ACF Nutrition KIS project

Achievements and actual nutrition situation

KIS Task Force Meeting Kabul, 08/2013

Clémence Malet, Head of nutrition Department, ACF-Afghanistan

1

Program rational – 2011

SMART nutrition survey in 2011: to define the nutrition situation in KIS• Global acute Malnutrition (SAM + MAM):

7.9% (5.6 - 10.9 95% C.I.)• Severe acute Malnutrition (SAM):

2.4% (1.5 - 3.9 95% C.I.)thresholds for emergency situation:

SAM+MAM 15% and/or SAM 2%

ACF strategy: direct implementation if no integration in the health system to answer to a nutrition emergency

ACF KIS nutrition project started in July 2011

2

Program achievements

Since July 2011:• Up to 40 KIS covered (+/- depending KIS

evolution throughout the time)• Community mobilization in all KIS covered:

—Early detection of acute under-nutrition and referral—HE—Home visits to the most at risk

• 9 centers welcoming pregnant and lactating women as well as under 5 children: screening, HE, IYCF, SAM and MAM treatment, referral to TFU (complicated cases including infants) and follow up…

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Program achievements

Since July 2011 up to June 2013: PLW admitted for treatment: 1605 U5 admitted for treatment:

SAM: 993 MAM: 2562

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5

Nutrition situation –end 2012

• SMART nutrition survey in KIS, Nov-Dec 2012• Global acute Malnutrition (SAM + MAM):

4,9% (3.3-7.2 95% C.I.)BUT above 10% for 0-11 months children• Severe acute Malnutrition (SAM):

1,1% (0.5-2.6 95% C.I.)

Nutrition situation monitoring/seasonality impact

Assumption that seasonality may impact acute under-nutrition in KIS• No statistical difference between the 2 RNA

The assumption of seasonal impact on the nutritional status of children under 5 in KIS was not confirmed

Rapid Nutrition Assessment (RNA)

Dec 2012 May 2013

GAM (based on MUAC/oedema)

4,6% (95%CI 2,5- 8,5)

5.1% (95%CI 3.0-8.5)

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Conclusion

• KIS nutrition situation: not anymore an emergency situation: rationale for ACF

CMAM project/exit from KIS at the end of Dec 2013. Need for CMAM in Kabul to make the treatment available not only for KIS population – integration within the health system + general advocacy for KIS population access.

BUT great needs for IYCF interventions – MHCP department of ACF will continue and increase their activities

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For further Details:

- SMART nutrition survey report, November-December 2012, KIS, ACF- RNA, November-December 2012, KIS, ACF- RNA, May 2013, KIS, ACF

Thanks