Sheela S. Sinharoy

Sheela S. Sinharoy
Emory University | EU · Department of Global Health

PhD

About

36
Publications
4,515
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325
Citations

Publications

Publications (36)
Article
Nutrition-sensitive agricultural programs have the potential to improve women's and children's nutrition , along with women's empowerment. The project-level Women's Empowerment in Agriculture Index (pro-WEAI) aims to standardize the measurement of women's agency and enable the assessment of impact over typical project timelines. Within the Food and...
Article
Full-text available
Historically, water and sanitation programs have focused on women's instrumental value in improving conditions and behaviors. No reviews have synthesized evidence on water and sanitation and women's and girls' empowerment. This review a) identified empirical water and sanitation research that engaged empowerment and/or empowerment-related domains;...
Article
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Introduction Despite an increasing emphasis on gender and empowerment in water, sanitation and hygiene (WaSH) programmes, no rigorously validated survey instruments exist for measuring empowerment within the WaSH sector. Our objective is to develop and validate quantitative survey instruments to measure women’s empowerment in relation to sanitation...
Article
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Background Women in rural Bangladesh face multiple, inter-related challenges including food insecurity, malnutrition, and low levels of empowerment. We aimed to investigate the pathway towards empowerment experienced by women participating in a three-year nutrition-sensitive homestead food production (HFP) program, which was evaluated through the F...
Preprint
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Background Water and sanitation programs historically have focused on women's instrumental value in improving effectiveness and impact of programs, though focus is shifting to consider how programming and conditions may contribute to women's empowerment an gender equality. To date no systematic review has comprehensively assessed and synthesized ev...
Article
Full-text available
The Household Air Pollution Intervention Network trial is a multi-country study on the effects of a liquefied petroleum gas (LPG) stove and fuel distribution intervention on women's and children's health. There is limited data on exposure reductions achieved by switching from solid to clean cooking fuels in rural settings across multiple countries....
Article
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Background: The intense interactions between people, animals and environmental systems in urban informal settlements compromise human and environmental health. Inadequate water and sanitation services, compounded by exposure to flooding and climate change risks, expose inhabitants to environmental contamination causing poor health and wellbeing and...
Article
Full-text available
Background: The intense interactions between people, animals and environmental systems in urban informal settlements compromise human and environmental health. Inadequate water and sanitation services, compounded by exposure to flooding and climate change risks, expose inhabitants to environmental contamination causing poor health and wellbeing and...
Preprint
Full-text available
Introduction: Despite an increasing emphasis on gender and empowerment in water, sanitation, and hygiene (WaSH) programs, no rigorously validated survey instruments exist for measuring empowerment within the WaSH sector. Our objective is to develop and validate quantitative survey instruments to measure women's empowerment in relation to sanitation...
Article
Full-text available
Background Household air pollution adversely affects human health and the environment, yet more than 40% of the world still depends on solid cooking fuels. The House Air Pollution Intervention Network (HAPIN) randomized controlled trial is assessing the health effects of a liquefied petroleum gas (LPG) stove and 18-month supply of free fuel in 3,20...
Article
Background Bangladesh has experienced rapid reductions in child undernutrition and poverty, increases in maternal education, and dietary change over the past 3 decades. Objective We aimed to quantify the determinants of the improvement in child nutritional status among preschool-aged children in Bangladesh from 1992 to 2005. Methods We utilized d...
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Full-text available
Poor water, sanitation and hygiene (WaSH) conditions are hypothesized to contribute to environmental enteric dysfunction (EED), a subclinical condition that may be associated with chronic undernutrition and impaired linear growth. We evaluated the effect of a combined water and sanitation intervention on biomarkers of EED, and then assessed associa...
Article
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Introduction Increasing urban populations have led to the growth of informal settlements, with contaminated environments linked to poor human health through a range of interlinked pathways. Here, we describe the design and methods for the Revitalising Informal Settlements and their Environments (RISE) study, a transdisciplinary randomised trial eva...
Article
Collective agency refers to a group’s or network’s perceived ability to come together, establish common goals or shared interests, and take action to attain those goals/interests. Group-based interventions that intend to relocate power, information, and resources to community groups may, in turn, enhance the personal agency of group members as well...
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The COVID-19 pandemic represents a turning point in the way things are done, globally and across sectors. We reflect on approaches to informal settlements and argue for a turn from ‘upgrading’ to ‘revitalisation’. We conceptualise revitalisation as encompassing three core tenets: planetary health, transdisciplinarity, and a people-centred approach....
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Background: Despite a strong theoretical rationale for combining water, sanitation and hygiene (WaSH) interventions to improve child health, study findings are heterogeneous with little understanding of the mechanisms for these effects. Our study objective was to demonstrate the utility of structural equation modeling (SEM) to assess intervention...
Article
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This study examined drivers and barriers of water, sanitation, and hygiene (WASH) policies in urban informal settlements in low and middle-income countries. We conducted a search of peer-reviewed and grey literature published between January 2000 and April 2018. We organized evidence into six domains of drivers and barriers: economic, spatial, soci...
Article
Pneumonia is a leading killer of children younger than 5 years despite high vaccination coverage, improved nutrition, and widespread implementation of the Integrated Management of Childhood Illnesses algorithm. Assessing the effect of interventions on childhood pneumonia is challenging because the choice of case definition and surveillance approach...
Experiment Findings
Background: Open defecation is widespread in rural India, and few households have piped water connections. While government and other efforts have increased toilet coverage in India, and evaluations found limited immediate impacts on health, longer-term effects have not been rigorously assessed. Methods: We conducted a matched cohort study to asses...
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Full-text available
Background: Open defecation is widespread in rural India, and few households have piped water connections. While government and other efforts have increased toilet coverage in India, and evaluations found limited immediate impacts on health, longer-term effects have not been rigorously assessed. Methods: We conducted a matched cohort study to as...
Article
Full-text available
Interventions implementing clean fuels to mitigate household air pollution in low- and middle-income countries have focused on environmental and health outcomes, but few have evaluated time savings. We performed a systematic review, searching for studies of clean fuel interventions that measured time use. A total of 868 manuscripts were identified...
Article
Important disparities exist in anemia diagnosis globally. We examine individuals’ and populations’ access to anemia diagnosis, the accuracy of diagnostic tests, and the interpretation of test results through the lens of key ethical considerations. These include the human right to health and the Rawlsian concept of the social contract, as well as et...
Article
Highlights • Women's schooling was positively associated with individual and household diets. • Women's decisionmaking and voice with husband did not mediate this relationship. • Women's income-earning was negatively associated with household diet. • Income was positively associated with decisionmaking and in turn with women's diet. • The negative...
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Background The government of Bangladesh has implemented multiple policies since 1971 to provide the population with more diverse and nutritious diets. Objective The aim of this study was to examine the drivers of dietary change over time and the roles agriculture and economic development have played. Methods We used principal component analysis t...
Article
The Essential Nutrition Actions framework is an evidence‐based set of cost‐effective, integrated tools for training health and community workers to promote optimal nutrition practices for the first 1,000 days. This ENA Pilot Project (ENAPP) was implemented with USAID funding from August 2008 to September 2009 in six unions of the working area of an...
Article
The relationship between women's empowerment and women's nutrition is understudied. We aimed to elucidate this relationship by quantifying possible pathways between empowerment and dietary diversity among women in rural Bangladesh. In 2015, we conducted a cross-sectional survey of 2,599 married women ages 15–40 (median: 25) living in 96 settlements...
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Full-text available
Background: Community health clubs are multi-session village-level gatherings led by trained facilitators and designed to promote healthy behaviours mainly related to water, sanitation, and hygiene. They have been implemented in several African and Asian countries but have never been evaluated rigorously. We aimed to evaluate the effect of two vers...
Article
Objective: We describe differences in linear growth as measured by height-for-age z-score (HAZ) between children from Bengali and tribal populations in the Chittagong Hill Tracts of Bangladesh and examine factors associated with HAZ in both groups. Design: We used nutritional surveillance data collected in Bangladesh from 2003 to 2006 to analyze HA...
Article
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Introduction Government efforts to address massive shortfalls in rural water and sanitation in India have centred on construction of community water sources and toilets for selected households. However, deficiencies with water quality and quantity at the household level and community coverage and actual use of toilets have led Gram Vikas, a local n...
Article
Full-text available
To explore associations of environmental and demographic factors with diarrhoea and nutritional status among children in Rusizi district, Rwanda. We obtained cross-sectional data from 8,847 households in May-August 2013 from a baseline survey conducted for an evaluation of an integrated health intervention. We collected data on diarrhoea, water q...

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