Malnutrition Levels Shock World Vision Team

30 December 2001

reported by James Addis, World Vision Central Asia communications

Records from a children's nutritional programme in north-western Afghanistan, which was abandoned because of the war, showed about half were suffering serious malnutrition, a World Vision team discovered today.

The documents were discovered at a health clinic in Quadis, a district of Badghis province.

The programme had to be abandoned following the September 11 attacks in the United States and subsequent fierce fighting in the region.

Children's progress was plotted on a coloured graph on each record, about 50 per cent were plotted in a red-band, indicating their level of under-nourishement had reached dangerous levels. The programme had registered about 3,000 children.

An Afghan doctor Abdul Kahim, still working at the clinic, said while the nutrition programme was running the clinic had been able to dispense ground chick pea, wheat flour and sugar to feed starving children but supplies had long since run out.

"Now we can only recommend to parents which kind of foods they should give their children and they must buy them themselves from the market," he said

While the World Vision team was visiting the clinic a young mother brought her child in for attention.

The three year old infant, Safa Gul, weighed just 5.7kg, nearly 2kg under her ideal weight and was unable to stand, let alone walk.

World Vision nutrition project manager Francois Batalingaya said he was appalled to see a child in such a condition.

"To see a three year old child that has the weight of an eight month old baby and who is unable to stand is shocking," he said.

The child's mother Hari Zad said she had walked 10 kilometres to visit the clinic from her village of Shah Dost. She said other villagers' children were suffering in a similar way and that she had no money to buy food for her child at the market.

"I don't have money for food for my baby," she said indicating Safa, "or for other members of my family. Unless we get something from an agency we have nothing," she said.

Afterwards the World Vision team comprising Francois Batalingaya, nutritionist Margaret Asewe and communications officer James Addis visited a nearby home where a child indicated by the records was also malnourished. They borrowed scales and a height measuring board from the clinic to check the accuracy of the records.

The team found three children at the house all seriously malnourished.

The father of one of the children who gave his name as Bismillah said the family had nothing to eat except rice.

Bismillah said before the drought he had over 100 sheep, two ox for ploughing, 5 donkeys and a horse.

"I was once a wealthy man but now I have nothing," he said.

Mr Batalingaya, a Rwandese national, said he was surprised by the severity of hunger, and said it was comparable to dire situations in Africa such as those that pertained in Liberia and Mozambique following civil war.

However he said the situation had not yet reached the disastrous levels of starvation that have occurred in Sudan and Ethiopia.

"We must act quickly before things get that bad," he said.

The World Vision team had hoped to visit more remote areas in Quadis, particularly those close to the former frontlines of warring factions, where conditions are expected to be even more dire. However their vehicle suffered two punctured tyres and it was feared a further puncture would leave the team stranded. A decision was therefore made to head for their temporary base at Badghis' main centre Qalay-i-Naw.

World Vision plans to begin a nutrition programme in western Afghanistan about 15 January and will cover the provinces of Badghis, Farah, Herat and Gohwar. The programme will initially give a blanket distribution of Corn Soya Blend, sugar and oil to all pregnant and lactating mothers and children under 5 years. Subsequent distributions will target only malnourished children and mothers.

The programme is expected to last for six months and benefit a population of about 150,000 mothers and children. The cost of the programme is $5.7 million. Funding will come from Unicef ($4.37 million) and World Vision's private donors. The Canadian government's aid arm CIDA has also been approached to assist with funds.

Hungry crowds mob World Vision assessment team reported by James Addis, Central Asia communications

28 December: Desperate crowds mobbed a World Vision vehicle as it departed villages in north western Afghanistan, complaining they had nothing to eat.

World Vision nutrition project manager Francois Batalingaya, nutritionist Margaret Asewe and communications officer James Addis were visiting the villages of Zadmorad and Salim Boy about 30 kilometres East of Qalay-i-Naw, the principal city of Badghis province.

Several times the dean of administration for the local government Ziau Ddin, who was travelling with the World Vision team as translator and guide, was forced to remonstrate with local people to allow the Land Cruiser to pass.

Tearful women pointed to their children crying out that they had only roots to eat. Many elderly women and men also joined the throng.

World Vision was visiting the villages in preparation for the launch of a multi-million dollar nutrition programme to combat hunger amongst children under five and pregnant and lactating mothers.

It took several hours to reach the villages, travelling stony, hilly terrain, denuded of vegetation after three years of drought. The team passed several settlements virtually deserted, as residents abandoned their lands and fled to displaced camps near the principal western town of Heart, in search of aid.

After travelling several kilometres along a dry river bed, the terrain became impassable and the team was forced to walk the remaining three kilometres.

At the villages, the team discovered numerous cases of chronically malnourished children ?causing stunted growth and susceptibility to disease, though no cases of severe malnutrition where the body begins to waste away.

Several two and three year old children were unable to walk or had difficulty doing so because of malnourishment.

Abdullah Solaiman the father of one such three year old, said the only thing the family had to eat was bread and tea. Oat and wheat flour for bread was bought in a local market. The family was forced to scavenge for firewood to sell, borrow from neighbours and sell personal possessions to make the purchases.

"We don't eat anything else - no vegetables and we don't have meat," Abdullah said.

Mother Gulshan Fattah said she was so weak herself that she could give no milk to suckle her youngest child. Already several of her children had died through a combination of hunger and disease.

Gulshan said before the drought the family had two ox for ploughing, two donkeys to carry firewood and a cow for milk.

"Now all we have is a single hen," she said bitterly.

World Vision plans to begin its nutrition programme about 15 January and will cover the provinces of Badghis, Farah, Herat and Gohwar.The programme will initially give a blanket distribution of Corn Soya Blend, sugar and oil to all pregnant and lactating mothers and children under 5 years. Subsequent distributions will target only malnourished children and mothers.

The programme is expected to last for six months and benefit a population of about 150,000 mothers and children. The cost of the programme is $5.7 million. Funding will come from Unicef ($4.37 million) and World Vision's private donors. The Canadian government's aid arm CIDA has also been approached to assist with funds.

Ends

James Addis
Press Officer
World Vision New Zealand

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