부산대학교 도서관

The Soutenir l’Exploitation Familiale pour Lancer l’Élevage des Volailles et Valoriser l’Économie Rurale (SELEVER) study is designed to evaluate the impact of an integrated agriculture-nutrition intervention package (including poultry value chain development; women’s empowerment activities; and a behavior change communications strategy to promote improved diets and feeding, care, and hygiene practices) on the diets, health, and nutritional status of women and children in Burkina Faso. The aim of the formative research was to assess the need for an intensive water, sanitation, and hygiene (WASH) and poultry-related hygiene component that could be rolled out alongside the SELEVER intervention in the context of the cluster randomized controlled trial. This paper is based on an observational mixed-methods study that included a literature review, pathways analysis, and primary and secondary data analysis. A theory-based framework was developed to map the different pathways linking WASH, animal husbandry practices, and child nutrition and development outcomes. This framework was used to critically review the literature on each of the pathways involved. Hygiene-related programmatic materials from the SELEVER intervention were also reviewed. Secondary data were analyzed on livestock rearing, WASH practices, and exposure to human and livestock feces. Primary research included data collection from three selected villages where SELEVER activities were being piloted, including direct observations of 20 caregiver-child pairs, in-depth interviews, and focus groups. The literature review suggested that WASH interventions have substantial potential for improving child nutrition, though the evidence on their effectiveness is far from definitive. The secondary data analysis confirmed that exposure to poultry and poultry feces is extremely widespread in Burkina Faso. Fully 80 percent of rural households owned poultry, and most poultry could roam freely throughout the compou