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Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review
Undernutrition is more prevalent among children living in unsanitary environments with inadequate water, sanitation and hygiene (WASH). Despite good evidence for the effect of WASH on multiple infectious diseases, evidence for the effect of WASH interventions on childhood undernutrition is less well...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710129/ https://www.ncbi.nlm.nih.gov/pubmed/34612592 http://dx.doi.org/10.1111/mcn.13257 |
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author | Patlán‐Hernández, Alan R. Stobaugh, Heather C. Cumming, Oliver Angioletti, Andrea Pantchova, Danka Lapègue, Jean Stern, Stéphanie N'Diaye, Dieynaba S. |
author_facet | Patlán‐Hernández, Alan R. Stobaugh, Heather C. Cumming, Oliver Angioletti, Andrea Pantchova, Danka Lapègue, Jean Stern, Stéphanie N'Diaye, Dieynaba S. |
author_sort | Patlán‐Hernández, Alan R. |
collection | PubMed |
description | Undernutrition is more prevalent among children living in unsanitary environments with inadequate water, sanitation and hygiene (WASH). Despite good evidence for the effect of WASH on multiple infectious diseases, evidence for the effect of WASH interventions on childhood undernutrition is less well established, particularly for acute malnutrition. To assess the effectiveness of WASH interventions in preventing and treating acute childhood malnutrition, we performed electronic searches to identify relevant studies published between 1 January 2000 and 13 May 2019. We included studies assessing the effect of WASH on prevention and treatment of acute malnutrition in children under 5 years of age. Data were extracted by two independent reviewers. We included 26 articles of 599 identified references with a total of 43,083 participants. Twenty‐five studies reported on the effect of WASH on prevention, and two studies reported its effect on treatment of acute malnutrition. Current evidence does not show consistent associations of WASH conditions and interventions with prevention of acute malnutrition or with the improvement of its treatment outcomes. Only two high‐quality randomized controlled trials (RCTs) demonstrated that improved water quality during severe acute malnutrition treatment improved recovery outcomes but did not prevent relapse. Many of the interventions consisted of a package of WASH services, making impossible to attribute the effect to one specific component. This highlights the need for high‐quality, rigorous intervention studies assessing the effects of WASH interventions specifically designed to prevent acute malnutrition or improve its treatment. |
format | Online Article Text |
id | pubmed-8710129 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87101292022-01-04 Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review Patlán‐Hernández, Alan R. Stobaugh, Heather C. Cumming, Oliver Angioletti, Andrea Pantchova, Danka Lapègue, Jean Stern, Stéphanie N'Diaye, Dieynaba S. Matern Child Nutr Review Articles Undernutrition is more prevalent among children living in unsanitary environments with inadequate water, sanitation and hygiene (WASH). Despite good evidence for the effect of WASH on multiple infectious diseases, evidence for the effect of WASH interventions on childhood undernutrition is less well established, particularly for acute malnutrition. To assess the effectiveness of WASH interventions in preventing and treating acute childhood malnutrition, we performed electronic searches to identify relevant studies published between 1 January 2000 and 13 May 2019. We included studies assessing the effect of WASH on prevention and treatment of acute malnutrition in children under 5 years of age. Data were extracted by two independent reviewers. We included 26 articles of 599 identified references with a total of 43,083 participants. Twenty‐five studies reported on the effect of WASH on prevention, and two studies reported its effect on treatment of acute malnutrition. Current evidence does not show consistent associations of WASH conditions and interventions with prevention of acute malnutrition or with the improvement of its treatment outcomes. Only two high‐quality randomized controlled trials (RCTs) demonstrated that improved water quality during severe acute malnutrition treatment improved recovery outcomes but did not prevent relapse. Many of the interventions consisted of a package of WASH services, making impossible to attribute the effect to one specific component. This highlights the need for high‐quality, rigorous intervention studies assessing the effects of WASH interventions specifically designed to prevent acute malnutrition or improve its treatment. John Wiley and Sons Inc. 2021-10-06 /pmc/articles/PMC8710129/ /pubmed/34612592 http://dx.doi.org/10.1111/mcn.13257 Text en © 2021 Action Contre la Faim. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Review Articles Patlán‐Hernández, Alan R. Stobaugh, Heather C. Cumming, Oliver Angioletti, Andrea Pantchova, Danka Lapègue, Jean Stern, Stéphanie N'Diaye, Dieynaba S. Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title | Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title_full | Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title_fullStr | Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title_full_unstemmed | Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title_short | Water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: A systematic review |
title_sort | water, sanitation and hygiene interventions and the prevention and treatment of childhood acute malnutrition: a systematic review |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8710129/ https://www.ncbi.nlm.nih.gov/pubmed/34612592 http://dx.doi.org/10.1111/mcn.13257 |
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