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​アフガニスタンにおけるユニセフ栄養プロジェクト評価

NAM was commissioned by UNICEF to carry out a process evaluation of the Community-based Nutrition Package (CBNP) in Afghanistan. Afghanistan has the highest malnutrition rate among children under five years of age in Asia, with a stunting rate of 41% according to the National Nutrition Survey (2013). These children suffer impaired physical, mental and social development. The main causes of malnutrition are inappropriate infant and young child feeding practices (IYCF) and childcare care, which are driven by social and cultural beliefs and norms, food insecurity, poverty and inadequate health services. These lead to poor nutritional intake and illnesses such as diarrhea, which in turn lead to poor appetite and poor absorption. CBNP, a practical and comprehensive minimum service package to address such malnutrition, provides high-impact community-based nutrition services (growth monitoring, cooking demonstrations, counselling, MUAC screening, etc.) in the community accompanied by services at health facilities. It began in November 2017 and is ongoing.
The process evaluation was conducted in two provinces (Laghman and Balkh) and aimed to identify implementation gaps and barriers and ways to mitigate them by collecting information on whether the programme was implemented as planned and designed (fidelity) and whether services reached the intended beneficiaries (coverage), ultimately contributing to evidence-based programming and decision-making in Afghanistan's health sector, including community-based nutrition, for the Ministry of Health (MoPH), UNICEF and FHI360/IHSAN.
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