Be holistic in your approach. Are you sure that a nutrition programme alone will satisfactorily address stunting? Typically nutrition interventions alone reduce the prevalence of stunting by only about a third. You'll want also to look at things like whether there are mycotoxins in the diet as well as at the situation regarding sanitation and hygiene. Child-rearing practices may also need attention...perhaps requiring interventions aimed at changing behaviour.

Hello good people,prevention of stunting has to be in cooperated with WASH interventions,because you see that frequent diarrhea causes stunted growth.Nutrition and WASH interventions (issues of safe drinking water,hygiene in food preparation)

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Hi Winnie
What I have been reading suggests that diarrhea is only weakly correlated with stunting...at least in rural areas, but the frequency issue certainly complicates things. Because environmental enteric dysfunction (arising from poor WASH situations and mycotoxins in the diet) is so widespread, many children's bodies simply cannot respond to a normal healthful diet. So nutrition programmes alone can solve only part of the problem.

The literature suggests that removing someone with EED from the unhealthful environment results in the eventual disappearance of the EED. This happened with American Peace Corps volunteers who contracted EED in Pakistan and recovered when they returned home. But can anyone tell me how long the recovery period is likely to be for a young child removed from the environment where they acquired EED? Since EED is seldom diagnosed and treated, this time interval is critical in shaping the severity of stunting and the subsequent consequences.