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AFG Coverage Assessment (SLEAC) Report in Laghman province (Aug, 2015)


The project, of which the current assessment is a part, intends to contribute to improving the performance of IMAM services in Afghanistan, through the provision of in-depth information on coverage, identification of barriers and boosters to access, and definition of recommendations for a durable scale up of nutrition service delivery.
The main objectives of this assessment were to collaborate with the Swedish Committee for Afghanistan (SCA) in order to: 1. Classify coverage of each zone 2. Estimate coverage in the province 3. Identify key factors influencing coverage 4. Outline evidence based recommendations 5. Train partner staff in coverage methodologies


SLEAC uses a two-stage sampling process. Stage one samples villages across the area to be classified (in this case zones). The sampling process ensures a random and spatially representative sample. Stage two samples SAM children at village level. This step ensures an exhaustive sampling of all SAM cases in each village selected. Some specific technical considerations were made to adapt the sampling to the Afghanistan context.

Key findings: 

The coverage estimation for Laghman province is 31.2% (CI 95% 23.38%-39.02%). This estimation, as well as the classifications, should be considered as reflective only of the accessible areas within the sampling frame as a number of villages were removed due to insecurity. Across the province, the most commonly cited barriers to access were the lack of awareness of the availability of treatment services, and that caregivers have little information or knowledge of malnutrition. Many facilities in Laghman have only recently begun to offer SAM treatment services (as recently as one month prior to the assessment), which partly explains why knowledge is not yet widespread.

Sample size: 
106 SAM children
Assessment Report: 
Publicly Available
Assessment Questionnaire: 
Available on Request
Assessment Data: 
Available on Request
Assessment Date(s): 
25 Aug 2015

Level of Representation

District / Province / Locality / County
Report completed
Unit(s) of Measurement: 
Collection Method(s): 
Structured Interview
Field Interview
Population Type(s): 
All affected population
Leading/Coordinating Organization(s): 
Action against Hunger
Participating Organization(s): 
Action against Hunger