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Objective: To determine which interventions can reduce linear growth retardation (stunting) in children aged 6-36 months over a 5-year period in a food-insecure population in Ethiopia. Design: We used data collected through an operations research project run by Save the Children UK: the Child Caring Practices (CCP) project. Eleven neighbouring villages were purposefully selected to receive one of four interventions: (i) health; (iii) nutrition education; (iii) water, sanitation and hygiene (WASH); or (iv) integrated comprising all interventions. A comparison group of three villages did not receive any interventions. Cross-sectional surveys were conducted at baseline (2004) and for impact evaluation (2009) using the same quantitative and qualitative tools. The primary outcome was stunted growth in children aged 6-36 months measured as height (or length)-for-age Z-scores (mean and prevalence). Secondary outcomes were knowledge of health seeking, infant and young child feeding and preventive practices. Setting: Amhara, Ethiopia. Subjects: Children aged 6-36 months. Results: The WASH intervention group was the only group to show a significant increase in mean height-for-age Z-score (10?33, P 5 0?02), with a 12?1 % decrease in the prevalence of stunting, compared with the baseline group. This group also showed significant improvements in mothers' knowledge of causes of diarrhoea and hygiene practices. The other intervention groups saw non-significant impacts for childhood stunting but improvements in knowledge relating to specific intervention education messages given. Conclusions: The study suggests that an improvement in hygiene practices had a significant impact on stunting levels. However, there may be alternative explanations for this and further evidence is required.

Summary The Healthy Food Environment Policy Index (Food‐EPI) aims to assess the extent of implementation of recommended food environment policies by governments compared with international best practices and prioritize actions to fill implementation gaps. The Food‐EPI was applied in 11 countries across six regions (2015‐2018). National public health nutrition panels (n = 11‐101 experts) rated the extent of implementation of 47 policy and infrastructure support good practice indicators by their government(s) against best practices, using an evidence document verified by government officials. Experts identified and prioritized actions to address implementation gaps. The proportion of indicators at “very low if any,” “low,” “medium,” and “high” implementation, overall Food‐EPI scores, and priority action areas were compared across countries. Inter‐rater reliability was good (GwetAC2 = 0.6‐0.8). Chile had the highest proportion of policies (13%) rated at “high” implementation, while Guatemala had the highest proportion of policies (83%) rated at “very low if any” implementation. The overall Food‐EPI score was “medium” for Australia, England, Chile, and Singapore, while “very low if any” for Guatemala. Policy areas most frequently prioritized included taxes on unhealthy foods, restricting unhealthy food promotion and front‐of‐pack labelling. The Food‐EPI was found to be a robust tool and process to benchmark governments' progress to create healthy food environments.

Summary 1.Economic forces are recognized as an important driving factor behind current biodiversity losses. This study investigates whether such factors have been important in determining one measure of biodiversity change over the 'long run' -in our case, 400 years -for upland sites in Scotland. 2. A combination of palaeoecological, historical and economic methods is used to construct and then analyse a database of factors contributing to changes in plant diversity over time for 11 upland sites. 3. Using an instrumental variables panel model, we find livestock prices, our proxy for grazing pressure, to be a statistically significant determinant of diversity change, with higher grazing pressures resulting in lower diversity values on average, although site abandonment is also found to result in a fall in plant diversity. Technological change, such as the introduction of new animal breeds, was not found to be a statistically significant determinant. 4. Using later period data (post 1860) on livestock numbers at the parish (local) level, we were able to confirm the main result noted above (3) in terms of the effects of higher grazing pressures on plant diversity. 5. Synthesis and applications . This study shows how data from very different disciplines can be combined to address questions relevant to contemporary conservation and understanding. This novel, interdisciplinary approach provides new insights into the role of economic factors as a driver of biodiversity loss in the uplands. Biodiversity levels have varied considerably over 400 years, partly as a function of land management, suggesting that establishing baselines or 'natural' target levels for biodiversity is likely to be problematic. Changes in livestock grazing pressures brought about by changes in prices had statistically significant effects on estimated plant diversity, as did land abandonment. This suggests that long-term management of upland areas for the conservation of diversity should focus on grazing pressures as a key policy attribute. Another policy implication is that drastic cuts in grazing pressures -such as might occur under current reforms of the Common Agricultural Policy -can have adverse biodiversity consequences.

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