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WASH: A Strategy to Advance MNCH

WASH: A STRATEGY TO ADVANCE MNCH WHY WATER, SANITATION, AND HYGIENE ARE INTEGRAL TO MATERNAL, NEWBORN, AND CHILD HEEALTH ACCESS TO WASH THROUGHOUT A GIRL'S LIFE QUICK FACTS YIELDS POSITIVE IMPACTS FOR GENERATIONS 1,500,000 INFANT MORTALITY RATES ARE REDUCED 7X IN COUNTRIES FIRST WITH ACCESS TO IMPROVED SANITATION. CHILDREN DIE EVERY YEAR FROM WATER RELATED DISEASES FIVE YEARS CHILD HANDWASHING DURING THE FIRST 30 MONTHS 20KG/44LBS OF AGE RESULTS IN SIGNIFICANT GAINS IN GLOBAL DEVELOPMENTAL THE WEIGHT OF WATER CONTAINERS QUOTIENTS SUCH AS HEIGHT, WEIGHT, AND SOCIAL SKILLS. CARRIED BY GIRLS/WOMEN ON HEADS,HIPS OR BACKS, FOR AN AVERAGE OF 6KM EACH DAY OVER 50% OF PRIMARY SCHOOLS IN DEVELOPING COUNTRIES LACK 5-7 YEARS EFFECTS FROM EARLY CHILDHOOD DIARRHEA DUE TO INADEQUATE WASH LAST AT LEAST 5 TO 7 YEARS, HINDERING SCHOOL PRIMARY ADEQUATE WATER FACILITIES. EDUCATION READINESS AND SCHOOL PERFORMANCE DUE OVER 40% OF DIARRHEAL CASES IN SCHOOL CHILDREN TO IMPAIRED COGNITIVE FUNCTION RESULT FROM TRANSMISSION AT SCHOOL, NO AT НОМЕ. 50 – 95% OF GIRLS MISS UP TO FOUR DAYS OF SCHOOL PER MONTH BECAUSE OF MENSES. 39% ACCESS TO WASH CAN REDUCE CASES OF: REPORTED REDUCED PERFORMANCE. SECONDARY DIARRHEA AS DIARRHOEA CAUSES UNDERNUTRITION, IT CREATES A VICIOUS CIRCLE BY ALSO REDUCING A A 15 MINUTE REDUCTION TIME IN WATER NEGLECTED TROPICAL DISEASES CHILD’S RESISTANCE TO SUBSEQUENT INFECTION EDUCATION ELIMINATION OF RISKY BEHAVIORS RELATED TO FECES MANAGEMENT, INCLUDING CHILD FECES DISPOSAL, CAN RESULT IN A 35% REDUCTION IN HELMINTH INFESTATION, AND USE OF TUBE WELL WATER IN A 48% COLLECTION CAN INCREASE THE PROPORTION REDUCTION 8-12% TROPICAL ENTEROPATHY INFECTION AND ENTEROPATHY DRIVE A VICIOUS CYCLE THAT CAN PROPAGATE SEVERE ACUTE MALNUTRITION, WHICH UNDERLIES ALMOST HALF OF UNDER-5 CHILD DEATHS OF GIRLS ATTENDING SCHOOL BY THE INTERACTING EFFECTS ANEMIA ARSENIC CONTAMINATION IN DRINKING WATER AFFECTS MORE THAN 130 MILLION PEOPLE WORLDWIDE AND IS LINKED TO ANEMIA, PUTTING PREGNANT WOMEN AT GREATER RISK FOR HEMORRHAGE. MALARIA 44% REDUCTION IN RISKS OF BETTER MANAGEMENT OF WATER RESOURCES REDUCES TRANSMISSION OF MALARIA, WHICH ACCOUNTS FOR 1.2 MILLION DEATHS EACH YEAR, 90% OF WHOM ARE CHILDREN UNDER 5. CHILD DEATHS IF MOTHERS WASH THEIR HANDS WITH SOÁP PRIOR TO HANDLING THEIR NEWBORN CHILDREN МОTHERS PROJECTS INVOLVING WOMEN ARE MORE LIKELY AND FAMILIES TO POSITIVELY INFLUENCE THE HEALTH & HYGIENE OF THE NEXT GENERATION EACH 10% INCREASE IN FEMALE LITERACY CAN INCREASE A COUNTRY'S ECONOMY BY 0.3%. WOMEN WHO ATTEND SCHOOL ARE ALSO LESS LIKELY TO DIE DURING CHILDBIRTH. Cost-Effectiveness of WASH Taking Action: Integrating WASH and MNCH EVERY $1 SPENT ON WATER AND SANITATION YIELDS 4X Integrate WASH policies into national MNCH strategies. Join coalitions such as the Partnership for Newborn & Maternal Health, which includes full WASH integration into MNCH. $4 IN INCREASED PRODUCTIVITY AND DECREASED HEALTH CARE COSTS. HYGIENE AND SANITATION PROMOTION ARE AMONG THE MOST COST-EFFECTIVE HEALTH INTERVENTIONS AT $5 - $10 PER DALY AVERTED. 2$ Link vaccine delivery programs and other primary health care initiatives with WASH promotion and implementation. GDP GROWTH OF POOR COUNTRIES WITHOUT SIGNIFICANT ACCESS TO WASH 0.1% Include WASH-related indicators in monitoring and evaluation. Research shows that ongoing presence reduces likelihood of recurrence of NTDS. VS GDP GROWTH OF POOR COUNTRIES WITH 3.7% Leverage WASH to achieve increased gains in MNCH mortality and morbidity. SIGNIFICANT ACCESS TO WASH WASH water sanitation hygiene ĀDVOCATES for everyone SOURCES CHENG, J.J. ET AL., 2012. AN ECOLOGCAL QUANTIFICATION OF THE RELATIONSPS aTWEEN WATER, SANITATION AND INFANT, CHILD, AND MATERNAL MORTALIrY. EnviRONMENTAL HEALTH, 11 (4). RETRIEVED FROM wTTe:www.EJOURNALNETICONTENT/11/14AasTRACT GUERRANT, RL. E AL. EARLY CLDHOOD DARREA PRIDICTS PARED SCHOOL PERFORMANCE. THE PrDIATRIc INFECTOUS DiSEASE JOURNAL. 2006; 26(6): 613-20. RETREVED FROM HTIPwww.NCaLNLM.covPuSMEol16732149 DewEY, K& BROWN, H. (2003). UPOATE ON TECHNICAL ISSUES CONCERiNG COMPLEMENTARY FEEONG OF YOUNG CHLDREN IN DEVELOPNG COUNTRIES AND LICATIONS FOR NTERVENTION PROGRANS. Fooo NUTRITON BULLETN. 241):5-28. RITRIEVED FROM HTTPMaww.NCBNLNOovruED/12664626 PRENDERGAST, A. & KEuY, P. (2012), ENTEROPATHES N THE DEVELOPNO WORLD: NEGLECTED ErrCTs ON GLOBAL HEAL TH, AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGENE, 86 (5):756-763. RETREVED FROME HTTPMwww.NCBNNOowruMED/225s6071/ THNO DSTANCE AFFCT CHLO HEALTHN SU-SAHARAN AFRICA. ENakoN Sa TECHNO 2012 Fee 21:46(4):2391-7. BAARETO ET AL. (2010). IPACT OF A CITYWDE SANTATION PROGRAM N NORTHEAST BRAZL ON INTESTINAL PARASITES INECTION IN YOUNG CHILDREN. ENVIRON HEALTH PURSPECT. 118(11): 1637-1642 RireVED FROM HTTwww.NCNLMNH.GoviruclaRTICLES/PMC2974706 AUTHORS: JENNIFER Platt, DRPH | JPLATT@WASHADVOCATES.ORG REBECCA FISHMAN | RFISHMAN@WASHADVOCATES.ORG Sroapr, K. SMET. L AND HERsCHDERrts, K (2012) GETNG T CHT : MPROVNG MATERNAL EALTH THROUH WATER, SANITATION & roENE. HAARLEM, NETHERLANDS RETRIEVED FROM: HTTPww.SALMASSETS/UPLOADS/SMAVI-PUBLICATIE GETING-IT-Roto GONTHER, L.& FNs, G. (2010). WATER, SANITADON AND CDREN's HEALT EVDENCE TROM 172 DHS SURVEYS. THE WORLD BANK Grour, WasHNonoN, 0.C. RETREVO OwL FROM KTNANTATIONUPOATES PLES OROPRESS.com/2010/05/wokDANK-os2010 ror Rr, V. ET AL. (2009). lurACT oF MATERNAL AND Ban ATTENDANT HAND-RASNG ON NEONATAL MORTALITY IN SOUTHERN NEPAL ARC PeDur AboLes Meo. 162(7): 603-608.Reneveo RoM HTIrwww.NCLNLKooveclancLE/PMC2587156/ LUBY, S. AL (2004) Tis EFFECT OF HANOWASING ON CHILD HEAL TH: A RANDOSED CONTROLLD TRAL THE LANCET, 386/9481): 225s-33. RETREVED FROM Twww.NCBLALM.Nr.covrcoMto/16023613 //// / / //// // DESIGN BY: BEN MANN | BENJAMIN.H.MANN@GMAIL.COM TO LEARN MORE ABOUT THE BENEFITS OF INTEGRATED WASH PROGRAMS: VISIT OUR WEBSITE AT Www.WASHADVOCATES.ORG This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivs 3.0 Unported License. BY NC ND WASH: A STRATEGY TO ADVANCE MNCH WHY WATER, SANITATION, AND HYGIENE ARE INTEGRAL TO MATERNAL, NEWBORN, AND CHILD HEEALTH ACCESS TO WASH THROUGHOUT A GIRL'S LIFE QUICK FACTS YIELDS POSITIVE IMPACTS FOR GENERATIONS 1,500,000 INFANT MORTALITY RATES ARE REDUCED 7X IN COUNTRIES FIRST WITH ACCESS TO IMPROVED SANITATION. CHILDREN DIE EVERY YEAR FROM WATER RELATED DISEASES FIVE YEARS CHILD HANDWASHING DURING THE FIRST 30 MONTHS 20KG/44LBS OF AGE RESULTS IN SIGNIFICANT GAINS IN GLOBAL DEVELOPMENTAL THE WEIGHT OF WATER CONTAINERS QUOTIENTS SUCH AS HEIGHT, WEIGHT, AND SOCIAL SKILLS. CARRIED BY GIRLS/WOMEN ON HEADS,HIPS OR BACKS, FOR AN AVERAGE OF 6KM EACH DAY OVER 50% OF PRIMARY SCHOOLS IN DEVELOPING COUNTRIES LACK 5-7 YEARS EFFECTS FROM EARLY CHILDHOOD DIARRHEA DUE TO INADEQUATE WASH LAST AT LEAST 5 TO 7 YEARS, HINDERING SCHOOL PRIMARY ADEQUATE WATER FACILITIES. EDUCATION READINESS AND SCHOOL PERFORMANCE DUE OVER 40% OF DIARRHEAL CASES IN SCHOOL CHILDREN TO IMPAIRED COGNITIVE FUNCTION RESULT FROM TRANSMISSION AT SCHOOL, NO AT НОМЕ. 50 – 95% OF GIRLS MISS UP TO FOUR DAYS OF SCHOOL PER MONTH BECAUSE OF MENSES. 39% ACCESS TO WASH CAN REDUCE CASES OF: REPORTED REDUCED PERFORMANCE. SECONDARY DIARRHEA AS DIARRHOEA CAUSES UNDERNUTRITION, IT CREATES A VICIOUS CIRCLE BY ALSO REDUCING A A 15 MINUTE REDUCTION TIME IN WATER NEGLECTED TROPICAL DISEASES CHILD’S RESISTANCE TO SUBSEQUENT INFECTION EDUCATION ELIMINATION OF RISKY BEHAVIORS RELATED TO FECES MANAGEMENT, INCLUDING CHILD FECES DISPOSAL, CAN RESULT IN A 35% REDUCTION IN HELMINTH INFESTATION, AND USE OF TUBE WELL WATER IN A 48% COLLECTION CAN INCREASE THE PROPORTION REDUCTION 8-12% TROPICAL ENTEROPATHY INFECTION AND ENTEROPATHY DRIVE A VICIOUS CYCLE THAT CAN PROPAGATE SEVERE ACUTE MALNUTRITION, WHICH UNDERLIES ALMOST HALF OF UNDER-5 CHILD DEATHS OF GIRLS ATTENDING SCHOOL BY THE INTERACTING EFFECTS ANEMIA ARSENIC CONTAMINATION IN DRINKING WATER AFFECTS MORE THAN 130 MILLION PEOPLE WORLDWIDE AND IS LINKED TO ANEMIA, PUTTING PREGNANT WOMEN AT GREATER RISK FOR HEMORRHAGE. MALARIA 44% REDUCTION IN RISKS OF BETTER MANAGEMENT OF WATER RESOURCES REDUCES TRANSMISSION OF MALARIA, WHICH ACCOUNTS FOR 1.2 MILLION DEATHS EACH YEAR, 90% OF WHOM ARE CHILDREN UNDER 5. CHILD DEATHS IF MOTHERS WASH THEIR HANDS WITH SOÁP PRIOR TO HANDLING THEIR NEWBORN CHILDREN МОTHERS PROJECTS INVOLVING WOMEN ARE MORE LIKELY AND FAMILIES TO POSITIVELY INFLUENCE THE HEALTH & HYGIENE OF THE NEXT GENERATION EACH 10% INCREASE IN FEMALE LITERACY CAN INCREASE A COUNTRY'S ECONOMY BY 0.3%. WOMEN WHO ATTEND SCHOOL ARE ALSO LESS LIKELY TO DIE DURING CHILDBIRTH. Cost-Effectiveness of WASH Taking Action: Integrating WASH and MNCH EVERY $1 SPENT ON WATER AND SANITATION YIELDS 4X Integrate WASH policies into national MNCH strategies. Join coalitions such as the Partnership for Newborn & Maternal Health, which includes full WASH integration into MNCH. $4 IN INCREASED PRODUCTIVITY AND DECREASED HEALTH CARE COSTS. HYGIENE AND SANITATION PROMOTION ARE AMONG THE MOST COST-EFFECTIVE HEALTH INTERVENTIONS AT $5 - $10 PER DALY AVERTED. 2$ Link vaccine delivery programs and other primary health care initiatives with WASH promotion and implementation. GDP GROWTH OF POOR COUNTRIES WITHOUT SIGNIFICANT ACCESS TO WASH 0.1% Include WASH-related indicators in monitoring and evaluation. Research shows that ongoing presence reduces likelihood of recurrence of NTDS. VS GDP GROWTH OF POOR COUNTRIES WITH 3.7% Leverage WASH to achieve increased gains in MNCH mortality and morbidity. SIGNIFICANT ACCESS TO WASH WASH water sanitation hygiene ĀDVOCATES for everyone SOURCES CHENG, J.J. ET AL., 2012. AN ECOLOGCAL QUANTIFICATION OF THE RELATIONSPS aTWEEN WATER, SANITATION AND INFANT, CHILD, AND MATERNAL MORTALIrY. EnviRONMENTAL HEALTH, 11 (4). RETRIEVED FROM wTTe:www.EJOURNALNETICONTENT/11/14AasTRACT GUERRANT, RL. E AL. EARLY CLDHOOD DARREA PRIDICTS PARED SCHOOL PERFORMANCE. THE PrDIATRIc INFECTOUS DiSEASE JOURNAL. 2006; 26(6): 613-20. RETREVED FROM HTIPwww.NCaLNLM.covPuSMEol16732149 DewEY, K& BROWN, H. (2003). UPOATE ON TECHNICAL ISSUES CONCERiNG COMPLEMENTARY FEEONG OF YOUNG CHLDREN IN DEVELOPNG COUNTRIES AND LICATIONS FOR NTERVENTION PROGRANS. Fooo NUTRITON BULLETN. 241):5-28. RITRIEVED FROM HTTPMaww.NCBNLNOovruED/12664626 PRENDERGAST, A. & KEuY, P. (2012), ENTEROPATHES N THE DEVELOPNO WORLD: NEGLECTED ErrCTs ON GLOBAL HEAL TH, AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGENE, 86 (5):756-763. RETREVED FROME HTTPMwww.NCBNNOowruMED/225s6071/ THNO DSTANCE AFFCT CHLO HEALTHN SU-SAHARAN AFRICA. ENakoN Sa TECHNO 2012 Fee 21:46(4):2391-7. BAARETO ET AL. (2010). IPACT OF A CITYWDE SANTATION PROGRAM N NORTHEAST BRAZL ON INTESTINAL PARASITES INECTION IN YOUNG CHILDREN. ENVIRON HEALTH PURSPECT. 118(11): 1637-1642 RireVED FROM HTTwww.NCNLMNH.GoviruclaRTICLES/PMC2974706 AUTHORS: JENNIFER Platt, DRPH | JPLATT@WASHADVOCATES.ORG REBECCA FISHMAN | RFISHMAN@WASHADVOCATES.ORG Sroapr, K. SMET. L AND HERsCHDERrts, K (2012) GETNG T CHT : MPROVNG MATERNAL EALTH THROUH WATER, SANITATION & roENE. HAARLEM, NETHERLANDS RETRIEVED FROM: HTTPww.SALMASSETS/UPLOADS/SMAVI-PUBLICATIE GETING-IT-Roto GONTHER, L.& FNs, G. (2010). WATER, SANITADON AND CDREN's HEALT EVDENCE TROM 172 DHS SURVEYS. THE WORLD BANK Grour, WasHNonoN, 0.C. RETREVO OwL FROM KTNANTATIONUPOATES PLES OROPRESS.com/2010/05/wokDANK-os2010 ror Rr, V. ET AL. (2009). lurACT oF MATERNAL AND Ban ATTENDANT HAND-RASNG ON NEONATAL MORTALITY IN SOUTHERN NEPAL ARC PeDur AboLes Meo. 162(7): 603-608.Reneveo RoM HTIrwww.NCLNLKooveclancLE/PMC2587156/ LUBY, S. AL (2004) Tis EFFECT OF HANOWASING ON CHILD HEAL TH: A RANDOSED CONTROLLD TRAL THE LANCET, 386/9481): 225s-33. RETREVED FROM Twww.NCBLALM.Nr.covrcoMto/16023613 //// / / //// // DESIGN BY: BEN MANN | BENJAMIN.H.MANN@GMAIL.COM TO LEARN MORE ABOUT THE BENEFITS OF INTEGRATED WASH PROGRAMS: VISIT OUR WEBSITE AT Www.WASHADVOCATES.ORG This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivs 3.0 Unported License. BY NC ND

WASH: A Strategy to Advance MNCH

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Why water, sanitation, and hygiene are integral to maternal, new born, and child health.

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