GCRF Action against Stunting Hub

Lead Research Organisation: London Sch of Hygiene and Trop Medicine
Department Name: Public Health and Policy

Abstract

The global community aims to decrease the number of stunted children under five by 40% by 2025. While targeted and specific, we know that this is presently unachievable. Part of the problem is that over the last three decades, the search for the 'silver bullet' or the specific driver, which if addressed could solve this intractable problem, has narrowed praxis. This is not to say that gains have not been made, but rather our efforts have not been entirely impactful. While substantial disciplinary advances have occurred, often they have not been joined-up. And while systematic reviews abound, pan-disciplinary understandings, do not. Hence, child stunting is an intractable problem, waiting for a unified solution.

If we perceive child under-nutrition as a mosaic, we have knowledge of many of the individual elements. For example, biological advances demonstrate there is an identifiable 'epigenetic signature' of stunting. Children who are stunted also have immature gut micro-biomes and we also know a large proportion of the global malnutrition burden is caused (either directly or indirectly), by infectious agents ranging from viruses and bacteria to protozoa and helminths. Food-borne toxins also impact stunting. Equally, we know a range of elements can help to prevent stunting from animal source Foods (ASF) to behavioural elements from dietary choices to feeding practices to water, sanitation and hygiene (WASH). Yet overall, it may be argued that we are missing the shape and structure of the mosaic and the synergies between the component parts. In many quarters, the literature on child under-nutrition is viewed as 'siloed' and non-relational (Perkins et al., 2017). But equally importantly, 'integrated' nutritional programmes have often not had the expected impacts.

Herein lies the problem and the related solution: we urgently need to understand the 'cascade' of factors driving child stunting and the synergies and inter-relationship between drivers. And equally importantly, we need to better understand the 'tipping points' or the critical points along this cascade where healthy linear growth diverges to slow or no growth. To do this, we propose to transform our exploration of child under-nutrition from the component parts to the 'whole child'. Where the biological, social, environmental and behavioural context in which stunting occurs is understood in its entirety and where the strength and directionality of these drivers, inform related interventions. Based on this joined-up approach, we will explore the ability of a range of child-centred interventions to disrupt the cascade of factors that inhibit the ability of a child to grow. These actions and outcomes will then form the basis of a decision-making platform to enable users to identify the ex-ante and ex-post impacts of potential interventions. Embedded in this process, however, is a values-based approach that ensures that from the outset, our research directly connects to and betters the lives of the children, families and communities involved.

We will work across three countries: India, Indonesia and Senegal in over 50 communities. We aim to decrease child stunting by up to 10% our communities. Finally, to enhance our impact and legacy our Hub, we will engage a range of end-users in both our outputs and in the wider 'whole child' approach. We will support new regional platforms on maternal and child nutrition proposed by UNICEF linking the work of FAO/The World Bank/WHO at the country-level. We will also engage our network of over 100 civil society organizations in our findings. Over the course of the project, we expect to positively impact the lives of up to 1 million children.

Technical Summary

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details

Planned Impact

Our goal is to reach over 1 million children via both our outputs and outreach over the life of the Hub. Our specific aim is to reduce the prevalence of stunting by 10% across the communities we work in. We will measure progress toward this goal by identifying three 'control' communities participating in more traditional nutritional research/development projects. Additionally, we will work with our partner, 3iE, to develop a range of indicators to compare impacts and to assess our reach. To ensure we meet our targets, we have developed specific 'impact and engagement' strategies for the following stakeholder groups:

a. In-country actors including, but not limited to, decision-makers, practitioners, policy makers, clinicians and other health sector workers.
b. Multi-lateral, bi-lateral, UN agencies and national governments.
c. Children and their families across the three study sites.

In-country actors: We will invite end-user groups ranging from international and local NGOs, CBOs and local government officials to community-level meetings across the study sites. Utilising our shared-values lens, we will explore these actors' differing needs and priorities within a context of national-level policy priorities. We will share lessons and preliminary findings between and among all in-country stakeholder groups across the project cycle. Our aim is to enable policy and decision-makers to formulate predictive, rather than reactive, 'whole child' nutritional policies and actions. The development and dissemination of the decision-support tool is key to meeting this objective. By creating and publishing an open-source decision-support tool, policy makers will have access to a synthesis of existing, national-level data as well as project-level baseline and intervention data. Users will also be able to discern the ex-ante and ex-post impact of interventions. We will measure our success by the total number of users across key time periods: initial launch, after 12 months, after 24 months.

Global Agencies: Our Hub will directly inform and support nutritional programs at the global level as part of efforts to meet SDG 2 and the World Health Assembly (WHA) targets. As such, Hub indicators will align with those detailed by WHA (see WHO, 2014). Furthermore, we have created an End-User Committee to facilitate the uptake of our outputs across a range of international agencies such as UNICEF, WHO, the World Bank, IFAD, SUSTAIN, the Global Panel, EAT etc. Current members include Jonathan Wadsworth, Senior Advisor, World Bank; Rose Ndolo, Head of the Knowledge Hub, World Vision, Antonio Rota, Senior Advisor, IFAD, and Basil Rodriques, Senior Advisor, UNICEF, Fatiha Terki, Deputy Director Nutrition, WFP. We will embed our findings in these institutions' priorities and programmes and leverage committee members' wider networks. By linking this committee to our Flexible Fund, we will ensure that our impact at the local level will be both accelerated and durable.

Local children and their families:We anticipate that the impact on this community of Hub-users will be twofold. First, our engagement will enable the voices of children and families to inform stunting praxis. Second, our range of bespoke interventions, specific to the interplay of drivers involved, aims to break the intergenerational cycle of stunting. As such, we will put in place a number of impact and engagement strategies for the children and families who will directly participate in Hub-related activities. We will design and deliver the world's first Citizen Science project, which will empower women to identify linear growth issues in their own children and enable them to receive bespoke advice. Core Hub components from our work on shared values to our educational and behavioural components will enable us to better understand, listen and engage this community of users. We will use this learning to underpin a range of engagement exercises with our partner, Science made Simple.

Publications

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Munoz-Chereau, B (2021) Measuring Early Child Development across Low and Middle- Income Countries: A Systematic Review in Journal of Early Childhood Research

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Professor Joanne Webster (Theme Lead Parasitology) Contributed To This Volume (2020) WHO Guidelines for schistosomiasis control and elimination

 
Title Infographics and Social Media Visuals 
Description Multiple artistic products have been developed this year to strengthen the messages around stunting. For each webinar or initiative, we produced a bespoke social media campaign with appealing and creative cards and/or videos. Particularly for the promotion of "Saving SDG: from innovation to action", we designed and circulated two sets of infographics. The first aimed to translate salient data around stunting and malnutrition into easy-to-grasp graphic cards. The second set is a special output of the event, produced by a professional illustrator contracted to develop visuals live to capture speaker highlights. A finalised digital infographic will be shared on the Hub website. 
Type Of Art Artwork 
Year Produced 2021 
Impact This artwork has been utilised as part of our social media campaigns and webinars to enhance the engagement of audiences in the work of the Hub. 
URL https://actionagainststunting.org/saving-sdg2-from-innovation-to-action/
 
Title Poem Zero Hunger 
Description A bespoke poem on Zero Hunger, which was written and performed live by Shareefa Energy (a spoken word artist) at our Saving SDG2 event. 
Type Of Art Creative Writing 
Year Produced 2021 
Impact Our social media reach expanded after the SDG event and we have fielded a number of requests for further information and indeed, information about the spoken word artist involved. 
URL https://actionagainststunting.org/zero-hunger-a-poem/
 
Description Despite the COVID-19 pandemic, we have managed to make substantial progress in operationalising our Hub.

1. To date, the first 83 expectant mothers have been recruited to participate in the Observational Cohort(s) in Senegal and Indonesia from a total of 107 recruitment interviews.*
2. Electronic data capture tools have been developed and piloted in Senegal and Indonesia and are under development in India.
3. 49 SOPs have been published detailing all aspects of sample and data collection, storage, security and analysis.
4. 22 Sample Maps have been created detailing the flows (from the field to lab to All Hub Repository) of the 27,500 samples that will be collected across our Hub.
5. 21 Questionnaires across all of themes have been piloted in the field, revised and finalised.
6. A 'compressed' participant recruitment schedule has been devised across all three countries to include new geographies, health centres and partners to ensure 'complete' datasets by July, 2023.
7. 464 researchers and community members have participated in 46 Hub trainings ranging in topics from High Performance Computing and DNA sequencing approaches to sensitisation training in mental health to community-led values.
8. 11 Systematic Reviews/Meta-Analyses are underway across the Hub with one published. BMJ Paediatrics Open has agreed to publish a special interdisciplinary issue on the Hub detailing our conceptual approach, reviews and protocols.
9. 10 high-impact, policy-facing webinars were held with 1100 registrants. In total, Hub researchers participated in 57 engagement events which ranged from presentations to government ministers, academic workshops to television interviews.
10. A range of new and enhanced bio-security protocols for COVID-19 have been designed, tested and implemented across the Hub to ensure the safety of enumerators and participants.
11. An Interdisciplinary Working Group has been constituted to ensure that interdisciplinary nodes are effectively identified at the start of data capture and that interdisciplinary epistemology underpins all Hub work.
12. We utilised tools from futures research to develop a range of 'scenarios' to support the All-Hub response to the COVID-19 pandemic. These scenarios were presented at our International Advisory Board Meeting (October 26th, 2020) for discussion.
13. The innovative All Hub Data Repository has been designed and is being built.
14. An 'Early Study' is planned to enable the Hub to obtain 'early' data to underpin the creation of a mission critical output: the typology of stunting in advance of the Observational Cohort datasets.

*Recruitment of the Observational Cohort in India is slightly delayed due to the more severe impact of the COVID-19 pandemic but due to start on April 1st.

Further, we have made substantial progress on the delivery of Stage I (Setting the scene). A Bayesian Network model of synergies and interactions of drivers of child stunting in India, Senegal and Indonesia is nearing completion. This extensive mapping of the existing evidence and identification of evidence gaps is informing Stage II (Populating the whole child evidence-base) and Stage III (Interventions). Further, the planned work on Shared Values has been completed. This data is informing Stage II and III activities. WeValue materials are being disseminated to all academic Hub partners, ensuring this critical knowledge of the socio-cultural context of stunting in each country informs their ongoing work.

As noted above, Phase II is well underway. The electronic data capture system has been developed and pilot tested in the field in each country. As noted above, pilot studies and revisions of the questionnaire have been completed across our countries. Recruitment of the Observational Cohort in Indonesia and Senegal.

With regard to Phase III: SOPs regarding all aspects of the SenSyng clinical trial in Senegal and the Egg Intervention in Indonesia have been completed. Recruitment of women for both clinical trials has begun and base-line data is being collected. A contract has been organised with a local egg supplier with bio-security checks in place in Indonesia. An Oversight committee has been constituted for the SenSyng trial. Adverse event criteria and safety reporting procedures have been developed and are being implemented for each trial.

In terms of our academic outputs, 12 reviews across the Hub are nearing completion with expected publication in the special issue of BMJ Paediatrics in 2021. We also discussing bespoke reviews with the Editors of the Journal of Nutrition and Archives of Childhood Disease.
Exploitation Route Outcomes of Phase I:
The modelling work will be disseminated through a report assessing existing national-level data on child stunting and main evidence gaps, peer reviewed publications detailing the methodology for the creation of the Bayesian Network model and the outputs of the model and through blog posts disseminating findings to the general public. Outcomes of the Shared Values work will be disseminated through a peer-reviewed publication on understanding values-based perceptions regarding child stunting across a range of stakeholder groups.

Our SOPs and protocols will ultimately form part of a range of future publications informing the field.
Sectors Agriculture, Food and Drink,Communities and Social Services/Policy,Education,Environment,Healthcare

URL https://actionagainststunting.org/kaffrine-launch-of-a-research-program-on-malnutrition/
 
Description Over the past year, we have made significant progress in capacity strengthening across our Hub. We have held over 46 trainings covering all aspects of the 'whole child' from anthropometry and dietary training, tools to measure children's learning environments and cognition, nutrigenomics and nutrigenetics, bio-informatics, uterine growth trajectories, Bayesian networks, WeValue approaches and the use of electronic data capture tools. We have trained 464 individuals. Further, by using a 'training of trainers' approach we ensured impact of these trainings would cascade to wider communities of practitioners, particularly in relation to our dietary, anthropometric and shared values training. We have held a whole Hub training on creating Evidence Gap maps/understanding tools for impact assessment to support our MEL work and on-going reviews across the Hub. Our Research fellows have also under-gone a range of trainings both in their specialist subjects and interdisciplinarity. Indeed, we have constituted an Interdisciplinary Working Group comprised of all Theme Leads and Early Career Researchers across the Hub to inform both our publications and analytical approaches. We have also developed a variety of new collaborations to support the Hub from our membership in 1000days.org to our work with the University of South Carolina supporting the development of the Food Systems metric and our work with the University of Nebraska and Southampton in adapting measures of childhood development to our in-country contexts. In this manner, we have used the delays due to COVID to strengthen and deepen both disciplinary expertise and understanding of the interdisciplinary relationships underpinning our analysis of child stunting. We have strengthened our partnership and fostered South-South learning by implementing weekly meetings geared specifically to sharing fieldwork challenges and successes. We believe strengthening this all-Hub communication platform has fostered equity and teamwork, enhanced knowledge sharing and forged a solution-orientated environment across our Hub. We have also significantly strengthened our outreach during this period. We have held 10 large-scale webinars this year with over 1100 registrants. Our emphasis is on policy-facing events and workshops. We have held a number of joint events, in October we partnered up with Action Against Hunger and the Micronutrient forum to explore the impacts of cuts to the UK Aid budget on child malnutrition. Most recently, the Hub has spearheaded a drive to 'Save SDG2'. Our recent workshop had over 300 registrants with high-impact presentations from the Global Panel, GAIN, Johns Hopkins, WFP, CIFF, World Vision and the SDG2 Advocacy Hub. A follow-up workshop is planned for September 2020 in conjunction with Action Against Stunting Day (a global day to raise awareness of child stunting). Growth across our social media channels had doubled over the year. Our field activities have commenced across our three partner countries. Our Theme Leads and the Central Hub working jointly with the Country teams have developed 49 SOPs to inform the fieldwork and sample collection. Together, we have mapped the over 27,500 samples that will sent to our network of related laboratories across our Hub. Across each country, we have formalised agreements with laboratories and research institutes who will support the in-country analysis and storage of Hub samples. Further we have finalised 21 questionnaires on the whole child and built a related electronic data capture tool. This work has been led by our country partners. Our country teams have trained enumerators across the Hub in the use of the tool. We equally have developed data management, storage and security protocols to ensure that we meet and exceed best practice with regard to our data. In response to COVID-19 we have devised and implemented a range of enhanced bio-security procedures across our data collection and sampling activities with regard to COVID-19, to ensure staff and participants are safe. Indeed, we also undertook a 'futures scenarios' planning exercise to better inform our approach to risk. These scenarios were presented to our International Advisory Board. Presently we are exploring how COVID-19 has impacted our communities to forge needed evidence as to how the pandemic has affected the nutritionally vulnerable. As we continue to build relationships at the community level, we expect the project will begin to yield impacts at the societal level. Public engagement is a key element of our project. However, our engagement strategy has altered given the COVID-19 pandemic. Given the issues with face-to-face engagement, we are exploring the use of more remote methods such as mass media tools including radio and television. A local TV station in Senegal has covered the initiation of the fieldwork activities and reached an audience of half a million. Hence, at the community level, we continue to explore new approaches to engage our communities. The intended impacts of these activities are to foster two-way knowledge transfer for communities and project research partners, and to better support the retention of individual participants in project activities. We anticipate the Citizen Science component will deepen community understanding of specific issues relating to child stunting.
Sector Communities and Social Services/Policy,Healthcare
Impact Types Policy & public services

 
Description COVID-19 bio-safety training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills to comply with latest bio-safety measures regarding COVID-19
 
Description Capacity building (online) training of the trainers in anthropometric assessment, Senegal
Geographic Reach Africa 
Policy Influence Type Influenced training of practitioners or researchers
Impact Members of the research team were introduced to the processes of collecting anthropometric data from adults to help with the training of the data collectors
 
Description Capacity building (online), anthropometric assessment, India
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
Impact 10 days online training in the anthropometric assessment was completed and the standardization measurements (TEM) done; Field workers and members of the research team were introduced to the processes of collecting anthropometric data from adults and the research team.
 
Description Capacity building (online), refresher anthropometric assessment, Indonesia
Geographic Reach Africa 
Policy Influence Type Influenced training of practitioners or researchers
Impact 1 week online refresher training completed; Enumerators had refresher training on collecting anthropometric data for adults.
 
Description Capacity building for students on nutrigenomics and nutrigenetics
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Students will benefit from the exchange and collaborated research on nutrigenomics and nutrigenetics.
 
Description Capacity building, anthropometric assessment, Senegal
Geographic Reach Africa 
Policy Influence Type Influenced training of practitioners or researchers
Impact Nurses, midwives and members of the research team are introduced to the processes of collecting anthropometric data from adults and practiced methods learned on over 30 male and female volunteers; 2-week training in the anthropometric assessment was completed and the standardization measurements (TEM) done
 
Description Clinical Research Associate (Gut Health workstream) trained on Basic and Advanced MedDRA Coding
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact The CRA is now equipped with transferrable skills for the accurate recording and reporting of adverse events observed in the Senegal Synbiotic (SENGSYN) Study. Study clinicians in Senegal will benefit from these skills and this will improve on the quality of data captured when adverse events are reported
 
Description Cohort App training for India Team
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
Impact India team will obtain the Cohort App customized to their context/version and know how to use the App Enumerator training on Cohort App in India will benefit from it
 
Description Cohort App training for Senegal team
Geographic Reach Africa 
Policy Influence Type Influenced training of practitioners or researchers
Impact 2 team members from Senegal obtained the Cohort App customized to their context/version and know how to use the App; 8 enumerators will benefit from it.
 
Description Covid bio safety, safeguarding and sample collection training (Indonesia)
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
Impact The 8 enumerators are able to perform safety precaution during interview and measurement; to comply to the safeguarding principle during field work; and they are able to do samples collection
 
Description Epigenetic training for country teams (Senegal, India and Indonesia)
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Skills and capacity transfer to LMIC teams so they can carry out sophisticated genomic research at an international standard in this and future projects. Recordings/videos of the training will be made available. The above will be augmented by in-person training when international travel becomes possible.
 
Description Highlighting the issue of further data needed on maternal and infant infections
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
Impact Highlighting the issue of further data needed on maternal and infant infections and Inclusion into international Guidelines (WHO)
URL https://www.who.int/schistosomiasis/news/public-consultation-experts-guideline-development-group/en/
 
Description Highlighting the issue of hybrid schistosomes on morbidity profiles
Geographic Reach Multiple continents/international 
Policy Influence Type Participation in a advisory committee
Impact Highlighting the issue of hybrid schistosomes on morbidity profiles and Inclusion into international Guidelines (WHO)
URL https://www.who.int/schistosomiasis/news/public-consultation-experts-guideline-development-group/en/
 
Description India - We value methodology training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description India - anthropometry training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved technical and skills capacity
 
Description India - hair sample collection and dietary assessment training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Indonesia - Anthropometry training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Indonesia - Commcare training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Indonesia - Dietary Assessment training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Indonesia - Sample collection training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Indonesia - maternal mental health & stress training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact improved skills
 
Description Indonesia - recruitment plan and trial week training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Project Management Training
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved capacity to deliver the project
 
Description Research administration workshop
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills in research grant management
 
Description Researcher/enumerator training for education and cognition measures
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Building capacity with country teams; knowledge exchange with the UCL IOE team and cross-countries
 
Description Senegal - anthropometry training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact This training has equipped the team of enumerators to collect data for the study effectively and ensuring quality.
 
Description Senegal - dietary assessment training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The training of 16 enumerators will improve their skills on the dietary assessment and 24hr recall tool.
 
Description Senegal - recruitment plan and trial week training
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills
 
Description Senegal - training of sample collection
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact The training of a total of 24 enumerators will improve their skills on sample collection and sample tracking.
 
Description Training on Safeguarding
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved skills and awareness of safeguarding principles
 
Description Training on the WeValue methodology
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Training for further field work, and understanding underlying theories.
 
Description Training on the use of Bayesian Networks, an alternative way of data synthesis - Indonesia team
Geographic Reach Asia 
Policy Influence Type Influenced training of practitioners or researchers
 
Description Training on the use of Xero (finance and accounting software)
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved capacity of the teams members on good finance reporting practices.
 
Description Training to adapt the MELE Classroom Observation measure to observe early years settings in the 3 countries
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact A series of 9 webinars for at least 15 team members across 3 countries has been planned and led by the UCL Cognition and Education Team and the MELE consultant Dawn Davis. This will improve their skill set on MELE.
 
Description Training to adapt the OX-NDA and Inter-NDA measures
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Schedule of 5 training sessions for the country teams on how to adapt the OX-NDA and Inter-NDA measures. This training will be delivered via 5 webinars for at least 15 people from the 3 country teams.
 
Description Tutorial on Glasscubes use
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Improved capacity on how to use Glasscubes as a way of sharing knowledge and communicate effectively.
 
Description Virtual Evidence Gap Map workshop 8-9 September 2020
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
 
Title 24 Hour Recall Dietary Data Entry and Decision-Support Tool: Senegal and India 
Description The above dietary application is a bespoke application build to combine 24-hour food recall with local resources to create a local databank of recipes and the corresponding energy values and nutrients involved. The application is a web-based system, developed on MySQL or CKAN, with an intuitive front end to allow for easy data entry and navigation of the enumerators in the field. The algorithms and calculations necessary to put together the recipes will be programmed into the applications as well as the ability for designated users to add new foods and update the recipe database. This will also enable the re-use of the skeleton of the application to then build the same repository of local recipes and nutrition for the team in India and Senegal. The Dietary App collects- record level data for each participant, but will not contain identifiable information and will be directly linked to the All Hub Repository, as the resulting local recipe and nutrition database is an important outcome for the repository and a necessary resource for other workstreams (e.g. decision tool). The participant data will also be synced for data analysis within the hub. 
Type Of Material Improvements to research infrastructure 
Year Produced 2021 
Provided To Others? No  
Impact We anticipate that ultimately this tool will be published as part of the All-Hub Data Repository at the end of the project. 
 
Title Evidence Gap Map: The State of Pre-Primary Education in Senegal, India and Indonesia 
Description Evidence Gap Maps and infographics on pre-primary education: Here the the Gap Maps serve as the basis to adapt the Measuring Early Learning Environments tool (MELE) to better reflect the educational system of each country. A key aim of the Evidence Gap Map is to stimulate discussions about the preschool system with stakeholders, including policy makers. A key outcome of the maps is to inform the forthcoming MELE analysis and build the capacity of stakeholders to engage with this assessment tool. 
Type Of Material Improvements to research infrastructure 
Year Produced 2021 
Provided To Others? No  
Impact This tool is informing the MELE testing and approach to understanding access to education and the availability and support children who are stunted are able to access at the community-level. We anticipate that these maps will be published and indeed, will form a critical part of the policy-engagement element of the our outputs in the near future. 
 
Title Food Composition Tables (FCT) for Senegal 
Description Food composition tables (FCT) are key for nutrition research and include detailed information on energy, macro and micro nutrients elements of certain foods. Country specific FCTs are preferable and these are available for both India and Indonesia. Currently, there are no Senegal specific FCTs and we are therefore collaborating with researchers from the Helen Keller Institute (HKI) to develop this. We firstly used the Household and Expenditure Survey (HCES) (Agence Nationale de la Statistique et de la Démographie , 2011) to ascertain the 50 most commonly eaten foods. We also included foods collected by the HKI group from a detailed survey. In-country experts have been consulted who added and excluded foods from the final list. Next we will use this list to obtain the energy, macro and micro nutrient values from other FCTs in the following hierarchical order; 1) West African FCT, 2) Gambian FCT, 3) Nigerian FCT, 4) Ugandan FCT, 5) South African FCT, 6) USDA and 7) McCance &Widdowson. 
Type Of Material Improvements to research infrastructure 
Year Produced 2021 
Provided To Others? No  
Impact Country specific FCTs will be incorporated into the Optifood linear modelling programme to develop food- based recommendations. Additionally, in Senegal, FCTs will be integrated in a dietary application to analyse 24-hour dietary recalls and aid with data quality collection in the field. Developing this FCT for Senegal will aid future nutritional research in the country. Developing a new collaboration with Helen Keller International will augments our in-country network of partners to share and disseminate Hub-related news and ultimately findings. 
 
Title Hub Data Management System 
Description The Hub is developing a tailored Data Management System which integrates the different software packages to be used across the project through the implementation of a middleware platform. This enables data to be transferred seamlessly between the data collection and asset tracking software (CommCare), the Hub communication and collaborative working software (Glasscubes), the Hub finance software (Xero) and the All Hub Data Repository. The All Hub Data Repository is the shared database which will provide access for all Hub researchers to all raw and processed data gathered across the Hub, which is essential due to the interdisciplinary nature of the project. 
Type Of Material Improvements to research infrastructure 
Year Produced 2019 
Provided To Others? No  
Impact The integrated nature of the Data Management System is particularly important for monitoring and evaluation as it allows for feedback in real-time regarding progress related to activities such as data and sample collection and processing. Details regarding the percentage completion of activities will be computed via the database and then indicators within Glasscubes will provide progress updates to in-country teams in an easily-accessible format. The system will enable team members to be kept informed of progress across the Hub in real-time. In addition, the seamless transfer of data is critical to ensure data can be shared easily and securely between all Hub researchers, facilitating the development of interdisciplinary synergies between workstreams. 
 
Title Illustrated Child Morbidity Tool 
Description We are working with local in-country illustrators to design a culturally appropriate tool to enable mothers to report and log child illness. Visual representations will be tested for semiotic relevance. 
Type Of Material Improvements to research infrastructure 
Year Produced 2020 
Provided To Others? No  
Impact Using a series of images, the aim of the tool is to support the engagement of mothers' in reporting on their childrens' health outcomes. As such, we anticipate that the work may support a change in behaviour regarding healthcare seeking behaviour, at the community level. 
 
Title Infant and Young Child Feeding Pictorial Chart 
Description Infant and Young Child Feeding Pictorial Chart is being developed and pretested in each of the study sites. 
Type Of Material Improvements to research infrastructure 
Year Produced 2021 
Provided To Others? No  
Impact Future development of research 
 
Title SOP: Covid-19 
Description A range of bio-security protocols have been developed to enhance the safety of both fieldworkers and study participants. 
Type Of Material Improvements to research infrastructure 
Year Produced 2020 
Provided To Others? No  
Impact Actioning these SOP decreases the risk of COVID-19 transmission among the Hub diaspora. 
 
Title SOP: Data Security, Back-up and Data Transfer 
Description Data Security and Technical Security SOPs: Data Management and Data governance across the hub is comprised of multiple SOPs and technical documents, including one on Data Security, backup and data transfer. This SOP contains information on physical as well as electronic security across the hub for all applications or systems used to collect or store hub data. Information already provided from external providers like CommCare will not be included, but rather will include information of procedures and protocols in place by Hub members to avoid security breeches or unintended damage to the data system, data collection errors. This SOP also details user and access management and best practice to avoid unauthorised access issues. Details on devices, and servers used to collect/store hub data will be included with guidelines on best practice. The SOP also includes information on minimising the risk of data loss, and a procedure in case of an incident. Finally, the document includes process and best practice for secure data transfers and protocol in the event of a breach. This SOP will be paired with the data management plan, Hub data management SOP, hub data governance SOP, data sharing agreement and data transfer agreement. 
Type Of Material Improvements to research infrastructure 
Year Produced 2021 
Provided To Others? No  
Impact This SOP was developed in close collaboration with our partner teams. It is an internal document of the Hub to ensure join-up practices in relation to data security across our Hub. 
 
Title SOP: Epigenetic, Gut Health, Parisitology 
Description Detailed Standard Operating Procedure documents have been jointly created between UK and Country Theme Leads outlining procedures on sample collection, storage and analysis. 
Type Of Material Biological samples 
Year Produced 2020 
Provided To Others? No  
Impact We anticipate these SOPs will underpin a wide range of Hub publications. 
 
Title SOPs: Breast milk collection, hair collection, blood biochemistry 
Description Detailed Standard Operating Procedure documents have been jointly created between UK and Country Theme Leads outlining procedures on sample collection, storage and analysis. 
Type Of Material Biological samples 
Year Produced 2020 
Provided To Others? No  
Impact We anticipate these SOPs will underpin the methods of a wide range of Hub publications. 
 
Title SOPs: Food Safety Testing 
Description A range of SOPs have been created to test for food borne pathogens (including E.Coli, Campylobacter, Listeria, Salmonella, Shigella etc.) 
Type Of Material Biological samples 
Year Produced 2020 
Provided To Others? No  
Impact We anticipate these SOPs will inform a range of Hub publications. 
 
Title Stool sample collection pictogram 
Description This is a pictogram that has been created to support the stool sample collection process to the study subjects. The pictogram has been translated into English and French and it is currently being piloted in Indonesia and Senegal. 
Type Of Material Improvements to research infrastructure 
Year Produced 2020 
Provided To Others? No  
Impact The impact is on the future development of research and will be assessed after the pilot test in Senegal and Indonesia. 
 
Title A Bayesian Network Model of the Drivers of Stunting from a Whole-Child Perspective 
Description The model is a Bayesian Network model of synergies and interactions between the drivers of child stunting (including epigenetics, gut microbiome, home and food environments etc.) at the national level in India, Senegal and Indonesia. Relevant national datasets have been obtained for inclusion in the model, along with model parameter values available from the literature, including meta-analyses. The national datasets underpinning the model include: National Family Health Survey (India), the District Level Household and Facility Survey (India), the Comprehensive National Nutrition Survey (India), the Annual Health Survey (India), the Family Life Survey (Indonesia), the Basic Health Research Survey (Indonesia), the National Socioeconomic Survey (Indonesia) and the National Health Demographic Survey (Senegal). Further in Senegal, data from the DHIS2 platform created by WHO, which holds information and data on the national health system as well as data gathered by NGOs will be included. 
Type Of Material Computer model/algorithm 
Year Produced 2020 
Provided To Others? No  
Impact Workshops are planned in Indonesia, Senegal and India on national level data and drivers of stunting, to ensure all Hub researchers and relevant external stakeholders across all three countries benefit from the outputs of the model. Mapping the existing evidence on the drivers of child stunting will also inform the second stage of the research being performed across the Hub. This is being carried out through identifying evidence gaps and highlighting existing known inter-relationships, synergies and directionality around the causes of stunting. 
 
Title All Hub Data Repository 
Description A linked interdisciplinary All-Hub data repository is under development to store Hub data. 
Type Of Material Database/Collection of data 
Year Produced 2021 
Provided To Others? No  
Impact By building the repository in CKAN we aim to enable Hub data to be accessed via our Decision-Support Tool by the end of the project. 
 
Description Cognitive Assessment Partnership 
Organisation University of Oxford
Country United Kingdom 
Sector Academic/University 
PI Contribution We are gathering data on over 1,500 infants within the core Hub cohort in India, Indonesia and Senegal using two measures of early child development which have been developed by the University of Oxford: the INTER-NDA and the OX-NDA. As per an MoU in place between the Hub and the University of Oxford, we will share the de-identified data we collect with Oxford to provide a 'living' database for academic purposes, to revisit the INTER-NDA and OX-NDA norms in future.
Collaborator Contribution The University of Oxford is allowing us to use the INTER-NDA and OX-NDA free of licensing charges, including sharing the syntax to convert raw scores to standardised domain scores.
Impact Use of these measures across the Hub core cohort of infants will allow us to explicate the impact of childhood stunting on neurocognitive development and allow us to characterise detailed developmental and neurocognitive profiles of children that do and do not meet the criteria for stunting. These data will lead to publications and provide an evidence base for policy recommendations in this area.
Start Year 2019
 
Description Collaboration on Food Composition Tables (FCT) in Senegal: Helen Keller International 
Organisation Helen Keller International
Country United States 
Sector Charity/Non Profit 
PI Contribution Together, we worked with Helen Keller International supported to create Food Composition Tables (FCT) for Senegal. These tables underpin all of the nutritional work of the Hub and link to the use of future analytical tools such as Optifood.
Collaborator Contribution Helen Keller International held a range of consultations with teams of local experts to refine and further develop the FCTs.
Impact Senegal Food Composition Tables: Nutrition and Social Scientists
Start Year 2020
 
Description Collaboration with Fudan University, China on the Shared Values Work Stream 
Organisation Fudan University
Country China 
Sector Academic/University 
PI Contribution The Hub has strengthened its collaboration with Fudan University, who has a specialist team expert in the shared values approach: WeValue InSitu. Affiliated researchers will join the Shared Value work steam under supervision of the Theme Lead.
Collaborator Contribution Strengthening the Hub-Fudan collaboration. To date, researchers from Fudan have joined in the shared values work being undertaken in India and Senegal.
Impact Fudan University also has scholarship opportunities for overseas PhD students, hence, this is another element of our collaboration we are exploring.
Start Year 2020
 
Description Collaboration with the University of South Carolina: Expert input into the food environment tool development 
Organisation University of South Carolina
Country United States 
Sector Academic/University 
PI Contribution Technical expert input into the food environment tool development: metric to measure the risk of a particular food system for stunting.
Collaborator Contribution Our partners have made a substantial contribution to the development of the food environment tool.
Impact Food metrics tool
Start Year 2020
 
Description Collaborative Research and Capacity Strengthening: Faculty of Medicine, Universitas Mataram 
Organisation University of Mataram
Country Indonesia 
Sector Academic/University 
PI Contribution An MoU with UNRAM and MoA with Faculty of Medicine UNRAM has been signed with regard to capacity strengthening and under-taking collaborative research activities including arrangement for sample processing, analysis and storage.
Collaborator Contribution Capacity strengthening of local academics (students and faculty members) on topics covered under AASH; support for laboratory analyses; joint research and publication
Impact Capacity strengthening of local academics (students and faculty members) on topics covered under AASH; support for laboratory analyses; joint research and publication
Start Year 2020
 
Description Global Partner of 1000days.org 
Organisation 1000 Days LLC
Country United States 
Sector Charity/Non Profit 
PI Contribution 1000 days is a US non-profit organisation working in the U.S. and around the world focusing on nutrition and health of mother and children in the first 1000 days of life. The Hub is now one of 1000 days official partners along with the Bill and Melinda Gates Foundation, UNICEF, the US Government and a wide range of other partners.
Collaborator Contribution 1000 days is interested in adopting Hub outputs. The organisation has an extensive partnership platform and we anticipate that we will be able to disseminate our findings through their network. We have organised a joint event, please see below.
Impact We held a joint event with 1000days.org in June, 2020 entitled Nourishing Gender Equality (https://actionagainststunting.org/nourishing-gender-equality/).
Start Year 2020
 
Description India Partnership 
Organisation Indian Council of Medical Research (ICMR)
Country India 
Sector Public 
PI Contribution As noted above, for each partner we have been involved in a range of trainings from academic to operational. Our programme of training includes: dietary recall approaches, adult and infant anthropometry, MELE and OX-NDA cognitive assessment, approaches to elicit shared values and epigenetic and microbiome data collection and analysis tools and approaches. We are also providing training in project management, financial management, interdisciplinary research management, MEL, questionnaire development and data management to both research and institutional staff. We are jointly participating in research activities across the 'whole-child' paradigmatic frame in addition to assiting with data collection from the observatonal cohort as well as the egg intervention study in children and the 3-5 years educational cohort.
Collaborator Contribution Our partners both liaise with local communities and engage the wider stakeholder community. They are collecting and analysing data from the core Hub cohort as well as participants in the egg intervention study and those in the 3-5 years educational cohort. The data collection takes many forms, including questionnaires, workshops and focus group discussions as well as biological sample collection, processing and analysis, which is being performed by a number of laboratories within the Institution. The data across the Hub will be shared in the All-Hub data repository and local data will be processed and cleansed by the country teams before we collectively undertake the analysis.
Impact Outputs from this partnership will include an all-Hub database comprised of data gathered from all work streams across the Hub and a series of planned stakeholder and public engagement workshops and events to share findings from across the study. A key outcome will be capacity strengthening for the Indian team in interdisciplinary research along with skills strengthening across a diversity of thematic areas from epigenetic data analysis to collating shared values at the community level.
Start Year 2019
 
Description Indonesia Partnership 
Organisation SEAMEO Regional Center for Food and Nutrition
Country Indonesia 
Sector Public 
PI Contribution For each in-country team we have been involved in a wide range of trainings from academic to operational. To date our training has included: dietary recall approaches, adult and infant anthropometry, MELE and OX-NDA cognitive assessment, approaches to elicit shared values and epigenetic and microbiome data collection and analysis tools and approaches. We are also providing training in project management, financial management, interdisciplinary research management, MEL and questionnaire development, data management to both research and institutional staff. We are jointly participating in research activities across the 'whole-child' in addition to gathering data from the core Hub cohort as well as participants in the egg intervention study in women as well as children in the 3-5 years educational cohort.
Collaborator Contribution Similiar to our partners in India and Senegal, the Indonesian team is liaising closely with local communities and leading engagement with the wider stakeholder community in Senegal. They are collecting and analysing data from data collected across the 'whole child' approach from the deep biology to the wider food system. Our partners will be collating data and samples from the core Hub observational cohort as well as mothers involved in the egg intervention to those children in the 3-5 years educational cohort. The data collection takes many forms, including questionnaires, workshops and focus group discussions as well as biological sample collection, processing and analysis, which is being performed by a number of laboratories within the University.
Impact Outputs from this partnership will include capacity strengthening within the Indonesian team, the creation of an all-Hub database and a series of planned stakeholder and public engagement workshops and events to share findings from across the study. A critical outcome relates to the development and support of capacity strengthing in the design, delivery and assessment of interdisciplinary research.
Start Year 2019
 
Description London Centre for Integrative Research on Agriculture and Health Collaboration 
Organisation London International Development Centre
Department Leverhulme Centre for Integrative Research on Agriculture and Health
Country United Kingdom 
Sector Academic/University 
PI Contribution We are contributing to a new collaboration organised by the London Centre for Integrative Research on Agriculture and Health (LCIRAH) which aims to link projects and programmes with a related focus. The goal is to identify synergies and foster collaborative working between the teams involved, with the goal of achieving shared outcomes. The Senior Hub Manager and one of the Hub Research Fellows gave an invited presentation on the activities of the Hub at a workshop hosted by LCIRAH to initiate the new collaboration, and we have agreed to participate in further upcoming meetings, contributing speakers and working to develop proposed collaborative activities.
Collaborator Contribution LCIRAH have agreed to direct their resources to facilitating links between a group of projects and programmes identified as having a related focus, including the Hub, developing a new collaborative network to work together on achieving shared outcomes. LCIRAH are hosting a series of monthly meetings for the projects, to provide opportunities to further explore synergies and develop plans and proposals for joint activities.
Impact The new collaboration includes four inter-disciplinary programmes with a broad range of activities and linked areas of focus from nutrition, crop production, poultry production and consumption to the environment, water, infectious diseases and AMR. An initial workshop has already been held and a series of further meetings/workshops are planned over the coming months on areas of shared interest. LCIRAH will also facilitate opprtunities for participation of researchers from all programmes in the Agriculture, Nutrition and Health Academy, contributing to learning labs and working groups. This will allow Hub members to share research findings and develop collaborative proposals with a strong network of researchers working across allied topics.
Start Year 2020
 
Description London International Development Centre 
Organisation London International Development Centre
Country United Kingdom 
Sector Academic/University 
PI Contribution LIDC and the Hub have worked on a number of joint events together.
Collaborator Contribution LIDC has provided communications and administration support to the Hub in particular around web, newsletter and social media outreach and the planning of events.
Impact Events: Saving SDG2: From innovation to action; Less for those with the Least: the implications of UK-Aid cuts on child malnutrition; Equitable partnerships in International Research; India 2020: State of Food Insecurity; Nourishing Gender Equality.
Start Year 2020
 
Description PROSYNK Study team, Kenya 
Organisation ProSync Technology Group LLC
Country United States 
Sector Private 
PI Contribution Collaborative research to explore pre/pro/synbiotics in improving nutrition and growth in childhood.
Collaborator Contribution PROSYNK study is a 4-arm open label randomized control trial testing the efficacy of probiotics and synbiotics in improving gut health in infants. The Gut Health Theme lead and Clinical Research Associate visited Kenya for a one-week consultative meeting and have been holding regular catch-up meetings with the PROSYNK team.
Impact The PROSYNK study is at a more advanced phase than the SENGSYN. We continuously discuss practicalities and challenges of conducting a clinical trial involving a dietary supplement and this has greatly informed the development of the SENGSYN study. We have also engaged in collaborative research to explore the role of pre/pro/synbiotics in improving nutrition and growth in childhood.
Start Year 2020
 
Description Senegal Partnership 
Organisation University Cheikh Anta Diop de Dakar
Country Senegal 
Sector Academic/University 
PI Contribution We have been involved in a wide range of trainings from academic to operational: including dietary recall approaches, adult and infant anthropometry, MELE and OX-NDA cognitive assessment, approaches to elicit shared values and epigenetic and microbiome data collection and analysis tools and approaches. We are also providing training in project management, financial management, interdisciplinary research management, MEL and data management to both research and institutional staff. We are jointly participating in research activities across the 'whole-child' in addition to gathering data from the core Hub cohort as well as participants in the synbiotic intervention study in Senegalese infants as well as those in the 3-5 years educational cohort.
Collaborator Contribution Our partners are liaising closely with local communities and leading engagement with the wider stakeholder community in Senegal. They are collecting and analysing data from the core Hub observational cohort as well as mothers and infants in the synbiotic intervention to those in the 3-5 years educational cohort. The data collection takes many forms, including questionnaires, workshops and focus group discussions as well as biological sample collection, processing and analysis, which is being performed by a number of laboratories within the University.
Impact Outputs from this partnership are on-going and will include an all-Hub database comprised of data gathered from the core Hub cohort as well as participants in the synbiotic intervention study and those in the 3-5 years educational cohort, and a series of planned stakeholder and public engagement workshops and events to share findings from across the study. A key outcome of the Hub is capacity strengthening across the range of elements included in the 'whole child' approach and developing key skills in the management of interdisciplinary research programmes.
Start Year 2019
 
Description UKRI GCRF All Hubs Programme Management Collaboration 
Organisation United Kingdom Research and Innovation
Country United Kingdom 
Sector Public 
PI Contribution We have participated in regular meetings to exchange experiences and best practices, commonalities and challenges of managing complex research development programmes.
Collaborator Contribution Partners have shared their experiences and best practices, commonalities and challenges of managing complex research development programmes.
Impact Meetings of the collaborative group will continue throughout the lifetime of the Hub projects, providing a forum for discussion and sharing of best practice and promoting excellence in research management. Lessons learned will be shared between Hubs and disseminated to relevant members of the wider Hub team.
Start Year 2019
 
Description University of Nebraska: Expert input on the adaptation and use of MELE classroom observation measure in early years settings 
Organisation Nebraska Department of Education
Country United States 
Sector Public 
PI Contribution MELE expert at the University of Nebraska is collaborating with the UCL Cognition and Education teams and country Education and Cognition Theme Leads to adapt and use the MELE Classroom Observation measure in early years settings across the Hub.
Collaborator Contribution A series of nine webinars is planned along with joint work on adapting the measure for use in each of our partner countries.
Impact Nine webinars and an adapted MELE tool for use across our study countries.
Start Year 2021
 
Description University of Southhampton: Expert input re: Ox-NDA and Inter-NDA Measures 
Organisation University of Southampton
Country United Kingdom 
Sector Academic/University 
PI Contribution Expert input into the Ox-NDA and Inter-NDA measures which will be used to assess child development across the Hub at 12 and 24 months of age.
Collaborator Contribution A series of 5 workshops are planned and joint work will be undertaken to adapt the measure for use in each of the three partner countries.
Impact Five workshops and the context-specific adaptation of the measure across our partner countries.
Start Year 2021
 
Description Zymo Research Partnership 
Organisation Zymo Research Corporation
Country United States 
Sector Private 
PI Contribution We are utilising the Zymo DNA/RNA Shield Fecal Collection Tubes to collect fecal samples from women and infants across our core cohort studies in India, Indonesia and Senegal, to analyse the gut microbiome of the study participants.
Collaborator Contribution Zymo Research are donating 6,000 ZymoBIOMICS DNA Miniprep Kits and 3,000 Fecal Collection Tubes free of charge to the study, with a cost saving of approximately $60,000.
Impact Outputs of this work will include assessment of the combined effect of nutritional exposures, food and the home environment, epigenetics, gut health and parasites on key microbiome states, and proposals for future interventions to avoid stunting, or to ameliorate or reverse the effects of stunting, based on microbiome analysis.
Start Year 2019
 
Title Impact evaluation of egg supplementation during pregnancy on stunting in infants in Indonesia 
Description The intervention examines the impact of egg supplementation to pregnant women, starting from the second trimester to birth of their infants, on linear growth and epigenetic signatures in their offspring. The trial is an individually randomised, 2-arm, open-label, controlled study in pregnant women in East Lombok, Indonesia. The primary objective is to assess whether supplementation of pregnant women with three boiled chicken eggs per week for 6 months, starting from second trimester of pregnancy until delivery reduces stunting of their infants (at 12, 18 & 24 months of age) compared to control women who do not receive egg supplementation. 
Type Therapeutic Intervention - Complementary
Current Stage Of Development Initial development
Year Development Stage Completed 2020
Development Status Under active development/distribution
Impact We are actively working with the Hub behaviour team as well as Science Made Simple (the Hub public engagement partners) on awareness raising activities to ensure that results of the intervention are disseminated widely. We will be communicating our findings to all relevant stakeholders, including local and national governments, with the intention to influence policy development in this area. 
 
Title Impact evaluation of egg supplementation on stunting and cognition in young children 
Description The intervention examines the impact of egg supplementation to young children (starting from 6 months until 18 months of age) on their linear growth and cognition. The trial is an individually randomised, 2-arm, open-label, controlled study in young infants in Hyderabad, India. The primary objective is to assess whether daily supplementation with one egg in infants starting at 6 months of age and continued for one year reduces the incidence of stunting (at 24 months of age) and improves cognition (at 18 months of age) compared to control children who do not receive egg supplementation. 
Type Therapeutic Intervention - Complementary
Current Stage Of Development Initial development
Year Development Stage Completed 2020
Development Status Under active development/distribution
Impact We are actively working with the Hub behaviour team as well as Science Made Simple (the Hub public engagement partners) on awareness raising activities to ensure that results of the intervention are disseminated widely. We will be communicating our findings to all relevant stakeholders, including local and national governments, with the intention to influence policy development in this area. 
 
Title SENGSYN Study (Senegal Synbiotic Study) 
Description Young children exposed to poor sanitation and hygiene develop a disorder of the gut called "environmental enteric dysfunction" (EED) characterised by abnormal histopathology, permeability defects, and inflammation. EED significantly impairs growth through reduced digestion and absorption of nutrients, increased susceptibility to infections and systemic inflammation that directly inhibits growth hormones. EED may already be apparent by 6 weeks of age. Dietary supplementation with a synbiotic may provide resilience to the developing gut microbiome against these adverse environmental factors. Synbiotics are prebiotics combined with probiotics. Prebiotics are non-digestible compounds that encourage the growth of healthy gut bacteria. Probiotics are live beneficial bacteria such as bifidobacteria and lactobacilli. We are evaluating whether administration of a synbiotic to infants up to age 6 months in Senegal improves linear growth through improved gut health. In order to do this we are undertaking an individually randomized, 2-arm, open-label, controlled study of a synbiotic in infants between 0-5 months of age in Kaffrine District, Senegal. 
Type Therapeutic Intervention - Complementary
Current Stage Of Development Initial development
Year Development Stage Completed 2020
Development Status Under active development/distribution
Impact We are actively working with the Hub 'behavioural' team as well as Science Made Simple (the Hub public engagement partners) on awareness raising activities at the community level to ensure that mother's are aware of the aims and objectives of the intervention. We will be communicating our findings to all relevant stakeholders, including local and national governments, with the intention to influence policy development in this area. 
 
Description "Rethinking Nutrition" hosted by the India Growth Centre 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Professor Suneetha Kadiyala, work package and theme lead for for Food Systems chaired a webinar organized by the India Growth Centre on Rethinking Nutrition. The webinar was around stagnation of progress in undernutrition according to the Phase 1 NFHS-5 surveys. Approximately 170 people attended the webinar. It was attended by researchers, governments officials, UN representatives and staff, NGOs and students.
Year(s) Of Engagement Activity 2021
 
Description Action Against Stunting All Hub meetings 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact The Action Against Stunting hub organizes weekly hub meetings with all the other country hub members. Participants for these weekly meetings include team leads, country team leads, researchers and researcher fellows working across all the workstreams of the hubs. Weekly presentations are given by country hubs on the the progress of research activities within the hubs. This improves understanding of research and related activities within all the hubs and also serves a learning forum where other teams could get inputs on their research or country hub activities. Collaboration between hub members is also improved through the shared experience from hub activities.
Year(s) Of Engagement Activity 2020,2021
 
Description Action Against Stunting Hub Facebook Page 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The Hub launched its official Facebook Page in 2019 and interaction has grown steadily. As part of our recently re-developed social media activity plan, we aim to substantially increase frequency of posting and engagement with the target audience. This will increase our visibility online and drive traffic to the Hub website, highlighting the latest findings and achievements of the project.
Year(s) Of Engagement Activity 2019
 
Description Action Against Stunting Hub First Annual Meeting 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 2-day meeting with all the members of the Hub to discuss the performance, challenges, roadmap and set goals for the next year
Year(s) Of Engagement Activity 2020
 
Description Action Against Stunting Hub Twitter Channel 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The Hub launched its official Twitter channel in 2019 and since it was created Twitter interaction has grown, adding 74 followers and reaching 50,692 impressions. We have recently developed an ambitious social media activity plan, aiming to substantially increase frequency of posting and engagement with the target audience. This will increase our visibility online and drive traffic to the Hub website, highlighting the latest findings and achievements of the project.

Our dedicated Twitter campaign celebrating International Women's Day highlighted the critical contribution of the team of female enumerators gathering data for the Hub from participants in the core cohort in Indonesia. The tweets earned 600 impressions and peaks of 15% of engagement rate and a lot of traffic was driven to our website to the related blog post.
Year(s) Of Engagement Activity 2019
URL https://twitter.com/actionstunting/status/1227229546543558658
 
Description Action Against Stunting Hub Website 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The website was created in 2019, and is currently undergoing substantial additional development to enhance appeal across a range of audiences. We are adapting sub-pages based on the needs that have emerged in the project period so far, aiming to fine-tune our messaging and become an international reference on the issue of stunting. We are adding an option for visitors to the website to subscribe to regular newsletters, allowing us to keep them up to date on our progress and maintain engagement over the course of the project and beyond. In addition, the website will act as a link between the Central Hub team based in the UK and the in-country teams, thus extending the reachable audience.
Year(s) Of Engagement Activity 2019
URL http://www.actionagainststunting.org
 
Description Action Against Stunting Newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Newsletter: the Hub launched a new strategy to grow the newsletter reach. We now have 317 subscribers, with an opening rate around 50% and a click rate of almost 11%. The newsletter has been a major converter for event registrations.
Year(s) Of Engagement Activity 2020,2021
 
Description Audience with Dean of Faculty of Medicine, Universitas Indonesia 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact A high-level meeting at which Dr Umi Fahmida (Indonesia Country Lead) and Professor Paul Haggarty (Deputy PI) presented on the epigenetic activities of the Hub and highlighted the collaborative working taking place on this workstream between SEAMEO RECFON in Jakarta and the University of Aberdeen, UK. The meeting was attended by the Vice Dean, the Coordinator for Education and staff members of the Faculty of Medicine, who expressed interest in receiving ongoing updates on the progress of the Hub's work.
Year(s) Of Engagement Activity 2020
 
Description Audience with Vice Rector of Universitas Indonesia 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Dr Umi Fahmida (Indonesia Country Lead) and Professor Claire Heffernan (PI on the Hub) presented at a high-level meeting to introduce the Indonesian Hub team and SEAMEO RECFON as the lead institution for the Hub in Indonesia. The Vice Rector welcomed the team and conveyed readiness to support the research activities. He also suggested relevant staff from the Regional Centre for Food and Nutrition who would be able to contribute specific skills and expertise.
Year(s) Of Engagement Activity 2020
 
Description Blog post for International Women's Day 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact A blog post posted on the Hub website, based on interviews conducted in the field with the team of enumerators in Indonesia. The post highlights their contribution to the Hub as well as their wider contribution as women in science. The blog post is part of our new communications strategy, which involves sharing stories about the people working on the Hub as well as offering expert viewpoints from Hub researchers on relevant reports and publications as these become available. This strategy is designed to create momentum around the topic of stunting and help make the Hub a point of reference internationally in the field of childhood stunting.
Year(s) Of Engagement Activity 2020
 
Description Bloomsbury Set: Interdisciplinarity 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Over 100 people attended an on-line webinar on Interdisciplinary where the design of the Hub was utilised as an example.
Year(s) Of Engagement Activity 2021
URL https://bloomsburyset.org.uk/events/
 
Description Child stunting and supermarkets: a positive influence? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Blog post from written with the contribution of Dr Archana Konapur, Hub Researcher - ICMR-National Institute of Nutrition; and Indriya Laras Pramesthi, Hub Researcher - SEAMEO Regional Center for Food and Nutrition
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/child-stunting-and-supermarkets-a-positive-influence/
 
Description Community engagement through home visits in Kaffrine 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact A community outreach was undertaken by community workers in Kaffrine to sensitize households and community members on the research activities of the Senegal Hub. Home visits were organized reaching about 300 homes in Kaffrine and about 1317 people. Household heads and women within homes and households visited were often the focal people for these home visits. Community workers who organized these visits showed dedication to their role in ensuring the success of the research. Community members were very receptive to the research activities and the benefits that will accrue to their households and community at large. They showed a high level of interest in the research activities to be conducted in the future.
Year(s) Of Engagement Activity 2021
 
Description Covid-19 and Contingency Planning 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 1 hour webinar with representatives of several GCRF Hub and other projects to discuss how covid-19 impacted on the organization and fieldwork, and how to cope with it.
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/covid-19-and-contingency-planning/
 
Description Covid-19 and Maternal Health: are we facing a new normal? 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact 1 hour webinar to discuss with experts how covid-19 could affect pregnancy and the baby
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/covid-19-and-maternal-health-are-we-facing-new-normal/
 
Description Equitable Partnerships in International Research 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact 1-hour webinar to explore how different Hubs and institutions build, maintain, and evaluate equitable partnerships and help ensure that research outcomes are mutually beneficial.
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/equitable-partnerships-in-international-research/
 
Description Event during Agriculture, Nutrition & Health Academy Week in Hyderabad, India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact During the Agriculture, Nutrition & Health Academy Week (ANH Week) in Hyderabad, India, in June 2019, the National Institute of Nutrition (NIN), lead Hub organisation in India, held an event to promote the Hub's work. The event had 50 attendees, including academics, policymakers, NGOs, and practitioners. Planned and organised by the researchers based at NIN, the event featured presentations from the NIN team as well as UK collaborators, followed by an informal team dinner. This provided an excellent opportunity to engage nutrition researchers from around the world with the Hub's vision and planned research activities, and several academics expressed interest in collaborating with Hub team members on linked projects contributing to Hub outcomes.
Year(s) Of Engagement Activity 2019
URL https://www.anh-academy.org/anh2019-programme
 
Description Food safety in the domestic markets of developing countries 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Prof. Delia Grace from ILRI contribution to the EatSafe Webinar II: Food safety in traditional markets in Africa and Asia, 19 August 2020.
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/109824
 
Description Food safety in the domestic markets of developing countries. Contribution to the EatSafe Webinar II: Food safety in traditional markets in Africa and Asia 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Dr Delia Grace of the food systems workstream was a key presenter and resource person who gave a webinar presentation on Food safety in the domestic markets of developing countries. Contribution to the EatSafe Webinar II: Food safety in traditional markets in Africa and Asia. The event which was part of the Global Alliance Against Nutrition webinar series was attended by policy makers, academics, field practitioners, researchers and students. On the whole the event was a success. This event was recorded and has since been viewed 73 times on youtube. It has also been published on the GAIN website.
Year(s) Of Engagement Activity 2020
 
Description Food safety performance in animal-source food value chains 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Prof. Delia Grace joint presentation at the first International Conference on Veterinary and Animal Science, Kupang, Indonesia
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/111165
 
Description Gut Health Monthly Webinars 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact The gut health group have organized a total of 8 webinars since July 2020. The purpose of these webinars is to review and discuss scientific issues that advance the knowledge and effectiveness of the group in undertaking research in gut health. This is mostly attended by researchers in the UK, India, Indonesia and Senegal. It is also attended by team leads and members from the microbiome and parasitology work packages. Participants in these webinars often include work package leads, research associates, post-doctoral researchers and clinicians from the UK, India, Indonesia and Senegal.
Year(s) Of Engagement Activity 2020,2021
 
Description Hub Bi-monthly Reports 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact A bi-monthly report of Hub activities is sent to all Hub researchers and related staff members. Our bi-monthly report functions as both a newsletter and as a means to keep the wider Hub team abreast of progress. Each month a new member of the team is highlighted in our 'Get to Know' feature.
Year(s) Of Engagement Activity 2019,2020,2021
 
Description India 2020: State of food (in)security 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Covid-19 and the recent locust invasion posed new challenges to the country. In this webinar we will discuss the state of food security in India with Dr. Purnima Menon
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/india-2020-state-of-food-insecurity/
 
Description Input into the revised WHO Guidelines for schistosomiasis control and elimination 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Input into the revised WHO Guidelines for schistosomiasis control and elimination
Year(s) Of Engagement Activity 2020,2021
URL https://www.who.int/schistosomiasis/news/public-consultation-experts-guideline-development-group/en/
 
Description International Webinar on the "Whole Child Approach to Prevent Stunting" 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Prof. Paul Haggarty (Deputy PI on the Action Against Stunting research), Dr. Umi Fahmida (Country lead on the Indonesia hub) and Dr.Min Kyaw Htet (Work package lead on physical epigenics) were the resource persons in the webinar. The webinar was attended by 160 participants which included academics, practioners, programme implementers and students.The whole child approach to ending stunting was discussed by the resource persons. Audience were introduced to the concept of the Whole Child Approach and AASH activities in East Lombok, Indonesia
Year(s) Of Engagement Activity 2021
 
Description Joint webinar with Directorate General of ECE, Primary and Secondary Education MoEC RI; SEAMEO CECCEP; SEAMEO RECFON 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact Professor Claire Heffernan (PI, Action Against Stunting research), Dr. Umi Fahmida (Country lead on the Indonesia hub) and Dr. Dwi Priyono were resource person during a webinar organized by SEAMEO in collaboration with the Directorate General of ECE, Primary and Secondary Education MoEC RI, SEAMEO CECCEP and SEAMEO RECFON. The webinar was based on the theme "Translating Holistic Integrative Early Childhood Development Concepts in Overcoming Stunting in Indonesia". The webinar was mostly attended by ECE teachers, practitioners, academics and some students. The webinar recording has been watched about 1903 times. Audience were introduced on the concept of A Whole Child Approach and its inter-disciplinarily to support Holistic Integrative Early Childhood Development to overcome stunting in Indonesia
Year(s) Of Engagement Activity 2020
 
Description Less for those with least workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact 1-hour webinar to discuss the implications of these cuts on SDG2, our ability to fund cutting-edge research and the wider ability to forge collective action to end child malnutrition. 
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/less-for-those-with-least-the-implications-of-uk-aid-cuts-on-child...
 
Description Liverpool School of Tropical Medicine - Department of Clinical Science research "Away Day" Event 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Two Department of Clinical Science Away Days have been organized through which projects of the Gut Health workstream and the Stunting Hub have been presented to a large audience including researchers with interest in nutrition and stunting. The events were attended by clinician, consultants in medicine, researchers and students within the LSTM. This provided an avenue to present research activities within the Action against Stunting Hub to a wider audience. Comments and suggestions received thereof will be useful in shaping the research activities and analysis.
Year(s) Of Engagement Activity 2021
 
Description Livestock interventions in low-income countries: A theory of change for improved nutrition 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Prof. Delia Grace presentation at the virtual 2020 Agriculture, Nutrition and Health (ANH) Academy Week research conference
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/108715
 
Description Meeting with Municipal and district health authorities, commissioners, municipal councilors and community leaders in Hyderabad, India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Meeting with Municipal and District health authorities, Commissioners, Municipal councilors and community leaders to inform of the research activities to be conducted in their respective areas
Year(s) Of Engagement Activity 2021
 
Description Meeting with UK schools and teacher networks 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact Science Made Simple, a research partner in the Action Against Stunting hub with key responsibilities of facilitating the hub's public engagement activities held a meeting with the UK schools and teachers network. The meeting was attended by teachers, head teachers, and teacher support network organizations in the UK. The purpose of the meeting was to Raise awareness amongst teacher networks of stunting hub and potential for enrichment activity for UK students. From this event, expression of interest from schools will be received to and arrangements made with schools to involve them in the activities of the hub.
Year(s) Of Engagement Activity 2020,2021
 
Description Nourishing Gender Equality 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Explore different perspectives on how nutrition can empower women with the 1000days organization.
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/nourishing-gender-equality/
 
Description Parliamentary event on Tackling the Rise of Child Stunting in Africa 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact The Action Against Stunting Hub and All-Party Parliamentary Group for Africa joined forces to hold a high-level parliamentary roundtable on Tackling the Rise of Child Stunting in Africa at the House of Commons. The meeting brought together over 40 participants including parliamentarians, leading researchers in the field, NGO workers, and the civil society to examine policy and regulatory solutions to stem the rise in child stunting. Our speakers were Professor Claire Heffernan (PI of the Hub), Professor Paul Haggarty (Deputy-PI of the Hub), and Rose Ndulu Ndolo of World Vision. The roundtable discussion allowed the Hub team to contextualise the problem of stunting, outline our efforts to create a typology of stunting, and argue for the need for a multi-stakeholder approach to tackling the problem. Accordingly, it supported our efforts to position the Hub as a leading authority on child nutrition research. Following this event, Pauline Latham MP, who chaired the session and sits on the International Development Committee, recommended that the Committee hold an evidence session specifically on the impact of childhood stunting. This positive commitment reinforces the importance of holding such events with key audiences.
Year(s) Of Engagement Activity 2019
URL https://lidc.ac.uk/event/tackling-the-rise-of-child-stunting-in-africa/
 
Description Participating in GCRF GROW and Hub's Cohort Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Professor Allan Walker from Microbiome research theme and Teresa Nunes, senior hub manager for the action against stunting hub participated in a GCRF organized event on "Challenges and mechanisms for working and supporting each other remotely in different contexts". Experiences and collaborative new working patterns were shared with other GCRF funded hubs. Researchers and research managers for the various GCRF hubs in the UK and abroad participated in this workshop. New ideas obtained from this experience sharing workshop improved the AAS hub's remoting working during this pandemic
Year(s) Of Engagement Activity 2020
 
Description Perspectives on how to rebuild value chains with standards for food safety and against environmental degradation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Prof. Delia Grace from ILRI contribution to the sustainability panel discussion at the Commercial Agriculture for Smallholders and Agribusinesses programme e-conference on Rethinking Agri-Business Investments Through the Pandemic
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/108285
 
Description Presentation at International Partnership Workshop in India 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Dr Bharati Kulkarni, India Country Lead on the Hub, gave a presentation at the International Partnership Workshop on Dietary Mycotoxin Exposure in India and Links to Chronic Diseases With a Focus on Stunting. The workshop was held at the National Institute for Nutrition in Hyderabad in June 2019, and Dr Kulkarni gave a presentation entitled 'Multidisciplinary Factors in Stunting - The Stunting Hub Study'. In this presentation she highlighted the research activities of the Hub, with a particular focus on the planned activities in India. The workshop was attended by around 40 people, including academics and practitioners, many of whom expressed interest in ongoing engagement with the Hub as the project progresses.
Year(s) Of Engagement Activity 2019
 
Description Presentation at London Centre for Integrative Research on Agriculture and Health Workshop 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact The Senior Hub Manager and one of the Hub Research Fellows gave an invited presentation on the activities of the Hub at a workshop organised by the London Centre for Integrative Research on Agriculture and Health. The workshop was organised to identify synergies and links between different project and programmes with a related focus, and included academics from several institutions, including Principal Investigators on projects and senior management staff. Following the presentation, several strong links were identified between the Hub and the other projects represented. A programme of meetings has been organised to explore these in greater detail and foster collaborative working between the teams involved, with the goal of achieving shared outcomes.
Year(s) Of Engagement Activity 2020
 
Description Presentation at National Institute for Nutrition, India 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Professor Paul Haggarty, Deputy-PI on the Hub, gave a presentation at the National Institute of Nutrition (NIN) in Hyderabad during an in-country visit in January 2020. The audience was comprised of academic staff and students, and Professor Haggarty outlined the Hub's research programme, highlighting the epigenetics workstream activities which he is personally leading. NIN is the Hub's lead institution in India, and as such there was a large amount of interest in the presentation, with subsequent requests for further information from attendees. Due to the success of this presentation, we plan for other Hub researchers to deliver talks during their in-country visits to share details on their particular workstreams as well as highlight the interdisciplinary synergies present across the Hub.
Year(s) Of Engagement Activity 2020
 
Description Presentation at SEAMEO RECFON Alumni Gathering 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact A presentation on the activities of the Hub was given by Dr Umi Fahmida, Indonesia country lead on the Hub, during the Alumni Gathering event on 3rd August 2019 in Jakarta. The forum was attended by 91 participants who are MSc and PhD Alumni of the SEAMEO RECFON Nutrition Study Program, Faculty of Medicine, Universitas Indonesia. Attendees represented academic and research institutions, the food industry, professional organizations, UN agencies and NGOs from 5 countries: Indonesia, Malaysia, Philippines, Singapore and Thailand. The event was an opportunity to establish alumni networks, raise the profile of the Hub and its work within these networks and explore opportunities for collaboration and further inputs for SEAMEO RECFON. Dr Fahmida's presentation generated widespread interest amongst attendees who were keen to engage further with the work of the Hub.
Year(s) Of Engagement Activity 2019
 
Description Presentation at UKRI GCRF Regional Engagement Event 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact Professor Marie Harder, UK Theme Lead for Shared Values on the Hub, gave a presentation entitled 'Setting the Scene for effective development: using Shared Values approaches in the UKRI GCRF Action Against Stunting Hub'. The presentation was given to an audience of around 60 people, including academics and UKRI and GCRF representatives. The event was held to showcase GCRF-funded research projects, and Professor Harder's presentation raised awareness of the goals of the Hub as well as promoting the Hub's research activities.
Year(s) Of Engagement Activity 2019
 
Description Presentation at Universite Cheikh Anta Diop, Senegal 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Professor Paul Haggarty, Deputy-PI on the Hub, gave a presentation at the Universite Cheikh Anta Diop in Dakar during an in-country visit in January 2020. The audience was comprised of academic staff and students, and Professor Haggarty outlined the Hub's research programme, highlighting the epigenetics workstream activities which he is personally leading. Universite Cheikh Anta Diop is the Hub's lead institution in Senegal, and the talk was very well-attended, raising awareness of the Hub's activities across the institution. Interested parties requested further information on collaboration opportunities and updates on progress of the project these become available.
Year(s) Of Engagement Activity 2020
 
Description Presentation to Local Authorities in Kaffrine 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Professor Babacar Faye, Country Lead on the Hub in Senegal, attended a meeting chaired by the Sub Governor of Kaffrine District (one of the study field sites) to present on the Hub's research programme and to raise awareness of the aims, objectives and activities. As part of his presentation, he detailed key elements of the Senegalese team's local communication and engagement plan and discussed with local authorities potential challenges to implementing the programme of works at the community-level. The local authorities in Kaffrine expressed support for the project and interest in it's outcomes and will be kept updated on progress.
Year(s) Of Engagement Activity 2020
 
Description Presentation to Local Authorities in Nganda 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Professor Babacar Faye, Country Lead on the Hub in Senegal, attended a meeting chaired by the Deputy-Prefect of Nganda District (one of the study field sites) to present on the Hub's research programme and raise awareness of planned activities. As part of his presentation, he also highlighted the expectations of the research team and explored perceptionos and expectations of local authorities. Attendees included representatives from the local administrative, health and community authorities. This meeting was held as part of the Senegal Hub team's in-country communication and engagement plan, developed to ensure support from a broad range of stakeholders for the delivery of the research programme. The local authorities in Nganda expressed support for the project and interest in it's outcomes and will be kept updated on progress.
Year(s) Of Engagement Activity 2020
 
Description Radio and Television broadcast on research activities in Senegal 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Four radio discussions on the activities of the Action against stunting hub were organized in Boulel and Kaffrine communities in Senegal. The main purpose of these radio broadcast is to raise awareness of the research activities of the hub in the two communities. Resource persons for these radio broadcasts included the field coordinator. fo the research activities and a nurse in the various communities. Television discussions were again held in Kaffrine by Professor Babacar, the field coordinator and Senegal hub programme manager to create awareness of the activities of the Senegalese hub. The overall impact of these radio and television of the Senegalese team is to create awareness and support the recruitment of participant for the various research work in the. workstreams
Year(s) Of Engagement Activity 2021
 
Description Research Fellows Monthly Meetings 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact Monthly meetings are organized for the research fellows within the AAS hub to share experience on research activities, and establish symmetries between research activities for collaborative work. This also promotes cross disciplinary research activities goes to improve the interdisciplinarity of the hub's research activities
Year(s) Of Engagement Activity 2020,2021
 
Description Risk based prioritization of food hazards 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Prof. Delia Grace from ILRI - keynote presentation at the online Food and Agriculture Organization of the United Nations Regional Food Safety Conference for Asia and the Pacific on 'Communicating food safety in the era of COVID-19: Earning consumers' trust'
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/110497
 
Description SEAMEO 1st International Conference of Food and Nutrition 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact During the maiden SEAMEO International Conference on Food and Nutrition, Professor Paul Haggarty, Deputy PI for the Action Against Stunting hub gave a key note lecture where he presented on the "A Whole Child Approach: the importance of early life adversity on child biology and cognition of the Action Against Stunting hub. The conference session, which was moderated by Dr. Umi Fahmida, the country lead on the Indonesia was attended by over 400 people and the recording watched about 3810 times. Participants of the conference included food and nutrition practitioners and researchers, policy makers, programme implementers; Secondary audience include students, development practitioners and local and municipal government
Year(s) Of Engagement Activity 2020
 
Description Saving SDG2: from innovation to action 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact 3 hours conference with high-level speakers to explore how the international community can save SDG2; this was followed by workshops to discuss practical actions to achieve SGD2
Year(s) Of Engagement Activity 2021
URL https://actionagainststunting.org/saving-sdg2-from-innovation-to-action/
 
Description Setting the scene for Bayesian Analysis in modelling the drivers of stunting in Indonesia 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Study participants or study members
Results and Impact This workshop is organized for key stakeholders within the ministry and researchers between the action against stunting hub in Indonesia. The purpose is to introduce the use of Bayesian Networks in modelling the drivers of child stunting in Indonesia and also to learn about the the key factors driving child stunting in Indonesia. This workshop builds relationships and buy-in for the modelling. It also will provide data on qualitative beliefs of country experts on stunting
Year(s) Of Engagement Activity 2021
 
Description Shared Values workshop in India 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact One Shared Values workshop was organised in Hyderabad, India with a range of local households and decision-makers to solicit information that will enable the team have a contextual/local understanding of perceptions, values and beliefs regarding child stunting in Hyderabad. This workshop is the first of many to be organised involving different groups of people in Hyderabad. The workshop was successfully organized with support from the researchers based in Hyderabad. Initial data gathered from this first workshop will provide information to strategy, and other informational needs regarding the organization of the remaining workshops.
Year(s) Of Engagement Activity 2021
 
Description Shared Values workshops in Indonesia 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Nine shared values workshops were held with local groups of mothers, fathers and early-years teachers in East Lombok, the field site for the cohort study in Indonesia. Each workshop involved between twelve to fifteen participants (including research staff from the Indonesian Hub team, who received training in the WeValue process). The workshop process is used to elicit and make tangible local shared values. In the context of the Hub, this relates to eliciting values-based perceptions regarding child stunting and exploring community-led legacies of the project. All researchers actively observed or assisted with the facilitation of 9 workshops, with three having achieved 75% of the training needed to become Certified Facilitators of the Shared Values WeValue InSitu process and a fourth researcher achieved 50% of the training. Future training is planned to enable all researchers to become fully certified.
Year(s) Of Engagement Activity 2019
 
Description Shared Values workshops in Senegal 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact Ten shared values workshops were organized in the Kaffrine community in Senegal with mothers and fathers, grandmothers, local teachers, Kaffrine community health workers, market traders, farmers, Kaffrine Community public administrators and researchers from the UK and Senegal hubs. Nine participants were involved in each of the ten workshops, usually made up of four(4) community members/beneficiaries, four(4) researchers from the Senegalese hub and one researcher from the UK hub. These shared values workshops were organized to obtain information on local/communal shared values regarding the project in Kaffrine. To this end, information regarding local perceptions/knowledge and context specific understanding of child stunting, breast feeding, health seeking behaviors and various public informational needs etc. were sourced and obtained from participants of the workshops. The overall data obtained from the shared values workshops will provide local/communal as well as cultural insights which are relevant to the themes of this research and beyond.
Year(s) Of Engagement Activity 2020
 
Description Sharing of project information and updates with the Gniby Local Committee of Development 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact Professor Babacar Faye, lead for on the Senegal hub and the project team in the Senegal hub met with local authorities, including the Gniby Local Committee of Development. Participants of the meeting included heads/representatives of administrative communities, administrators of local authorities, health representatives and community members from the various local areas. The meeting was held at Gniby. The purpose of the meeting was to present the entire project to the administrative communities and health authorities in order to ensure their involvement in the project. Administrative communities and health authorities were informed on the project. They have committed to support the project
Year(s) Of Engagement Activity 2020
 
Description Sharing of project information with Health Department in Kaffrine 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Study participants or study members
Results and Impact Professor Babacar, country lead on the hub of Senegal and researchers in the Senegal hub met with nurses and staff of the health department/centre in Kaffrine to inform and update them on the research activities of the Action against stunting hub. Important information and updates include timelines for the recruitment of participants of the research, duration and follow up activities of the community and field enumerators among others. Participants include nurses in the 29 health posts in Kaffrine, staff of the health centre in Kaffrine and community health health practitioners in Kaffrine. All the nurses in the Kaffrine health posts are informed and have a better understanding of the project as result of this event.
Year(s) Of Engagement Activity 2020
 
Description Social Media and Web Analytics 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The Hub web and social media analytics are as follows:

Twitter: 8000 profile visits, 285k impressions, 453 new followers

Website analytics: The website was visited 10,930 times last year by 3146 users. The events are the leading drivers of visits, accounting for the most clicks and searches. Users land on our website mainly via organic search, direct and social media - reflecting the effort we put into newsletters, direct emails, and social media.

LinkedIn: LinkedIn proved to be a promising platform for the Hub, reaching peaks of 114 visitors per day. Among the objectives for the upcoming year, there is the development of a more detailed strategy to grow our presence on this platform.
Year(s) Of Engagement Activity 2020,2021
URL http://www.actionagainststunting.org
 
Description Study socialization in Mataram, East Lombok, Indonesia 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Article in the local newspaper about the Action Against Stunting Hub study.
Year(s) Of Engagement Activity 2021
URL https://www.nusrapost.com/2021/01/seameo-recfon-gelar-sosialisasi-studi_14.html
 
Description The end of the silver bullet: A holistic approach to stunting research 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Postgraduate students
Results and Impact Article in the SEAMEO RECFON Awesome Southeast Asian Magazine on Food and Nutrition (Vol.1, No.1, Sep 2020)
Year(s) Of Engagement Activity 2020
URL http://www.seameo-recfon.org/books/recfon-awesome/
 
Description The indirect impacts of Covid-19: an additional 253,500 child and maternal deaths? 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Blog post from the Action Against Stunting Hub on the indirect impacts of Covid-19: an additional 253,500 child and maternal deaths?
Year(s) Of Engagement Activity 2020
URL https://actionagainststunting.org/the-indirect-impacts-of-covid-19-an-additional-253500-child-and-ma...
 
Description Traditional food chains: Some thoughts on terminologies, perceptions and how to de-risk them to cope with food safety and pandemic threats 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Policymakers/politicians
Results and Impact Prof. Delia Grace keynote presentation at the third International Conference on One Health, Malang, Indonesia
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/111164
 
Description Visit to Kaffrine and meeting with staff of Kaffrine Health District (Department) 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact A meeting was held between the project team of the action against stunting hub, Senegal country hub and the health workers in the Kaffrine Health District. The meeting was attended by both staff of the Senegal country hub and health officers in the Kaffrine health district. The aim of the meeting was to update the staff on the activities of the project and too seek their commitment to the project. Arrangements were made during this meeting to meet at Gniby for the meeting with the Gniby Local Committee for Development as a way communicating the activities of the project to all relevant stakeholders
Year(s) Of Engagement Activity 2020
 
Description Webinar on Animal Source Food for Malnutrition Solution 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The webinar which sought to exchange experience and knowledge on the use of animal source foods as a potential solution to ending malnutrtion problems was attended by about 125 people. Participants included academics, policy makers, programme implementers and students who attended from across the globe. The webinar was recorded and and has currently been watched/viewed about 750 times. The potential of animal source foods for malnutrition solution was exchanged from different points of view, including nutrition, food system and policy makers
Year(s) Of Engagement Activity 2021
URL https://actionagainststunting.org/animal-source-food-for-malnutrition-solution/
 
Description Webinar with Indonesia ECE teachers and practitioners Association 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Schools
Results and Impact Dr. Umi Fahmid, country lead on the Indonesia hub was a resource person in the webinar with the title "Animal Protein: Local potential for stunting prevention". The event, mostly attended by teachers and watched by 800 people in Indonesia and abroad was aimed at providing teachers and other audience with information on the benefits o0f using animal source foods as a potential source of food for ending stunting in Indonesia. On the whole, this event was was a huge success as it was widely attended by teachers and other practitioners.
Year(s) Of Engagement Activity 2021
 
Description Why food safety matters to Africa: Making the case for policy action 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Prof. Delia Grace joint presentation at the virtual 2020 Regional Strategic Analysis and Knowledge Support System (ReSAKSS) Conference
Year(s) Of Engagement Activity 2020
URL https://cgspace.cgiar.org/handle/10568/110085
 
Description Workshop at SEAMEO CCEPCEP, Indonesia 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact A presentation and taster workshop to generate ideas and discussion around project objectives and operation, and how these might align with the support of teachers in Early Years settings across SE Asia. There is potential to have wide-ranging impact through offering teacher training, thereby cascading information through learning settings to children and families. An outcome of the workshop is that Science Made Simple and SEAMEO CCECEP have established a formal relationship to explore potential for developing and running blended training programmes for early years teachers to support their STEM teaching generally and align this to key science messages around stunting.
Year(s) Of Engagement Activity 2020