Since 2014, the Coverage Monitoring Network/ACF-UK, has been supporting ACF Afghanistan in the implementation of coverage assessments, including both SLEACs and SQUEACs. The support has also extended to ensuring a national level analysis of five SLEACs and 14 SQUEACs to determine the most pertinent issues affecting coverage throughout the country. This analysis extended beyond programme coverage to look more broadly at the performance of nutrition programmes in terms of cure rates and geographical coverage, as well as the level of need within the country. This has culminated in the production of the report (click image to view report): Aghan pic full The report draws on coverage data to understand what factors are influencing coverage negatively and what factors should be drawn upon to improve coverage. For example two of the three most important barriers are related to awareness of malnutrition and treatment services indicating the need to scale-up awareness raising activities (see graph below).
Barriers

Square graph showing top five barriers for each SQUEAC assessment (n=14)

This report has been produced in light of an important workshop that took place in Kabul in May 2016 attended by all key nutrition actors including from the Public Nutrition Department, donors, and NGOs. Drawing on the evidence from the coverage assessments and their own knowledge and experiences the participants came up with a series of recommendations and actions to implement them. These were then further developed into the following areas and are detailed in the report:
  • IMAM financing
  • Supply
  • Service delivery at community level
  • Service delivery at facility level
  • Human resources
  • Physical access
  • Information systems and reporting
  • Governance and leadership
The report recommends technical groups be allocated certain recommendations for further development, follow-up and implementation. The onus is now on the Nutrition Cluster and partners in country to ensure recommendations are used in order to improve the performance of SAM treatment in Afghanistan.