The SHINE trial was a large, cluster randomised trial carried out in rural Zimbabwe investigating whether:

• • improved Infant and Young Child Feeding (IYCF) would reduce stunting and anaemia among children

• • improved water, sanitation and hygiene (WASH) would reduce stunting and anaemia among children The SHINE interventions

The SHINE trial ICYF intervention included:
• Behaviour change modules delivered to pregnant women and mothers of infants by village health workers covering:

1. 1. The importance of infant nutrition for infant health, growth and development

1. 2. Feeding nutrient-dense food and 20g small-quantity Lipid-based Nutrient Supplement (SQ-LNS) daily from 6-18 months

1. 3. Processing locally available foods to facilitate chewing and swallowing

1. 4. Feeding during illness

           5. Dietary diversity

• • 20g small-quantity Lipid-based Nutrient Supplement (SQ-LNS) to be fed to the infant daily from 6-18 months

The SHINE trial WASH intervention included:

• Behaviour change modules delivered to pregnant women and mothers of infants by village health workers covering:

1. 1. Safe disposal of faeces

1. 2. Hand-washing with soap at key times3. Protection of infants from geophagia (eating soil) and ingesting animal faeces

1. 4. Chlorination of drinking water, especially for the infant

1. 5. Hygienic preparation of complementary foodHouseholds of pregnant women/infants in clusters randomised to this                 intervention also received:

              • A Ventilated improved pit (VIP) latrine built within 6 weeks of enrollment

•    • Two hand-washing stations

•    • A washable plastic mat and play yard to separate children from animals

             • A monthly delivery of soap and chlorine solution

 

SHINE_HEU briefing paper 301118 post CROI

SHINE_IYCF briefing paper 141218

SHINE_WASH briefing paper 141218b