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

2. thresholds for emergency situation:
Program rational – 2011
SMART nutrition survey in 2011: to define the nutrition situation in KIS
Global acute Malnutrition (SAM + MAM):
7.9% ( % C.I.)
Severe acute Malnutrition (SAM):
2.4% ( % 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

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…
21 November 2006

4. Program achievements Since July 2011 up to June 2013: SAM: 993
PLW admitted for treatment: 1605
U5 admitted for treatment:
SAM: 993
MAM: 2562
21 November 2006

5. Nutrition situation –end 2012
SMART nutrition survey in KIS, Nov-Dec 2012
Global acute Malnutrition (SAM + MAM):
4,9% ( % C.I.)
BUT above 10% for 0-11 months children
Severe acute Malnutrition (SAM):
1,1% ( % C.I.)
Action contre la Faim Service - Logistique Mission

6. Nutrition situation monitoring/seasonality impact
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 )
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
21 November 2006

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
21 November 2006

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