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

10 25 50
 
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 Art Image 
Year Produced 2020 
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. 
 
Description We have made substantial progress on the delivery of Stage I (Setting the scene) research activities. All in-country teams have shared relevant national-level datasets that are undergoing secondary analysis to create a Bayesian Network model of synergies and interactions of drivers of child stunting in India, Senegal and Indonesia. 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.2 (Interventions). Additionally, nine Shared Values workshops have been held in Indonesia, generating vital qualitative data on values-based perceptions of stunting, its causes and consequences amongst affected populations and other stakeholders. This data is informing Stage II and III activities, and 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. Local capacity in the WeValue process was built in-country.
Exploitation Route Outcomes of 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.
Sectors Communities and Social Services/Policy,Healthcare

 
Description As our work commences at the community level, we expect the project will begin to yield impacts, mainly at the societal (as opposed to economic) level. Public engagement is a key element of our project and we will use the following pathways to impact: 1. Face to Face engagement with a variety of audiences: communities, schools (local and UK), policy makers (local, national, international). 2. Citizen Science: here we are engaging mothers in measuring their children using an app and returning bespoke information to the mother about child nutrition depending on the measurements submitted. We anticipate both elements will increase the impact of our outputs over the life of the Hub. Indeed, Face-to-Face engagement will begin at different periods throughout the project cycle. Community engagement will focus on engaging families and wider community members with key science messages of the project, with the aim of awareness-raising, informing and empowering through knowledge and skills acquisition. At the community level, we are exploring approaches which will have best effect for each local setting, including direct engagement with community members and cascade-effect models through teacher and researcher training. 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. Finally, we expect our work with policymakers and UK schools/communities to have impact in relation to awareness raising of global issues generally and stunting specifically. We also anticipate that the public engagement strand will serve to underpin research messages when working with policymakers.
First Year Of Impact 2019
Sector Communities and Social Services/Policy,Healthcare
Impact Types Policy & public services

 
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 particuarly 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 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. 
 
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 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 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 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 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 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 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 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 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 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 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 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