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A growing body of evidence indicates that access to safe drinking-water, sanitation, and hygiene has an important positive impacton nutrition. People who suffer from food and nutrition insecurity are often the same who lack access to water, sanitation and hygiene, leaving them in extremely vulnerable situations and reducing their chances of living healthy and productive lives. One example is the link between open defecation and stunting. Diarrhoea accounts for 9 per cent of the deaths of children under 5 years old each year and is essentially a faecal-oral disease, where germs are ingested due to contact with infected faeces. Where rates of toilet or latrines use are low, rates of diarrhoea tend to be high. Multiple episodes of diarrhoea permanently alter the gut and prevent the absorption of essential nutrients, increasing the risk of not only stunting or death, but of long-term consequences on cognitive and social abilities, school performance and work productivity in adulthood.

To deliver not only SDG6, but SDG2 –End hunger, achieve food security and improved nutrition and promote sustainable agriculture– the two fields need to use sustainable and integrated ways of working.

SWA and the Scaling Up Nutrition (SUN) Movement have joined efforts to support governments and their partners to develop policies and programmes that integrate the two sectors within national policies and plans. Nutrition policies and plans should include specific objectives and interventions of water, sanitation and hygiene. Likewise, inclusion of the right nutrition priorities and incentives in water, sanitation and hygiene policies will foster and support multiplication of nutrition initiatives. Many countries, such as Cambodia, Ethiopia, Madagascar, Nepal are already making progress on this front.

Other joint areas of engagement between SWA and SUN include joint advocacy (see for instance the joint event at the UN General Assembly); exchange of good practices; and research and learning.

This partnership of partnerships between SWA and SUN soon expanded to other like-minded multi-stakeholders organizations in other sectors. This was how the Partnership Playbook was born-aset of ten principles developed by five partnerships - Every Woman Every Child, the SUN Movement, Zero Hunger Challenge, Global Partnership for Education and SWA-which embody the spirit of working in partnership and ensuring that no one is left behind. The Playbook’sprinciples are inspired by the SWA Guiding Principles.

Malnutrition underlies 45 per cent of deaths in children under 5 years of age.

Diarrhoeal disease is the second leading cause of death in children under five years old. It is both preventable and treatable, killing around 525 000 children under five each year.

The first 1,000 days of a child’s life are critical in foetal and child development because children are especially vulnerable to the adverse and chronic effects of intestinal diseases brought on in part by poor water and sanitation.

When children are undernourished, they have lowered resistance to infection and are more likely to die from diarrheal diseases and respiratory infections.

Most cases of child diarrhoeacan be traced back to unsafe drinking water, foods contaminated in the home, or faecal contamination from poultry and livestock.

Gerda Verburg

"Faisons de la Réunion des ministres du secteur 2019 de SWA l’espace de discussion où les secteurs de l’EAH et de la nutrition unissent leurs forces et leurs financements pour transformer l’avenir, afin que chaque enfant, chaque femme et chaque homme ne se contente plus de survivre, mais s’épanouisse!"

Coordinatrice du Mouvement SUN (Renforcement de la nutrition) et Sous-Secrétaire générale
H.E. Lilianne Ploumen

"Nous devons passer à la vitesse supérieure si nous souhaitons atteindre les objectifs du Programme 2030. Il nous faut pour nous affranchir des frontières qui nous séparent traditionnellement pour une véritable collaboration intersectorielle. Cette nouvelle Initiative de partenariat mondial et son Manuel des partenariats nous apportent les engagements et les orientations dont nous avons besoin pour renforcer les partenariats multipartites et garantir le respect des priorités nationales. Le partage de principes qui encouragent le respect mutuel, la transparence et la redevabilité peut nous permettre de créer de meilleurs partenariats pour obtenir des résultats."

Co-présidente du GPEDC et Ministre du commerce extérieur et de la coopération pour le développement des Pays-Bas
Christine Kintu

"Lorsque nous travaillons sur un sujet, nous devons identifier les personnes qui travaillent dans ce même domaine et œuvrer pour atteindre des objectifs partagés."

Secrétaire permanente, Bureau du Premier ministre, Ouganda
David Nabarro

"Le partenariat, en tant que méthode de travail et moyen de mise en œuvre, occupe une place centrale dans ce programme."

Conseiller spécial du Secrétaire général de l’ONU pour le Programme de développement durable à l’horizon 2030 et le climat