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ACF Nutrition KIS project Achievements and actual nutrition situation

ACF Nutrition KIS project Achievements and actual nutrition situation. KIS T ask Force Meeting Kabul, 08/2013 Clémence Malet, Head of nutrition Department, ACF-Afghanistan. Program rational – 2011. SMART nutrition survey in 2011: to define the nutrition situation in KIS

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ACF Nutrition KIS project Achievements and actual nutrition situation

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  1. ACF Nutrition KIS projectAchievements and actual nutrition situation KIS Task Force Meeting Kabul, 08/2013 Clémence Malet, Head of nutrition Department, ACF-Afghanistan

  2. 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 projectstarted in July 2011

  3. 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…

  4. Program achievements • Since July 2011 up to June 2013: • PLW admitted for treatment: 1605 • U5 admitted for treatment: • SAM: 993 • MAM: 2562

  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.)

  6. 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

  7. 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

  8. For further Details:- SMART nutrition survey report, November-December 2012, KIS, ACF- RNA, November-December 2012, KIS, ACF- RNA, May 2013, KIS, ACF Thanks

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