In the aftermath of the devastating floods in Pakistan, health facilities are reporting alarming levels of severe acute malnutrition among children in affected areas, UNICEF warned today. More than 1 in 9 children under five admitted to health facilities in flood-affected areas of Sindh and Balochistan were found to be suffering from severe acute malnutrition.

In total, of the over 22,000 children screened by health professionals since September 2022 at health facilities in flood-affected regions, more than 2,630 were diagnosed with severe acute malnutrition, or more than 1 in 9 children. Severe acute malnutrition, also known as severe wasting, is a life-threatening condition where children are too thin for their height, resulting in weakened immune systems.

Estimates based on the pre-existing malnutrition prevalence of the latest National Nutrition Survey indicate that close to 1.6 million children could be suffering from severe acute malnutrition and in need of urgent treatment in flood-affected areas of Sindh and Balochistan provinces. Malnourished pregnant women are also at risk of giving birth to low birthweight babies who will be malnourished.

“We cannot sound this alarm loudly enough,” said Abdullah Fadil, UNICEF Representative in Pakistan. “We are facing a nutrition emergency that is threatening the lives of millions of children. Without urgent action, we are heading towards a catastrophic outcome that is threatening children’s very development and survival. We are grateful for the global community’s support so far, but much more is needed to save children’s lives.”

Even before the devastating floods, half of the children living in the now flood-affected districts were already stunted – an irreversible condition that stunts the growth, physical and cognitive development of children. Likewise, more than 40 per cent of mothers suffered from anaemia. Over 25 million children and women across Pakistan, including more than 7 million children and women in flood-affected areas, require immediate access to essential nutrition services.

UNICEF is on the ground, delivering life-saving nutrition services, including the provision of ready-to-use therapeutic food supplies to children suffering from severe acute malnutrition. Together with the Government of Pakistan, the World Food Programme, and other partners, UNICEF has established 271 outpatient therapeutic treatment centres for the prevention, detection and treatment of cases of severe acute malnutrition and other forms of malnutrition. UNICEF is also working to expand nutrition services through 73 mobile health teams in the 84 flood-affected districts, coupled with health, water, sanitation and hygiene (WASH) and protection services that are critical to save children’s lives.

The lack of safe drinking water and hygiene increases the risk of wasting, as unsafe water can cause diarrhoea and prevent children from getting the nutrients they need to survive. Over 5 million people no longer have safe drinking water sources and more than 6 million no longer have home sanitation facilities. As a result, the percentage of people practising open defecation has increased from one-fifth before the floods, to over one-third of the affected population. At the same time, water-borne illnesses are quickly spreading among children and families and cases of acute watery diarrhoea, malaria, dengue fever, skin conditions, respiratory infections and other diseases are also sharply rising.

In response, UNICEF is delivering 2 million litres of safe drinking water every day, rehabilitating water systems, distributing hygiene kits and providing sanitation and hygiene services.

UNICEF has revised its appeal to US$175.3 million, of which US$35 million will go towards lifesaving nutrition services and US$58 million towards essential WASH services. Only 13 per cent of UNICEF’s appeal for the children and families of Pakistan has been funded.

UNICEF is calling for:

• Support from the international community in order to reach over 7 million children, adolescent girls and women who are in need of nutrition services, over 5 million people who are in need of safe drinking water, and over 6 million who are in need of sanitation services.
• Integration of nutrition into government health delivery services and increased allocation of government funding for nutrition in the long term.