF intervention increased
the length-for-age Z score by 0.13–0.26 for all three trials. The WASH interventions
have had no effect on linear growth in all three studies. In all three trials, the
improvement in LAZ obtained by the IYCF intervention is consistent with a broad
literature showing that complementary feeding strategies raise the LAZ by 0.1 – 0.2 on
average.

The failure of the WASH interventions to enhance linear growth in all three studies is
possibly due to the fact that the interventions introduced in these studies did not
minimize exposure to environmental pathogens enough to minimize the faltering linear
growth.
One of the most important things you can do to help prevent and manage the spread of
many illnesses is to wash your hands properly. Good hand hygiene can reduce the risk
of transmission from person to person of issues like flu, food poisoning and related
infections in healthcare. ("Hand washing and hand hygiene | nidirect", n.d.)

Hand hygiene is one of the most important measures for preventing infections
acquired in hospitals. Not only do nurses wash their hands prevent them from
getting sick, it also reduces the risk of infecting others (Sarafis, 2013). Nurses are in
a significant role not only to improve patient care, but also to influence the actions of
workers and physicians to practice proper hand hygiene to prevent infections
associated with the healthcare.(Maxfield, 2011)

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