Teague Jordan, Johnston E Anna, P Graham Jay
George Washington University Milken Institute School of Public Health, 950 New Hampshire Ave NW, Suite 400, Washington DC, 20052, USA,
Int J Public Health. 2014 Dec;59(6):913-21. doi: 10.1007/s00038-014-0580-8. Epub 2014 Jul 11.
This study explores the integration of water, sanitation, and hygiene (WASH) and nutrition programming for improved child health outcomes and aims to identify barriers to and necessary steps for successful integration.
Sixteen semi-structured in-depth interviews were conducted with key stakeholders from both the WASH and nutrition sectors, exploring barriers to integration and potential steps to more effectively integrate programs.
Key barriers included insufficient and siloed funding, staff capacity and interest, knowledge of the two sectors, coordination, and limited evidence on the impact of integrated programs. To achieve more effective integration, respondents highlighted the need for more holistic strategies that consider both sectors, improved coordination, donor support and funding, a stronger evidence base for integration, and leadership at all levels.
Organizations desiring to integrate programs can use these results to prepare for challenges and to know what conditions are necessary for successfully integrated programs. Donors should encourage integration and fund operational research to improve the efficiency of integration efforts. Knowledge among sectors should be shared and incentives should be designed to facilitate better coordination, especially where both sectors are working toward common goals.
本研究探讨水、环境卫生与个人卫生（WASH）及营养规划的整合，以改善儿童健康状况，并旨在确定成功整合的障碍及必要步骤。
对来自WASH和营养领域的关键利益相关者进行了16次半结构化深度访谈，探讨整合的障碍以及更有效整合项目的潜在步骤。
主要障碍包括资金不足且分散、工作人员能力和兴趣、两个领域的知识、协调以及关于综合项目影响的证据有限。为实现更有效的整合，受访者强调需要采取更全面的战略，兼顾两个领域，加强协调、获得捐助方支持和资金，建立更有力的整合证据基础，以及各级的领导力。
希望整合项目的组织可以利用这些结果为挑战做好准备，并了解成功整合项目所需的条件。捐助方应鼓励整合并资助运营研究，以提高整合工作的效率。各领域之间应分享知识，并设计激励措施以促进更好的协调，特别是在两个领域都朝着共同目标努力的情况下。
