Afghanistan’s Children in Dire Need of an ‘Acceleration in Nutrition Action’

Children receiving humanitarian aid in Kabul. Credit: Wanman Uthmaniyyah/Unsplash

By Maximilian Malawista
NEW YORK, Jun 23 2025 (IPS)

Afghanistan is burdened with one of the highest rates of child wasting globally, with 3.5 million children under five years suffering from a severe form of malnutrition, leaving them dangerously underweight and unable to grow or thrive.

With only five years left to meet global nutrition targets, progress remains unpromising: with only two goals, exclusive breastfeeding and reducing child obesity on track. This leaves the nation “not on course” to meet all of the nutrition-related SDGs, as outlined by the 2023 Global Nutrition Report.

Approximately 12.6 million Afghans, 27 percent of the population, were facing acute food insecurity between March and April 2025, with 1.95 million in IPC phase 4 (Emergency), and 10.64 million in phase 3 (Crisis). Additionally 1.2 million pregnant and breastfeeding women are affected by this acute malnutrition, which has been driven by “inadequate access to services, sub-optimum practices and inadequate diets due to economic decline, climate shocks, rising food prices, and poor resilience” according to UNICEF.

According to a 2024 UNICEF report on child food poverty and nutrition deprivation, Afghanistan ranked 4th globally among countries with the highest rates of child poverty.

Nine out of ten young children in Afghanistan, or approximately 2.1 million, live in food poverty, which is leading to stunted growth and development. In this same age group, for one out of every two children (1.2 million children), diets were subsisting of no more than two food groups, “typically cereals and, at times, some milk, day in and day out”. Inadequate dietary requirements has caused 47 percent of young children in Afghanistan to suffer from stunting, with only 14.8 percent consuming five or more food groups. As a result, over 5 million children have been affected by stunted growth (IPC AMN).

While malnutrition is still significant, the UN has made progress in “scaling up the prevention and management of child nutrition in Afghanistan”. About 6.5 million children with wasting have received treatment over the last 3 years. Additionally over 10 million children and their caregivers were receiving preventive nutrition services. This has been marked as an achievement, highlighting “the impact of sustained and focused action, supported by adequate funding”.

A System of Rebuilding:

An investment in nutrition has been found to yield a high return investment, benefiting social, health, and economic systems. For every 1 dollar spent on addressing undernutrition and child wasting, a return of 23 dollars is generated. Malnutrition accounts for USD 2.1 trillion in annual productivity losses, a margin of 2 percent of the global GDP.

To address the remainder of global nutrition targets in Afghanistan, UN agencies such as UNICEF, the World Health Organization (WHO), the World Food Programme (WFP), the Food and Agriculture Organization (FAO), and the UN Population Fund (UNFPA), have called for a “coordinated, multisectoral action to nutrition”. Involving “strengthening food, agriculture, health and nutrition, water and sanitation” and even offering “social protection and education systems” in the fight to prevent, detect, and treat child wasting along with early forms of malnutrition.

In the report Nourishing Afghanistan: A UN Call to Accelerate Nutrition Action, the UN outlined a 10-step strategy to meet the global nutrition targets, in an attempt to combat malnutrition and its side effects. These include:

1. Strengthen strategies to address malnutrition
2. Ensure Access to Essential Preventive Maternal and Child Nutrition Services
3. Integrated Management of Acute Malnutrition
4. Tackle Child Food Poverty and population food insecurity by Improving
Access to Healthy, Nutritious Diets through strengthening Food Systems
5. Integrated Water, Sanitation, and Hygiene (WASH) and
climate-sensitive, multisectoral resilience building Initiatives
6. Strengthen Social Protection Systems
7. Increase Nutritional Education & Awareness
8. Leverage Data and evidence for Nutrition Action in Afghanistan
9. Investing on Nutrition in Afghanistan
10. Multisectoral Coordination

One such initiative, ‘First Foods Afghanistan‘, offers a direct systems-based response, linking food, water and sanitation health (WASH), education, health and social protection systems in order to deliver nutritious “first foods” for every child in Afghanistan.

The initiative looks to improve young children’s diets. Dr. Tajudeen Oyewale, the UNICEF Representative for Afghanistan said: “Afghanistan should not only be growing food—it must now grow nutrition. We are shifting the focus from calories to nourishment through child sensitive food systems, and from addressing malnutrition solely through services to also prioritizing the actual foods young children consume. This integrated approach is the only sustainable path to breaking the cycle of malnutrition and poverty in Afghanistan.”

Initiatives like First Foods Afghanistan have played a vital role in the strategy to combat the nutrition deficit in some of the country’s most impoverished regions. This accelerated action becomes even more critical as the brunt of the crisis is mostly affecting women and children, creating non-optimal conditions for growth and development.

As John AYLIEFF, WFP Country Director for Afghanistan warned: “Women and children bear the brunt of the hunger crisis in Afghanistan, where four out of five families cannot afford minimally nutritious diets.” He added: “Without sustained food assistance, millions of Afghans will descend into deeper hunger and acute malnutrition.”

IPS UN Bureau