Malnutrition and Nutrition

Situation analysis

Good nutrition is a cornerstone of well-being, particularly in the first 24 months of life. It provides a key foundation for maximizing human potential and national development. Every partner including National and International, intergovernmental, and governmental bodies designs strategies, policies, programs, and systems that address nutrition emergencies and create sustainable change.

One of the underlying causes of Malnutrition is the presence of inadequate amounts of vitamins or minerals in the human body. This inadequate amount of micro-nutrients or vitamins is called under-nutrition (wasting, stunting, underweight). Apart from that, the amounts could be above the required volume and this causes overweight, and obesity, and results in diet-related no communicable diseases. Inadequacies in the intake of vitamins and minerals often referred to as micronutrients, can also be grouped together.

Micronutrients enable the body to produce enzymes, hormones, and other substances that are essential for proper growth and development. Iodine, vitamin A, and iron are the most important in global public health terms; their deficiency represents a major threat to the health and development of populations worldwide, particularly children and pregnant women in low-income countries.

Globally in 2020, 149 million children under 5 were estimated to be stunted (too short for age), 45 million were estimated to be wasted (too thin for height), and 38.9 million were overweight or obese. Around 45% of deaths among children under 5 years of age are linked to undernutrition. These mostly occur in low- and middle-income countries.

Women, infants, children, and adolescents are at the particular risk of malnutrition. optimizing nutrition early in life—including the 1000 days from conception to a child’s second birthday—ensures the best possible start in life, with long-term benefits. Poverty amplifies the risk of and risks from, malnutrition. People who are poor are more likely to be affected by different forms of malnutrition. Also, malnutrition increases health care costs, reduces productivity, and slows economic growth, which can perpetuate a cycle of poverty and ill-health.

Afghanistan has high rates of both chronic and acute malnutrition. Nutrition reports state that stunting among preschool children 6-59 months has reached the alert stage, indicating that immediate intervention is required. Consistent with global experience, the groups most vulnerable to malnutrition are children under 5 years old, pregnant and lactating women, and the elderly. Over half (54%) of preschool-age children are stunted and 39% are underweight. These high rates of malnutrition are associated with risks: (1) reduced resistance to diseases, (2) increased mortality, (3) decreased cognitive abilities; and (4) reduced physical activity. (UNICEF,2019)

in Afghanistan children, 6-24 months old have the highest prevalence of anemia, 50%. The prevalence of anemia among preschool-age and non-pregnant women is 38% and 25%, respectively, which is indicative of a moderate public health problem (MoPH, AL, 2020).  According to the Dr. Alakbarov 15 march report, Acute malnutrition rates in 28 out of 34 provinces are high with more than 3.5 million children in need of nutrition treatment support. He explained that since mid-August, over 2,500 nutrition treatment sites across all 34 provinces, both urban and rural, have been serving 800,000 acutely malnourished children, “and we plan to reach 3.2 million affected children this year.

We also aim to reach one million people through vocational skills training, one million children through school feeding, and millions more people both directly and indirectly through preprogram SAT will protect and boost the agricultural livelihoods upon which so much of the population depends,” added the UN Representative.

 

WHLO strategies and projects implemented

 

To address the malnutrition situation in the country, WHLO has implemented food security, livelihood, and emergency food support projects and used its own strategies.  The usual food security and livelihood programs planned in various provinces have addressed the root causes of food hunger as well as nutrition in Kunduz, Balkh, Logar, Khost, Parwan, Wardak, Ghazni, and other provinces where WHLO has operated. Key projects that the organization executed and would like to continue to address malnutrition in the emergency situations are:

 

  • School feeding programs reduce hunger among the children in the school and reduce the challenges of the community.
  • Cash or voucher schemes to purchase nutrient-rich foods and/or fortified foods that are locally available.
  • Distribution of nutrient-rich foods or fortified foods at the household level.
  • Provision of multiple-micronutrient fortified foods to children aged 6-23 months and PLW through blanket supplementary feeding.
  • Livelihood programs and safety net programs for families with children under two years of age and/or PLW.
  • Ensure livelihood programs are child friendly; e.g. providing daycare arrangements and feeding breaks. Include IYCF questions in post-distribution monitoring.
  • complementary foods in crop selection of agriculture programs
  • Agriculture input support (vegetables and seed support, poultry, sheep, and goat support) for families with low economic and food security problems