Standard Project Report 2016
in June, while the first round of the CAS survey was conducted in July; thus no improvements were found during the second round of the survey.
Despite these challenges, most of the projects undertaken were completed successfully. This can also be attributed to the contribution of the targeted communities and cooperating partners including cash and in-kinds contributions as well as collaboration with local governmental departments and improved partnerships with other United Nations agencies for joint project implementation.
Actions that the country office will take in 2017:
• To enhance the positive effect of asset creation activities, the country office will actively promote WFP ' s longer term DRR plan including joint programmes with other United Nations agencies in order to ensure the continuous funding through multi-year contributions from donors;
• To reflect the real status of the targeted assets, the first round of the CAS survey should be planed during the first quarter of the year as most asset creation projects start during this quarter, in close coordination and collaboration with the monitoring and evaluation team and other technical units;
• Enhance the capacity of the programme assistance team( PAT) monitors on the concept of CAS in order to enhance quality of information / data collected.
Strategic Objective: Reduce undernutrition and break the inter-generational cycle of hunger( SO4).
Outcome: Reduced undernutrition, including micronutrient deficiencies among children aged 6-59 months, pregnant and lactating women, and school-aged children.
Activity: Treatment of Moderate Acute Malnutrition( MAM).
The number of children aged 6-59 months and of pregnant and lactating women( PLW) reached is 124 percent and 242 percent respectively. The number of children reached is within the acceptable range, considering that estimates were based on factors such as population figures or demographic data which are not necessarily accurate. The main reason for the over-achievement for PLW could be the under-estimation of planned figures for malnourished PLW, originating from possible errors in the population figures( government estimates), prevalence of malnutrition in PLW( National Nutrition Survey 2013) and estimated coverage used for determining the planned number of malnourished PLW to be reached. Additionally, not applying the incidence rate further caused under-estimation of the planned number of malnourished PLW. It is assumed that fewer malnourished PLW were planned compared to the ground reality, and as a result more acutely malnourished PLW were admitted in the programme than planned. As per the policy, none of the eligible malnourished children and PLW should be denied admission in the programme as long ass supplies are available. Other possible factors contributing to the increase in admission figures could be the interruption in the course of treatment and re-admission because of security problems, supply shortages, delays in contract renewal, etc. WFP will draw on this lesson learned and conduct an in-depth review of the issue, in consultation with WFP field offices, global headquarters and the regional bureau, as well as cooperating partners.
The treatment programme was implemented through an agreement with the Ministry of Public Health cooperating partners- Basic Package of Health Services( BPHS) and Essential Package of Hospital Services. The activities took place in the health facilities led mainly by the government health staff with additional staff to support with the food distribution, monitoring and supervision. Improving maternal and child health and nutrition is one of the priorities of the BPHS package. WFP and UNICEF support the treatment programme with the procurement and supply of the specialised nutritious food for the treatment of MAM and severe acute malnutrition( SAM) respectively.
The performance indicators related to the treatment of MAM focus on the number of discharged individuals. The total number of discharged individuals is the sum of all participants who have recovered, died, defaulted or were not responding to the treatment. The programmes to treat moderate acute malnutrition were implemented in both relatively safe areas and in areas affected by war, in conjunction with programmes focused on the treatment of SAM. Despite security constraints, the great distances to travel to the health facilities, and seasonal factors such as rain and winter, the programme has succeeded in each of the targeted provinces to meet the SPHERE standards for the treatment of MAM in admitted children.
Of those admitted, 79.2 percent of children recovered, 0.15 percent died while in the programme, and 20 percent defaulted, while the non-recovery rate was 0.64 percent. The recovery rate, which was lower than in the previous year, was influenced by the unacceptably high default rate in 2016. The high default was mainly a result of the displacement of families because of the widespread and mobile clashes between government and anti-government elements.
To address the challenge of defaulting due to insecurity and displacement, WFP and cooperating partners encouraged mothers to request referral slips so the children could continue with their treatment in new arrival locations where MAM treatment programmes were operational. In addition to the outcome indicators outlined above,
Afghanistan, Islamic Republic of( AF) 22 Single Country PRRO- 200447